-
psnet.ahrq.gov/node/43125/psn-pdf
December 12, 2014 - improvements to systems strategies,
including checklists, safety culture surveys, and prevention of pressure … ulcers and infections. … checklists
https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
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psnet.ahrq.gov/node/44805/psn-pdf
January 27, 2016 - This report collection explores the
data collected on four types of health care–acquired conditions (pressure … ulcers, falls, catheter–associated
urinary tract infections, and venous thromboembolisms) in NHS patients … saving-lives-and-saving-money-hospital-acquired-conditions-update
https://psnet.ahrq.gov/issue/wound-care-teams-preventing-and-treating-pressure-ulcers
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www.ahrq.gov/patient-safety/resources/learning-lab/enhancing-long-desc.html
April 01, 2021 - Identify areas of skin at risk for developing pressure ulcers (recently renamed by expert organizations … of indwelling urinary catheters, central venous catheters, and pressure injuries (formerly called "pressure … ulcers"). … detect and report important patient motions, such as no motion, a sign that the patient is at-risk for pressure … ulcers.
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psnet.ahrq.gov/node/48085/psn-pdf
June 19, 2019 - The health system sought to prevent
pressure ulcers, adverse drug events, falls with injury, health … psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals
https://psnet.ahrq.gov/issue/success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-8-a-data-feasibility.pdf
June 02, 2025 - pressure
ulcer risk assessment tool was documented within
24 hours of admission. … If not, do you use another
standardized pressure ulcer risk assessment tool? … 3 How do you document the results of a standardized pressure ulcer risk
assessment tool? … Measure 3 (Pressure Ulcer) Technical
Feasibility
Feasible. Can do today. n/a Feasible. … Feasibility Results - Pressure Ulcer (link to 8.A.1.).pdf
elements and measure tabs
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - .
· Measuring Pressure Ulcer Rates and Prevention Practices — AHRQ Pressure Injury Prevention Program … 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. … Slide 5
SAY: As of 2016, the National Pressure Ulcer Advisory Panel (NPUAP) and the European Pressure
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
September 01, 2014 - Obstetric 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 for 17 procedures … Ulcers
Hospital-Acquired Pressure
Ulcers
53.03 62.45 0.85
VAP Ventilator-Associated
Pneumonia … Discharges
(HCUP)
2010 PFP
Measured
HACs per
1,000
Discharges
Pressure Ulcer MPSMS Hospital-Acquired … Pressure Ulcers 1,317,211 32,750,000 40.220
Surgical Site
Infection
NHSN SSIs for 17 procedures in
-
psnet.ahrq.gov/issue/impact-use-employee-functional-flexibility-patient-safety
January 12, 2022 - 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.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - ulcers/pressure injuries and falls. … ulcers/pressure injuries
increased from 2014 to 2015 and then decreased somewhat from 2015 to 2016 … Ulcers/
Pressure Injuries
21.7 23.5 22.7 23.0 6%
Surgical Site Infections 2.5 2.5 2.5 2.7 8% … Ulcer MPSMS Hospital-Acquired Pressure Ulcers/Pressure Injuries
Surgical Site
Infection
NHSN SSIs … Ulcer
MPSMS Hospital-
Acquired
Pressure
647,096 21.75 699,790 23.52 676,834 22.75 682,984 22.96
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides4.html
October 01, 2017 - An icon of a magnifying glass in front of open book refers to Tool 2G: Pieper Pressure Ulcer Knowledge … A screenshot shows the Pressure Ulcer Prevention Program Action Plan: June 2015 - January 2016.
-
psnet.ahrq.gov/node/46027/psn-pdf
July 02, 2019 - with Hospital Compare data on hospital-
acquired conditions like health care–associated infections, pressure … ulcers, or falls. … https://psnet.ahrq.gov/primer/health-care-associated-infections
https://psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
-
psnet.ahrq.gov/node/42669/psn-pdf
September 27, 2017 - The study demonstrated that patients who reported pressure ulcers, medication errors,
hospital-acquired … patient-reported-safety-and-quality-care-outpatient-oncology
https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
January 01, 2023 - About half (49.0%; 29,384 / 60,021) of Pressure ulcers were reported in Inpatient care areas. … Pressure Ulcers result in harm to the patient
by their very nature. … This is unexpected, as pressure ulcers result in harm
to the patient by their very nature. … Ulcer
• A pressure ulcer that, on admission, was at stage/category III or stage/category IV or was … Pressure Ulcers result in harm to the patient by their very nature.
-
psnet.ahrq.gov/node/44953/psn-pdf
March 09, 2016 - Students demonstrated a wide range of accuracy in identifying hazards, with fall risk most likely and
pressure … ulcer risk least likely to be identified. … fall-prevention-acute-care-hospitals-randomized-trial
https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
-
psnet.ahrq.gov/node/38625/psn-pdf
November 19, 2009 - implementation of a patient safety program focused on evidence-based guidelines
to reduce the incidence of pressure … ulcers, falls, and urinary tract infections. … making-health-care-safer-critical-analysis-patient-safety-practices
https://psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-wound-cleaning.pdf
March 01, 2022 - CHG in clinical trials with the explicit instructions to clean superficial wounds
and stage 1 and 2 decubitus … ulcers. … CHG can be applied to any superficial wound, including stage 1 and 2 decubitus ulcers, friable
skin/
-
www.ahrq.gov/topics/patient-self-management.html
AHRQ Research Findings Support Effort to Reduce Pressure Ulcers in Virginia
Engaging Patients and
-
effectivehealthcare.ahrq.gov/get-involved/nominated-topics/diagnosis-and-management-pressure-ulcer-the-questions-we-would-like-answered-by-this-evidence-review-are-the-following-1-how-can-we-identify-patients-at-risk-for-pressure-ulcers-in-the-hospital-or-long-term-care-setting-and-
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
June 02, 2025 - ulcers, pressure ulcers that are not
healing appropriately, falls, and preventable hospitalizations … For example, the
dietitian is an important member of a pressure ulcer team
because declining nutrition … For example:
• Pressure Ulcer Prevention has been pilot tested in more than
50 nursing homes across … On-Time pressure ulcer prevention reports were
integrated into day-to-day workflow … • Pressure Ulcer Healing, Falls, and Avoidable Hospitalization
reports and worksheets have been
-
psnet.ahrq.gov/node/42423/psn-pdf
July 17, 2013 - that policy changes are
required to prevent specific adverse events, such as postoperative sepsis and pressure … ulcers. … https://psnet.ahrq.gov/issue/postoperative-sepsis-united-states
https://psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero