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361. 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

362. 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

363. 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.

364. ChartBook On Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
     March 04, 2016 -  Among the most frequent HACs, between 2010 and 2014, the rate of pressure ulcers decreased the …  Nursing home residents who have pressure ulcers. … Pressure Ulcers Low-risk short-stay and high-risk long-stay nursing home residents who have pressure …  Overall Percentage: In 2013, the percentage of low-risk short-stay residents with pressure ulcers … was 1.3% and the percentage of high-risk long-stay residents with pressure ulcers was 7.7%

365. 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

366. 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

367. 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

368. Toolkit for Using the AHRQ Quality Indicators | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
     March 01, 2017 - detailed information on best practices for selected indicators Introduction PDF [248.26 KB] PSI03 Pressure … Ulcer PDF [327 KB] PSI05 Foreign Body PDF [133.68 KB] PSI06 Pneumothorax PDF [130.62 KB] PSI07 … 61.6 KB] IQI: Mortality Review PDF [115.84 KB] PDI01 Accidental Puncture PDF [61.67 KB] PDI02 Pressure … Ulcer PDF [109.9 KB] PDI03 Foreign Body PDF [95.97 KB] PDI05/NQI01 Iatrogenic Pneumothorax PDF

369. 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

370. 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

371. 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

372. 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

373. 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

374. 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…

375. 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 …

376. 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

377. 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

378. 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

379. 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

380. 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