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digital.ahrq.gov/ahrq-funded-projects/nursing-home-information-technology-it-optimal-medication-and-care-delivery
January 01, 2023 - What is the impact of health IT on resident clinical outcomes: fewer pressure ulcers, fewer hospitalizations … Stage 2 pressure ulcer healing in nursing homes. J Am Geriatr Soc 2008 Jul;56(7):1252-8. … This review pertains to a project that standardized pressure ulcer data elements and electronic documentation … the results: The project has reduced the prevalence of pressure ulcers among residents in 11 facilities … And we have no more pressure ulcers developing.'"
Notes: The work of Dr.
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psnet.ahrq.gov/issue/effect-external-inspections-safety-acute-hospitals-national-health-service-england-controlled
January 12, 2022 - found that enhanced accreditation procedures in the United Kingdom did not improve rates of either pressure … ulcers or falls. … room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors? … Ulcers
View More
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training—Additional … above
All of the above
Residents who display on the Nutrition Report: High Risk must have a pressure … ulcer. … ulcer rates ≥10%. … Return to Additional Exercises Contents
Proceed to Next Section
Return to Pressure Ulcer Prevention
-
digital.ahrq.gov/organization/abt-associates-inc
January 01, 2023 - Electronic Health Records Patient Education Materials
Evaluation of AHRQ’s On-Time Pressure … Ulcer Program - 2012
Principal Investigator
Hurd, Donna
Project Name
Evaluation … of AHRQ's On-time Pressure Ulcer Program
Using Health Information Technology … Ulcer Program - 2011
Principal Investigator
Hurd, Donna
Project Name
Evaluation … of AHRQ's On-time Pressure Ulcer Program
Health IT Hazard Manager - 2011
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
November 01, 2017 - Adverse Events
Pressure Ulcer Prevention .
Pressure Ulcer Healing .
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises5.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
-
psnet.ahrq.gov/node/850159/psn-pdf
June 07, 2023 - and reporting patterns
for two measures of nursing home care quality (falls with major injury and pressure … ulcers). … assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare
https://psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings
-
psnet.ahrq.gov/node/43304/psn-pdf
July 02, 2014 - to prevent patient
harm and estimates that nearly 267,000 preventable patient safety events such as pressure … ulcers and
catheter-related bloodstream infections occurred during this period. … issue/finding-and-preventing-patient-safety-incidents
https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
-
www.ahrq.gov/hai/pfp/interimhac2013-ap4.html
December 01, 2014 - Ulcers
250,000
50%
50%
25%
62,500
$17,000
.072
$1,062,500,000
4,525
Surgical … 17.4%
1,040,500
NA
NA
$9,141,150,000
35,647
* Additional costs per HAC for Falls and Pressure … Ulcers were modified in 2012 from earlier higher projections. … been wrongly based on the full cost of a hospital stay that included a fall or a hospital-acquired pressure … ulcer, rather than on the incremental cost due to the HAC.
18.
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psnet.ahrq.gov/node/73604/psn-pdf
August 18, 2021 - effect-providing-staff-training-and-enhanced-support-care-homes-care-
processes-safety-climate
Hospital admissions and preventable adverse events, such as falls and pressure … ulcers, are common in
long-term care. … After 24
months, the safety climate had improved, and both falls and pressure ulcers were reduced.
