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ce.effectivehealthcare.ahrq.gov/npsd/data/dashboard/info.html
June 01, 2019 - Technology (HIT); Fall; Healthcare-Associated Infection; Medication or Other Substance; Perinatal; Pressure Ulcer
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiape.html
April 01, 2018 - PROSTATE
JOINT
1
1
EYELID
URETER
ULCER
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pdf
July 01, 2004 - specific information tailored to the example
indicator:
The indicator that we have chosen, Pressure Ulcers … DELETE THIS SLIDE BEFORE PRESENTATION
– In this example, we will examine the rates of
Pressure Ulcers … QI]
DELETE THIS SLIDE BEFORE PRESENTATION
– In this example, we will examine the rates of Pressure Ulcers
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
November 30, 2013 - * Circulatory problems include vascular disease, and venous and arterial ulcer.
** Certain medical … fever or
infection, dehydration, circulatory problems (includes vascular disease, venous and
arterial ulcer … clinical conditions contributing to transfer risk: use of oxygen, catheter or
ostomy, any pressure ulcer … Congestive heart failure
• Pneumonia
• Urinary tract infection
• Sepsis or fever or infection
• Skin ulcers … include congestive heart failure, pneumonia, urinary tract infection,
sepsis/fever/infection, skin ulcers
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications.pptx
April 01, 2022 - Closed pressure ulcers: stage I, deep tissue injury No No, unless has chronic ISC needs Yes, if the patient … Open pressure ulcers: stage II Uncertain Yes Yes, if the patient is unable to toilet using other means … , bedpan, bedside commode, bathroom All†
Open pressure ulcers: stages III-IV, unstageable Yes Yes, … incontinence Yes All†
Note: All non-catheter options are appropriate if they would not worsen the ulcer
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201702.html
March 01, 2017 - Pressure ulcers.
Surgical site infections.
Venous thromboembolism (VTE). … Improvements in 2014 resulted in an estimated 45 percent reduction in pressure ulcers, 24 percent reduction
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ce.effectivehealthcare.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apf.html
September 01, 2013 - Y N N/A Uses CHG on superficial wounds, rash, and stage 1 & 2 decubitus ulcers. … Are you comfortable applying CHG to stage 1 & 2 decubitus ulcers?
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/202203.html
April 01, 2022 - Other previous topics based on AHRQ research include depression, diabetes, kidney disease, pressure ulcers … Depression,
Diabetes,
Kidney Disease and Health,
Outcomes,
Patient Safety,
Pressure Ulcers
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ce.effectivehealthcare.ahrq.gov/action-alliance/resources/index.html
April 01, 2024 - Falls
Hospital-Acquired Infections
Maternal Safety
Medication Safety
Opioid Safety
Pressure Ulcers … Pressure Ulcers
Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving Quality of Care … This resource assists hospital staff in implementing effective pressure ulcer prevention practices through
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1c_combo_pdifactsheet.pdf
October 01, 2015 - Rate 25.18 0478 2013
PDI 01 Accidental Puncture or Laceration Rate 0.46 0344 2012
PDI 02 Pressure Ulcer
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
February 07, 2014 - Now immobile and developed pressure ulcers worsened by diarrhea. … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient … .8
Urinary Catheter Harm
CAUTI
Increased Length of Stay
Patient dignity*
Trauma
Pressure ulcers … Now immobile and developed pressure ulcers worsened by diarrhea. … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
June 29, 2017 - reaction
Mental status change
Mental disorder/psychosis
Neoplasm
Pneumonia
Pressure ulcer
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications-notes.docx
April 01, 2022 - immobility post-procedure, and urinary incontinence contaminating open (stage 3 or stage 4) pressure ulcers … as a “one-point restraint” that increases complications associated with immobility such as pressure ulcers … recommendations if the patient has skin issues, such as incontinence-associated dermatitis and pressure ulcers … an important option to consider for patients with severe dermatitis and stage 3 or stage 4 pressure ulcers
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapamattabs.html
April 01, 2018 - Arthroplasty *
Preoperative
Early
Host optimization
Improve control of glucose and ulcers … Obesity: decrease weight and improve nutritional status
Skin (psoriasis, eczema, ulcers
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ce.effectivehealthcare.ahrq.gov/sops/about/patient-safety-culture.html
March 01, 2022 - following:
Hospital units with more positive SOPS scores had:
Fewer hospital-acquired pressure ulcers … Quality ratings. 5
Lower risks of resident falls, long-stay urinary tract infections, and short stay ulcers
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ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/21st-century/private-sector.html
June 01, 2018 - Pressure Ulcers in Adults: Prediction and Prevention . … Treatment of Pressure Ulcers . … Evaluating and Improving Pressure Ulcer Care: The VA Experience with Administrative Data. … Implementation of a comprehensive skin care program across care settings using the AHCPR pressure ulcer
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
January 01, 2006 - Hospitals
►Moving, Transferring, or Lifting Residents
►Medication errors
►Falls
►Pressure ulcers
►Sanitation
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1b_combo_psifactsheet.pdf
October 01, 2015 - 02 Death Rate in Low-Mortality Diagnosis-
Related Groups (DRGs)
0.32 0347 2012
PSI 03 Pressure Ulcer
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-slides.pptx
November 01, 2019 - Leukocytosis in 35–50% of patients
Associated with skin surface disruption
Recent trauma
Tinea pedis
Cutaneous ulcer … who have cellulitis do not need Gram-negative coverage in most cases
Consider if associated with an ulcer
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ce.effectivehealthcare.ahrq.gov/hai/pfp/interimhac2013-ap1.html
December 01, 2014 - Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19)
77,000
2.4
Pressure Ulcers … MPSMS (2013)
Hospital-Acquired Pressure Ulcers
1,060,000
32.5
Surgical Site Infections
NHSN