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Showing results for "pressure ulcers".
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  1. How To Measure Pressure Injury Rates and Prevention Practices

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
    June 02, 2025 - Care plan addressing every deficit on pressure ulcer risk factor assessment has been developed and is … 46 Next Steps Over the next several weeks, we will meet weekly to refine your Action Plan for the Pressure … Ulcer Prevention Program.

  2. Lessons Learned, Successes, and Barriers | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/lessons-learned-successes-and
    January 01, 2023 - This review pertains to a project that standardized pressure ulcer data elements and electronic documentation

  3. Update to the "Guidelines for Ensuring the Quality of Information Disseminated to the Public" | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/publications/ahrq-info-quality-gdlns-update.html
    June 01, 2018 - that give easy-to-understand guidance on how to implement quality improvements, such as Preventing Pressure … Ulcers in Hospitals: A Toolkit for Improving the Quality of Care and the AHRQ Health Literacy Universal

  4. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facslides.html
    September 01, 2017 - Slide 6: On-Time Reports for  Four Adverse Events Four Reports: Pressure Ulcer Prevention. … Pressure Ulcer Healing. Falls Prevention. Preventable Hospital and ED Visits. … Large decline in pressure ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation.

  5. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining-slides.html
    October 01, 2017 - Slide 6: On-Time Reports for Four Adverse Events Four Reports Pressure Ulcer Prevention Pressure … Ulcer Healing Falls Prevention Preventable Hospital and ED Visits Slide 7: Common Elements … Large decline in pressure ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation.

  6. Final Progress Report: Safety Outcomes of Obese Residents in US Nursing Homes (pdf file)

    www.ahrq.gov/sites/default/files/2024-05/felix-report.pdf
    January 01, 2024 - Being underweight increased the odds of experiencing a fall, fall with injury, or pressure ulcer but … ulcers/ injuries and UTIs. … Association of overweight and obesity with the prevalence and incidence of pressure ulcers: A systematic … The paradox of obesity in pressure ulcers of critically ill patients. … Obesity and pressure ulcers among nursing home residents. Medical Care. 2013;51(6):478-86. 44.

  7. The wicked problem of patient misidentification: how could the technological revolution help address patient safety? | PSNet

    psnet.ahrq.gov/issue/wicked-problem-patient-misidentification-how-could-technological-revolution-help-address
    July 10, 2024 - August 7, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis

  8. Background for AHRQ Quality Indicators

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a2_pdi_boardpresentation.pptx
    October 01, 2015 - Ulcer Rate PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count PDI 05 Iatrogenic Pneumothorax … ulcer) Denominator = population at risk (e.g., hospitalized patients) Observed rate = numerator/denominator … ulcer in any secondary diagnosis field among cases meeting the inclusion and exclusion rules for the … Several exclusions (e.g., length of stay <5 days, principal diagnosis of pressure ulcer). … An Example: Pressure Ulcer (PDI 02) Tool A.2 Slide ‹#› Pediatric Toolkit for Using the AHRQ Quality

  9. Intentional rounding—an integrative literature review. | PSNet

    psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review
    October 08, 2016 - The authors explore areas of impact, including patient satisfaction, falls , and hospital-acquired pressure … ulcers, and conclude that benefits have been realized from enhanced rounding practice, but further research

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45769/psn-pdf
    December 21, 2016 - tract infections, central line–associated bloodstream infections, falls, obstetric adverse events, pressure … ulcers, surgical site infections, ventilator-associated pneumonias, and postoperative venous thromboembolisms

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39777/psn-pdf
    November 04, 2012 - The most common preventable errors were pressure ulcers—considered a never event—and health care–associated

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46404/psn-pdf
    December 07, 2017 - Adverse events included medication errors and hospital-acquired conditions, such as pressure ulcers

  13. Missed nursing care in emergency departments: a scoping review. | PSNet

    psnet.ahrq.gov/issue/missed-nursing-care-emergency-departments-scoping-review
    November 03, 2021 - More About The Topic Emergency Departments Emergency Nursing Administration Errors Pressure … Ulcers Monitoring Errors and Failures View More

  14. PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxoverview.pptx
    October 01, 2017 - On-Time Overview 5 October 2017 5 On-Time Reports for Four Adverse Events Four Reports Pressure Ulcer … Prevention Pressure Ulcer Healing Falls Prevention Preventable Hospital and ED Visits On-Time Overview … leading clinicians Reports tested in clinical settings for feasibility and ease of use Large decline in pressure … ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation October 2017 On-Time Overview

  15. Data Submission Dashboard (xls file)

    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Data_Submission_Dashboard_Data_2024.xlsx
    January 01, 2024 - 10.5% Surgery or Anesthesia CFER-H V1.1 25,264 9.4% Surgery or Anesthesia CFER-H V1.2 132,724 5.2% Pressure … Ulcer CFER-H V1.1 16,374 6.1% Pressure Ulcer CFER-H V1.2 124,964 4.9% Device or Medical/Surgical Supply

  16. Patient Safety and Adverse Events, 2011 and 2014 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb237-Patient-Safety-Adverse-Events-2011-2014.pdf
    January 01, 2014 - The PSIs focus on adverse events during the hospital stay (such as pressure ulcers), complications associated … Ulcer Rate Wounds caused by unrelieved pressure on the skin usually around bony prominences PSI … ulcers (23.1 percent decrease). … ulcers (69.1 percent), death rate in low-mortality DRGs (68.9 percent), and iatrogenic pneumothorax … The 10 risk-adjusted rates contributing to PSI 90 are as follows:  Pressure Ulcer Rate (PSI 03) 

  17. Adverse Events. | PSNet

    psnet.ahrq.gov/issue/adverse-events
    October 28, 2020 - Quality and Safety Professionals Patients Medication Errors/Preventable Adverse Drug Events Pressure … Ulcers Surgical Complications View More

  18. PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
    May 01, 2017 - May 2017 On-Time Overview 5 5 On-Time Reports for Four Adverse Events Four Reports Pressure Ulcer … Prevention Pressure Ulcer Healing Falls Prevention Preventable Hospital and ED Visits May 2017 On-Time … leading clinicians Reports tested in clinical settings for feasibility and ease of use Large decline in pressure … ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation May 2017 On-Time Overview

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45595/psn-pdf
    April 19, 2017 - for medical error–related mortality draws attention away from other crucial patient harms, such as pressure … ulcers and medication safety, both of which rarely contribute to mortality but are of high priority

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44388/psn-pdf
    October 14, 2015 - The study looked at four nursing-sensitive adverse outcomes: pressure ulcers, falls with injuries, catheter-associated
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