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421. Table 17D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17d.html
     February 01, 2023 - 3,815 3,120 Composite: ACSC Overall 6,079 4,558 5,662 5,312 6,245 5,000 Pressure … Ulcer 1,619 1,071 1,367 1,440 1,749 1,185 Injurious Falls 81 60 90 55 92 … 3,481 3,208 3,831 3,228 Composite: ACSC Overall 5,719 5,011 6,399 5,136 Pressure … Ulcer 1,498 1,217 1,890 1,213 Injurious Falls 80 57 88 68 Notes:  

422. Table 17A: National HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17.html
     February 01, 2023 - 9,215 6,184 Composite: ACSC Overall 22,374 14,832 21,534 17,751 23,720 16,492 Pressure … Ulcer 4,168 2,525 3,903 3,214 4,382 2,935 Injurious Falls 316 271 324 280 … 7,298 7,429 9,114 6,570 Composite: ACSC Overall 19,447 18,724 23,221 17,538 Pressure … Ulcer 3,603 3,194 4,378 3,086 Injurious Falls 301 289 382 264 Notes

423. Table 17G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17g.html
     February 01, 2023 - 13,941 8,615 Composite: ACSC Overall 31,820 19,437 32,312 23,141 34,235 21,902 Pressure … Ulcer 5,156 2,917 5,215 3,604 5,195 3,597 Injurious Falls 568 461 588 484 … 10,221 11,658 13,626 9,337 Composite: ACSC Overall 25,759 28,549 32,778 23,897 Pressure … Ulcer 4,379 3,646 4,962 3,857 Injurious Falls 504 573 687 457 Notes

424. 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).

425. 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.

426. 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.

427. 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

428. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=8
     January 01, 2024 - Publication Date: March 2015 Using an Electronic Health Record To Examine Nurse Continuity and Pressure … Ulcers ( application/pdf 844258 ) Principal Investigators: Stifter, et al. … Coordination, Health Information Technology and Health Information Exchange, Human and Environmental Factors, Pressure … Ulcers Publication Date: December 2014 The Value of Hospital-Related Patient-Safety Interventions

429. Documentation and Coding for the AHRQ Pediatric Quality Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
     March 15, 2016 - ulcers). … ulcers or CLABSI, deaths, oncology patients). … PDI 02 Pressure Ulcer Rate (stage III, IV, Unstageable) Diagnosis and site of pressure ulcer must … PDI 02 Pressure Ulcer X If the ulcer progresses from one stage to another higher stage during the encounter … Provider must document the site of pressure ulcer; the stage of the ulcer can be documented and coded

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60223/psn-pdf
     January 01, 2021 - The authors found that the harms with the highest 30-day readmission rates were pressure ulcers (45%

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47849/psn-pdf
     August 14, 2019 - found that enhanced accreditation procedures in the United Kingdom did not improve rates of either pressure … ulcers or falls.

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33675/psn-pdf
     October 01, 2008 - myocardial infarct, stroke, and pulmonary embolism (kappa>0.8) than on the timing of renal failure, decubitus … ulcers in addition to stage 3 or 4 ulcers acquired after admission. … However, only 25% of the last 16 reported patients had an ICD-9-CM secondary diagnosis code of a pressure … ulcer (codes 707.00–707.09). … Our administrative system has a limitation of 15 diagnoses, and it is possible that the decubitus ulcer

433. Patient Safety Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
     June 01, 2022 - The strategies can help prevent harmful events such as medication errors, bed sores, and healthcare-associated … The Preventing Pressure Ulcers in Hospitals Toolkit assists hospital staff in implementing effective … pressure ulcer prevention practices through an interdisciplinary approach to care. … The toolkit draws on literature on best practices in pressure ulcer prevention and includes both validated

434. Slide 1
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
     February 07, 2014 - Now immobile and developed pressure ulcers worsened by diarrhea. … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient … ulcers Immobility Aims 9 Understand the CUSP framework for initiating culture change … Now immobile and developed pressure ulcers worsened by diarrhea. … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient

435. Table 17F: HCBS Population Ages 18-64 Without Intellectual/Developmental Disabilities or Serious Mental Illness | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17f.html
     February 01, 2023 - 7,139 5,429 Composite: ACSC Overall 23,940 16,507 25,790 18,529 23,803 18,978 Pressure … Ulcer 5,875 3,508 6,077 4,338 6,250 4,022 Injurious Falls 147 123 175 119 … 6,119 6,072 7,171 5,539 Composite: ACSC Overall 21,607 19,235 23,468 19,546 Pressure … Ulcer 4,785 5,171 6,257 4,181 Injurious Falls 145 120 171 121 Notes

436. Table 17E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17e.html
     February 01, 2023 - 8,838 5,914 Composite: ACSC Overall 20,734 15,368 19,563 17,756 23,009 16,087 Pressure … Ulcer 2,980 2,213 2,877 2,492 3,415 2,252 Injurious Falls 253 224 263 220 … 6,956 7,098 7,925 6,580 Composite: ACSC Overall 19,175 17,427 20,509 17,826 Pressure … Ulcer 2,820 2,361 3,195 2,436 Injurious Falls 251 221 300 217 Notes

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866526/psn-pdf
     August 14, 2024 - Common adverse events impacting this population include adverse drug events, delirium, malnutrition, pressure … ulcers, and infections.

438. Microsoft Word - POA Methods 11_01.doc (pdf file)
     hcup-us.ahrq.gov/reports/methods/2011_05.pdf
     January 01, 2011 - The reduction in rates for five PSIs was statistically significant: decubitus ulcer, foreign body left … Importantly, when POA information was incorporated, most cases of decubitus ulcer, post-operative hip … The study assessed rates of four PSIs – decubitus ulcer, infections due to medical care, postoperative … Several ideas and tools are suggested to assist providers in staging pressure ulcers including the use … Of the last 16 reported patients with a pressure ulcer, only 25% were recorded with an ICD- 9-CM pressure

439. 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

440. 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