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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-guide.docx
September 01, 2022 - cellulitis is generally associated with skin surface disruption due to recent trauma, tinea pedis, cutaneous ulcer … For patients with cellulitis associated with a diabetic ulcer, Gram-positive organisms are the most common … colonizing organisms with the exceptions of longstanding ulcers and/or prior receipt of multiple antibiotic
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ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/854.html
March 01, 2023 - March 13, 2023
AHRQ Stats: Prevalence of Pressure Ulcers by Race
In 2019, 7 percent of Black patients … Native patients, 5.9 percent of Asian patients and 4.8 percent of Hispanic patients developed a pressure ulcer
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives.pptx
April 01, 2022 - 5
5
Indications for Use of External Catheters3,6
Stage III or IV or unstageable pressure ulcers … Indications11-13
Acute urinary retention
Chronic urinary retention
Stage III or IV or unstageable pressure ulcer
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ce.effectivehealthcare.ahrq.gov/hai/universal-icu-decolonization/universal-icu-ape4.html
September 01, 2013 - #6: Decubitus Ulcers
Stage 1 or 2 ulcers:
If dressing is to be changed, clean area well with … Stage 3 or 4 ulcers:
Bathe with CHG around dressing/wound.
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ce.effectivehealthcare.ahrq.gov/hai/pfp/hacrate2013-refs.html
October 01, 2015 - Pressure Ulcers
Agency for Healthcare Research and Quality. … Eliminating facility-acquired pressure ulcers at Ascension Health . … Improvement report on reduction of nosocomial pressure ulcers, University of Minnesota Medical Center … Preventing pressure ulcers in hospitals: a toolkit for improving quality of care. … http://www.ahrq.gov/professionals/systems/long-term-care/resources/pressure-ulcers/pressureulcertoolkit
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ce.effectivehealthcare.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 - all patient safety incidents include:
failure to rescue (delayed diagnosis and treatment); decubitus ulcer … events, such
as respiratory failure (31 percent); infection due to medical care (14 percent); decubitus ulcer … Decubitus ulcer
5. Failure to rescue
6. Foreign body left during procedure
7. … monitoring error
• Increased
checking of
inpatients for
decubitus ulcers
• Monitoring forms … or
behavioral checklists
• Decubitus ulcer
incidence rate
feedback
• Supervisor praise
Geller
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ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-waters.html
February 01, 2022 - infections (CAUTI), central-line bloodstream infections, (CLABSI) falls, and hospital-acquired pressure ulcers … percent for CAUTI and 10 percent for CLABSI but remained essentially the same for falls and pressure ulcers
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/qitool/pediatric.html
December 01, 2017 - Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure Ulcers … Introduction PDF [ - 38.47 KB] PDI01 Accidental Puncture or Laceration PDF [ - 62.74 KB] PDI02 Pressure Ulcer
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ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals.html
April 01, 2013 - What is your fall rate or your pressure ulcer rate or whatever? … We want to eliminate preventable Stage 3 and 4 pressure ulcers. … Standardize the pressure ulcer risk assessment. … So you standardize who may be at high risk for those ulcers. … for every patient on that unit, you would ask the question “Is this patient at risk for a pressure ulcer
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Clair.pdf
January 01, 2004 - WRAMC Department of Nursing is presently developing
similar evidence-based procedures for pressure ulcer … and future projects funded
through the TriService Nursing Research Program (TSNRP) include pressure
ulcer
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
June 29, 2016 - 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 … 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
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/index.html?page=0
February 01, 2024 - Falls in Hospitals Toolkit
(4)
Preventing Hospital-Related VTE Guide
(1)
Preventing Pressure Ulcers … 1)
Patient Safety Organizations
(3)
Patient Self-Management
(29)
Policy
(61)
Pressure Ulcers … (s): COVID-19, Depression, Diabetes, Kidney Disease and Health, Outcomes, Patient Safety, Pressure Ulcers
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/index.html
February 01, 2024 - Falls in Hospitals Toolkit
(4)
Preventing Hospital-Related VTE Guide
(1)
Preventing Pressure Ulcers … 1)
Patient Safety Organizations
(3)
Patient Self-Management
(29)
Policy
(61)
Pressure Ulcers … (s): COVID-19, Depression, Diabetes, Kidney Disease and Health, Outcomes, Patient Safety, Pressure Ulcers
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T1-Sample_Policy_final.docx
October 01, 2016 - osteomyelitis should be considered when managing a resident with an infected diabetic or decubitus ulcer
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-l.html
October 01, 2015 - "All immobile 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
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ce.effectivehealthcare.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - The Preventing Pressure Ulcers in Hospitals Toolkit assists hospital staff in implementing effective … pressure ulcer prevention practices through an interdisciplinary approach to care. … The toolkit draws on literature on best practices in pressure ulcer prevention and includes both validated
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-slides.pptx
September 01, 2022 - associated with fever
Associated with skin surface disruption:
Recent trauma
Tinea pedis
Cutaneous ulcer … diabetes14
Gram-negative coverage not needed in most cases
Treat using usual cellulitis regimens
Diabetic ulcers … most common colonizing organisms
Consider adding Gram-negative coverage in patients with longstanding ulcers
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/6-gap-analysis-goal.docx
June 01, 2023 - cases)
Open or laparoscopic appendectomy
Open or laparoscopic cholecystectomy
Surgery for perforated ulcer
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T1-Sample_Policy_final.pdf
October 01, 2016 - osteomyelitis should be considered when managing a resident with
an infected diabetic or decubitus ulcer
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation_slides.pptx
November 20, 2014 - Tool 4C
34
Staff Knowledge Assessment
Tool 2G: Pieper Pressure Ulcer Knowledge Test
35
Staff