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201. Root cause analysis for hospital-acquired pressure injury. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
     July 07, 2021 - ulcer development. … July 14, 2021 Accuracy of pressure ulcer events in US nursing home ratings. … June 9, 2021 Medical device-related pressure ulcers: a systematic review and meta-analysis … October 24, 2018 Organisational strategies to implement hospital pressure ulcer prevention … ulcers: a systematic review and documentary analysis.

202. Module 5: How To Measure Pressure Injury Rates and Prevention Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
     October 01, 2017 - Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System: Revised Pressure Injury … Incidence and prevalence of pressure ulcers. In: Thomas D, Compton M, eds. … Pressure ulcers in the aging population: a guide for clinicians . … Skin assessment in dark pigmented skin: a challenge in pressure ulcer prevention . … Pressure Ulcer Advisory Panel (EPUAP) define a pressure injury as: Localized damage to the skin

203. Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhacrate2013.html
     November 01, 2015 - The estimated cost per pressure ulcer was based on a report for CMS by RTI international (Kandilov, et … ulcers and matched patients without hospital-acquired Stage III and IV pressure ulcers, based on bivariate … Zhan and Miller estimated that excess mortality due to pressure ulcers was 72 deaths per 1,000 pressure … Mortality for patients with pressure ulcer was compared to mortality among a matched set of patients, … For example, pressure ulcers had a high baseline prevalence, and excess mortality attributed to pressure

204. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47338/psn-pdf
     September 19, 2018 - in nursing homes such as poor staffing and communication with families that contribute to unmanaged pressure … ulcers and sepsis that result in hospital admissions and death. … A WebM&M commentary discussed a case involving a patient who had a pressure ulcer and sepsis in long … psnet.ahrq.gov/primer/long-term-care-and-patient-safety https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

205. Appendix D. Sample Production Agenda for the In-Person Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apd.html
     October 01, 2017 - Ulcer Policies 2E: Assessing Screening for Pressure Ulcer Risk 2F: Assessing Pressure Ulcer … Ask them to include an example of how to score using their risk assessment scale. 3A: Pressure Ulcer … Ulcer Identification Pocket Pad 3D: The Braden Scale for Predicting Pressure Sore Risk Mr. … Ulcer Knowledge Test and staff training needs. … Instructor—facilitated group discussion Education plan for pressure ulcer prevention staff education

206. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/slides.html
     December 01, 2014 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training … Slide 1: Overview of On-Time AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention … Facilitator Training Overview of On-Time Slide 2: On-Time Pressure Ulcer Prevention Facilitator … Pressure Ulcer Healing. Falls Prevention. Prevention of Avoidable Hospitalizations. … Large decline in pressure ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation.

207. Early identification and evaluation of severe pressure injuries. | PSNet
     psnet.ahrq.gov/issue/early-identification-and-evaluation-severe-pressure-injuries
     October 10, 2018 - summarizes recommended actions to assist health care teams in mitigating harmful healthcare-acquired pressure … ulcers including recognition of conditional risks and educational strategies . … September 14, 2022 Accuracy of pressure ulcer events in US nursing home ratings. … See More About The Topic Hospitals Long-Term Care Geriatrics Nurse Care Pressure … Ulcers View More

208. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43711/psn-pdf
     November 26, 2014 - evaluated costs related to the index hospitalization and 90 days following discharge of six HACs—severe pressure … ulcers, fractures, catheter-associated urinary tract infections, venous catheter- related infections … Severe pressure ulcers and orthopedic surgical site infections resulted in an average increase in payments … psnet.ahrq.gov/primer/health-care-associated-infections https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review … https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

209. From Quality Measures to Quality Care: Examples of Quality Improvement at Work | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
     June 01, 2018 - Reducing the Incidence of Pressure Ulcers For the hospitalized and home care patient, pressure ulcers … , or bed sores, can be a serious and chronic problem. … The VA viewed pressure ulcer development as an ideal indicator because they are common, required the … The rate of pressure ulcer development dropped from 11.5 percent to zero. … Overall, the VA has experienced a decline in the incidence of pressure ulcers from 4.9 percent in 1990

210. Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls. | PSNet
     psnet.ahrq.gov/issue/single-room-hospital-accommodation-associated-differences-healthcare-associated-infection
     June 21, 2016 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors? … ulcers or medication errors? … Falls , pressure ulcers, and Clostridium difficile infections increased in the older patients' ward … ulcers or medication errors?

211. Resource List - AHRQ Nursing Home Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
     April 01, 2023 - Cross-references to other resources: • Pressure Ulcer Reduction, #5, Pressure Ulcer Baseline Assessment … Survey for Registered Nurses and Nursing Assistants • Pressure Ulcer Reduction, #7, Pressure Ulcer … : A Nursing Competency-Based Curriculum Pressure Ulcer Prevention Points Preventing Pressure Ulcers Turn … How-To Guide: Prevent Pressure Ulcers 5. … Preventing Pressure Ulcers Turn Clock Tool 9.

