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321. Table 8F: HCBS Population Ages 18-64 Without Intellectual/Developmental Disabilities or Serious Mental Illness | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab8f.html
     February 01, 2023 - 22,643   Min s s s s s   Max 42,799 51,459 68,293 75,000 s Pressure … Ulcer 4,950 5,948 3,051 2,700 4,615   Min 1,710 s s s s   Max 19,029 … 5,672 s s 3,977 6,993   Max 41,783 55,696 50,219 s s 49,115 47,727 Pressure … Ulcer 7,200 3,327 4,903 s s 4,833 5,101   Min 2,944 1,030 2,139 s s

322. Final Progress Report: Accountability and Health Safety – A Statewide Approach (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/thorpe-rask-report.pdf
     January 01, 2024 - ulcers ii. 17 selected a collaborative HFMEA focusing on patient flow iii. 20 opted for an Independent … Hospital Acquired Pressure Ulcers Self-Assessment: • Improvement Plan Documentation Form • Reassessment … ulcers, develop an improvement plan, and evaluate actions completed. … Ulcer Self-Assessment • Diabetes Survey • DVT Policy and Procedure Survey • Failure Mode Effects … Ulcer Self-Assessment, Diabetes Survey, and DVT Policy and Procedure Survey.

323. Small and Rural and Critical Access Hospitals (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals.html
     April 01, 2013 - What is your fall rate or your pressure ulcer rate or whatever? … Let’s think about how you can eliminate hospital-acquired Stage 3 and 4 pressure ulcers. … We want to eliminate preventable Stage 3 and 4 pressure ulcers. … Standardize the pressure ulcer risk assessment. … Your CUSP piece of that, for instance with pressure ulcers under daily goals, when you’re looking at

324. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impmaterials.html
     June 01, 2017 - |___| Confusion/mental status change |___| |___| Any full thickness wound (e.g., pressure … ulcers [Stage II or greater], surgical wound, stasis ulcer) |___| |___| Polypharmacy (15 or … Chronic pressure ulcers Yes |___| No |___| L.

325. Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201419.html
     November 01, 2014 - other patient safety issues such as falls prevention, medication safety, urinary tract infection, and pressure … ulcers.  

326. Outcomes by HCBS Participant Characteristics | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find5.html
     December 01, 2012 - higher rates on all measures other than Short-Term Complications of Diabetes, Bacterial Pneumonia, and Pressure … Ulcer. … The exceptions are Pressure Ulcer, which is effectively equal in urban and nonurban areas, and Infection … Rates for women in the Medicaid-only population are always higher than for men except in Pressure Ulcer … The main exception to the county-level age pattern is the Pressure Ulcer measure, for which rates are

327. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/transfer.html
     September 01, 2017 - DNR,DNH, MOLST, or POLST Order in Place Oxygen Therapy Catheter or Ostomy Present Stage II or > Pressure … Ulcer Fall Risk Late-Loss ADL Score ≥12 Cognitive Impairment Medical Conditions ** High-Risk

328. Practice Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/index.html
     June 01, 2025 - On-Time Pressure Ulcer Prevention Tools to assist nursing homes that have electronic medical record systems

329. How To Implement the Pressure Injury Prevention Program in Your Organization
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation_slides.pptx
     June 02, 2025 - Tool 4C 34 Staff Knowledge Assessment Tool 2G: Pieper Pressure Ulcer Knowledge Test 35 Staff

330. Recently Funded Dissertation Grants | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/training-grants/disgrants.html
     October 01, 2014 - University of Illinois at Chicago Using an Electronic Health Record to Examine Nurse Continuity and Pressure … Ulcers 8/31/2015 Van Parys, Jessica R36 HS23504-01 Columbia University Health Sciences

