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Showing results for "pressure ulcers".
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  1. Psn-Pdf (pdf file)

    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

  2. Psn-Pdf (pdf file)

    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

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841759/psn-pdf
    December 21, 2022 - Increased spending on both improved outcomes in catheter-related blood stream infections, pressure ulcers

  4. Themes from HCBS Expert Call Discussions (pdf file)

    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.

  5. Evidence-based Practice Center Systematic Review Protocol (pdf file)

    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.

  6. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)

    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

  7. Psn-Pdf (pdf file)

    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.

  8. How To Manage Change

    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

  9. Psn-Pdf (pdf file)

    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.

  10. Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. | PSNet

    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

  11. Psi90 Factsheet Faq V2 (pdf file)

    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

  12. Psn-Pdf (pdf file)

    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.

  13. Psn-Pdf (pdf file)

    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.

  14. PEPTIC ULCER #11 (pdf file)

    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…

  15. Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. | PSNet

    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

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47349/psn-pdf
    January 30, 2019 - networks on several patient safety outcomes, including medication errors, falls, and hospital-acquired pressure … ulcers, across 24 medical and surgical inpatient units at 3 hospitals.

  17. Psn-Pdf (pdf file)

    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.

  18. Psn-Pdf (pdf file)

    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).

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41985/psn-pdf
    October 26, 2016 - The most common adverse events reported were pressure ulcers and fall- related injuries or deaths.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41344/psn-pdf
    June 15, 2012 - issue/review-patient-safety-incidents-reported-critical-care-units-north-west-england- 2009-and-2010 Pressure … ulcers were the most common voluntarily reported patient safety issue in intensive care units in this
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