212. Data Submission Dashboard (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Pressure_Ulcer_Dashboard_Data_2024.xlsx
     January 01, 2024 - of first pressure ulcer risk assessment. … Timing of First Pressure Ulcer Risk Assessment by Most Advanced Stage of Pressure Ulcer or sDTI Reported … Ulcer Increased Risk of Pressure Ulcer Percentage Frequency At increased risk for pressure ulcer 72.6% … PRU_2 PRU_2: Documented Timing of First Pressure Ulcer Risk Assessment by Most Advanced Stage of Pressure … Ulcer or sDTI Reported Timing of first pressure ulcer risk assessment Most advanced stage of pressure

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49633/psn-pdf
     September 01, 2011 - At the hospital, a full examination revealed a very deep pressure ulcer in her sacrum (stage IV full … For example, the rate of pressure ulcers in nursing homes has been shown to range between 2.2% to 23.9% … Pressure Ulcers in America: Prevalence, Incidence, and Implications for the Future. … Reston, VA: National Pressure Ulcer Advisory Panel; 2001. 6. … RN staffing time and outcomes of long-stay nursing home residents: pressure ulcers and other adverse

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866161/psn-pdf
     June 19, 2024 - accurate data capture interventions to improve rates of the composite PSI-90 and three individual PSIs (pressure … ulcers, postoperative PE/DVT, and postoperative sepsis). … Postoperative PE/DVT, postoperative sepsis, and composite PSI-90 all decreased, while pressure ulcer … psnet.ahrq.gov/primer/patient-safety-indicators https://psnet.ahrq.gov/issue/success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets

215. On-Time Prevention Program for Long Term Care: Clinical Decision Support | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/care/resources/ontime/pruprev/spectorhudaktxt.html
     December 01, 2017 - ulcers, falls, and preventable hospitalizations happen too often in nursing homes (NHs) despite regulatory … Focus on identifying & managing high risk residents to: Prevent Pressure Ulcers. … Monitor Pressure Ulcer Healing. Prevent Falls. … Slide 8 HIT Vendors & On-Time Modules   Vendor Pressure Ulcer Prevention Pressure Ulcer … Ulcer Prevention Alternate Formats   Microsoft PowerPoint version - 861 KB

216. AHRQ Slide Template 2004 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/spectorhudak.ppt
     December 01, 2013 - Consulting Presentation at AHIMA June 17, 2013 Baltimore, MD Using HIT for Prevention in Nursing Homes Pressure … ulcers, falls, and preventable hospitalizations happen too often in nursing homes (NHs) despite regulatory … Ulcers Monitor Pressure Ulcer Healing Prevent Falls Reduce Potentially Avoidable Hospitalizations & … Ulcer Prevention Pressure Ulcer Healing Falls Prevention Avoidable Transfers Answers on Demand ✔* ✔ … ulcer rate goes down on average after intervention component interruption no matter when it occurs

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72478/psn-pdf
     November 18, 2020 - examined the effect of unit-level nursing functional flexibility on the incidence of hospital-acquired pressure … ulcers. … Results indicate that higher use of functionally flexible nurses was associated with a higher number of pressure … ulcers, but this effect was moderated when coworker support within the unit was high. … nurse-working-conditions-and-patient-safety-outcomes https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

218. Pressure Injury Prevention Program Implementation Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
     October 01, 2017 - Ulcer Risk Assessment Tools in Care Planning Risk Factors for Pressure Ulcers: Going Beyond Validated … Ulcer Policies, Tool 2D Assessing Screening for Pressure Ulcer Risk, Tool 2E Assessing Pressure Ulcer … Risk Factors for Pressure Ulcers: Going Beyond Validated Instruments Presented by Elizabeth Ayello, … Ulcer Policies 2E: Assessing Screening for Pressure Ulcer Risk 2F: Assessing Pressure Ulcer Care Planning … Identification Pocket Pad 3D: The Braden Scale for Predicting Pressure Sore Risk Mr.

219. Appendix: Incidence of Hospital-Acquired Conditions in the Partnership for Patients: Estimates and Projected and Measured Impact | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2014-ap1.html
     November 01, 2015 - Ulcers MPSMS (2014) Hospital-Acquired Pressure Ulcers 1,010,000 30.9 Surgical Site Infections … Ulcers 250,000 50% 50% 25% 62,500 $17,000 Surgical Site Infections 110,000 35% … * Additional costs per HAC for Falls and Pressure Ulcers were modified in 2012 from earlier higher … ulcer, rather than on the incremental cost due to the HAC. … Ulcers .072 $1,062,500,000 4,525 Surgical Site Infections .028 $161,700,000 217

220. Hurd, Donna | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/hurd-donna
     January 01, 2023 - Hurd, Donna Evaluation of AHRQ's on-time pressure ulcer prevention program … Ulcer Program Evaluation of AHRQ’s On-Time Pressure Ulcer Program - 2012 … Ulcer Program Evaluation of AHRQ's On-time Pressure Ulcer Program - 2011 … Ulcer Program Evaluation of AHRQ's On-time Pressure Ulcer Program - 2010 … Ulcer Program Evaluation of AHRQ's On-time Pressure Ulcer Program Description