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hcup-us.ahrq.gov/datainnovations/clinicaldata/ExampleofUsingPOA-CMSHACsusingall-payerdata.pdf
July 01, 2011 - ulcers 8,959,419 615 2.6 6.9
Air embolism 8,959,419 45 0.2 0.5
Blood incompatibility 8,959,419 36 0.2 … ulcers (66 percent). … ulcer and 18 percent had manifestations of poor glycemic control CMS HACs. … ulcer, 13 percent of falls and trauma, and 16 percent of the catheter-
associated urinary tract infection … Ulcers are:
• 707.23, pressure ulcer, stage III
• 707.24, pressure ulcer, stage IV
The ICD-9-CM
-
psnet.ahrq.gov/node/38048/psn-pdf
October 03, 2017 - problems in the 279 incidents reported in 2018 -- when the last report was published --
were advanced pressure … ulcers, retained foreign objects, and falls. … issue/serious-reportable-events-healthcare-2011-update
https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
-
hcup-us.ahrq.gov/reports/statbriefs/sb3.jsp
April 01, 2006 - Findings
Pressure sores, or decubitus ulcers, are increasingly common in U.S. hospitalizations. … burden of hospitalizations related to pressure sores (figure 1). … sores
More than 90 percent of all hospital stays involving the treatment of pressure sores were … The ICD-9-CM code defining pressure sore is 707.0, Decubitus Ulcer. … Hospitalizations Related to Pressure Sores, 2003. HCUP Statistical Brief #3. April 2006.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/venous-ulcers-treatment-future_research.pdf
January 01, 2014 - The other varieties of common cutaneous ulcers such as diabetic,
atherosclerotic, neuropathic and pressure … ulcers have multiple underlying confounding
comorbidities. … Becaplermin is approved for use on diabetic foot ulcers and full
thickness pressure ulcers only.
-
psnet.ahrq.gov/issue/taking-heat-or-taking-temperature-qualitative-study-large-scale-exercise-seeking-measure
November 02, 2016 - measurement program in the United Kingdom, the NHS Safety Thermometer, which measured incidence of pressure … ulcers , harm from falls , catheter-associated urinary tract infection , and venous thromboembolism … room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors? … Ulcers
View More
-
www.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - Adverse Events
PSI
OB Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19)
Pressure … Ulcers
MPSMS
Hospital-Acquired Pressure Ulcers
Surgical Site Infections
NHSN
SSIs combined … Ulcers
Hospital-Acquired Pressure Ulcers
53.03
62.45
0.85
VAP
Ventilator-Associated … Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19)
82,300
32,750,000
2.513
Pressure … Ulcer
MPSMS
Hospital-Acquired Pressure Ulcers
1,317,211
32,750,000
40.220
Surgical Site
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
April 04, 2008 - For example, African American and Latino veterans are at higher risk of decubitus ulcers than
whites … ulcers, in addition to
continuing efforts to lower decubitus ulcer rates overall, it is important for … the VHA to eliminate
racial disparities in pressure ulcer rates. … Pressure ulcers:
More lethal than we thought? Adv Skin Wound Care
2005; 18: 367-372.
31. … Pressure ulcer risk assessment in
patients with darkly pigmented skin.
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psnet.ahrq.gov/node/43524/psn-pdf
October 29, 2014 - study found that diagnostic codes in administrative data for hospital-related complications
such as pressure … ulcers, falls, and adverse drug events accurately reflect the presence of these events in
the medical … validating-administrative-data-detection-adverse-events-older-hospitalized-patients
https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/small_hospitals-slides/Small-and-Rural-Critical-Access-Hospitals-July-19-2011-508.ppt
January 01, 2011 - Ulcers
on the Unit
Develop a team -- Include staff nurses
Gather baseline data
Have first team meeting … ; educate on science of safety, data, goals
Research the evidence-based practices that eliminate pressure … ulcers
The CUSP/Improvement Intervention
Alt text
CUSP
1. … Provide feedback, investigate each case
Eliminate Stage 3, 4 Pressure Ulcers
1. … Standardized pressure ulcer risk assessment
3.
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hcup-us.ahrq.gov/toolssoftware/ccsr/DXCCSR-ChangeLog-v20191-v20201.xlsx
October 01, 2019 - ulcer of skin L89006 Pressure-induced deep tissue damage of unspecified elbow
SKN003 Pressure ulcer … damage of left upper back
SKN003 Pressure ulcer of skin L89136 Pressure-induced deep tissue damage … Pressure ulcer of skin L89216 Pressure-induced deep tissue damage of right hip
SKN003 Pressure ulcer … Pressure ulcer of skin L89606 Pressure-induced deep tissue damage of unspecified heel
SKN003 Pressure … ulcer of skin L89616 Pressure-induced deep tissue damage of right heel
SKN003 Pressure ulcer of skin