-
psnet.ahrq.gov/node/47199/psn-pdf
October 03, 2018 - They found that
pressure ulcers, medication errors, and falls were the most frequently reported types
-
psnet.ahrq.gov/node/40390/psn-pdf
February 03, 2015 - billion, largely attributable to post-surgical
complications, health care–associated infections, and pressure … ulcers.
-
psnet.ahrq.gov/node/48130/psn-pdf
August 07, 2019 - Common adverse events included falls, pressure
ulcers, health care–associated infections, and adverse
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab9.html
February 01, 2023 - Overall
Yes
18,922
20,115
18,052
19,228
No
28,131
18,583
22,752
19,363
Pressure … Ulcer
Yes
3,471
3,655
3,237
3,421
No
3,873
3,358
4,221
4,253
Injurious … Composite: ACSC Overall
19,083
19,110
16,427
19,636
23,560
27,103
21,664
20,810
Pressure … Ulcer
3,504
3,473
2,888
3,575
2,944
4,236
4,000
3,773
Injurious Falls
285
-
www.ahrq.gov/talkingquality/measures/setting/long-term-care/nursing-home/examples.html
April 01, 2019 - Patient Safety Measures:
Percentage of low-risk, long-stay residents with pressure ulcers.
-
psnet.ahrq.gov/issue/effects-harm-events-30-day-readmission-surgical-patients
July 31, 2019 - The authors found that the harms with the highest 30-day readmission rates were pressure ulcers (45%)
-
psnet.ahrq.gov/node/40841/psn-pdf
October 16, 2012 - authors arrive at estimates of the daily risk of various safety problems,
including adverse drug events, pressure … ulcers, and hospital-acquired infections, and also find that the
probability of experiencing an adverse
-
psnet.ahrq.gov/node/47434/psn-pdf
January 21, 2019 - https://psnet.ahrq.gov/issue/estimating-hospital-costs-inpatient-harms
Pressure ulcers, surgical site
-
www.ahrq.gov/patient-safety/reports/engage/appc.html
March 01, 2017 - ab] OR prevention [ab] OR reducing [ab] OR reduction [ab] OR aged [mh] OR elderly OR geriatric)) OR Decubitus … Ulcer [mh] OR ((pressure [ti] OR decubitus [ti]) AND ulcer* [ti]) OR decubiti [ti])) AND ((((Randomised
-
effectivehealthcare.ahrq.gov/sites/default/files/s50.pdf
October 01, 2007 - Practice-Based Evidence for Clinical Practice
Improvement in Long-term Care
The National Pressure Ulcer … ulcers. … No resident started with a pressure ulcer, but
29% of residents developed one by the end of the 12-week … ulcers decreased up to 65%. … The National Pressure Ulcer
Long-Term Care Study: pressure ulcer development in long-term care
residents
-
psnet.ahrq.gov/primer/missed-nursing-care
September 15, 2024 - include delayed or omitted medications or treatments; complications such as atelectasis, deconditioning, pressure … ulcers, falls, ventilator-associated pneumonia, or other nosocomial infections; increased length of … Statistically significant impacts were demonstrated on medication errors, patient falls, nosocomial infections, pressure … ulcers, mortality, and patient satisfaction.
-
digital.ahrq.gov/ahrq-funded-projects/past-initiatives/transforming-healthcare-quality-through-health-it
January 01, 2023 - id=1174&type=seg )
"Preventing Bed Sores," featuring Dr. … Nursing Home Health IT Reduces Pressure Ulcers and Increases Staff’s Job Satisfaction ( PDF , 144.42
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19f.html
March 01, 2023 - 5,990
6,632
Composite: ACSC Overall
23,094
19,763
20,681
21,282
21,204
19,420
Pressure … Ulcer
6,082
4,303
4,919
4,872
4,765
5,535
Injurious Falls
173
119
141
130 … 5,861
6,673
6,037
6,455
Composite: ACSC Overall
20,343
22,153
21,427
18,076
Pressure … Ulcer
4,499
5,846
4,870
5,072
Injurious Falls
140
131
131
168
Notes
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19g.html
March 01, 2023 - 12,136
Composite: ACSC Overall
32,463
23,973
25,306
28,599
25,757
29,466
Pressure … Ulcer
4,845
3,916
4,034
4,473
4,279
3,822
Injurious Falls
694
450
520
525 … 12,380
10,227
12,540
Composite: ACSC Overall
24,470
31,390
25,983
29,126
Pressure … Ulcer
4,169
4,242
4,328
3,449
Injurious Falls
498
580
497
653
Notes
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19e.html
March 01, 2023 - 6,924
7,208
Composite: ACSC Overall
20,218
17,976
20,084
17,046
19,215
17,075
Pressure … Ulcer
3,124
2,492
3,084
2,232
2,819
2,301
Injurious Falls
297
218
268
212 … 6,471
8,020
7,037
6,881
Composite: ACSC Overall
17,757
20,393
19,476
16,171
Pressure … Ulcer
2,658
2,731
2,846
2,191
Injurious Falls
239
247
236
260
Notes
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19d.html
March 01, 2023 - 3,685
2,830
Composite: ACSC Overall
6,401
5,144
6,083
4,903
6,049
4,408
Pressure … Ulcer
1,887
1,225
1,703
1,115
1,573
1,084
Injurious Falls
88
67
77
69
79 … 3,503
3,242
3,720
2,668
Composite: ACSC Overall
5,768
5,111
6,087
4,163
Pressure … Ulcer
1,543
1,223
1,589
999
Injurious Falls
77
67
77
63
Notes:
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19c.html
March 01, 2023 - 4,435
3,912
Composite: ACSC Overall
14,847
12,685
13,750
12,591
14,039
10,413
Pressure … Ulcer
3,144
1,922
2,311
2,203
2,306
2,125
Injurious Falls
114
46
72
55
58 … 4,284
4,429
4,470
3,725
Composite: ACSC Overall
13,151
13,631
14,134
9,746
Pressure … Ulcer
2,071
2,713
2,345
1,945
Injurious Falls
68
59
59
92
Notes:
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19b.html
March 01, 2023 - 8,456
8,118
Composite: ACSC Overall
25,741
19,330
21,845
20,450
21,888
19,402
Pressure … Ulcer
4,659
3,573
4,127
3,570
4,133
3,186
Injurious Falls
476
335
399
346 … 8,162
8,798
8,469
8,012
Composite: ACSC Overall
20,856
22,154
22,042
18,402
Pressure … Ulcer
4,014
3,688
4,171
2,882
Injurious Falls
384
365
381
366
Notes
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19.html
March 01, 2023 - 7,387
7,164
Composite: ACSC Overall
23,095
17,584
19,743
18,467
19,802
17,363
Pressure … Ulcer
4,291
3,139
3,655
3,225
3,647
2,945
Injurious Falls
388
259
314
272 … 7,138
7,741
7,427
6,977
Composite: ACSC Overall
18,821
20,092
19,980
16,312
Pressure … Ulcer
3,501
3,452
3,695
2,655
Injurious Falls
301
291
297
299
Notes
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab11.html
February 01, 2023 - Overall
Yes
14,177
28,212
18,788
9,372
No
19,380
19,211
19,521
20,716
Pressure … Ulcer
Yes
2,730
11,421
3,150
1,840
No
3,506
3,461
3,696
3,731
Injurious … Composite: ACSC Overall
50,783
40,549
9,972
20,001
18,997
10,923
20,108
19,218
Pressure … Ulcer
12,696
8,204
883
4,475
3,415
1,644
3,729
3,459
Injurious Falls
469