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241. 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

242. 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

243. 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

244. 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

245. Declines in Hospital-Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
     January 01, 2019 - CLABSI+ -6% Clostridioides difficile Infections -37% Falls -5% Obstetric Adverse Events -3% Pressure … Ulcers Surgical Site Infections Ventilator- Associated Pneumonias -13% Venous Thrombo-

246. Long-term Care Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
     November 01, 2021 - Injury Long-Term Care Facilities Multiple Chronic Conditions Omissions of Care in Nursing Homes Pressure … Ulcers Quality of Life TeamSTEPPS Nursing Home Antimicrobial Stewardship Guide

247. Background for AHRQ Quality Indicators
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pptx
     January 01, 2006 - , with specific information tailored to the example indicator: The indicator that we have chosen, Pressure … Ulcers (PSI 03), is important to our patients because improvement on this indicator may reduce: Sepsis … In this example, we will examine the rates of Pressure Ulcers (PSI 03) for this particular hospital performed … Rates of Neonatal Blood Stream Infection Rate (NQI 3) Per 1,000 Cases Examining Observed Rates of Pressure … Ulcers (PSI 03) Observed Rate 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 4.9136800000000001E

248. Patients Safer as Hospital-Acquired Conditions Decline (Data Graphic) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-interim-data-graphic-2014.pdf
     January 01, 2014 - hospital-acquired conditions (HACs) such as adverse drug events, healthcare-associated infections, and pressure … ulcers have been prevented in hospital patients.

249. Resources and Tools on Patient and Healthcare Workforce Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/resources/index.html
     March 01, 2025 - Falls Healthcare-Associated Infections Maternal Safety Medication Safety Never Events Opioid Safety Pressure … Ulcers Readmissions Sepsis Surgical Safety Transitions in Care Venous Thromboembolism Interested in

250. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
     June 01, 2014 - Trauma in 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 Site Infection

251. How To Manage Change
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
     June 02, 2025 - Relationships Unit-Based Team Staff on the unit who provide daily care to patients, including skin and pressure … ulcer assessment and care planning Wound Care Team Interdisciplinary group of experts who provide … patient/family Implementation Team Interdisciplinary team charged with designing and implementing pressure … ulcer change project 13 Assess Current Pressure Injury Processes Understand current

252. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=8
     January 01, 2024 - Publication Date: March 2015 Using an Electronic Health Record To Examine Nurse Continuity and Pressure … Ulcers ( application/pdf 844258 ) Principal Investigators: Stifter, et al. … Coordination, Health Information Technology and Health Information Exchange, Human and Environmental Factors, Pressure … Ulcers Publication Date: December 2014 The Value of Hospital-Related Patient-Safety Interventions

253. Board and Senior Leadership PowerPoint Presentations on the Pediatric Quality Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a2_pdi_boardpresentation.pdf
     October 01, 2015 - ulcer) • Denominator = population at risk (e.g., hospitalized patients) • Observed rate = numerator … ulcer in any secondary diagnosis field among cases meeting the inclusion and exclusion rules for the … • Several exclusions (e.g., length of stay <5 days, principal diagnosis of pressure ulcer). … An Example: Pressure Ulcer (PDI 02) http://www.qualityindicators.ahrq.gov/Downloads/Modules/PDI/V45/ … An Example: Pressure Ulcer (PDI 02)� How can the AHRQ PDIs be used in�quality assessment?

254. Table 17B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17b.html
     February 01, 2023 - 10,530 7,005 Composite: ACSC Overall 24,760 16,334 23,622 19,729 26,330 18,086 Pressure … Ulcer 4,583 2,937 4,303 3,638 4,774 3,353 Injurious Falls 397 350 396 366 … 8,314 8,522 10,408 7,479 Composite: ACSC Overall 21,408 21,005 25,803 19,316 Pressure … Ulcer 4,098 3,440 4,727 3,530 Injurious Falls 384 363 466 342 Notes

255. Table 17G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17g.html
     February 01, 2023 - 13,941 8,615 Composite: ACSC Overall 31,820 19,437 32,312 23,141 34,235 21,902 Pressure … Ulcer 5,156 2,917 5,215 3,604 5,195 3,597 Injurious Falls 568 461 588 484 … 10,221 11,658 13,626 9,337 Composite: ACSC Overall 25,759 28,549 32,778 23,897 Pressure … Ulcer 4,379 3,646 4,962 3,857 Injurious Falls 504 573 687 457 Notes

256. Table 17D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17d.html
     February 01, 2023 - 3,815 3,120 Composite: ACSC Overall 6,079 4,558 5,662 5,312 6,245 5,000 Pressure … Ulcer 1,619 1,071 1,367 1,440 1,749 1,185 Injurious Falls 81 60 90 55 92 … 3,481 3,208 3,831 3,228 Composite: ACSC Overall 5,719 5,011 6,399 5,136 Pressure … Ulcer 1,498 1,217 1,890 1,213 Injurious Falls 80 57 88 68 Notes:  

257. Table 17C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17c.html
     February 01, 2023 - 5,049 3,932 Composite: ACSC Overall 15,281 10,642 14,988 12,306 15,447 12,117 Pressure … Ulcer 2,935 1,376 2,649 2,045 3,140 1,790 Injurious Falls 76 51 101 45 98 … 4,416 4,102 5,111 4,002 Composite: ACSC Overall 13,885 11,778 15,231 12,519 Pressure … Ulcer 2,200 2,447 3,298 1,833 Injurious Falls 66 63 119 44 Notes:  

258. Table 17A: National HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17.html
     February 01, 2023 - 9,215 6,184 Composite: ACSC Overall 22,374 14,832 21,534 17,751 23,720 16,492 Pressure … Ulcer 4,168 2,525 3,903 3,214 4,382 2,935 Injurious Falls 316 271 324 280 … 7,298 7,429 9,114 6,570 Composite: ACSC Overall 19,447 18,724 23,221 17,538 Pressure … Ulcer 3,603 3,194 4,378 3,086 Injurious Falls 301 289 382 264 Notes

259. Documentation and Coding for the AHRQ Pediatric Quality Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
     March 15, 2016 - ulcers). … ulcers or CLABSI, deaths, oncology patients). … PDI 02 Pressure Ulcer Rate (stage III, IV, Unstageable) Diagnosis and site of pressure ulcer must … PDI 02 Pressure Ulcer X If the ulcer progresses from one stage to another higher stage during the encounter … Provider must document the site of pressure ulcer; the stage of the ulcer can be documented and coded

260. Slide 1
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
     February 07, 2014 - Now immobile and developed pressure ulcers worsened by diarrhea. … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient … ulcers Immobility Aims 9 Understand the CUSP framework for initiating culture change … Now immobile and developed pressure ulcers worsened by diarrhea. … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient