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361. Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. | PSNet
     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

362. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
     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

363. Module 2: How To Manage Change (doc file)
     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

364. Harm Free Care. | PSNet
     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

365. | Agency for Healthcare Research and Quality
     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

366. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
     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

367. Best Practices in Pressure Injury Prevention
     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.

368. AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster (pdf file)
     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

369. Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect? | PSNet
     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

370. Psn-Pdf (pdf file)
     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.

371. Background for AHRQ Quality Indicators
     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

372. In-facility delirium programs as a patient safety strategy: a systematic review. | PSNet
     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

373. Documentation and Coding for Patient Safety Indicators (pdf file)
     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

374. University of Missouri Health Care Decreases Pressure Injuries and Saves in Avoidable Costs | Agency for Healthcare Research and Quality
     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

375. Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization (doc file)
     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

376. Cracking the code for quality: the interrelationships of culture, nurse demographics, advocacy, and patient outcomes. | PSNet
     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

377. Impact of AHRQ’s Patient Safety Tools: Challenge Competition | Agency for Healthcare Research and Quality
     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

378. Screening for Skin Cancer (pdf file)
     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 …

379. USA, MA, Cambridge | Digital Healthcare Research
     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

380. Psn-Pdf (pdf file)
     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