-
psnet.ahrq.gov/node/43492/psn-pdf
September 03, 2014 - from harm, this magazine article highlights risks related to their use—such
as increased rates of pressure … ulcers and delirium—and advocates for a more patient-sensitive approach
to ensure the safety of both
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/venous-ulcers-treatment_research-protocol.pdf
September 13, 2012 - high relevance to morphologically similar ulcers found in patients
with diabetes, arterial disease, pressure … ulcers, postsurgical chronic wound ulcers, and ulcers
consequent to internal diseases. … ankle brachial index less than 0.6
or a toe brachial index less than 0.5 or other clinical criteria), pressure … ulcers, postsurgical
ulcers, and neuropathic ulcers … ulcers, post-surgical
ulcers, and neuropathic ulcers.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
June 01, 2014 - Trauma in
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 Site
Infection
-
digital.ahrq.gov/principal-investigator/horn-susan
January 01, 2023 - Home Information Technology (IT): Optimal Medication and Care Delivery
Stage 2 pressure … ulcer healing in nursing homes. … Stage 2 pressure ulcer healing in nursing homes. J Am Geriatr Soc 2008 Jul;56(7):1252-8.
-
psnet.ahrq.gov/node/837728/psn-pdf
July 27, 2022 - adverse
drug events, hospital-acquired infections, postoperative adverse events, hospital-acquired pressure … ulcers,
falls) over time among patients hospitalized for four common conditions – acute myocardial
-
psnet.ahrq.gov/node/841759/psn-pdf
December 21, 2022 - Increased spending on both improved outcomes in catheter-related
blood stream infections, pressure ulcers
-
psnet.ahrq.gov/issue/learning-during-crisis-impact-covid-19-hospital-acquired-pressure-injury-incidence
August 25, 2021 - Intensive Care Units
Quality and Safety Professionals
Public Health
Infectious Diseases
Pressure … Ulcers
View More
-
effectivehealthcare.ahrq.gov/sites/default/files/11_pepticulcer_potential_high_impact_june_2012.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…
-
digital.ahrq.gov/funding-mechanism/accelerating-change-and-transformation-organizations-and-networks-action
January 01, 2023 - of Implementing Health Information Technology
Evaluation of AHRQ's on-time pressure … ulcer prevention program: a facilitator-assisted clinical decision support intervention for nursing … Evaluation of AHRQ's on-time pressure ulcer prevention program: a facilitator-assisted clinical decision … Principal Investigator
Hurd, Donna
Project Name
Evaluation of AHRQ's On-time Pressure … Ulcer Program
Provider perceptions of colorectal cancer screening clinical decision
-
psnet.ahrq.gov/node/40507/psn-pdf
June 08, 2011 - five hospitals faced in implementing new systems for prospective detection
of adverse drug events and pressure … ulcers, and recommends steps organizations can take to ensure
smoother implementation.
-
qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v2.pdf
October 05, 2016 - This “modified version” of
PSI 90 component indicator includes the following:
PSI 03 Pressure Ulcer … Ulcer Rate 0.033006 0.059841 81.3%
PSI 06 Iatrogenic Pneumothorax Rate 0.075069 0.053497 -28.7% … ulcer
treatment
Debridement of a pressure ulcer and/or surgical skin
flap procedure during the hospitalization … when the
pressure ulcer developed, due to tissue damage. … PSI 03
180-day hospital
readmission for a
pressure ulcer
related complication
Readmission to
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
June 02, 2025 - Relationships
Unit-Based Team
Staff on the unit who provide daily care to patients, including skin and pressure … ulcer assessment and care planning
Wound Care Team
Interdisciplinary group
of experts who provide … patient/family
Implementation Team
Interdisciplinary team charged with designing and implementing pressure … ulcer change project
13
Assess Current Pressure Injury Processes
Understand current
-
psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
July 07, 2021 - June 16, 2021
Medical device-related pressure ulcers: a systematic review and meta-analysis
-
psnet.ahrq.gov/node/43121/psn-pdf
April 16, 2014 - implementing a patient safety
measurement tool that incentivized improvement in four areas: falls, pressure … ulcers, venous
thromboembolisms, and catheter-associated urinary tract infections.
-
psnet.ahrq.gov/node/60846/psn-pdf
January 01, 2021 - injuries
from falls and catheter use, and that environmental safety was associated with lower rates of pressure … ulcers, major injuries from falls, and catheter use.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/skin-substitute_0.pdf
October 03, 2019 - Chronic wounds include pressure ulcers,
diabetic foot ulcers, and venous leg ulcers. … dressing’ OR ‘UBM lyophilized wound dressing’ OR ‘xcm
biologic tissue matrix’
S5 Chronic Wounds bedsore … Criterion
Inclusion Criteria Exclusion Criteria
Population Human subjects in whom a chronic wound
(pressure … ulcer, diabetic foot ulcer, venous leg
ulcer, or arterial leg ulcer) lasting more than 30
days without
-
psnet.ahrq.gov/node/45289/psn-pdf
May 03, 2017 - the severity of harm for specific adverse events including falls,
health care–associated infections, pressure … ulcers, and blood product errors.
-
psnet.ahrq.gov/node/60616/psn-pdf
June 24, 2020 - central-line-associated
blood stream infections, catheter-associated urinary tract infections, hospital-acquired pressure … ulcers, and
ventilator-associated events).
-
psnet.ahrq.gov/node/841144/psn-pdf
December 07, 2022 - (PSE) reports into eight clinically relevant themes, including testing delays, diagnostic errors,
pressure … ulcers, and falls.
-
qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ.pdf
August 31, 2016 - This “modified version” of
PSI 90 component indicator includes the following:
PSI 03 Pressure Ulcer … Ulcer Rate 0.033006 0.059841 81.3%
PSI 06 Iatrogenic Pneumothorax Rate 0.075069 0.053497 -28.7% … ulcer
treatment
Debridement of a pressure ulcer and/or surgical skin
flap procedure during the hospitalization … when the
pressure ulcer developed, due to tissue damage. … PSI 03
180-day hospital
readmission for a
pressure ulcer related
complication
Readmission to an