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381. 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

382. 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

383. 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.

384. 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

385. 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.

386. 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-transcript.html
     December 01, 2017 - 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.

387. 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.

388. Making Health Care Safer II, Executive Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
     March 01, 2013 - “common;” examples include falls, venous thromboembolism (VTE), potential adverse drug events, or pressure … ulcers. … ulcers; and PSPs designed to improve the overall system or to address multiple patient safety targets … ulcers; in-depth review Common/ Moderate Moderate Negligible Moderate Moderate/ Moderate 9 Table … ulcers, and other nursing sensitive outcomes (other than mortality); in-depth review Common/High

389. Mercy Health Uses AHRQ's Patient Safety Culture Survey and TeamSTEPPS® to Enhance Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201411.html
     August 01, 2014 - Mercy also replaced patient beds to reduce incidents of pressure ulcers and to promote patient and staff

390. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=3
     January 01, 2024 - Grant Number: R01 HS 22903 Topic(s): Pressure Ulcers Publication Date: June 2020 Occult Uterine

391. The Emergency Department & Catheter Insertions | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-slides.html
     December 01, 2017 - Smith (2) Because of his immobility, he develops a pressure ulcer on his sacrum. … Urinary Catheter Harm is in the middle, with several issues surrounding it (i.e. immobility, CAUTI, pressure … ulcers), that could lead to Falls and VTE.

392. Appendix E | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-ape.html
     April 01, 2018 - Delirium 2 427  -- Nosocomial Infections 3 450  -- Patient Falls 11 428  -- Pressure … Ulcers 5 430  -- Venous Thrombosis and Thromboembolism 0 414 Medication Safety

393. Final Progress Report: A National Report of Nursing Home Quality Measures and Information Technology (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/alexander-report.pdf
     January 01, 2024 - sores; 4) who are at low risk and who have pressure sores; 5) who are physically restrained; 6) who … sores. … Ulcers 13938 787 5.9 5.6 Who Lose Too Much Weight 14183 798 7.4 7.5 Bowel or Bladder Incontinent 13038 … Ulcers -0.01 -0.05 0.01 0.05 0.02 0.04 0.05 0.02 -0.01 0.01 Who Lose Too Much Weight 0.05 0.05 0.05 … Ulcers, and % Short Stay Assessed/Given Pneumococcal Vaccine.

394. Central Venous Catheter Indications and Alternatives Facilitator Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives-notes.docx
     April 01, 2022 - They are as follows: · Stage III or stage IV or unstageable pressure ulcers · Moderate to severe incontinence-associated … urinary retention with or without bladder outlet obstruction · Stage III or stage IV or unstageable pressure … ulcer, or similarly severe wounds of other types, that cannot be kept clear of urinary incontinence

395. Table 7: Health and Welfare of the Home and Community-Based Services Population as Measured by 13 Outcome Indicators, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab7.html
     December 01, 2012 - 5,672 13,799 7,174   Max 38,852 29,161 10,824 48,675 50,219 49,623 36,143 Pressure … Ulcer 3,905 2,269 1,404 2,683 4,903 4,190 3,485   Min 1,699 551 314 557

396. Introduction to the Pediatric Best Practices Tool (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4_pdi_bestpracticescover.pdf
     June 02, 2025 - 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

397. 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/intro.html
     June 01, 2017 - Table 1 lists reports and implementation materials for pressure ulcer healing. Table 1.

398. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-slides.pptx
     January 01, 2017 - Estimated Additional Costs of Healthcare-Acquired Conditions (HACs) Series 1 VAPs SSIs CLABSI Other HACs Pressure … Ulcers Post-op DVTs Falls Adverse Drug Events Obstetric Adverse Events CAUTI 21001 21000 17000 17000 … Sheet1 Series 1 VAPs $ 21,001 SSIs $ 21,000 CLABSI $ 17,000 Other HACs $ 17,000 Pressure … Ulcers $ 17,000 Post-op DVTs $ 8,000 Falls $ 7,234 Adverse Drug Events $ 5,000 Obstetric

399. PDI RATES GENERATED BY THE AHRQ WINDOWS QI SOFTWARE (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b2b_pdi_ratesgenbywin.pdf
     March 01, 2016 - - 2.46621024 PDI 1 PDI #1 Accidental Puncture or Laceration Rate 1 2 0.5 0.05664000 PDI 2 PDI #2 Pressure … Ulcer Rate 0 1 0 0.15210459 PDI 3 PDI #3 Retained Surgical Item or Unretrieved Device Fragment 0 0 … Infection 0 0.117371 PDI #1 Accidental Puncture or Laceration 1 2 0.5 0.05664000 PDI #2 Pressure … Ulcer Rate 0 1 0 0.000251 0 0.15210459 0 0.000436 PDI #3 Retained Surgical Item or Unretrieved Device

400. 4 Tk2 T1-Medical Care Referral Form Word Doc For Html Only (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form_Word_doc_for_html_only.doc
     June 02, 2025 - 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 HOSPITAL. To: _______________________________________________ Phone: ________________ Fax: ______________…