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  1. ce.effectivehealthcare.ahrq.gov/hai/pfp/2015-interim.html
    December 01, 2016 - About 42 percent of this reduction is from adverse drug events, about 23 percent from pressure ulcers … Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) 74,000 2.3 Pressure Ulcers … MPSMS (2015) Hospital-Acquired Pressure Ulcers 1,190,000 36.3 Surgical Site Infections NHSN … wrongly based on the full cost of a hospital stay that included a fall or a hospital-acquired pressure ulcer … [7] The AHRQ-developed pressure ulcer toolkit and falls toolkit are online.
  2. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form.pdf
    May 01, 2014 - Ulcer for 3 or more weeks USUAL COGNITIVE FUNCTION Good Questionable Impaired
  3. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
    September 01, 2014 - Adverse Events PSI OB Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) Pressure Ulcers … MPSMS Hospital-Acquired Pressure Ulcers Surgical Site Infections NHSN SSIs combined for 17 procedures … Hospital-Acquired Pressure Ulcers 53.03 62.45 0.85 VAP Ventilator-Associated Pneumonia 1.30 2.67 … Discharges (HCUP) 2010 PFP Measured HACs per 1,000 Discharges Pressure Ulcer MPSMS Hospital-Acquired … Pressure Ulcers 1,317,211 32,750,000 40.220 Surgical Site Infection NHSN SSIs for 17 procedures in
  4. ce.effectivehealthcare.ahrq.gov/hai/pfp/2014-final.html
    January 01, 2018 - 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 … Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) 74,000 2.3 Pressure Ulcers … MPSMS (2014) Hospital-Acquired Pressure Ulcers 1,010,000 30.9 Surgical Site Infections NHSN … wrongly based on the full cost of a hospital stay that included a fall or a hospital-acquired pressure ulcer
  5. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Rivard_97.pdf
    April 28, 2008 - non-Federal hospitals, likelihood of a PSI event was higher in major teaching hospitals for decubitus ulcer … our hypotheses that PSIs would be neither more nor less likely in teaching hospitals for decubitus ulcer … Others, such as decubitus ulcers, are likely more sensitive to nurse staffing and care. … Some indicators, such as decubitus ulcers and postoperative PE/DVT, are more sensitive to limitations … Cautious use of administrative data for decubitus ulcer outcome reporting.
  6. ce.effectivehealthcare.ahrq.gov/hai/pfp/methods.html
    December 01, 2017 - Events PSI OB Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) Pressure Ulcers … MPSMS Hospital-Acquired Pressure Ulcers Surgical Site Infections NHSN SSIs combined for 17 … Hospital-Acquired Pressure Ulcers 53.03 62.45 0.85 VAP Ventilator-Associated Pneumonia … Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) 82,300 32,750,000 2.513 Pressure Ulcer … MPSMS Hospital-Acquired Pressure Ulcers 1,317,211 32,750,000 40.220 Surgical Site Infection
  7. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
    January 01, 2016 - hospital-acquired infections, adverse drug events, and injuries due to procedures, as well as pressure ulcers … example, measured adverse drug events continued to drop from 2014 to 2016, while measured pressure ulcers … Events PSI OB Trauma in Vaginal Delivery (PSI 19) With (PSI 18) and Without Instrument Pressure Ulcer … Trauma in Vaginal Delivery Instrument (PSI 19) With (PSI 18) and Without 67,482 2.27 Pressure Ulcer … With (PSI 18) and Without Instrument 267,48 2.27 64,077 2.15 64,077 2.15 (PSI 19) Pressure Ulcer
  8. ce.effectivehealthcare.ahrq.gov/hai/pfp/interimhac2013-ap4.html
    December 01, 2014 - Adverse Events 380,000 30% 50% 15% 57,000 $3,000 .0015 $171,000,000 84 Pressure Ulcers … 1,040,500 NA NA $9,141,150,000 35,647 * Additional costs per HAC for Falls and Pressure Ulcers … wrongly based on the full cost of a hospital stay that included a fall or a hospital-acquired pressure ulcer
  9. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects.docx
    April 01, 2022 - · Comfort care · Urological/perineal procedure · Stage 3 or greater pressure ulcer in perineal area with
