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341. Table 13C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13c.html
     December 01, 2012 - Composite: ACSC Overall 16,190 13,777 11,837 15,406 12,890 12,089 11,728 15,849 Pressure … Ulcer 3,031 3,001 1,416 3,073 2,914 1,211 1,591 3,369 Injurious Falls 122

342. Table 13F: HCBS Population Ages 18-64 Without I/DD or SMI | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13f.html
     December 01, 2012 - Composite: ACSC Overall 25,088 21,726 18,033 23,910 21,388 17,059 17,977 25,619 Pressure … Ulcer 6,180 6,029 3,239 5,537 6,191 3,067 3,636 6,965 Injurious Falls 198

343. Table 13A: National Home and Community-Based Services Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13.html
     December 01, 2012 - Composite: ACSC Overall 23,439 21,000 15,748 21,963 20,486 15,596 16,965 22,647 Pressure … Ulcer 4,010 3,925 2,853 4,175 3,854 2,547 2,961 4,271 Injurious Falls 396

344. Table 13D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13d.html
     December 01, 2012 - Composite: ACSC Overall 5,916 5,609 5,108 6,697 5,155 5,348 5,480 5,488 Pressure … Ulcer 1,490 1,499 1,251 1,746 1,431 1,216 1,326 1,488 Injurious Falls 98 66

345. Table 13G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13g.html
     December 01, 2012 - Composite: ACSC Overall 33,261 30,970 20,092 30,462 31,280 18,320 22,265 33,519 Pressure … Ulcer 4,497 4,649 3,696 5,077 4,632 2,818 3,647 5,097 Injurious Falls 708

346. Table 13B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13b.html
     December 01, 2012 - Composite: ACSC Overall 25,630 23,315 17,273 24,034 22,926 16,939 18,851 24,850 Pressure … Ulcer 4,306 4,221 3,413 4,523 4,155 3,058 3,454 4,564 Injurious Falls 479

347. Table 13E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13e.html
     December 01, 2012 - Composite: ACSC Overall 22,658 20,161 15,487 19,836 18,844 18,762 16,626 21,838 Pressure … Ulcer 3,490 2,892 2,126 3,314 2,623 2,679 2,298 3,287 Injurious Falls 340

348. 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/ereports.html
     September 01, 2017 - Current clinical conditions contributing to transfer risk: use of oxygen, catheter or ostomy, any pressure … ulcer other than stage I, fall risk, late-loss activities of daily living (ADL) score greater than or … Presence of stage II or greater pressure ulcer. Fall risk or previous fall in last 90 days. … active medications during the report week, active high-risk diagnosis of UTI, presence of Stage III pressure … ulcer, and two medical conditions, cellulitis and hypertension, would trigger Rule 2.

349. Table 18C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18c.html
     December 01, 2012 - Composite: ACSC Overall 16,907 11,751 12,996 13,677 15,462 11,318 16,431 11,746 Pressure … Ulcer 3,451 1,762 2,142 2,427 2,827 1,758 3,323 1,746 Injurious Falls 123

350. Table 18A: National HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18.html
     December 01, 2012 - Composite: ACSC Overall 24,317 16,815 18,770 19,809 22,527 15,998 23,953 16,701 Pressure … Ulcer 4,443 3,028 3,450 3,527 4,157 2,822 4,392 2,997 Injurious Falls 384

351. Table 18G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18g.html
     December 01, 2012 - Composite: ACSC Overall 34,260 22,892 23,868 30,208 32,733 20,783 35,263 22,285 Pressure … Ulcer 5,116 3,763 3,806 4,740 5,358 3,126 5,260 3,679 Injurious Falls 688

352. Table 18F: HCBS Population Ages 18-64 Without I/DD or SMI | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18f.html
     December 01, 2012 - Composite: ACSC Overall 26,478 18,157 19,684 22,783 25,447 17,116 26,216 17,993 Pressure … Ulcer 6,748 4,003 4,586 5,403 6,035 3,967 6,763 3,893 Injurious Falls 185

353. Table 18E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18e.html
     December 01, 2012 - Composite: ACSC Overall 22,679 16,659 18,685 18,628 20,804 15,817 22,039 16,556 Pressure … Ulcer 3,464 2,296 2,799 2,580 3,066 2,178 3,313 2,292 Injurious Falls 300

354. Table 18D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18d.html
     December 01, 2012 - Composite: ACSC Overall 6,335 5,055 5,848 5,211 5,930 4,908 6,161 5,048 Pressure … Ulcer 1,757 1,227 1,653 1,218 1,537 1,233 1,672 1,232 Injurious Falls 88 65

355. Table 18B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18b.html
     December 01, 2012 - Composite: ACSC Overall 26,640 18,645 20,791 21,894 24,849 17,695 26,372 18,479 Pressure … Ulcer 4,754 3,486 3,908 3,901 4,595 3,208 4,736 3,445 Injurious Falls 466

356. Daily Goals Checklist | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/daily-goals.html
     December 01, 2012 - Daily Goals Checklist CUSP Toolkit Effective communication is particularly important in the unit if complicated care plans are to be effectively managed by the care team Problem statement: Clear communication among health care providers is paramount. Communication failures lead to patient harm, increased l…

357. Dailygoals (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
     January 01, 2003 - Daily Goals Checklist Problem statement: Clear communication among health care providers is paramount. Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and staff turnover. Effective communication is particularly important in the unit if complicated care plans are to be …

358. Appendix F. Hospital Practice Insights: Challenges and Solutions | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.html
     October 01, 2017 - notable increase in correct answers after the training: The pretest average score on Tool 2G: Pieper Pressure … Ulcer Knowledge Test was 69 percent; the average score on the posttest was 94 percent. … What You Can Do: Use Tool 2G: Pieper Pressure Ulcer Knowledge Test to assess staff knowledge regarding

359. No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti-transcript.html
     November 01, 2015 - Again, this is a good visual of we're not talking about just a little stage 1 or stage 2 pressure ulcer … The catheter itself can actually cause pressure ulcers just as much as incontinence can.

360. No More Cauti Preventing Cauti Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/No_More_CAUTI_Preventing_CAUTI_transcript.docx
     May 05, 2015 - Again, this is a good visual of we're not talking about just a little stage 1 or stage 2 pressure ulcer … The catheter itself can actually cause pressure ulcers just as much as incontinence can.