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381. Supportive and Palliative Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/supportive.html
     June 01, 2018 - Weight loss also may lead to muscle wasting, infections, and increased risk of pressure ulcers.

382. AHRQ Quality Indicators Fact Sheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a1a_pdi_pdifactsheet.pdf
     October 01, 2015 - Infection Rate 25.18 0478 2013 PDI 01 Accidental Puncture or Laceration Rate 0.46 0344 2012 PDI 02 Pressure … Ulcer Rate 0.27 0337 2015 PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count N/A*

383. Fact Sheet on Pediatric Quality Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1c_combo_pdifactsheet.pdf
     October 01, 2015 - Infection Rate 25.18 0478 2013 PDI 01 Accidental Puncture or Laceration Rate 0.46 0344 2012 PDI 02 Pressure … Ulcer Rate 0.27 0337 2015 PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count N/A*

384. Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-091013.ppt
     January 01, 2010 - Smith (2) Because of his immobility, he develops a pressure ulcer on his sacrum. … would protect the skin in the incontinent patient, and a catheter may prove useful in advanced stage pressure … ulcers, but to protect intact skin, there are many other products that can create a barrier.

385. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
     November 30, 2013 - Kidney infection Medication reaction Mental status change Mental disorder/psychosis Neoplasm Pneumonia Pressure … ulcer Peripheral vascular disease Respiratory, other nonpneumonia Renal disease Seizure Sepsis/urosepsis … showing 15 active medications during the report week, active high-risk diagnosis of UTI, stage III pressure … ulcer, and two medical conditions: cellulitis and hypertension Rules for Determining High Risk Rule … Ulcer Fall Risk Late-Loss ADL Score ≥12 Cognitive Impairment Medical Conditions** High-Risk Medications

386. NICU Family Information Packet, Appendix B, Tracheostomies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-trache.pdf
     June 02, 2025 - NICU Family Information Packet, Appendix B, Tracheostomies Tracheostomies Tracheostomy Basics ■ Indications: upper airway obstruction, long term ventilation, ease of pulmonary toilet, to protect the airway. ■ Tube selection based on: – Indication for tracheostomy. – Tracheal width/length/shape. – Upper a…

387. Preventing Device-Associated Infections | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
     October 01, 2015 - associated with many infectious and noninfectious complications including immobility (with potential pressure … ulcers and increased risk for thromboembolism), trauma, and debility.

388. PQMP Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/measures/index.html
     June 09, 2025 - Measurement (CEPQM) NQF Endorsement Number: 3136 Initial Risk Assessment for Immobility-Related Pressure … Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission Measure Subdomain: Management

389. AHRQ Views: Celebrating the 40th Anniversary of the U.S. Preventive Services Task Force | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/920.html
     July 01, 2024 - 36 states from AHRQ’s Healthcare Cost and Utilization Project focusing on adverse outcomes such as pressure … ulcers and mortality rates for conditions like heart failure and hip fracture.

390. PQMP Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/measures/index.html?page=0
     Measurement (CEPQM) NQF Endorsement Number: 3136 Initial Risk Assessment for Immobility-Related Pressure … Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission Measure Subdomain: Management

391. Sampleransferandintakenotes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/sampleransferandintakenotes.pdf
     June 02, 2025 - Medication reaction  Mental status change  Mental disorder/psychosis  Neoplasm  Pneumonia  Pressure … ulcer  Peripheral vascular disease  Respiratory, other nonpneumonia  Renal disease  Seizure

392. Preventablehospitalandedvisits-Implmatl (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/preventablehospitalandedvisits-implmatl.pdf
     June 03, 2025 - status   Oxygen dependency   Confusion/mental status change   Any full thickness wound (e.g., pressure … ulcers [Stage II or greater], surgical wound, stasis ulcer)   Polypharmacy (15 or more medications … Chronic pressure ulcers Yes  No  L. Recurrent UTI Yes  No  M. Anemia Yes  No  N.

393. 4 Tk2 T1-Medical Care Referral Form (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form.pdf
     May 01, 2014 - Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality MEDICAL CARE REFERRAL FORM USE IN ALL SITUATIONS WHEN A RESIDENT HAS A NEW PROBLEM AND INFECTION MAY BE SUSPECTED, AND IS BEING REFERRED TO A MEDICAL CARE PROVIDER, INCLUDING TRANSFER TO AN EMERGENCY DEPARTMENT OR HOSPIT…

394. 115-Daily-Goals-Icu-Checklist (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/115-daily-goals-icu-checklist.docx
     October 01, 2024 - AHRQ Safety Program for MRSA Prevention Intensive Care Unit (ICU) Daily Goals Checklist ICU & Non-ICU Problem statement: Clear communication among healthcare providers is essential. Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and staff turnover. Effective communic…

395. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
     September 01, 2017 - ulcer, fall risk, late-loss ADL index score greater than or equal to 12 [based on RUG-III], cognitive … ulcer, fall risk, late-loss ADL index score greater than or equal to 12 [based on RUG-III], cognitive … ulcer, and two medical conditions (cellulitis and hypertension) would trigger Rule 2. … Presence of stage 2 or greater pressure ulcer. … If there is a pressure ulcer stage 2, 3, 4, or unstageable recorded as present within 7 days of the report

396. 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/ereport-handouts.html
     June 01, 2017 - status change |___| Mental disorder/psychosis |___| Neoplasm |___| Pneumonia |___| Pressure … ulcer |___| Peripheral vascular disease |___| Respiratory, other nonpneumonia |___| Renal

397. Improving the Value of Patient Safety Reporting Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
     June 12, 2008 - taxonomies include mistakes (e.g., prescribing errors) and the outcome of mistakes (e.g., p falls, decubitus … ulcers) as event types. … However, falls and decubitus ulcers are visible ha (outcomes) that might have resulted from failure to … the proportion of incidents in the ICUSRS with harm identified, it is not surprising that falls and decubitus … ulcers were among the highest.

398. Final Progress Report: Incident Reporting Practices in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
     January 01, 2025 - states, however; for example, abuse incidents are taken very seriously, but falls, other incidents, and pressure … ulcers are not. … Compared to 38.5% surveyor visits for burns and 22.7% for pressure ulcers, the numbers are fairly low … ulcers are not. … ulcers 26 38.4 4.0 49.2 8.5 22 18.2 9.1 50.0 22.7 Burns 26 12.1 4.4 65.4 18.1 26 11.5 0.0 50.0 38.5

399. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
     January 01, 2022 - example, maternal-related AE can only be evaluated in a subset of all the sampled claims, while fall and pressure … ulcer can be evaluated from all claims.

400. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
     January 01, 2022 - example, maternal-related AE can only be evaluated in a subset of all the sampled claims, while fall and pressure … ulcer can be evaluated from all claims.