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421. Using community detection techniques to identify themes in COVID-19-related patient safety event reports. | PSNet
     psnet.ahrq.gov/issue/using-community-detection-techniques-identify-themes-covid-19-related-patient-safety-event
     July 29, 2020 - (PSE) reports into eight clinically relevant themes, including testing delays, diagnostic errors , pressure … ulcers, and falls.

422. Table 10: Outcome Indicators by Selected Home and Community-Based Services 1915(c) Waiver Services Offered, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab10.html
     February 01, 2023 - Composite: ACSC Overall Yes 22,422 20,395 25,160 No 18,138 19,018 17,666 Pressure … Ulcer Yes 5,006 4,208 4,833 No 2,960 3,348 3,127 Injurious Falls Yes 307 … 7,607 Composite: ACSC Overall 20,384 19,444 14,877 19,094 19,184 20,443 Pressure … Ulcer 4,195 4,249 2,476 3,395 3,286 3,764 Injurious Falls 388 259 218

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45879/psn-pdf
     July 02, 2017 - This study aimed to use modeling, a strategy to detect safety hazards, to characterize the risk of pressure … ulcers and catheter-associated infections.

424. AHRQ Quality Indicators Toolkit Facilitates Process Improvement Work at Cedars-Sinai Medical Center | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
     December 01, 2017 - problem, such as higher than expected cases of accidental punctures or lacerations during procedures or pressure … ulcers, the team would review the data from that time period. … The Healthcare-Acquired Pressure Ulcers and Falls Prevention task forces have achieved similar successes

425. Telewound Care Network (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015359-bryant-final-report-2008.pdf
     January 01, 2008 - ulcers each year. … Cost to treat a pressure ulcer, a common chronic wound, is estimated to range from $4,000 to $40,000 … Study patients included inpatients and outpatients with pressure ulcers of stage II, III, or IV, plus … Agostini, JV, Baker, D., and Bogardus, S.T.; “Prevention of Pressure Ulcers in Older Patients,” from … “Osteomelitis related to pressure ulcers: the cost of neglect,” Adv Skin Wound Care. 2000 Jan-Feb: 12

426. Clinical Practice Guidelines Archive | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/archive.html
     July 01, 2018 - Pressure Ulcer Prevention Clinical Guide / Quick Reference Guide Consumer Version: English / … Pressure Ulcer Treatment Clinical Guide / Quick Reference Guide Consumer Version: English / Spanish

427. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2013-ref.html
     December 01, 2014 - Pressure Ulcers Agency for Healthcare Research and Quality. … Eliminating facility-acquired pressure ulcers at Ascension Health . … Improvement report on reduction of nosocomial pressure ulcers, University of Minnesota Medical Center … Preventing pressure ulcers in hospitals: a toolkit for improving quality of care. … http://www.ahrq.gov/professionals/systems/long-term-care/resources/pressure-ulcers/pressureulcertoolkit

428. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2013-refs.html
     October 01, 2015 - Pressure Ulcers Agency for Healthcare Research and Quality. … Eliminating facility-acquired pressure ulcers at Ascension Health . … Improvement report on reduction of nosocomial pressure ulcers, University of Minnesota Medical Center … Preventing pressure ulcers in hospitals: a toolkit for improving quality of care. … http://www.ahrq.gov/professionals/systems/long-term-care/resources/pressure-ulcers/pressureulcertoolkit

429. Disposition of Comments Report for Chronic Venous Ulcers: A Comparative Effectiveness Review of Treatment Modalities (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/venous-ulcers-treatment_disposition-comments.pdf
     January 27, 2014 - Disposition of Comments Report for Chronic Venous Ulcers: A Comparative Effectiveness Review of Treatment Modalities Comparative Effectiveness Review Disposition of Comments Report Research Review Title: Chronic Venous Ulcers: A Comparative Effectiveness Review of Treatment Modalities Draft review av…

430. Outcome Indicators for the HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
     December 01, 2012 - All but two of the indicators (Pressure Ulcer and Injurious Falls) build on existing AHRQ Prevention … Pressure Ulcer. Injurious Falls.

431. Table 12: Outcome Indicators by Use of Selected Home and Community-Based Services 1915(c) Waiver Services, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab12.html
     February 01, 2023 - Composite: ACSC Overall Yes 26,515 17,685 7,028 No 18,855 19,300 20,127 Pressure … Ulcer Yes 6,274 3,455 1,049 No 3,338 3,486 3,662 Injurious Falls Yes 369 … 7,404 Composite: ACSC Overall 6,233 33,102 8,819 20,714 16,992 19,479 Pressure … Ulcer 1,013 6,793 2,359 3,765 2,949 3,511 Injurious Falls 157 543 138

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46041/psn-pdf
     September 20, 2017 - retrospective-and This economic analysis estimated the impact of nurse-sensitive adverse events—including pressure … ulcers, falls, medication administration errors, pneumonia, and urinary tract infection—for the Canadian

433. 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.

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47111/psn-pdf
     September 26, 2018 - hospital units that nurses rated as more collaborative had lower rates of both hospital- acquired pressure … ulcers and falls.

435. Staff Presentation Template (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pdf
     July 01, 2004 - 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: • … Tool C.3 DELETE THIS SLIDE BEFORE PRESENTATION – In this example, we will examine the rates of Pressure … Ulcers (PSI 03) for this particular hospital performed over time … Ulcers (PSI 03) for this particular hospital performed over time

436. C1 Prioritization Worksheet (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
     June 02, 2025 - Patient Safety PSI 03 Pressure Ulcer   PSI 06 Iatrogenic Pneumothorax PSI 07 Central Venous Catheter-Related … Neonatal Blood Stream Infection Rate Pediatric PDI 01 Accidental Puncture or Laceration Rate PDI 02 Pressure … Ulcer Rate PDI 05 Iatrogenic Pneumothorax Rate PDI 06 RACHS-1 Pediatric Heart Surgery Mortality

437. FAQs (Staff): CHG for Bathing (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-chg-bathing.docx
     March 01, 2022 - Be especially thorough if there are any nearby wounds, pressure ulcers, or breaks in the skin. … Using the CHG cloths on superficial wounds/stage 1 and 2 decubitus ulcers How should we dispose of the

438. One-Pager-Cellulitis (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-cellulitis.docx
     June 01, 2021 - Patients with cellulitis associated with longstanding diabetic foot ulcers or pressure ulcers may require

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44658/psn-pdf
     November 18, 2015 - (RN) in a nursing home could affect various quality and safety indicators (such as safety culture, pressure … ulcers, and falls).

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44697/psn-pdf
     June 21, 2016 - events, catheter-associated urinary tract infections, central line–associated bloodstream infections, pressure … ulcers, and surgical site infections.