-
psnet.ahrq.gov/node/45533/psn-pdf
November 02, 2016 - improvement project in the United Kingdom to
address four patient safety issues: venous thromboembolism, pressure … ulcers, catheter–associated urinary
tract infections, and falls. … preventability-hospital-acquired-venous-thromboembolism
https://psnet.ahrq.gov/issue/organisational-strategies-implement-hospital-pressure-ulcer-prevention-programmes-findings
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www.ahrq.gov/hai/pfp/haccost2017-results.html
November 01, 2017 - Pressure Ulcers
Based on three studies reporting cost data, we estimated the additional cost for hospital-acquired … pressure ulcers to be $14,506 (95% CI: -$12,313 to $41,326), whereas excess mortality, based on three … ulcer cases, there are 41 excess deaths). … ulcers. … (Goudie 2015) and estimated the additional cost for hospital-acquired pressure ulcers among adult inpatients
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-8-a-ehr-data-feasibility-tool.pdf
June 02, 2025 - time) >= 24 hours
3 Initial Risk Assessment for
Immobility-related Pressure
Ulcer within 24 hours … of PICU
Admission
Occurrence of
administration of a pressure
ulcer risk assessment by
standardized … 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?
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-8-data-feasibility-tool-1.pdf
June 02, 2025 - time) >= 24 hours
3 Initial Risk Assessment for
Immobility-related Pressure
Ulcer within 24 hours … of PICU
Admission
Occurrence of
administration of a pressure
ulcer risk assessment by
standardized … 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?
-
effectivehealthcare.ahrq.gov/sites/default/files/peptic-ulcer-horizon-scan-high-impact-1306.pdf
June 01, 2013 - PEPTIC ULCER #11
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 11: Peptic Ulcer Disease and Dyspepsia
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850
ww…
-
effectivehealthcare.ahrq.gov/sites/default/files/peptic-ulcer-horizon-scan-high-impact-1312.pdf
December 01, 2013 - PEPTIC ULCER #11
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 11: Peptic Ulcer Disease and Dyspepsia
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850
ww…
-
www.ahrq.gov/hai/pfp/interimhac2013-ap1.html
December 01, 2014 - OB Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19)
77,000
2.4
Pressure … Ulcers
MPSMS (2013)
Hospital-Acquired Pressure Ulcers
1,060,000
32.5
Surgical Site Infections
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pdf
October 01, 2015 - ulcer and any secondary ICD-10-CM
diagnosis codes for pressure ulcer stage III or IV (or
unstageable … • Several exclusions (e.g., length of stay <5 days,
principal diagnosis of pressure ulcer). … • Several exclusions (e.g., length of stay <5 days,
principal diagnosis of pressure ulcer). … A PSI Example: Pressure Ulcer (PSI 03)�
What are the Inpatient Quality Indicators (IQIs)? … An Example: Pressure Ulcer (PDI 02)�
How can the AHRQ QIs be used in quality assessment?
-
psnet.ahrq.gov/issue/adverse-effects-medicare-psi-90-hospital-penalty-system-revenue-neutral-hospital-acquired
October 30, 2024 - Overall, HAC rates declined over the 2 years following implementation of the program, with only rates of pressure … ulcers increasing. … Are evidence-based practices associated with effective prevention of hospital-acquired pressure … ulcers in US academic medical centers?
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/getready.html
October 01, 2017 - organization’s readiness to launch AHRQ’s Pressure Injury Prevention Program, review Section 1 of AHRQ’s Pressure … Ulcer Prevention Toolkit . … more about measurement, see the supplementary training webinars Wound Classification and Measuring Pressure … Ulcer Rates and Prevention Practices and the Learning Network webinar Measurement .)
