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21. Module 2: How To Manage Change (doc file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
    August 31, 2017 - Policies Tool 2E: Assessing Screening for Pressure Ulcer Risk Tool 2F: Assessing Pressure … Ulcer Care Planning Alert the Implementation Team Leader to be ready to discuss and decide who … will oversee administering the Pieper Pressure Ulcer Knowledge Test to staff, and who will be in charge … Policies (completed by the Implementation Team Leader) Tool 2E: Assessing Screening for Pressure Ulcer … Risk (completed by the Implementation Team Leader or designee) Tool 2F: Assessing Pressure Ulcer Care

22. Clinical Practice Guidelines Archive | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/prevention/guidelines/archive.html
    July 01, 2018 - Pressure Ulcer Prevention Clinical Guide / Quick Reference Guide Consumer Version: English / Spanish … Pressure Ulcer Treatment Clinical Guide / Quick Reference Guide Consumer Version: English / Spanish

23. Describe How a Plan or Provider Can Influence a Quality Measure | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/talkingquality/translate/labels/describe.html
    January 01, 2023 - The text included below shows what MGH is doing to reduce the rate of patients getting peptic ulcers … Overall, the rate of patients who have pressure ulcers at MGH is low. … They are also supported in their work toward pressure ulcer prevention by their local Clinical Nurse … Bed surface is a key factor in preventing pressure ulcers. … The highest percentage of pressure ulcers occur in our intensive care areas where our patients have complex

24. How To Manage Change
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
    November 20, 2014 - Relationships Unit-Based Team Staff on the unit who provide daily care to patients, including skin and pressure ulcer … family Implementation Team Interdisciplinary team charged with designing and implementing pressure ulcer

25. Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization (doc file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation.docx
    August 31, 2017 - presentation Additional Related Training Resources · Staff Roles and Training for Your Pressure Ulcer … the Education Department representative to be present and ready to discuss Tool 2G: Pieper Pressure Ulcer … Education and Training (completed by the Implementation Team Leader or designee) · Tool 2G: Pieper Pressure Ulcer … Slide 35 SAY: To assess staff understanding of pressure injury prevention, Tool 2G: Pieper Pressure Ulcer … Instructor’s Note: Tool 2H: Pressure Ulcer Baseline Assessment, which is a shorter knowledge test, is

26. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - o Most advanced stage of pressure ulcer o Stage on admission o Admission skin inspection documented … o Pressure ulcer prevention intervention in place o Secondary patient morbidity • Surgery or anesthesia … Some of these explanatory statements were related to fall and pressure ulcer events, while others were … Pressure Ulcer Event Very busy environment due to COVID-19 crisis and less time and attention paid to … Pressure Ulcer Event Patient is critically ill, intubated, COVID-19 positive, in multisystem organ

27. Module 3: Best Practices in Pressure Injury Prevention (doc file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
    June 12, 2018 - this module is to support your efforts to use best practices as outlined in the Preventing Pressure Ulcers … Comprehensive Skin Assessment — AHRQ Pressure Injury Prevention Program Training Webinar · Using Pressure Ulcer … Pressure Injury Prevention Program Implementation Sharing Webinar · The Power of Nutrition for Pressure Ulcer … Prevention — AHRQ Pressure Injury Prevention Program Implementation Sharing Webinar · National Pressure Ulcer … Medical device related pressure ulcers in hospitalized patients. Int Wound J 2010;7:358-65.

28. B3A Combo Chartsforpresentations (xls file)
    ahrqpubs.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

29. Module 5: How To Measure Pressure Injury Rates and Prevention Practices (doc file)
    ahrqpubs.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.

30. Hospital Resources | Agency for Healthcare Research and Quality
    ahrqpubs.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

31. NPSD Dashboards | Agency for Healthcare Research and Quality
    ahrqpubs.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.

32. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    ahrqpubs.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

33. AHRQ's Quality & Patient Safety Programs by Setting: Hospital | Agency for Healthcare Research and Quality
    ahrqpubs.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

34. C1 Prioritization Matrix (xls file)
    ahrqpubs.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

35. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
    ahrqpubs.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.

36. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
    ahrqpubs.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

37. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
    ahrqpubs.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

38. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
    ahrqpubs.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

39. Declines in Hospital Acquired Conditions (pdf file)
    ahrqpubs.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

40. Declines in Hospital-Acquired Conditions (pdf file)
    ahrqpubs.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