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801. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
     January 01, 2022 - example, maternal-related AE can only be evaluated in a subset of all the sampled claims, while fall and pressure … ulcer can be evaluated from all claims.

802. Implementation of Health IT in Long-Term Care Settings: Findings from the Health IT Portfolio (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/08-0087-EF.pdf
     October 01, 2009 - ulcers, urinary and bowel incontinence, infections, delirium, and medication errors (due in part to … ulcer development. … ulcer risk factors. … PRojECT RESuLTS:  Reduction in pressure ulcer rates in participating nursing homes  PFQ Grant Summary … ulcers care and other LTC quality improvement (QI) areas.

803. Implementation of Health IT in Long-Term Care Settings (pdf file)
     digital.ahrq.gov/sites/default/files/docs/lesson/08-0087-ef-lt-care.pdf
     October 01, 2009 - ulcers, urinary and bowel incontinence, infections, delirium, and medication errors (due in part to … ulcer development. … ulcer risk factors. … PPROJECT RESULTS:Ro R TS  Reduction in pressure ulcer rates in participating nursing homes  PFQ Grant … ulcers care and other LTC quality improvement (QI) areas.

804. AHRQ Quality Indicators Fact Sheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a1a_pdi_pdifactsheet.pdf
     October 01, 2015 - Infection Rate 25.18 0478 2013 PDI 01 Accidental Puncture or Laceration Rate 0.46 0344 2012 PDI 02 Pressure … Ulcer Rate 0.27 0337 2015 PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count N/A*

805. Fact Sheet on Pediatric Quality Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1c_combo_pdifactsheet.pdf
     October 01, 2015 - Infection Rate 25.18 0478 2013 PDI 01 Accidental Puncture or Laceration Rate 0.46 0344 2012 PDI 02 Pressure … Ulcer Rate 0.27 0337 2015 PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count N/A*

806. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60856/psn-pdf
     August 26, 2020 - Prolonged hospital bedrest leads to loss of muscle and bone mass and increases the risk of pressure … ulcers, venous thromboembolism and hospital acquired-infection.8 Pneumonia leading to sepsis and organ … Pressure Ulcer Prevention in the Hospital Setting Using Silicone Foam Dressings. 

807. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-slides.pptx
     January 01, 2017 - Estimated Additional Costs of Healthcare-Acquired Conditions (HACs) Series 1 VAPs SSIs CLABSI Other HACs Pressure … Ulcers Post-op DVTs Falls Adverse Drug Events Obstetric Adverse Events CAUTI 21001 21000 17000 17000 … Sheet1 Series 1 VAPs $ 21,001 SSIs $ 21,000 CLABSI $ 17,000 Other HACs $ 17,000 Pressure … Ulcers $ 17,000 Post-op DVTs $ 8,000 Falls $ 7,234 Adverse Drug Events $ 5,000 Obstetric

808. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
     November 30, 2013 - Kidney infection Medication reaction Mental status change Mental disorder/psychosis Neoplasm Pneumonia Pressure … ulcer Peripheral vascular disease Respiratory, other nonpneumonia Renal disease Seizure Sepsis/urosepsis … showing 15 active medications during the report week, active high-risk diagnosis of UTI, stage III pressure … ulcer, and two medical conditions: cellulitis and hypertension Rules for Determining High Risk Rule … Ulcer Fall Risk Late-Loss ADL Score ≥12 Cognitive Impairment Medical Conditions** High-Risk Medications

809. 4 Tk2 T1-Medical Care Referral Form Word Doc For Html Only (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form_Word_doc_for_html_only.doc
     June 02, 2025 - MEDICAL CARE REFERRAL FORM USE IN ALL SITUATIONS WHEN A RESIDENT HAS A NEW PROBLEM AND INFECTION MAY BE SUSPECTED, AND IS BEING REFERRED TO A MEDICAL CARE PROVIDER, INCLUDING TRANSFER TO AN EMERGENCY DEPARTMENT OR HOSPITAL. To: _______________________________________________ Phone: ________________ Fax: ______________…

810. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851555/psn-pdf
     July 31, 2023 - Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation July 31, 2023 Flynn S, Barnes DK. Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation The Case A 56-year-…

811. In Conversation With… Ann L. Hendrich, RN, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
     February 26, 2025 - The same as with pressure ulcers. … We have nearly eliminated pressure ulcers here at Ascension, and it was all built around a strategy of

812. Final Progress Report: A National Report of Nursing Home Quality Measures and Information Technology (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/alexander-report.pdf
     January 01, 2024 - sores; 4) who are at low risk and who have pressure sores; 5) who are physically restrained; 6) who … sores. … Ulcers 13938 787 5.9 5.6 Who Lose Too Much Weight 14183 798 7.4 7.5 Bowel or Bladder Incontinent 13038 … Ulcers -0.01 -0.05 0.01 0.05 0.02 0.04 0.05 0.02 -0.01 0.01 Who Lose Too Much Weight 0.05 0.05 0.05 … Ulcers, and % Short Stay Assessed/Given Pneumococcal Vaccine.

813. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841566/psn-pdf
     December 14, 2022 - made in the past 10 years—improvements in healthcare-acquired infections, decreases in patient falls, pressure … ulcers, and other complications. … Falls and pressure ulcers also went up – in skilled nursing facilities, we saw rates of falls causing … major injury increase by 17% and pressure ulcers increase by over 40%.

814. Central Venous Catheter Indications and Alternatives Facilitator Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives-notes.docx
     April 01, 2022 - They are as follows: · Stage III or stage IV or unstageable pressure ulcers · Moderate to severe incontinence-associated … urinary retention with or without bladder outlet obstruction · Stage III or stage IV or unstageable pressure … ulcer, or similarly severe wounds of other types, that cannot be kept clear of urinary incontinence

815. NICU Family Information Packet, Appendix B, Tracheostomies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-trache.pdf
     June 02, 2025 - NICU Family Information Packet, Appendix B, Tracheostomies Tracheostomies Tracheostomy Basics ■ Indications: upper airway obstruction, long term ventilation, ease of pulmonary toilet, to protect the airway. ■ Tube selection based on: – Indication for tracheostomy. – Tracheal width/length/shape. – Upper a…

816. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33676/psn-pdf
     November 01, 2008 - On the one hand, we're trying to get patients up out of bed to prevent deconditioning, decubitus ulcers … , and pressure sores, but the urinary catheter is tethering them to the bed, preventing them from getting

817. 4 Tk2 T1-Medical Care Referral Form (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form.pdf
     May 01, 2014 - Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality MEDICAL CARE REFERRAL FORM USE IN ALL SITUATIONS WHEN A RESIDENT HAS A NEW PROBLEM AND INFECTION MAY BE SUSPECTED, AND IS BEING REFERRED TO A MEDICAL CARE PROVIDER, INCLUDING TRANSFER TO AN EMERGENCY DEPARTMENT OR HOSPIT…

818. Evaluation of the association between Nursing Home Survey on Patient Safety culture (NHSOPS) measures and catheter-associated urinary tract infections: results of a national collaborative. | PSNet
     psnet.ahrq.gov/issue/evaluation-association-between-nursing-home-survey-patient-safety-culture-nhsops-measures-and
     April 05, 2017 - December 21, 2017 Success in hospital-acquired pressure ulcer prevention: a tale in two

819. PQMP Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/measures/index.html?page=0
     Measurement (CEPQM) NQF Endorsement Number: 3136 Initial Risk Assessment for Immobility-Related Pressure … Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission Measure Subdomain: Management

820. PQMP Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/measures/index.html
     June 09, 2025 - Measurement (CEPQM) NQF Endorsement Number: 3136 Initial Risk Assessment for Immobility-Related Pressure … Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission Measure Subdomain: Management