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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. Home and Community-Based Services Quality Indicators: (pdf file)
     qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1A_Details_of_literature_review.pdf
     January 01, 2012 - Pressure Ulcers 20 Pressure Ulcers We sought information on pressure ulcers in key HCBS populations … Evidence for prevention of pressure ulcers in HCBS populations Prevention of Pressure Ulcer Development … Prevention of Pressure Ulcer Progression • Pressure ulcers in vulnerable populations should be assessed … Pressure Ulcer Pressure Ulcers 23 • One study found that pressure ulcers were associated with … Frequency of Admissions for Pressure Ulcer • Pressure ulcers are associated with an average length

223. 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/8.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) 3.8. … Return to Functional Specifications Contents   Return to Pressure Ulcer Prevention Alternate

224. The Safety and Quality of Long Term Care | PSNet
     psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
     January 01, 2016 - 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

225. 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

226. Appendix | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2013-appendix.html
     October 01, 2015 - Ulcers MPSMS (2013) Hospital-Acquired Pressure Ulcers 1,060,000 32.5 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 projections … 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

227. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48134/psn-pdf
     August 14, 2019 - effective method to utilize root cause analysis results to determine latent weaknesses that facilitate pressure … ulcer development. … root-cause-analysis-hospital-acquired-pressure-injury https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

228. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
     October 27, 2014 - The estimated cost per pressure ulcer was based on a report for CMS by RTI international (Kandilov, … 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 … Ulcers MPSMS (2013) Hospital-Acquired Pressure Ulcers 1,060,000 32.5 DRAFT Page 14

229. 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

230. 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

231. 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

232. 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

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44845/psn-pdf
     July 01, 2016 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors? … room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors? … Falls, pressure ulcers, and Clostridium difficile infections increased in the older patients' ward after

234. 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

235. 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

236. Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide1.html
     October 01, 2017 - Ulcers in Hospitals Toolkit training. … Preventing in-facility pressure ulcers. … Ulcers in Hospitals Toolkit. … Preventing in-facility pressure ulcers. … Preventing in-facility pressure ulcers.

237. 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.

238. 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

239. 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

240. 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