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ce.effectivehealthcare.ahrq.gov/hai/pfp/hacrate2013-appendix.html
October 01, 2015 - OB Trauma in Vaginal Delivery With (PSI18) and Without Instrument (PSI19)
77,000
2.4
Pressure Ulcers … MPSMS (2013)
Hospital-Acquired Pressure Ulcers
1,060,000
32.5
Surgical Site Infections
NHSN … 25,000
$7,234
Obstetric Adverse Events
380,000
30%
50%
15%
57,000
$3,000
Pressure Ulcers … wrongly based on the full cost of a hospital stay that included a fall or a hospital-acquired pressure ulcer … Falls
.055
$180,850,000
1,375
Obstetric Adverse Events
.0015
$171,000,000
84
Pressure Ulcers
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
January 01, 2006 - low-mortality DRGs 0 0 0.000717 0.265 -100 0 0.2705660377 PSI 02 Statistically Lower 0
PSI 03 Pressure ulcer … -47.8771929825 -100 88.5614035088 PDI 01 No Statistically Significant Difference 0
PDI 02 Pressure Ulcer … Remove the
"Pressure Ulcers" part of the title and revise it to reflect your PSI or IQI of interest … Remove the
"Pressure Ulcers" part of the title and revise it to reflect your PSI or IQI of interest … Remove the
"Pressure Ulcers" part of the title and revise it to reflect your PSI or IQI of interest
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ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
June 01, 2018 - Reducing the Incidence of Pressure Ulcers
For the hospitalized and home care patient, pressure ulcers … Studies have found that as many as one in four nursing home patients experience pressure ulcers and the … The VA viewed pressure ulcer development as an ideal indicator because they are common, required the … The rate of pressure ulcer development dropped from 11.5 percent to zero. … Overall, the VA has experienced a decline in the incidence of pressure ulcers from 4.9 percent in 1990
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - .
· Measuring Pressure Ulcer Rates and Prevention Practices — AHRQ Pressure Injury Prevention Program … Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System: Revised Pressure Injury … Incidence and prevalence of pressure ulcers. In: Thomas D, Compton M, eds. … Pressure ulcers in the aging population: a guide for clinicians. … Skin assessment in dark pigmented skin: a challenge in pressure ulcer prevention.
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/engage/appc.html
March 01, 2017 - prevention [ab] OR reducing [ab] OR reduction [ab] OR aged [mh] OR elderly OR geriatric)) OR Decubitus Ulcer … [mh] OR ((pressure [ti] OR decubitus [ti]) AND ulcer* [ti]) OR decubiti [ti])) AND ((((Randomised [ti
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ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/daily-goals.html
December 01, 2012 - Total fluids
__ Nothing by mouth
Is this patient receiving deep vein thrombosis/peptic ulcer … Deep vein thrombosis:
__ Heparin every 8 hours/every 12 hours/continuous drip
__ Peptic ulcer
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-cellulitis.docx
June 01, 2021 - 50%1
· Usually associated with skin surface disruption due to recent trauma, tinea pedis, cutaneous ulcer … Patients with cellulitis associated with longstanding diabetic foot ulcers or pressure ulcers may require
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/about.html
December 01, 2017 - Training Program to support the training of hospital staff on how to implement AHRQ’s Preventing Pressure Ulcers … Preventing Pressure Ulcers in Hospitals
Each year, more than 2.5 million people in the United States … develop pressure ulcers. … The aim of this toolkit is to assist hospital staff in implementing effective pressure ulcer prevention
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
January 01, 2020 - There are no detailed sections
for the Perinatal, Pressure Ulcer, or Surgery or Anesthesia EVENT TYPES … TYPES, however, Mild harm was more commonly reported: a total of 70.1% (52,097 /
74,270) of Pressure Ulcers … This was unexpected, as pressure ulcers,
like HAIs and venous thromboembolism (VTE), result in harm … I or stage/category II
A pressure ulcer whose most advanced stage is unknown
A mucosal ulcer without … skin or tissue involvement
An arterial or venous ulcer
A diabetic foot ulcer
Surgery/Anesthesia
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ce.effectivehealthcare.ahrq.gov/npsd/data/dashboard/index.html
October 01, 2023 - Pressure Ulcer Dashboard
Details the documentation of increased risk for pressure ulcer following a … risk assessment; and the timing of the first risk assessment for reported pressure ulcers or sDTIs.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
October 01, 2015 - The estimated cost per pressure ulcer was based on a report for CMS by RTI international
(Kandilov, … diagnosis-related group (MS- DRG), sex, race, and
age that did NOT have a Stage III or IV pressure ulcer … ulcers. … Mortality for patients with pressure ulcer was
compared to mortality among a matched set of patients … ulcers is high compared to other HACs (see
Appendix Exhibit A2).
