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341. Table 14B: Outcome Indicators by State Supply of Health Care Providers | Agency for Healthcare Research and Quality
     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

342. Table 16B: Outcome Indicators by State Socioeconomic Status | Agency for Healthcare Research and Quality
     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

343. Table 15B: Outcome Indicators by State Demographics | Agency for Healthcare Research and Quality
     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

344. lessons learned, successes, and barriers for the ‘Real-Time’ and QIO ‘ON-Time’ projects (pdf file)
     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

345. P | Agency for Healthcare Research and Quality
     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

346. Results | Agency for Healthcare Research and Quality
     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

347. Get Ready | Agency for Healthcare Research and Quality
     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 .)  

348. PEPTIC ULCER #11 (pdf file)
     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…

349. PEPTIC ULCER #11 (pdf file)
     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…

350. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
     January 01, 2019 - 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% 17.4 Surgical Site Infections 2.5 2.5 2.5 … 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

351. Final Progress Report: 2008 Local Area Networks for Excellence (LANE) Conference (pdf file)
     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

352. Psn-Pdf (pdf file)
     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.

353. Adverse effects of the Medicare PSI-90 hospital penalty system on revenue-neutral hospital-acquired conditions. | PSNet
     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?

354. In Conversation with...Diane Rydrych, MA | PSNet
     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

355. Declines in Hospital Acquired Conditions (pdf file)
     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

356. Appendix L. Intensive Care Unit Infographic Poster | Agency for Healthcare Research and Quality
     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

357. PowerPoint Presentation
     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

358. Psn-Pdf (pdf file)
     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

359. Patient Safety and Quality Areas | Agency for Healthcare Research and Quality
     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

360. The impact of hospital-acquired conditions on Medicare program payments. | PSNet
     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