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321. Table A: Indicator Rates for the HCBS and Full Medicaid Populations (Rates of Admission per 100,000 Persons) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/oirtab.html
     December 01, 2012 - Composite: ACSC Acute Conditions 6,913 2,846 Composite: ACSC Overall 17,971 7,139 Pressure … Ulcer 3,067 1,136 Injurious Falls 287 105 Source: Schultz, et al., 2012 (see

322. Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2013-ap2.html
     December 01, 2014 - Adverse Events (2012 data used in lieu of 2013) 82,000 77,000 5,000 6% $15,000,000 7 Pressure … Ulcers 1,320,000 1,060,000 260,000 20% $4,420,000,000 18,824 Surgical Site Infections

323. North Shore-LIJ Health System Implements TeamSTEPPS® to Improve Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201521.html
     July 01, 2015 - decrease in central line-associated bloodstream infections and a 50 percent decrease in hospital-acquired pressure … ulcers since 2011.

324. Addressing Questions Asked by Staff: Chlorhexidine for Bathing (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-chg-bathing.pdf
     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

325. Appendix 1-B. Pre/Post-Test Questions and Answers for Module 1 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap1b.html
     October 01, 2014 - He has a pressure ulcer that developed weeks ago and measurements are about the same as last week. … He has a pressure ulcer that developed weeks ago and measurements are about the same as last week.

326. Private Sector Efforts in Value-Based Purchasing and Quality Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-measures/21st-century/private-sector.html
     June 01, 2018 - Pressure Ulcers in Adults: Prediction and Prevention . … Treatment of Pressure Ulcers . … Evaluating and Improving Pressure Ulcer Care: The VA Experience with Administrative Data. … Implementation of a comprehensive skin care program across care settings using the AHCPR pressure ulcer

327. AHRQ Pediatric Quality Indicators Prioritization Worksheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c1_pdi_prioritizationworksheet.pdf
     June 02, 2025 - Neonatal Blood Stream Infection Rate Pediatric PDI 01 Accidental Puncture or Laceration Rate PDI 02 Pressure … Ulcer Rate PDI 05 Iatrogenic Pneumothorax Rate PDI 06 RACHS-1 Pediatric Heart Surgery Mortality

328. Harborview Medical Center Uses AHRQ’s Quality Indicators To Improve Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/202504.html
     June 01, 2025 - The latter two areas are primarily concerned with PSIs for pressure ulcers and falls.

329. C1 Prioritization Worksheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.pdf
     June 02, 2025 - PSI 03 Pressure Ulcer PSI 06 Iatrogenic Pneumothorax PSI 07 Central Venous Catheter-Related Bloodstream … NQI 03 Neonatal Blood Stream Infection Rate PDI 01 Accidental Puncture or Laceration Rate PDI 02 Pressure … Ulcer Rate PDI 05 Iatrogenic Pneumothorax Rate PDI 06 RACHS-1 Pediatric Heart Surgery Mortality

330. Chartbook on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
     January 01, 2020 - There are no detailed sections for the Perinatal, Pressure Ulcer, or Surgery or Anesthesia EVENT TYPES … No harm was reported for more than one-quarter (18,632 / 73,155; 25.5%) of Pressure Ulcer Incidents … This was unexpected, as pressure ulcers, like HAIs and venous thromboembolism (VTE), result in harm … Ulcer A pressure ulcer that, on admission, was at stage/category III or stage/category IV or was … /category I or stage/category II A pressure ulcer whose most advanced stage is unknown A mucosal

331. Background for AHRQ Quality Indicators
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c3_pdi_staffpresentation.pptx
     January 01, 2006 - Rate NQI 03 Neonatal Blood Stream Infection Rate PDI 01 Accidental Puncture or Laceration Rate PDI 02 Pressure … Ulcer Rate PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count PDI 05 Iatrogenic Pneumothorax … example, with specific information tailored to the example indicator: The indicator that we have chosen, Pressure … Ulcers (PDI 02), is important to our patients because improvement on this indicator may reduce: Sepsis

332. Main Line Health System Uses Patient Safety Culture Survey in Suburban Philadelphia Facilities | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cquips1302.html
     December 01, 2012 - percent, all hospital central line-related bloodstream infections have decreased by 51 percent, and pressure … ulcers rated at stage II or worse have decreased by 44 percent.

