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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
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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
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digital.ahrq.gov/ahrq-funded-projects/nursing-home-information-technology-it-optimal-medication-and-care-delivery/annual-summary/2008
January 01, 2008 - participating nursing homes (NHs) and evaluate impact on care processes; resident health outcomes, including pressure … ulcers (PrUs); and staff efficiency and satisfaction. … Stage 2 pressure ulcer healing in nursing homes. J Am Geriatr Soc 2008 Jul;56(7):1252-8.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
January 01, 2006 - Hospitals
►Moving, Transferring, or Lifting Residents
►Medication errors
►Falls
►Pressure ulcers
►Sanitation
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psnet.ahrq.gov/node/43539/psn-pdf
March 26, 2015 - For example, the PSI for pressure ulcers demonstrated a high
false-negative rate, meaning that ICD-10
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psnet.ahrq.gov/node/45036/psn-pdf
February 15, 2017 - Nearly half of the events were considered preventable,
with the most common types of events including pressure … ulcers, delirium, and medication errors.
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psnet.ahrq.gov/node/47328/psn-pdf
January 01, 2020 - Overall, HAC rates declined
over the 2 years following implementation of the program, with only rates of pressure … ulcers increasing.
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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)
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psnet.ahrq.gov/node/49860/psn-pdf
April 01, 2019 - lower mortality within 12 months and fewer complications (such as pneumonia, urinary tract infections,
pressure … ulcers, and thromboembolic events) compared with patients operated on after 48 hours.(7)
Surgery for … ulcers, and significant functional decline. … outcomes and results in fewer
medical complications, including pneumonia, urinary tract infections, pressure … ulcers, and
thromboembolic events.
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psnet.ahrq.gov/issue/technical-rationality-and-decentring-patients-and-care-delivery-critique-unavoidable-context
October 08, 2016 - June 14, 2019
Medical device-related pressure ulcers: a systematic review and meta-analysis
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
June 02, 2025 - Best practices forms exist for the following 14 PSIs:
• PSI 03 Pressure Ulcer Rate
• PSI 05 Retained … 03 Neonatal Blood Stream Infection Rate
• PDI 01 Accidental Puncture or Laceration Rate
• PDI 02 Pressure … Ulcer Rate
• PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count
• PDI 05 Iatrogenic
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/oirtab.html
December 01, 2012 - Composite: ACSC Acute Conditions
6,913
2,846
Composite: ACSC Overall
17,971
7,139
Pressure … Ulcer
3,067
1,136
Injurious Falls
287
105
Source: Schultz, et al., 2012 (see
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psnet.ahrq.gov/issue/estimating-economic-cost-nurse-sensitive-adverse-events-amongst-patients-medical-and-surgical
July 11, 2018 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors?
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pso.ahrq.gov/common-formats/npsd-dashboards
November 01, 2024 - Dashboard Device or Medical/Surgical Supply, Including HIT Dashboard Falls Dashboard Perinatal Dashboard Pressure … Ulcer Dashboard Data Submission Dashboard Generic Dashboard
Page last
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psnet.ahrq.gov/node/42063/psn-pdf
January 06, 2018 - wide range of
safety threats, including health care–associated infections, medication errors, and pressure … ulcers.
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psnet.ahrq.gov/issue/are-measurements-patient-safety-culture-and-adverse-events-valid-and-reliable-results-cross
February 04, 2015 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors?
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psnet.ahrq.gov/issue/integrative-review-exploring-perceptions-patients-and-healthcare-professionals-towards
March 06, 2019 - Citation
Related Resources From the Same Author(s)
Medical device-related pressure … ulcers: a systematic review and meta-analysis.
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psnet.ahrq.gov/node/60028/psn-pdf
March 11, 2020 - were surveyed
about perceptions on safety culture, patient advocacy, patient experience, and fall and pressure … ulcer rates.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap1b.html
October 01, 2014 - He has a pressure ulcer that developed weeks ago and measurements are about the same as last week. … He has a pressure ulcer that developed weeks ago and measurements are about the same as last week.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetes-foot-ulcer-amputation-economics_research.pdf
January 01, 2011 - Economic burden of diabetic foot ulcers and amputations
Data Points #3Diabetic Foot Ulcers
Beneficiaries with a diabetic foot
ulcer are seen by their outpatient
health care provider about 14 times
per year and are hospitalized about
1.5 times per year. The cost of care
for these beneficiaries is substantial,
at…