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221. Adverse and Temporary Harm Events in Long-Term-Care Hospitals (LTCH) Designated in Office of Inspector General Report1 as Clearly Preventable or Likely Preventable, by Clinical Category (pdf file)
     pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
     January 01, 2019 - ulcers • New sacrococcygeal pressure ulcer that progressed to stage 4 during LTCH stay • Pressure ulcer … ulcers • Stage 2 nasal pressure ulcer associated with face mask • Deep tissue injuries related to ace … • Sacral pressure ulcer • Stage 1 coccygeal pressure ulcer • Stage 1 facial pressure ulcer associated … with BiPAP mask • Stage 1 pressure ulcer heel • Stage 1 pressure ulcer on sacrum • Stage 1 sacral pressure … ulcer Page 9 of 9 • Stage 2 pressure ulcer of sacrum • Stage 2 pressure ulcer of sacrum • Suspected

222. Module 2: How To Manage Change | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide2.html
     October 01, 2017 - Ulcer Policies     Tool 2E: Assessing Screening for Pressure Ulcer Risk     Tool … 2F: Assessing Pressure Ulcer Care Planning     Alert the Implementation Team Leader to … be ready to discuss and decide who will oversee administering the Pieper Pressure Ulcer Knowledge Test … Tool 2D: Assessing Current Pressure Ulcer Policies (completed by the Implementation Team Leader). … Tool 2E: Assessing Screening for Pressure Ulcer Risk (completed by the Implementation Team Leader or

223. Section 6-B, Expert Workgroup Roster and Materials (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-6-b-expert-workgroup.pdf
     September 18, 2014 - Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients (administrative claims) 3. … Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 Hours of PICU Admission (eMeasure … Measure #2: Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients (administrative … • Staging of Pressure ulcers would need to be done by a wound care expert vs. the PICU staff nurse … Measure #3: Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 Hours of PICU Admission

224. Section 6-B, PMCoE PICU Expert Workgroup and Leadership Team Roster (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-6-b-pmcoe-picu-expert-workgroup.pdf
     September 18, 2014 - Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients (administrative claims) 3. … Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 Hours of PICU Admission (eMeasure … Measure #2: Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients (administrative … • Staging of Pressure ulcers would need to be done by a wound care expert vs. the PICU staff nurse … Measure #3: Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 Hours of PICU Admission

225. PMCoE PICU Expert Work Group and Leadership Team Roster (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-6-b-workgroup.pdf
     September 18, 2014 - Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients (administrative claims) 3. … Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 Hours of PICU Admission (eMeasure … Measure #2: Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients (administrative … • Staging of Pressure ulcers would need to be done by a wound care expert vs. the PICU staff nurse … Measure #3: Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 Hours of PICU Admission

226. B3A Combo Chartsforpresentations (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
     January 01, 2006 - Remove the "Pressure Ulcers" part of the title and revise it to reflect your PSI or IQI of interest … Remove the "Pressure Ulcers" part of the title and revise it to reflect your PSI or IQI of interest … Remove the "Pressure Ulcers" part of the title and revise it to reflect your PSI or IQI of interest … Remove the "Pressure Ulcers" part of the title and revise it to reflect your PSI or IQI of interest … Remove the "Pressure Ulcers" part of the title and revise it to reflect your PSI or IQI of interest

227. Patient Safety Indicators at an academic veterans affairs hospital: addressing dual goals of clinical care and validity. | PSNet
     psnet.ahrq.gov/issue/patient-safety-indicators-academic-veterans-affairs-hospital-addressing-dual-goals-clinical
     August 09, 2023 - 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 … More About The Topic Hospitals Hospital Medicine Nurse Care Nosocomial Infections Pressure … Ulcers View More

228. Injuries and Wounds | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/injuries-and-wounds.html
     Topic: Injuries and Wounds AHRQ wound research centers on pressure ulcers.

