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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket_1.pdf
    November 30, 2013 - status   Oxygen dependency   Confusion/mental status change   Any full thickness wound (e.g., pressureulcers [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.
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket.pdf
    November 30, 2013 - status   Oxygen dependency   Confusion/mental status change   Any full thickness wound (e.g., pressureulcers [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.
  3. www.ahrq.gov/sites/default/files/2024-07/congdon-magilvy-report.pdf
    January 01, 2024 - homes include indicators of physical care, such as rate of restraint use (physical and chemical), pressuresore prevalence, urinary tract infections, pain, injuries, hospitalizations, functional decline; staffing … follows: .626 for urinary tract infections, .528 for weight loss, .853 for tube feeding, .570 for pressureulcers, and .812 for behavior affecting others. … ulcers.
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Gavin.pdf
    January 01, 2001 - systems do not fit the individual needs of nursing homes residents, many problems can become evident: pressureulcers, difficulty in propulsion, discomfort, dysphagia, falls, and decreased quality of life.5, 8– … diagnosis, cognitive status, communication ability, sensation level, skin integrity (presence/absence of pressureulcers), swallowing problems, and ability to transfer and ambulate.
  5. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
    August 01, 2025 - ulcers, urinary tract infections (UTIs), and pneumonia, all of which are generally preventable but … ulcers at 68%, and infections at even lower rates (UTIs: 19–29%, pneumonia: 66–71%). … ulcer rates than Black residents, and facilities with higher proportions of White residents showed … better reporting for falls but worse for pressure ulcers. … ulcers, skin tears, and falls with injury representing the most common types of events in this category
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
    March 10, 2008 - puerperium) No No PSI 2: Death in low- mortality No, because it heavily relies on DRG PSI 3: Decubitusulcer Yes All medical and surgical discharges age ≥18 years, length of stay >4 days MDC 9 (skin … For decubitus ulcer (PSI 3), a major exclusion group covers hemiplegias and other neurologic problems … Although there are specific codes for decubitus ulcer (PSI 3) in both ICD-9-CM and ICD-10-WHO, the ICD … -10-WHO code L89 (decubitus ulcer) does not specify the site of the ulcer, while M70 codes describe
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/standalone_psi_casestudy.pdf
    June 02, 2025 - five PSIs that have been identified as priorities at HMC based on the volume of cases: • PSI 03 PressureUlcer Rate • PSI 07 Central Venous Catheter-Related Blood Stream Infection Rate • PSI 11 Postoperative
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-transcript.doc
    April 09, 2013 - There was a brochure on pressure ulcers and the story she had told me; a gentlemen was reading this brochure … and he got halfway through before he realized what a pressure ulcer really was. … He thought pressure ulcer was having to do with stomach ulcers and I would have had to agree 100 percent … I had no idea it had to do with bed sores.
  9. www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-transcript.html
    December 01, 2017 - There was a brochure on pressure ulcers and the story she had told me; a gentlemen was reading this brochure … and he got halfway through before he realized what a pressure ulcer really was. … He thought pressure ulcer was having to do with stomach ulcers and I would have had to agree 100 percent … I had no idea it had to do with bed sores.
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rask.pdf
    January 01, 2004 - hospitals were required to choose to focus on one of the following priority patient-safety issues: (1) pressureulcers, (2) patient falls, or (3) deep vein thrombosis (DVT). … Hospitals may (1) continue their self-assessment/improvement plans relative to pressure ulcers, falls
  11. www.ahrq.gov/hai/tools/mvp/modules/cusp/build-business-case-fac-guide.html
    February 01, 2017 - Central line associated bloodstream infections and pressure ulcers can add an estimated $17,000 to care
  12. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-14-collecting-performance-data.pdf
    September 01, 2015 - Collecting Performance Data Using Chart Audits and Electronic Data Extraction Primary Care Practice Facilitation Curriculum Module 14: Collecting Performance Data Using Chart Audits and Electronic Data Extraction Agency for Healthcare Research and Quality Advancing Excellence in Health Care ww…
  13. www.ahrq.gov/cpi/centers/ockt/kt/tools/impuspstf/impuspstf2.html
    June 01, 2022 - Section 2. Implementing Recommendations in Academic Curricula Implementing USPSTF Recommendations into Health Professions Education This document was developed as part of an Agency for Healthcare Research and Quality (AHRQ) initiative to increase the use of the U.S. Preventive Services Task Force (USPSTF) rec…
  14. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-facilitator-guide.docx
    June 01, 2021 - He has dementia and is bedbound due to a prior stroke and had several infected sacral decubitus ulcers
  15. www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
    June 01, 2012 - Reddened or darkened skin near a pressure point, or skin breakdown in those areas, can lead to a full pressureulcer (bed sore) if not responded to promptly.
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-facguide.docx
    January 01, 2017 - Central line associated bloodstream infections and pressure ulcers can add an estimated $17,000 to care
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4a_combo_psi_casestudy.pdf
    June 02, 2025 - five PSIs that have been identified as priorities at HMC based on the volume of cases: • PSI 03 PressureUlcer Rate • PSI 07 Central Venous Catheter-Related Blood Stream Infection Rate • PSI 11 Postoperative
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b3a_pdi_chartsforpresentations.pdf
    January 01, 2006 - 0.0010748 0.00057 -47.877193 -100 88.5614035 PDI 01 No Statistically Significant Difference 0 PDI 02 PressureUlcer Rate 0 PDI 03 Retained Surgical Item or Unretrieved Device 0 PDI 05 Iatrogenic Pneumothorax Rate
  19. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal.pptx
    April 01, 2022 - intolerance due to severe impairment (e.g., severe contractures, pelvic or hip fractures) Open stage III/IV pressureulcer to sacrum/perineum AND incontinent and cannot protect wound otherwise Critically ill patient with
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-slides.pptx
    January 01, 2017 - ABCDEs, delirium monitoring and management, hospital-acquired infections, falls, deep vein thromboses, pressureulcers, medication errors Physiological Support for failing organs (e.g., mechanical ventilation, vasopressors

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