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psnet.ahrq.gov/issue/facility-delirium-programs-patient-safety-strategy-systematic-review
March 13, 2013 - January 6, 2018
Preventing in-facility pressure ulcers as a patient safety strategy: … May 1, 2016
Preventing in-facility pressure ulcers as a patient safety strategy: a systematic
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation.docx
June 02, 2025 - Ulcer Prevention Program – AHRQ Pressure Injury Prevention Program Training Webinar
Materials Checklist … Ulcer Knowledge Test and staff training needs.
· Alert the information technology (IT) representative … Ulcer Prevention Program. … Ulcer Knowledge Test is administered to staff to help determine their educational needs. … Instructor’s Note: Tool 2H: Pressure Ulcer Baseline Assessment, which is a shorter knowledge test, is
-
psnet.ahrq.gov/node/41367/psn-pdf
May 09, 2012 - psnet.ahrq.gov/issue/harm-free-care
This initiative seeks to reduce four key sources of harm in hospitals: pressure … ulcers, falls, catheter-
associated urinary tract infections, and vascular thrombotic events.
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/cLuJZx55Z6ApzYv836rkSp
Screening for Skin Cancer
ASPIRIN FOR THE PREVENTION OF CARDIOVASCULAR DISEASE
CLINICAL SUMMARY OF U.S. PREVENTIVE SERVICES TASK FORCE RECOMMENDATION
Population
Men
Age 45-79 Years
Women
Age 55-79 Years
Men
Age < 45 Years
Women
Age < 55 Years
Men & Women
Age ≥ 80 Years
…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14.html
February 01, 2023 - Ulcer
3,690
3,126
3,660
3,435
3,626
3,404
Injurious Falls
279
344
376
263 … Ulcer
4,133
3,523
3,912
3,945
4,035
3,846
Injurious Falls
355
435
467
339 … Ulcer
2,435
1,929
2,922
1,971
2,477
2,094
Injurious Falls
63
72
107
46
76 … Ulcer
1,524
1,248
1,380
1,455
1,569
1,307
Injurious Falls
74
70
93
59
82 … Ulcer
2,744
2,615
2,612
2,762
2,893
2,560
Injurious Falls
228
282
305
207
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide4.html
October 01, 2017 - Additional Related Training Resources
Staff Roles and Training for Your Pressure Ulcer Prevention … Ulcer Knowledge Test and staff training needs. … Tool 2G: Pieper Pressure Ulcer Knowledge Test. … Ulcer Prevention Program. … Instructor’s Note: Tool 2H: Pressure Ulcer Baseline Assessment, which is a shorter knowledge test, is
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psnet.ahrq.gov/issue/implementing-electronic-root-cause-analysis-reporting-system-decrease-hospital-acquired
December 22, 2021 - See More About The Topic
Hospitals
Quality and Safety Professionals
Nurse Care
Pressure … Ulcers
Latent Errors
View More
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
January 01, 2019 - CLABSI+
-6%
Clostridioides
difficile
Infections
-37%
Falls
-5%
Obstetric
Adverse
Events
-3%
Pressure … Ulcers
Surgical
Site
Infections
Ventilator-
Associated
Pneumonias
-13%
Venous
Thrombo-
-
psnet.ahrq.gov/node/35088/psn-pdf
January 01, 2025 - hospital-acquired infections, medication errors, inpatient
suicide, and specific clinical harms such as falls and pressure … ulcers.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
November 01, 2021 - Injury
Long-Term Care Facilities
Multiple Chronic Conditions
Omissions of Care in Nursing Homes
Pressure … Ulcers
Quality of Life
TeamSTEPPS
Nursing Home Antimicrobial Stewardship Guide
-
psnet.ahrq.gov/issue/dissecting-leapfrog-how-well-do-leapfrog-safe-practices-scores-correlate-hospital-compare
September 19, 2012 - with Hospital Compare data on hospital-acquired conditions like health care–associated infections , pressure … ulcers , or falls . … October 29, 2017
Success in hospital-acquired pressure ulcer prevention: a tale in two
-
psnet.ahrq.gov/node/33734/psn-pdf
August 01, 2012 - ulcer or were put in physical restraints. … We looked at the outcomes on falls, pressure ulcers, and restraint use. … We
didn't find it for pressure ulcers. … ulcers. … But they are mainly medical-based outcomes or process-
based outcomes like pressure ulcers, use of restraints
-
digital.ahrq.gov/location/usa-ma-cambridge
January 01, 2023 - Principal Investigator(s)
Spranca, Mark
Evaluation of AHRQ's On-time Pressure … Ulcer Program
Description
Lessons from the On-Time Pressure Ulcer program informed the development
-
psnet.ahrq.gov/node/46892/psn-pdf
June 13, 2018 - While infections and adverse drug events decreased, pressure ulcers increased and
represent an opportunity
-
psnet.ahrq.gov/node/41882/psn-pdf
November 28, 2012 - commentary describes the design and initial test of a large-scale initiative to track incidents involving
pressure … ulcers, falls, urinary infections in patients with catheters, and venous thromboembolism in the
National
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pptx
January 01, 2006 - , with specific information tailored to the example indicator:
The indicator that we have chosen, Pressure … Ulcers (PSI 03), is important to our patients because improvement on this indicator may reduce:
Sepsis … In this example, we will examine the rates of Pressure Ulcers (PSI 03) for this particular hospital performed … Rates of Neonatal Blood Stream Infection Rate (NQI 3)
Per 1,000 Cases
Examining Observed Rates of Pressure … Ulcers (PSI 03)
Observed Rate 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 4.9136800000000001E
-
www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-interim-data-graphic-2014.pdf
January 01, 2014 - hospital-acquired conditions (HACs) such as adverse drug
events, healthcare-associated infections, and pressure … ulcers have been prevented in
hospital patients.
-
qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1B_Details_of_Expert_Panel_Calls.pdf
January 01, 2012 - Pressure Ulcer
A number of experts agreed that the pressure ulcer indicator was more tightly linked … They felt that HCBS support staff clearly should be helping to
mitigate pressure ulcers. … Pressure Ulcers
A number of experts agreed that the pressure ulcer indicator was more tightly linked … They felt that HCBS support staff clearly should be helping to
mitigate pressure ulcers. … One panelist worried about inconsistency in classification of pressure ulcers.
-
www.ahrq.gov/action-alliance/resources/index.html
March 01, 2025 - Falls Healthcare-Associated Infections Maternal Safety Medication Safety Never Events Opioid Safety Pressure … Ulcers Readmissions Sepsis Surgical Safety Transitions in Care Venous Thromboembolism Interested in
-
psnet.ahrq.gov/node/47597/psn-pdf
August 07, 2019 - The authors explore areas of impact, including patient satisfaction, falls, and hospital-acquired pressure … ulcers, and conclude that benefits have been realized from enhanced rounding practice, but further