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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42895/psn-pdf
    December 18, 2014 - Some events, such as pressure ulcers in surgical patients, actually increased despite considerable national … https://psnet.ahrq.gov/glossary-0#glossary-heading-term-73754 https://psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
  2. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/factraining.html
    September 01, 2017 - It is more difficult for staff to identify which residents are at risk for a fall or pressure ulcer or … ulcers, pressure ulcers that are not healing appropriately, falls, and preventable hospitalizations. … 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 tested
  3. www.ahrq.gov/pqmp/measures/initial-risk-assessment.html
    August 01, 2021 - Initial Risk Assessment for Immobility-Related Pressure Ulcer Within 24 Hours of Pediatric Intensive
  4. www.ahrq.gov/topics/prevention.html
    Preventive Services to People with Disabilities AHRQ Research Findings Support Effort to Reduce PressureUlcers in Virginia Celebrating the 40th Anniversary of the U.S.
  5. www.ahrq.gov/topics/long-term-care.html
    AHRQ Research Findings Support Effort to Reduce Pressure Ulcers in Virginia AHRQ’s Safety Program
  6. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-tools-2024.pdf
    January 01, 2024 - Web: ahrq.gov/goinghomeguide/ Pressure Ulcers Preventing Pressure Ulcers: A Toolkit for Improving … Quality of Care in Hospitals assists hospital staff in implementing effective pressure ulcer prevention … Ulcers in Hospitals Toolkit. … Web: ahrq.gov/pressureinjuryprevtraining Safety Program for Nursing Homes: On-Time Pressure Ulcerulcers.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46910/psn-pdf
    January 23, 2019 - measurement program in the United Kingdom, the NHS Safety Thermometer, which measured incidence of pressureulcers, harm from falls, catheter-associated urinary tract infection, and venous thromboembolism, with … //psnet.ahrq.gov/primer/measurement-patient-safety https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
  8. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16.html
    December 01, 2012 - Ulcer 3,322 4,088 3,865 3,029 3,557 3,496 Injurious Falls 256 436 294 308 … Ulcer 3,754 4,475 4,359 3,374 3,884 3,947 Injurious Falls 331 531 376 387 … Ulcer 2,118 2,834 2,481 1,988 2,480 2,233 Injurious Falls 48 127 63 70 110 … Ulcer 1,348 1,729 1,777 1,154 1,411 1,428 Injurious Falls 65 102 76 70 88 … Ulcer 2,614 3,022 2,987 2,392 2,628 2,719 Injurious Falls 212 363 233 258
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73350/psn-pdf
    June 02, 2021 - pressure-injury-prevention-hospitals-training-program https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
  10. www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
    November 01, 2017 - Pressure Ulcers A new pressure ulcer developed during a stay, or Stage 1 or 2 pressure ulcer(s) present … 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 0.018c 2.42–5.06 3.26
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
    November 01, 2017 - Pressure Ulcers A new pressure ulcer developed during a stay, or Stage 1 or 2 pressure ulcer(s) present … 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 0.018c 2.42–5.06 3.26
  12. effectivehealthcare.ahrq.gov/sites/default/files/related_files/venous-ulcers-treatment_executive.pdf
    January 01, 2014 - 1 Comparative Effectiveness Review Number 127 Chronic Venous Ulcers: A Comparative Effectiveness Review of Treatment Modalities Executive Summary Background Venous leg ulcers are extremely common in the United States. They affect between 500,000 and 2 million people annually, and are responsible for over 50 pe…
  13. psnet.ahrq.gov/issue/avoidable-sepsis-infections-send-thousands-seniors-gruesome-deaths
    March 27, 2019 - nursing homes such as poor staffing and communication with families that contribute to unmanaged pressureulcers 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-term
  14. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/phases.html
    September 01, 2017 - To learn more about the Implementation Team, see Chapter 2 of AHRQ’s Pressure Ulcer Prevention Toolkit … Ulcer Policies, Tool 2D Assessing Screening for Pressure Ulcer Risk, Tool 2E Assessing PressureUlcer Prevention Toolkit . … Ulcer Rates and Prevention Practices and the Learning Network webinar Measurement . … To learn more about sustainment, see the supplementary training webinar Sustaining Pressure Ulcer Prevention
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849317/psn-pdf
    May 24, 2023 - root-cause-analysis-identify-contributing-factors-development-hospital-acquired-pressure https://psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis
  16. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
    April 01, 2025 - Pressure Ulcer Reduction 1. … Braden Scale for Predicting Pressure Sore Risk https://www.in.gov/health/files/Braden_Scale.pdf This … ulcers. … Use this tool to identify a) residents admitted the current month with pressure ulcers and b) others … who developed a pressure ulcer within the month. 4.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42083/psn-pdf
    March 13, 2013 - health care–associated infections and surgical complications, bundled interventions to reduce falls and pressureulcers, and interventions to decrease medication errors and improve hand hygiene—are all considered … inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review https://psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
  18. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
    November 01, 2017 - It is more difficult for staff to identify which residents are at risk for a fall or pressure ulcer or … ulcers, pressure ulcers that are not healing appropriately, falls, and preventable hospitalizations. … 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 tested
  19. psnet.ahrq.gov/issue/inter-and-intra-disciplinary-collaboration-and-patient-safety-outcomes-us-acute-care-hospital
    August 07, 2024 - found hospital units that nurses rated as more collaborative had lower rates of both hospital-acquired pressureulcers and falls. … See More About The Topic Hospitals Nurses Nurse Managers Medical/Surgical Nursing PressureUlcers View More
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
    June 02, 2025 - ulcers, pressure ulcers that are not healing appropriately, falls, and preventable hospitalizations … For example:  Pressure Ulcer Prevention has been pilot tested in more than 50 nursing homes across … the country; several studies have shown significant reductions in pressure ulcer incidence rates … when 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