-
www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-l.html
October 01, 2015 - "All immobile patients need a urinary catheter to prevent hospital-acquired pressure ulcers." … Clostridium difficile infection, immobility (Foley is considered a "one-point restraint), hospital-acquired pressure … ulcers, falls, and venous thromboembolism. 2 , 3
Not all critically ill, immobile patients need Foley
-
www.ahrq.gov/topics/p.html
June 12, 2025 - Policy Population Health Practice Improvement Practice-Based Research Network (PBRN) Pregnancy Pressure … Ulcers Prevención y bienestar Prevention Primary Care Provider Performance Provider: Clinician
-
www.ahrq.gov/sites/default/files/2024-02/stone-benner-report.pdf
January 01, 2024 - ulcers, restraints, pain,
staff stability, and quality improvement. … There are four clinical areas that have long plagued nursing homes; 1)
presence of pressure ulcers in … ulcers , n=18, and dementia,
n=3). … Ulcers: Best Practices
• Quality Improvement: Maintaining and Sustaining Success
• Resident Centered … Ulcers: Best Practices X 3.5
9
2008 Local Area Networks for Excellence (LANE) Conference: Final
-
psnet.ahrq.gov/node/47093/psn-pdf
July 02, 2019 - effective for managing blood glucose and blood transfusions
and for preventing venous thromboembolism, pressure … ulcers, acute kidney injury, and incipient clinical
deterioration.
-
psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
February 26, 2025 - In certain categories, particularly with something like pressure ulcers, there is almost certainly underreporting … Are pressure ulcers not being discovered, or are they not being correctly staged so that people know … ulcers and other errors. … One was a facility that had a high number of pressure ulcers. … As a result of that really concerted effort to identify pressure ulcers, they have identified many ulcers
-
digital.ahrq.gov/sites/default/files/docs/resource/Real_Time_and_On_Time_Lessons_Learned_9_6_06.pdf
June 16, 2021 - NPULS (National Pressure Ulcer Long Term Care Study) research results helped to focus improvement
initiative … By taking an overall systems approach, in addition to incorporating National Pressure Ulcer
Long-term … Redesigned clinical workflow to incorporate evidence-based best practices for pressure ulcer
prevention … In addition, providing data showing the
team’s impact on pressure ulcer rates and operational efficiencies … (Note: in the
dissemination initiative ‘On-Time Pressure Ulcer Prevention: Partnership with QIOs’ the
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14b.html
February 01, 2023 - Ulcer
3,799
3,199
3,745
3,230
Injurious Falls
334
265
324
272
Dually Eligible … Ulcer
4,200
3,634
4,114
3,703
Injurious Falls
415
344
410
347
Medicaid-Only … Ulcer
2,619
1,957
2,698
1,836
Injurious Falls
96
38
80
50
I/DD Subpopulation … Ulcer
5,536
4,402
5,759
4,127
Injurious Falls
189
96
161
116
HCBS Population … Ulcer
4,932
3,599
4,712
3,767
Injurious Falls
608
453
613
448
HCBS
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16b.html
February 01, 2023 - Ulcer
3,050
4,160
3,514
3,406
Injurious Falls
252
369
291
315
Dually Eligible … Ulcer
3,478
4,542
4,009
3,629
Injurious Falls
327
453
373
390
Medicaid-Only … Ulcer
1,883
2,943
2,104
2,733
Injurious Falls
45
101
57
88
I/DD Subpopulation … Ulcer
1,206
1,720
1,560
1,136
Injurious Falls
61
90
75
68
SMI Subpopulation … Ulcer
3,775
4,848
4,198
4,163
Injurious Falls
436
657
486
644
HCBS
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15b.html
February 01, 2023 - Ulcer
3,481
3,488
3,458
3,512
Injurious Falls
365
245
338
259
Dually Eligible … Ulcer
3,912
3,899
3,818
3,992
Injurious Falls
448
321
423
333
Medicaid-Only … Ulcer
2,094
2,388
2,373
2,172
Injurious Falls
99
43
81
51
I/DD Subpopulation … Ulcer
1,283
1,527
1,280
1,578
Injurious Falls
91
53
84
57
SMI Subpopulation … Ulcer
4,594
3,884
4,481
3,940
Injurious Falls
644
430
625
433
HCBS
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
June 02, 2025 - documentation forms
Lacking ways to empower staff to report abnormal skin findings:
Consider using Tool 3C: Pressure … Ulcer Identification Pocket Pad.
11
ID Pocket Pad
Tool 3C
12
Practice Insight
Or note location … 27
Practice Insight
EHR Care Plans Triggered Based on Risk Assessment
Braden Scale for Predicting Pressure … Sore Risk
SENSORY PERCEPTION 1.