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  1. 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
  2. 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 pressureulcers and medication safety, both of which rarely contribute to mortality but are of high priority
  3. 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
  4. 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 pressureulcer events in US nursing home ratings.
  5. 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
  6. 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.
  7. 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 pressureulcer events in US nursing home ratings.
  8. 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.
  9. 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.
  10. 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.
  11. 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.
  12. 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 PressureUlcer 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
  13. 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…
  14. Psn-Pdf (pdf file)

    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
  15. 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 pressureulcers. … 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
  16. 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 PressureUlcer 3,905 2,269 1,404 2,683 4,903 4,190 3,485   Min 1,699 551 314 557
  17. Psn-Pdf (pdf file)

    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 pressureulcers, delirium, and medication errors.
  18. Psn-Pdf (pdf file)

    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
  19. 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
  20. 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 PressureUlcer Rate • PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count • PDI 05 Iatrogenic