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
November 19, 2015 - About 40 percent of this reduction is from adverse drug events,
about 28 percent from pressure ulcers … Infections
Central Line-Associated Bloodstream
Infections
Falls
Obstetric Adverse Events
Pressure Ulcers … Most of the deaths averted
occurred as a result of reductions in the rates of pressure ulcers and adverse … MPSMS
(2014)
Hospital-Acquired
Pressure Ulcers
1,010,000 30.9
7 2010 baseline data is online … wrongly based on
the full cost of a hospital stay that included a fall or a hospital-acquired pressure ulcer
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - About 40 percent of the overall reduction is from adverse
drug events, about 28 percent from pressure ulcers … Most of the deaths averted
occurred as a result of reductions in the rates of pressure ulcers and adverse … Infections
Central Line-Associated Bloodstream
Infections
Falls
Obstetric Adverse Events
Pressure Ulcers … MPSMS
(2014)
Hospital-Acquired
Pressure Ulcers
1,010,000 30.9
Surgical Site
Infections … wrongly based on
the full cost of a hospital stay that included a fall or a hospital-acquired pressure ulcer
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
August 01, 2017 - On-Time provides EMR reports for
improving clinical decisionmaking for pressure ulcer prevention, pressure … ulcer healing,
prevention of inappropriate hospitalizations, and falls prevention. … Vendor determined
or Wound
Assessment
Pressure ulcer Stage II,
III, IV, or unstageable. … IF wound assessment date ≤7 days of
report date AND at least one pressure
ulcer with ulcer stage = … then display X in Wound
• Infected wound or decubitus ulcer
• Jaundice
• Rash
10 Injury: Fall
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ce.effectivehealthcare.ahrq.gov/challenges/patient-safety-tools/index.html
February 01, 2024 - impact story
University of Missouri Health Care (MU Health Care) utilized AHRQ’s Preventing Pressure Ulcers … Preventing Pressure Ulcers in Hospitals is a toolkit that assists hospital staff in implementing effective … pressure ulcer prevention practices through an interdisciplinary approach to care. … Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention is a team training curriculum to … help nursing homes with electronic medical records reduce the occurrence of pressure ulcers.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/index.html
March 01, 2024 - Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure Ulcers … Preventing Pressure Ulcers in Hospitals is a toolkit that assists hospital staff in implementing effective … pressure ulcer prevention practices through an interdisciplinary approach to care. … Training Program supports the training of hospital staff on how to implement AHRQ's Preventing Pressure Ulcers
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ce.effectivehealthcare.ahrq.gov/research/findings/evidence-based-reports/search.html?page=19
May 01, 2013 - Effectiveness Reviews Affiliation: Johns Hopkins University Report Status: Final
Pressure Ulcer … Pacific Northwest EPC—Oregon Health & Science University Report Status: Final
Pressure Ulcer
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form_Word_doc_for_html_only.doc
June 17, 2014 - Ulcer for 3 or more weeks
Infections
Sleepiness/decreased alertness�
Yes�
No�
?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-asa-measure.pptx
April 01, 2016 - , encounter note, other)
Goal is to inform future action
Example aspirin held because of a bleeding ulcer … but after appropriate treatment the ulcer has healed and the patient uses acid suppression how will
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
July 01, 2016 - Patient Safety PSI 03 Pressure Ulcer 1.2 1.3 7 $109,870 $ 769,087 N 6 7 7 Y Y Y Y Y
PSI 06 Iatrogenic … Pediatric PDI 01 Accidental Puncture 0.3 0.6 1 $41,204 $ 41,204 N 9 9 9 Y Y Y Y Y
PDI 02 Pressure Ulcer