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www.talkingquality.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
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www.talkingquality.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,
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www.talkingquality.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
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www.talkingquality.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
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www.talkingquality.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
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www.talkingquality.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
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www.talkingquality.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
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www.talkingquality.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
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www.talkingquality.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
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www.talkingquality.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.
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www.talkingquality.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
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www.talkingquality.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.
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www.talkingquality.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
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www.talkingquality.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
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c1_pdi_prioritizationworksheet.pdf
June 05, 2016 - Blood
Stream Infection Rate
Pediatric PDI 01 Accidental
Puncture or Laceration
Rate
PDI 02 Pressure Ulcer
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-asa-measure.pptx
April 01, 2016 - , encounter note, other)
Goal is to inform future action
Example aspirin held because of a bleeding ulcer … but after appropriate treatment the ulcer has healed and the patient uses acid suppression how will
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www.talkingquality.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
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www.talkingquality.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.
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www.talkingquality.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
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www.talkingquality.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