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21. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/hai/pfp/hacrate2013.html
    January 01, 2018 - The estimated cost per pressure ulcer was based on a report for CMS by RTI international (Kandilov, et … Severity 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 ( Appendix Exhibit A2 ).

22. Introduction to the Quality Indicators Best Practices Tool (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
    June 05, 2016 - Best practices forms exist for the following 14 PSIs: • PSI 03 Pressure Ulcer Rate • PSI 05 Retained … Neonatal Blood Stream Infection Rate • PDI 01 Accidental Puncture or Laceration Rate • PDI 02 Pressure Ulcer … embolism/deep vein thrombosis (VTE), sepsis, shock/cardiac arrest, or gastrointestinal hemorrhage/acute ulcer

23. AHRQ’s Safety Program for Nursing Homes: On-Time Prevention | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
    November 01, 2017 - Adverse Events Pressure Ulcer Prevention . Pressure Ulcer Healing .

24. C1 Prioritization Worksheet (xls file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
    July 01, 2016 - Patient Safety PSI 03 Pressure Ulcer   PSI 06 Iatrogenic Pneumothorax PSI 07 Central Venous Catheter-Related … Blood Stream Infection Rate Pediatric PDI 01 Accidental Puncture or Laceration Rate PDI 02 Pressure Ulcer

25. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
    December 01, 2017 - The number of hospitalizations involving pressure ulcers increased by about 80% between 1993 and 2006 … patients may have pressure ulcers at any one time. … Include in the medical record complete documentation of any pressure ulcer found. … Pressure Ulcer Risk Assessment at Admission and Daily: Evaluate all patients for pressure ulcers and … pressure ulcer risk (using Braden Scale or other tool) upon admission and every 24 hours thereafter,

26. Module 2: How To Manage Change (doc file)
    www.monahrq.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

27. Clinical Practice Guidelines Archive | Agency for Healthcare Research and Quality
    www.monahrq.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

28. Describe How a Plan or Provider Can Influence a Quality Measure | Agency for Healthcare Research and Quality
    www.monahrq.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

29. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    www.monahrq.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

30. Section 6-B, PMCoE PICU Expert Workgroup and Leadership Team Roster (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-6-b-pmcoe-picu-expert-workgroup.pdf
    September 18, 2014 - Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients (administrative claims) 3. … Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 Hours of PICU Admission (eMeasure … Measure #2: Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients (administrative … • Staging of Pressure ulcers would need to be done by a wound care expert vs. the PICU staff nurse … Measure #3: Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 Hours of PICU Admission

31. Section 6-B, Expert Workgroup Roster and Materials (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-6-b-expert-workgroup.pdf
    September 18, 2014 - Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients (administrative claims) 3. … Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 Hours of PICU Admission (eMeasure … Measure #2: Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients (administrative … • Staging of Pressure ulcers would need to be done by a wound care expert vs. the PICU staff nurse … Measure #3: Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 Hours of PICU Admission

32. PMCoE PICU Expert Work Group and Leadership Team Roster (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-6-b-workgroup.pdf
    September 18, 2014 - Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients (administrative claims) 3. … Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 Hours of PICU Admission (eMeasure … Measure #2: Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients (administrative … • Staging of Pressure ulcers would need to be done by a wound care expert vs. the PICU staff nurse … Measure #3: Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 Hours of PICU Admission

33. Module 3: Best Practices in Pressure Injury Prevention (doc file)
    www.monahrq.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.

34. Appendix | Agency for Healthcare Research and Quality
    www.monahrq.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

35. B3A Combo Chartsforpresentations (xls file)
    www.monahrq.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

36. Module 5: How To Measure Pressure Injury Rates and Prevention Practices (doc file)
    www.monahrq.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.

37. Hospital Resources | Agency for Healthcare Research and Quality
    www.monahrq.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

38. NPSD Dashboards | Agency for Healthcare Research and Quality
    www.monahrq.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.

39. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    www.monahrq.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

40. AHRQ's Quality & Patient Safety Programs by Setting: Hospital | Agency for Healthcare Research and Quality
    www.monahrq.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