333. C1 Prioritization Worksheet (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c1_pdi_prioritizationworksheet.xlsx
     June 02, 2025 - Neonatal Blood Stream Infection Rate Pediatric PDI 01 Accidental Puncture or Laceration Rate PDI 02 Pressure … Ulcer Rate PDI 05 Iatrogenic Pneumothorax Rate PDI 06 RACHS-1 Pediatric Heart Surgery Mortality

334. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-ref.html
     May 01, 2023 - Costs of venous thromboembolism, catheter-associated urinary tract infection, and pressure ulcer. … Pressure ulcers in the United States' inpatient population from 2008 to 2012: results of a retrospective … Marginal hospital cost of surgery-related hospital-acquired pressure ulcers.

335. On-Time Preventable Hospital and ED Visits Functional Specs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
     August 01, 2017 - On-Time provides EMR reports for improving clinical decisionmaking for pressure ulcer prevention, pressure … Ulcer Vendor determined or Wound Assessment Pressure ulcer Stage II, III, IV, or unstageable. … IF wound assessment date ≤7 days of report date AND at least one pressure ulcer with ulcer stage = … II, III, OR IV OR unstageable, then Stage II or > Pressure Ulcer is true and display X. 29 Fall Risk … then display X in Wound • Infected wound or decubitus ulcer • Jaundice • Rash 10 Injury: Fall

336. Central Venous Catheter Indications and Alternatives
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives.pptx
     April 01, 2022 - Alternatives ׀ 5 5 Indications for Use of External Catheters3,6 Stage III or IV or unstageable pressure … ulcers Incontinence-associated dermatitis Daily measurement of urine volume Single 24-hour urine sample … Indications11-13 Acute urinary retention Chronic urinary retention Stage III or IV or unstageable pressure … ulcer Urinary incontinence Urine volume measurements Random urine sample collection Management

337. Table 8G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab8g.html
     February 01, 2023 - 23,974   Min 13,559 s s s s   Max 51,766 57,143 95,238 65,509 s Pressure … Ulcer 3,793 7,856 3,285 1,307 3,856   Min s s s s s   Max 8,542 … 11,836 13,626 18,523   Max 54,523 48,091 s 49,755 49,129 42,431 53,347 Pressure … Ulcer 4,221 4,180 s 3,748 5,699 4,229 4,086   Min 1,310 1,479 s 1,213

338. Table 8A: National HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab8.html
     February 01, 2023 - 17,845   Min 7,027 9,302 s s s   Max 36,997 40,253 41,379 51,572 s Pressure … Ulcer 3,134 5,690 2,837 1,476 2,984   Min 1,506 s s s s   Max 6,772 … 11,836 6,378 8,163   Max 29,607 39,709 25,788 49,755 49,129 29,454 42,207 Pressure … Ulcer 3,751 3,329 2,863 3,748 5,699 3,509 3,506   Min 1,805 1,374 1,106

339. Table 8E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab8e.html
     February 01, 2023 - 15,175   Min 9,170 s s s s   Max 49,738 48,185 50,000 88,889 s Pressure … Ulcer 2,658 3,470 2,422 1,613 1,534   Min s s s s s   Max 9,819 … s 5,975 8,746   Max 44,606 51,218 33,445 80,351 102,632 52,215 42,172 Pressure … Ulcer 2,710 2,665 2,098 4,545 9,171 2,740 2,569   Min 435 648 436 s s

340. Table 8D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab8d.html
     February 01, 2023 - 4,484   Min 2,636 s s s s   Max 10,521 14,248 15,129 53,571 s Pressure … Ulcer 1,283 2,251 1,420 1,057 894   Min s s s s s   Max 3,665 6,218 … 7,984 s 1,713 s   Max 9,546 12,167 7,955 38,424 95,652 9,389 12,785 Pressure … Ulcer 1,410 1,397 1,218 3,471 10,593 1,460 1,308   Min 289 343 278 s s