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241. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
     January 01, 2019 - ulcers/pressure injuries and falls. … ulcers/pressure injuries increased from 2014 to 2015 and then decreased somewhat from 2015 to 2016 … Ulcers/ Pressure Injuries 21.7 23.5 22.7 23.0 6% 17.4 Surgical Site Infections 2.5 2.5 2.5 … Ulcer MPSMS Hospital-Acquired Pressure Ulcers/Pressure Injuries Surgical Site Infection NHSN SSIs … Ulcer MPSMS Hospital- Acquired Pressure 647,096 21.75 699,790 23.52 676,834 22.75 682,984 22.96

242. Final Progress Report: 2008 Local Area Networks for Excellence (LANE) Conference (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/stone-benner-report.pdf
     January 01, 2024 - ulcers, restraints, pain, staff stability, and quality improvement. … There are four clinical areas that have long plagued nursing homes; 1) presence of pressure ulcers in … ulcers , n=18, and dementia, n=3). … Ulcers: Best Practices • Quality Improvement: Maintaining and Sustaining Success • Resident Centered … Ulcers: Best Practices X 3.5 9 2008 Local Area Networks for Excellence (LANE) Conference: Final

243. Declines in Hospital Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-decline.pdf
     June 02, 2025 - Infections +CLABSI - Central Line-Associated Bloodstream Infection Falls Obstetric Adverse Events Pressure … Ulcers Surgical Site Infections Ventilator- Associated Pneumonias 0% (Post-op) Venous

244. Appendix L. Intensive Care Unit Infographic Poster | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-l.html
     October 01, 2015 - "All immobile patients need a urinary catheter to prevent hospital-acquired pressure ulcers." … Clostridium difficile infection, immobility (Foley is considered a "one-point restraint), hospital-acquired pressure … ulcers, falls, and venous thromboembolism. 2 , 3 Not all critically ill, immobile patients need Foley

245. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
     December 01, 2014 - PowerPoint Presentation AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention … Facilitator Training Overview of On-Time On-Time Pressure Ulcer Prevention Facilitator Training 2-day … Ulcer Prevention Pressure Ulcer Healing Falls Prevention Prevention of Avoidable Hospitalizations December … ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation December 2014 On-Time Overview … Ulcer Prevention Reports: Nutrition Risk Report Risk criteria Meal consumption Weight loss Trigger

246. Patient Safety and Quality Areas | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/about/areas.html
     February 01, 2018 - Our areas of research and tools cover: Healthcare Infections Team Training Falls Pressure Ulcers

247. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/about/patient-safety-culture.html
     June 01, 2024 - include the following: Hospital units with more positive SOPS scores had:  Fewer hospital-acquired pressure … ulcers and patient falls. 1 Lower surgical site infection rates. 2 Hospitals with more positive SOPS

248. Module 2: How To Manage Change (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
     June 02, 2025 - Ulcer Policies Tool 2E: Assessing Screening for Pressure Ulcer Risk Tool 2F: Assessing Pressure … Ulcer Care Planning Alert the Implementation Team Leader to be ready to discuss and decide who … will oversee administering the Pieper Pressure Ulcer Knowledge Test to staff, and who will be in charge … Ulcer Policies (completed by the Implementation Team Leader) Tool 2E: Assessing Screening for Pressure … Ulcer Risk (completed by the Implementation Team Leader or designee) Tool 2F: Assessing Pressure Ulcer

249. | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/tools/index.html?page=3
     June 01, 2016 - Date Published: August 2016 Setting of Care: Hospital Preventing Pressure Ulcers … in Hospitals These materials assist hospital staff in implementing effective pressure ulcer prevention

250. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2011-12.html
     January 01, 2018 - Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) 82,000 2.51 77,000 2.36 Pressure … Ulcer MPSMS Hospital-Acquired Pressure Ulcers 1,320,000 40.41 1,300,000 39.43 Surgical

251. Best Practices in Pressure Injury Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
     June 02, 2025 - documentation forms Lacking ways to empower staff to report abnormal skin findings: Consider using Tool 3C: Pressure … Ulcer Identification Pocket Pad. 11 ID Pocket Pad Tool 3C 12 Practice Insight Or note location … 27 Practice Insight EHR Care Plans Triggered Based on Risk Assessment Braden Scale for Predicting Pressure … Sore Risk SENSORY PERCEPTION 1.

252. AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
     September 01, 2015 - patients at “CAUTI “Incontinent patients need a urinary catheter to prevent hospital- acquired pressure … ulcers.” … Clostridium difficile infection, immobility (Foley is considered a "one-point restraint"), hospital-acquired pressure … ulcers, falls, and venous thromboembolism.2,3 • Not all critically ill, immobile patients need Foley

253. Background for AHRQ Quality Indicators
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pptx
     October 01, 2015 - ulcer   PSI 04 Death among surgical inpatients   PSI 05 Foreign body left during procedure   PSI … ulcer and any secondary ICD-10-CM diagnosis codes for pressure ulcer stage III or IV (or unstageable … A PSI Example: Pressure Ulcer (PSI 03) Tool A.2 Slide ‹#› Toolkit for Using the AHRQ Quality Indicators … ulcer Transfer from a hospital (different facility) Transfer from a skilled nursing facility (SNF) … ulcer in any secondary diagnosis field among cases meeting the inclusion and exclusion rules for the

254. Documentation and Coding for Patient Safety Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
     March 15, 2016 - ulcers). … PDI 02 Pressure Ulcer Rate (stage III, IV, Unstageable) Diagnosis and site of pressure ulcer must … PSI 03 Pressure Ulcer Encourage providers to document pressure ulcers as part of the admission H&P to … Provider must document the site of pressure ulcer; the stage of the ulcer can be documented and coded … PSI 03 Pressure Ulcer X “Unspecified stage” and “unstageable” are not interchangeable terms; the code

255. University of Missouri Health Care Decreases Pressure Injuries and Saves in Avoidable Costs | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
     February 01, 2024 - Avoidable Costs University of Missouri (MU) Health Care utilized the AHRQ toolkit Preventing Pressure … Ulcers in Hospitals to decrease PSI-03 (reportable pressure injuries) by 92% and save an estimated

256. Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation.docx
     June 02, 2025 - Ulcer Prevention Program – AHRQ Pressure Injury Prevention Program Training Webinar Materials Checklist … Ulcer Knowledge Test and staff training needs. · Alert the information technology (IT) representative … Ulcer Prevention Program. … Ulcer Knowledge Test is administered to staff to help determine their educational needs. … Instructor’s Note: Tool 2H: Pressure Ulcer Baseline Assessment, which is a shorter knowledge test, is

257. Impact of AHRQ’s Patient Safety Tools: Challenge Competition | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/about/challenge-competition.html
     February 01, 2024 - University of Missouri University of Missouri Health Care (MU Health Care) utilized AHRQ’s Preventing Pressure … Ulcers in Hospitals: A Toolkit for Improving Quality of Care to decrease Patient Safety Indicator 03

258. Table 14A: Outcome Indicators by County Supply of Health Care Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14.html
     February 01, 2023 - Ulcer 3,690 3,126 3,660 3,435 3,626 3,404 Injurious Falls 279 344 376 263 … Ulcer 4,133 3,523 3,912 3,945 4,035 3,846 Injurious Falls 355 435 467 339 … Ulcer 2,435 1,929 2,922 1,971 2,477 2,094 Injurious Falls 63 72 107 46 76 … Ulcer 1,524 1,248 1,380 1,455 1,569 1,307 Injurious Falls 74 70 93 59 82 … Ulcer 2,744 2,615 2,612 2,762 2,893 2,560 Injurious Falls 228 282 305 207

259. Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide4.html
     October 01, 2017 - Additional Related Training Resources Staff Roles and Training for Your Pressure Ulcer Prevention … Ulcer Knowledge Test and staff training needs. … Tool 2G: Pieper Pressure Ulcer Knowledge Test. … Ulcer Prevention Program. … Instructor’s Note: Tool 2H: Pressure Ulcer Baseline Assessment, which is a shorter knowledge test, is

260. Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017.html
     November 01, 2017 - Pressure Ulcers. Surgical Site Infections. Venous Thromboembolism. … Ulcers          Surgical Site Infections          Ventilator Associated Pneumonia          Venous … Ulcers Surgical Site Infections (SSI) Venous Thromboembolism (VTE) Ventilator-Associated Pneumonia … Pressure Ulcers A new pressure ulcer developed during a stay, or Stage 1 or 2 pressure ulcer(s) present … ulcer.