229. Puover
     www.ahrq.gov/professionals/systems/long-term-care/resources/pressure-ulcers/pressureulcertoolkit/puover.html
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230. Index
     www.ahrq.gov/professionals/systems/long-term-care/resources/pressure-ulcers/pressureulcertoolkit/index.html
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231. 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/2.html
     December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications … Specifications for Each Pressure Ulcer Prevention Report (continued) 3.2. … Return to Functional Specifications Contents   Proceed to Next Section Return to Pressure Ulcer Prevention

232. Comparative Effectiveness Reviews | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/reviews.html
     August 01, 2018 - Versus Institutional Care Nonpharmacologic Interventions for Agitation and Aggression in Dementia Pressure … Ulcer Risk Assessment and Prevention: Comparative Effectiveness Pressure Ulcer Treatment Strategies

233. Hospital Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/about.html
     December 01, 2017 - Hospitals Training Program to support the training of hospital staff on how to implement AHRQ’s Preventing Pressure … Ulcers in Hospitals Toolkit . … Preventing Pressure Ulcers in Hospitals Each year, more than 2.5 million people in the United States … develop pressure ulcers. … The aim of this toolkit is to assist hospital staff in implementing effective pressure ulcer prevention

234. Appendixes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-appendix.html
     November 01, 2017 - Ulcers (("Pressure Ulcer" [MeSH] OR "Pressure Ulcer" [tiab] OR "Bedsore" [tiab] OR "Bed Sores" [tiab … ] OR "Decubitus Ulcer" [tiab] OR "Pressure Sore" [MeSH] OR "Pressure Sore" [tiab] OR "Suspected Deep … Tissue Injury" [tiab] OR "Pressure Ulcer" [MeSH] OR "Pressure Ulcer" [tiab] OR "osteomyelitis" [MeSH] … Ulcer All hospitalized patients who are at risk to have pressure ulcer 0.018 c 2.42–5.06 3.26 … Marginal hospital cost of surgery-related hospital-acquired pressure ulcers.

235. The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England. | PSNet
     psnet.ahrq.gov/issue/effect-providing-staff-training-and-enhanced-support-care-homes-care-processes-safety-climate
     September 15, 2021 - Hospital admissions and preventable adverse events, such as falls and pressure ulcers, are common in … After 24 months, the safety climate had improved, and both falls and pressure ulcers were reduced. … See More About The Topic Long-Term Care Quality and Safety Professionals Geriatrics Pressure … Ulcers Patient Falls View More

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837890/psn-pdf
     August 24, 2022 - Accuracy of pressure ulcer events in US nursing home ratings. … Accuracy of pressure ulcer events in US nursing home ratings. … https://psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings All nursing homes … This study compared seven years of self-reported pressure ulcer data with claims-based data for pressure … https://psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings https://psnet.ahrq.gov

237. Generic Dashboard Data 2024 (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2024.xlsx
     January 01, 2024 - Ulcer Communication 167 2.2% Pressure Ulcer Data * * Pressure Ulcer Environment 29 0.4% Pressure … 0.3% Pressure Ulcer Staff qualifications 184 2.4% Pressure Ulcer Supervisor/Support * * Pressure … Ulcer Under 18 Female No Harm 175 11.8% Pressure Ulcer Under 18 Female Severe Harm * * Pressure Ulcer … * * Pressure Ulcer UNK Female Unknown Harm * * Pressure Ulcer UNK Male Mild Harm 63 75.0% Pressure … Ulcer UNK Male Moderate Harm * * Pressure Ulcer UNK Male No Harm 17 20.2% Pressure Ulcer UNK Male

238. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45202/psn-pdf
     October 08, 2016 - psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury- policy Pressure … ulcers are never events that continue to occur, despite potential repercussions on reimbursement. … towards-international-consensus-patient-harm-perspectives-pressure-injury-policy https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

239. 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/exercises6.html
     December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training—Additional … Return to Additional Exercises Contents Proceed to Next Section Return to Pressure Ulcer Prevention

240. Critical Analysis of the Evidence for Patient Safety Practices in Nursing Home Settings (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/nursing-home-safety_research-protocol.pdf
     July 22, 2015 - Thus, the outcomes targeted for prevention are often the same: falls, pressure ulcers, delirium and … Preventing pressure ulcers: a systematic review. Jama. 2006 Aug 23;296(8):974-84. 8. … , double-blind cross-over trial in patients prone to pressure ulcers. … Pressure Ulcer Prevention Program Study: a randomized, controlled prospective comparative value evaluation … of 2 pressure ulcer prevention strategies in nursing and rehabilitation centers.