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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
September 01, 2017 - ulcer, fall risk, late-loss ADL index score greater than or equal to 12 [based on RUG-III], cognitive … ulcer, fall risk, late-loss ADL index score greater than or equal to 12 [based on RUG-III], cognitive … ulcer, and two medical conditions (cellulitis and hypertension) would trigger Rule 2. … Presence of stage 2 or greater pressure ulcer. … If there is a pressure ulcer stage 2, 3, 4, or unstageable recorded as present within 7 days of the report
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/sampleransferandintakenotes.pdf
June 02, 2025 - Medication reaction
Mental status change
Mental disorder/psychosis
Neoplasm
Pneumonia
Pressure … ulcer
Peripheral vascular disease
Respiratory, other nonpneumonia
Renal disease
Seizure
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-handouts.html
June 01, 2017 - status change
|___| Mental disorder/psychosis
|___| Neoplasm
|___| Pneumonia
|___| Pressure … ulcer
|___| Peripheral vascular disease
|___| Respiratory, other nonpneumonia
|___| Renal
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-core-measures-quality.pdf
January 01, 2019 - nursing home residents with a
urinary tract infection (MDS)
4.9% in 2013 2.2% in 2017 -18.2 0.003
Pressure … Ulcers Short-stay nursing home patients with new or
worsening pressure ulcers (MDS)
0.7% in 2013 … residents with
a catheter inserted and left in the bladder
(MDS)
3.4% in 2013 2.8% in 2017 -5.4 0.008
Pressure … Ulcers High-risk, long-stay nursing home patients with
pressure ulcer (MDS)
5.3% in 2013 4.8% in
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/115-daily-goals-icu-checklist.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Intensive Care Unit (ICU) Daily Goals Checklist
ICU & Non-ICU
Problem statement:
Clear communication among healthcare providers is essential. Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and staff turnover. Effective communic…
-
psnet.ahrq.gov/web-mm/forgotten-line
March 11, 2011 - systematically addresses most likely areas of risk (e.g., central line infection, urinary infection, delirium, pressure … ulcers), and (iv) using the daily goal sheet to promote ongoing open dialogue.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/osteoarthritis-pain_executive.pdf
October 01, 2011 - Layout 1
Background
Osteoarthritis is a chronic condition
involving degeneration of cartilage within
the joints. It is the most common form of
arthritis and is associated with pain,
substantial disability, and reduced quality
of life.1 Surveys indicate that 5 to 17
percent of United States (U.S.) adults have
symptom…
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psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
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%. … ulcers. 14 Healthcare leaders recognize the need to do better.
-
psnet.ahrq.gov/perspective/measuring-patient-safety
December 14, 2022 - increased with a 40% rise in healthcare-acquired infections and an increase in inpatient falls and pressure … ulcers. 14 Healthcare leaders recognize the need to do better. … 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%.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
January 29, 2008 - ulcer (bed sores); or postoperative
sepsis (blood infection). … Decubitus ulcer
5. Failure to rescue
6. Foreign body left during procedure
7. … • Monitoring errors, such as bedsores, failure to rescue, and patient falls. … ulcer
monitoring error
• Increased
checking of
inpatients for
decubitus ulcers
• Monitoring … forms or
behavioral checklists
• Decubitus ulcer
incidence rate
feedback
• Supervisor praise
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.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.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.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.
-
psnet.ahrq.gov/node/61082/psn-pdf
July 23, 2020 - individuals can gain from social interaction and enhanced mobility, such as reduced risk of falls and
pressure … ulcers. … mitigate safety risks associated with usual care
needs for this patient population, such as falls and pressure … ulcers.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/4fdC2JLwP_um_yZe4WZRaa
April 01, 2009 - Using Aspirin for the Primary Prevention of Cardiovascular Disease
How do I determine benefit?
An individual’s potential clinical benefit
from aspirin depends on his or her
baseline risk.
MI Risk Factors for Men
y Age
y Diabetes
y Total cholesterol level
y HDL cholesterol level
y High blood pressure
y Smok…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manwsa.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B7: Wheelchair Seating Assessment (Text Description)
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introductio…
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - Prolonged hospital bedrest leads to loss of muscle and bone mass and increases the risk of pressure ulcers … Pressure Ulcer Prevention in the Hospital Setting Using Silicone Foam Dressings.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-091013.ppt
January 01, 2010 - Smith (2)
Because of his immobility, he develops a pressure ulcer on his sacrum. … would protect the skin in the incontinent patient, and a catheter may prove useful in advanced stage pressure … ulcers, but to protect intact skin, there are many other products that can create a barrier.
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/supportive.html
June 01, 2018 - Weight loss also may lead to muscle wasting, infections, and increased risk of pressure ulcers.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
June 12, 2008 - taxonomies include mistakes (e.g., prescribing errors) and the outcome of mistakes (e.g., p
falls, decubitus … ulcers) as event types. … However, falls and decubitus ulcers are visible ha
(outcomes) that might have resulted from failure to … the proportion of
incidents in the ICUSRS with harm identified, it is not surprising that falls and decubitus … ulcers
were among the highest.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
June 02, 2025 - Medication reaction
Mental status change
Mental disorder/psychosis
Neoplasm
Pneumonia
Pressure … ulcer
Peripheral vascular disease
Respiratory, other nonpneumonia
Renal disease
Seizure