-
psnet.ahrq.gov/node/33651/psn-pdf
June 01, 2007 - 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
-
www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-decline.pdf
June 02, 2025 - Infections
+CLABSI - Central Line-Associated Bloodstream Infection
Falls
Obstetric
Adverse
Events
Pressure … Ulcers
Surgical
Site
Infections
Ventilator-
Associated
Pneumonias
0%
(Post-op)
Venous
-
psnet.ahrq.gov/issue/harm-free-care
April 15, 2020 - This initiative seeks to reduce four key sources of harm in hospitals: pressure ulcers, falls, catheter-associated
-
www.ahrq.gov/es/tools/index.html?page=3
June 01, 2016 - Date Published: August 2016
Setting of Care: Hospital
Preventing Pressure Ulcers … in Hospitals
These materials assist hospital staff in implementing effective pressure ulcer prevention
-
www.ahrq.gov/hai/pfp/hacrate2011-12.html
January 01, 2018 - Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19)
82,000
2.51
77,000
2.36
Pressure … Ulcer
MPSMS
Hospital-Acquired Pressure Ulcers
1,320,000
40.41
1,300,000
39.43
Surgical
-
psnet.ahrq.gov/issue/patient-safety-palliative-care-mixed-methods-study-reports-national-database-serious
May 16, 2018 - They found that pressure ulcers, medication errors, and falls were the most frequently reported types … More About The Topic
Long-Term Care
Facility and Group Administrators
Palliative Care
Pressure … Ulcers
Patient Falls
View More
-
psnet.ahrq.gov/issue/impact-hospital-acquired-conditions-medicare-program-payments
November 18, 2016 - evaluated costs related to the index hospitalization and 90 days following discharge of six HACs—severe pressure … ulcers, fractures, catheter-associated urinary tract infections, venous catheter-related infections, … Severe pressure ulcers and orthopedic surgical site infections resulted in an average increase in payments
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
December 01, 2014 - PowerPoint Presentation
AHRQ’s Safety Program for
Nursing Homes:
On-Time Pressure Ulcer Prevention … Facilitator Training
Overview of On-Time
On-Time Pressure Ulcer Prevention Facilitator Training
2-day … Ulcer Prevention
Pressure Ulcer Healing
Falls Prevention
Prevention of Avoidable Hospitalizations
December … ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation
December 2014
On-Time Overview … Ulcer Prevention Reports:
Nutrition Risk Report
Risk criteria
Meal consumption
Weight loss
Trigger
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - ulcers). … PDI 02 Pressure Ulcer Rate (stage
III, IV, Unstageable)
Diagnosis and site of pressure ulcer must … PSI 03 Pressure Ulcer Encourage providers to document pressure ulcers as part of the admission H&P to … Provider must document the site of pressure ulcer; the stage of
the ulcer can be documented and coded … PSI 03 Pressure Ulcer X “Unspecified stage” and “unstageable”
are not interchangeable terms; the code
-
www.ahrq.gov/sops/about/patient-safety-culture.html
June 01, 2024 - include the following: Hospital units with more positive SOPS scores had: Fewer hospital-acquired pressure … ulcers and patient falls. 1 Lower surgical site infection rates. 2 Hospitals with more positive SOPS
-
www.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
February 01, 2024 - Avoidable Costs
University of Missouri (MU) Health Care utilized the AHRQ toolkit Preventing Pressure … Ulcers in Hospitals to decrease PSI-03 (reportable pressure injuries) by 92% and save an estimated
-
www.ahrq.gov/patient-safety/about/areas.html
February 01, 2018 - Our areas of research and tools cover:
Healthcare Infections
Team Training
Falls
Pressure Ulcers
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
September 01, 2015 - patients at
“CAUTI
“Incontinent 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
-
psnet.ahrq.gov/issue/rates-adverse-events-hospitalized-patients-after-summer-time-resident-changeover-united
June 22, 2022 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors? … Hospitals
Medicine
Medication Errors/Preventable Adverse Drug Events
Nosocomial Infections
Pressure … Ulcers
View More
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
June 02, 2025 - 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 to staff, and who will be in charge … Ulcer Policies (completed by the Implementation Team Leader)
Tool 2E: Assessing Screening for Pressure … Ulcer Risk (completed by the Implementation Team Leader or designee)
Tool 2F: Assessing Pressure Ulcer
-
psnet.ahrq.gov/issue/cracking-code-quality-interrelationships-culture-nurse-demographics-advocacy-and-patient
December 01, 2011 - surveyed about perceptions on safety culture , patient advocacy, patient experience, and fall and pressure … ulcer rates. … About The Topic
Hospitals
Operating Room
Nurse Managers
Medical/Surgical Nursing
Pressure … Ulcers
View More
-
www.ahrq.gov/patient-safety/about/challenge-competition.html
February 01, 2024 - University of Missouri
University of Missouri Health Care (MU Health Care) utilized AHRQ’s Preventing Pressure … Ulcers in Hospitals: A Toolkit for Improving Quality of Care to decrease Patient Safety Indicator 03
-
www.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - Pressure Ulcers.
Surgical Site Infections.
Venous Thromboembolism. … Ulcers
Surgical Site Infections
Ventilator Associated Pneumonia
Venous … Ulcers
Surgical Site Infections (SSI)
Venous Thromboembolism (VTE)
Ventilator-Associated Pneumonia … Pressure Ulcers
A new pressure ulcer developed during a stay, or Stage 1 or 2 pressure ulcer(s) present … ulcer.
-
effectivehealthcare.ahrq.gov/sites/default/files/11_peptic_ulcer_potential_high_impact_2012-12-111.pdf
January 01, 2012 - 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/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pptx
October 01, 2015 - ulcer
PSI 04 Death among surgical inpatients
PSI 05 Foreign body left during procedure
PSI … ulcer and any secondary ICD-10-CM diagnosis codes for pressure ulcer stage III or IV (or unstageable … A PSI Example: Pressure Ulcer (PSI 03)
Tool A.2 Slide ‹#›
Toolkit for Using the AHRQ Quality Indicators … ulcer
Transfer from a hospital (different facility)
Transfer from a skilled nursing facility (SNF) … ulcer in any secondary diagnosis field among cases meeting the inclusion and exclusion rules for the