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  1. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17f.html
    February 01, 2023 - 7,139 5,429 Composite: ACSC Overall 23,940 16,507 25,790 18,529 23,803 18,978 PressureUlcer 5,875 3,508 6,077 4,338 6,250 4,022 Injurious Falls 147 123 175 119 … 6,119 6,072 7,171 5,539 Composite: ACSC Overall 21,607 19,235 23,468 19,546 PressureUlcer 4,785 5,171 6,257 4,181 Injurious Falls 145 120 171 121 Notes
  2. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17e.html
    February 01, 2023 - 8,838 5,914 Composite: ACSC Overall 20,734 15,368 19,563 17,756 23,009 16,087 PressureUlcer 2,980 2,213 2,877 2,492 3,415 2,252 Injurious Falls 253 224 263 220 … 6,956 7,098 7,925 6,580 Composite: ACSC Overall 19,175 17,427 20,509 17,826 PressureUlcer 2,820 2,361 3,195 2,436 Injurious Falls 251 221 300 217 Notes
  3. www.ahrq.gov/action-alliance/resources/type-harm.html
    September 01, 2025 - Falls Healthcare-Associated Infections Maternal Safety Medication Safety Never Events Opioid Safety PressureUlcers Readmissions Sepsis Surgical Safety Transitions in Care Venous Thromboembolism Diagnostic Safety … Back to Contents Pressure Ulcers AHRQ Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving … Quality of Care This resource assists hospital staff in implementing effective pressure ulcer prevention
  4. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab10.html
    February 01, 2023 - Composite: ACSC Overall Yes 22,422 20,395 25,160 No 18,138 19,018 17,666 PressureUlcer Yes 5,006 4,208 4,833 No 2,960 3,348 3,127 Injurious Falls Yes 307 … 7,607 Composite: ACSC Overall 20,384 19,444 14,877 19,094 19,184 20,443 PressureUlcer 4,195 4,249 2,476 3,395 3,286 3,764 Injurious Falls 388 259 218
  5. www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
    December 01, 2017 - problem, such as higher than expected cases of accidental punctures or lacerations during procedures or pressureulcers, the team would review the data from that time period. … The Healthcare-Acquired Pressure Ulcers and Falls Prevention task forces have achieved similar successes
  6. www.ahrq.gov/prevention/guidelines/archive.html
    July 01, 2018 - Pressure Ulcer Prevention Clinical Guide / Quick Reference Guide Consumer Version: English / … Pressure Ulcer Treatment Clinical Guide / Quick Reference Guide Consumer Version: English / Spanish
  7. www.ahrq.gov/hai/pfp/interimhac2013-ref.html
    December 01, 2014 - Pressure Ulcers Agency for Healthcare Research and Quality. … Eliminating facility-acquired pressure ulcers at Ascension Health . … Improvement report on reduction of nosocomial pressure ulcers, University of Minnesota Medical Center … Preventing pressure ulcers in hospitals: a toolkit for improving quality of care. … http://www.ahrq.gov/professionals/systems/long-term-care/resources/pressure-ulcers/pressureulcertoolkit
  8. www.ahrq.gov/hai/pfp/hacrate2013-refs.html
    October 01, 2015 - Pressure Ulcers Agency for Healthcare Research and Quality. … Eliminating facility-acquired pressure ulcers at Ascension Health . … Improvement report on reduction of nosocomial pressure ulcers, University of Minnesota Medical Center … Preventing pressure ulcers in hospitals: a toolkit for improving quality of care. … http://www.ahrq.gov/professionals/systems/long-term-care/resources/pressure-ulcers/pressureulcertoolkit
  9. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
    December 01, 2012 - All but two of the indicators (Pressure Ulcer and Injurious Falls) build on existing AHRQ Prevention … Pressure Ulcer. Injurious Falls.
