-
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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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
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digital.ahrq.gov/document-type/project-sunset-review
January 01, 2023 - This review pertains to a project that standardized pressure ulcer data elements and electronic documentation
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psnet.ahrq.gov/issue/electronic-health-record-interoperability-why-electronically-discontinued-medications-are
August 25, 2021 - patient safety and finances at a community hospital
August 25, 2021
Accuracy of pressure … ulcer events in US nursing home ratings.
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psnet.ahrq.gov/issue/potential-costs-and-consequences-associated-medication-error-hospital-discharge-expert
September 05, 2018 - July 24, 2019
Success in hospital-acquired pressure ulcer prevention: a tale in two data
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psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities
May 27, 2011 - June 7, 2023
Accuracy of pressure ulcer events in US nursing home ratings.
-
psnet.ahrq.gov/issue/accuracy-infection-reporting-us-nursing-home-ratings
August 24, 2022 - Download Citation
Related Resources From the Same Author(s)
Accuracy of pressure … ulcer events in US nursing home ratings.
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psnet.ahrq.gov/issue/high-nursing-staff-turnover-nursing-homes-offers-important-quality-information
September 16, 2020 - June 7, 2023
Accuracy of pressure ulcer events in US nursing home ratings.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti-transcript.html
November 01, 2015 - Again, this is a good visual of we're not talking about just a little stage 1 or stage 2 pressure ulcer … The catheter itself can actually cause pressure ulcers just as much as incontinence can.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-transcript.html
December 01, 2017 - Again, this is a good visual of we're not talking about just a little stage 1 or stage 2 pressure ulcer … The catheter itself can actually cause pressure ulcers just as much as incontinence can.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/No_More_CAUTI_Preventing_CAUTI_transcript.docx
May 05, 2015 - Again, this is a good visual of we're not talking about just a little stage 1 or stage 2 pressure ulcer … The catheter itself can actually cause pressure ulcers just as much as incontinence can.
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.html
October 01, 2017 - notable increase in correct answers after the training: The pretest average score on Tool 2G: Pieper Pressure … Ulcer Knowledge Test was 69 percent; the average score on the posttest was 94 percent. … What You Can Do:
Use Tool 2G: Pieper Pressure Ulcer Knowledge Test to assess staff knowledge regarding
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psnet.ahrq.gov/web-mm/easily-forgotten-tube
June 01, 2016 - An Easily Forgotten Tube
Citation Text:
Ousey K. An Easily Forgotten Tube. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…
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psnet.ahrq.gov/node/852699/psn-pdf
August 30, 2023 - Studies show that an
increase in healthcare-acquired infections, falls, and pressure ulcers has occurred … Similar increases were observed in falls and pressure ulcers at skilled nursing facilities
and preventable
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - “common;” examples include falls,
venous thromboembolism (VTE), potential adverse drug
events, or pressure … ulcers. … ulcers;
and PSPs designed to improve the overall system or to
address multiple patient safety targets … ulcers; in-depth review
Common/
Moderate
Moderate Negligible Moderate Moderate/
Moderate
9
Table … ulcers, and other
nursing sensitive outcomes (other than
mortality); in-depth review
Common/High
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab7.html
December 01, 2012 - 5,672
13,799
7,174
Max
38,852
29,161
10,824
48,675
50,219
49,623
36,143
Pressure … Ulcer
3,905
2,269
1,404
2,683
4,903
4,190
3,485
Min
1,699
551
314
557
-
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.
-
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
-
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
-
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