  10. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
    January 01, 2019 - There are no detailed sections for the Perinatal, Pressure Ulcer, or Surgery or Anesthesia EVENT TYPES … This was unexpected, as pressure ulcers, like HAIs and venous thromboembolism (VTE), result in harm … TYPES, however, Mild harm was more commonly reported: a total of 68.3% (32,234 / 47,199) of Pressure Ulcers … 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
  11. Cellulitis-One-Page (doc file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-one-page.docx
    November 01, 2019 - –50% · Usually associated with skin surface disruption due to recent trauma, tinea pedis, cutaneous ulcer … Patients with aquatic injuries, bites, and cellulitis associated with long-standing diabetic foot ulcers
  12. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
    November 01, 2017 - Pressure Ulcers A new pressure ulcer developed during a stay, or Stage 1 or 2 pressure ulcer(s) present … ( (“Pressure Ulcer” [MeSH] OR “Pressure Ulcer” [tiab] OR “Bedsore” [tiab] OR “Bed Sores” [tiab] OR … Injury” [tiab] OR “Pressure Ulcer” [MeSH] OR “Pressure Ulcer” [tiab] OR “osteomyelitis” [MeSH] OR “ … Costs of venous thromboembolism, catheter-associated urinary tract infection, and pressure ulcer. … Pressure Ulcers Exhibit D7. Surgical Site Infections Exhibit D8.
  13. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-algorithm.pdf
    December 14, 2015 - Affairs Lipid Algorithm Men and women 50-70, and all patients with ASCVD Does the patient a recent ulcer
  14. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.pdf
    June 29, 2016 - PSI 03 Pressure Ulcer PSI 06 Iatrogenic Pneumothorax PSI 07 Central Venous Catheter-Related Bloodstream … Neonatal Blood Stream Infection Rate PDI 01 Accidental Puncture or Laceration Rate PDI 02 Pressure Ulcer
  15. ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals/slides.html
    October 01, 2014 - Walking Through the Process Eliminate Hospital-Acquired Stage 3/4 Pressure Ulcers on the Unit  … educate on science of safety, data, goals Research the evidence-based practices that eliminate pressure ulcers … Implement teamwork tools Provide feedback, investigate each case Eliminate Stage 3, 4 Pressure Ulcers … Comprehensive skin assessment Standardized pressure ulcer risk assessment Care planning and implementation
  16. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-wound-cleaning.pdf
    March 01, 2022 - clinical trials with the explicit instructions to clean superficial wounds and stage 1 and 2 decubitus ulcers … CHG can be applied to any superficial wound, including stage 1 and 2 decubitus ulcers, friable skin/
  17. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-decline.pdf
    June 04, 2018 - CLABSI - Central Line-Associated Bloodstream Infection Falls Obstetric Adverse Events Pressure Ulcers
  18. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
    September 01, 2015 - “CAUTI “Incontinent patients need a urinary catheter to prevent hospital- acquired pressure ulcers … difficile infection, immobility (Foley is considered a "one-point restraint"), hospital-acquired pressure ulcers
  19. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
    January 01, 2019 - Clostridioides difficile Infections -37% Falls -5% Obstetric Adverse Events -3% Pressure Ulcers
  20. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
    July 01, 2020 - hospital-acquired infections, adverse drug events, and injuries due to procedures, as well as pressure ulcers … example, measured adverse drug events continued to drop from 2014 to 2017, while measured pressure ulcers … Events PSI OB Trauma in Vaginal Delivery (PSI 19) With (PSI 18) and Without Instrument Pressure Ulcer … MPSMS Hospital-Acquired Pressure Ulcers/Pressure Injuries Surgical Site Infection NHSN SSIs for … Baseline to 2014 Baseline Normalized to 2014 Baseline Normalized to 2014 Baseline Pressure Ulcer

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