  10. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab12.html
    February 01, 2023 - Composite: ACSC Overall Yes 26,515 17,685 7,028 No 18,855 19,300 20,127 PressureUlcer Yes 6,274 3,455 1,049 No 3,338 3,486 3,662 Injurious Falls Yes 369 … 7,404 Composite: ACSC Overall 6,233 33,102 8,819 20,714 16,992 19,479 PressureUlcer 1,013 6,793 2,359 3,765 2,949 3,511 Injurious Falls 157 543 138
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pdf
    July 01, 2004 - with specific information tailored to the example indicator: The indicator that we have chosen, PressureUlcers (PSI 03), is important to our patients because improvement on this indicator may reduce: • … Tool C.3 DELETE THIS SLIDE BEFORE PRESENTATION – In this example, we will examine the rates of PressureUlcers (PSI 03) for this particular hospital performed over time … Ulcers (PSI 03) for this particular hospital performed over time
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
    June 02, 2025 - Patient Safety PSI 03 Pressure Ulcer   PSI 06 Iatrogenic Pneumothorax PSI 07 Central Venous Catheter-Related … Neonatal Blood Stream Infection Rate Pediatric PDI 01 Accidental Puncture or Laceration Rate PDI 02 PressureUlcer Rate PDI 05 Iatrogenic Pneumothorax Rate PDI 06 RACHS-1 Pediatric Heart Surgery Mortality
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-chg-bathing.docx
    March 01, 2022 - Be especially thorough if there are any nearby wounds, pressure ulcers, or breaks in the skin. … Using the CHG cloths on superficial wounds/stage 1 and 2 decubitus ulcers How should we dispose of the
  14. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-cellulitis.docx
    June 01, 2021 - Patients with cellulitis associated with longstanding diabetic foot ulcers or pressure ulcers may require
  15. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab9.html
    February 01, 2023 - Overall Yes 18,922 20,115 18,052 19,228 No 28,131 18,583 22,752 19,363 PressureUlcer Yes 3,471 3,655 3,237 3,421 No 3,873 3,358 4,221 4,253 Injurious … Composite: ACSC Overall 19,083 19,110 16,427 19,636 23,560 27,103 21,664 20,810 PressureUlcer 3,504 3,473 2,888 3,575 2,944 4,236 4,000 3,773 Injurious Falls 285
  16. www.ahrq.gov/talkingquality/measures/setting/long-term-care/nursing-home/examples.html
    April 01, 2019 - Patient Safety Measures: Percentage of low-risk, long-stay residents with pressure ulcers.
  17. www.ahrq.gov/patient-safety/reports/engage/appc.html
    March 01, 2017 - ab] OR prevention [ab] OR reducing [ab] OR reduction [ab] OR aged [mh] OR elderly OR geriatric)) OR DecubitusUlcer [mh] OR ((pressure [ti] OR decubitus [ti]) AND ulcer* [ti]) OR decubiti [ti])) AND ((((Randomised
  18. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19f.html
    March 01, 2023 - 5,990 6,632 Composite: ACSC Overall 23,094 19,763 20,681 21,282 21,204 19,420 PressureUlcer 6,082 4,303 4,919 4,872 4,765 5,535 Injurious Falls 173 119 141 130 … 5,861 6,673 6,037 6,455 Composite: ACSC Overall 20,343 22,153 21,427 18,076 PressureUlcer 4,499 5,846 4,870 5,072 Injurious Falls 140 131 131 168 Notes
  19. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19g.html
    March 01, 2023 - 12,136 Composite: ACSC Overall 32,463 23,973 25,306 28,599 25,757 29,466 PressureUlcer 4,845 3,916 4,034 4,473 4,279 3,822 Injurious Falls 694 450 520 525 … 12,380 10,227 12,540 Composite: ACSC Overall 24,470 31,390 25,983 29,126 PressureUlcer 4,169 4,242 4,328 3,449 Injurious Falls 498 580 497 653 Notes
  20. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19e.html
    March 01, 2023 - 6,924 7,208 Composite: ACSC Overall 20,218 17,976 20,084 17,046 19,215 17,075 PressureUlcer 3,124 2,492 3,084 2,232 2,819 2,301 Injurious Falls 297 218 268 212 … 6,471 8,020 7,037 6,881 Composite: ACSC Overall 17,757 20,393 19,476 16,171 PressureUlcer 2,658 2,731 2,846 2,191 Injurious Falls 239 247 236 260 Notes

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