331. C1 Prioritization Matrix (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
     June 02, 2025 - Patient Safety PSI 03 Pressure Ulcer   1.2 1.3 7 $109,870 $ 769,087 N 6 7 7 Y Y Y Y Y PSI 06 Iatrogenic … Y N Pediatric PDI 01 Accidental Puncture 0.3 0.6 1 $41,204 $ 41,204 N 9 9 9 Y Y Y Y Y PDI 02 Pressure … Ulcer 0.0 0.2 0 $85,344 $ - 0 N 6 6 6 Y Y Y Y Y PDI 05 Iatrogenic Pneumothorax Rate 0.0 0.1 0

332. CAUTI Learning From Defects Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.docx
     April 01, 2022 - · Comfort care · Urological/perineal procedure · Stage 3 or greater pressure ulcer in perineal area with

333. C2 Prioritization Worksheet Example (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c2_pdi_prioritizationworksheetexample.pdf
     June 02, 2025 - N PDI 01 Accidental Puncture 0.3 0.6 1 $41,204 $ 41,204 N 9 9 9 Y Y Y Y Y PDI 02 Pressure … Ulcer 0.0 0.2 0 $85,344 $ - N 6 6 6 Y Y Y Y Y PDI 05 Iatrogenic Pneumothorax

334. C2 Prioritization Worksheet Example (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c2_pdi_prioritizationworksheetexample.xlsx
     June 02, 2025 - Y N Pediatric PDI 01 Accidental Puncture 0.3 0.6 1 $41,204 $ 41,204 N 9 9 9 Y Y Y Y Y PDI 02 Pressure … Ulcer 0.0 0.2 0 $85,344 $ - 0 N 6 6 6 Y Y Y Y Y PDI 05 Iatrogenic Pneumothorax Rate 0.0 0.1 0

335. Discussion | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-discuss.html
     November 01, 2017 - 0.035–0.070) 0.055 OBAE $602 (-$578–$1,782) $3,271 0.005 (0.003–0.013) 0.0015 Pressure … Ulcers $14,506 (-$12,313–$41,326) $18,537 0.041 (0.013–0.093) 0.072 SSI $28,219 ($18,237 … In all other HACs, while we observed some increase (CAUTI) and some decrease (ADE, pressure ulcers) compared

336. Technical Interventions To Prevent CAUTI | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
     October 01, 2015 - ulcers or similarly severe wounds that cannot be kept clear of urinary incontinence despite wound care … Incontinence without a sacral or perineal pressure sore —Urinary catheters should not be routinely placed … ulcers), and deep venous thrombosis. … ulcer, or similarly severe wounds of other types, that cannot be kept clear of urinary incontinence … ulcers or similarly severe wounds of other types that cannot be kept clear of urinary incontinence despite

337. Learn From Defects Tool Worksheet: Catheter-Associated Urinary Tract Infection (CAUTI) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.pdf
     April 01, 2022 - � Comfort care � Urological/perineal procedure � Stage 3 or greater pressure ulcer in perineal area

338. Dashboard Information | Agency for Healthcare Research and Quality
     www.ahrq.gov/npsd/data/dashboard/info.html
     June 01, 2019 - Technology (HIT); Fall; Healthcare-Associated Infection; Medication or Other Substance; Perinatal; Pressure … Ulcer; Surgery or Anesthesia; and Venous Thromboembolism.

339. National Quality Strategy Priorities: Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part3-nqs2.html
     October 01, 2015 - restrained daily can become weak, lose their ability to go to the bathroom by themselves, and develop pressure … ulcers or other medical conditions.

340. AHRQ Quality Indicators Prioritization Worksheet Example (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
     June 02, 2025 - PSI 03 Pressure Ulcer 1.2 1.3 7 $109,870 $ 769,087 N 6 7 7 Y Y Y Y Y PSI 06 Iatrogenic … Y N PDI 01 Accidental Puncture 0.3 0.6 1 $41,204 $ 41,204 N 9 9 9 Y Y Y Y Y PDI 02 Pressure … Ulcer 0.0 0.2 0 $85,344 $ - N 6 6 6 Y Y Y Y Y Neonatal Pediatric AHRQ