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41. 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
    pbrn.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.

42. AHRQ's Quality & Patient Safety Programs by Setting: Long-Term Care | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/settings/long-term-care/index.html
    September 01, 2021 - Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention is a team training curriculum to … help nursing homes with electronic medical records reduce the occurrence of pressure ulcers.

43. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
    pbrn.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
    October 01, 2015 - The estimated cost per pressure ulcer was based on a report for CMS by RTI international (Kandilov, … 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 (see Appendix Exhibit A2).

44. Hospitals and Health Systems | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/settings/hospital/resource/index.html
    August 01, 2022 - Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure Ulcers … with Limited English Proficiency NICU Toolkit Preventing Falls in Hospitals Preventing Pressure Ulcers

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

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

47. AHRQ Tools To Reduce Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/hai/hac/tools.html
    March 01, 2024 - Patients With Devices Obstetrical adverse events: Toolkit for Improving Perinatal Safety Pressure ulcers … : Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving Quality of Care Surgical care and

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

49. ABCS Aspirin Treatment for Secondary and Primary Prevention ASCVD
    pbrn.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

50. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/hai/pfp/hacrate2011-12.html
    January 01, 2018 - Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) 82,000 2.51 77,000 2.36 Pressure Ulcer … MPSMS Hospital-Acquired Pressure Ulcers 1,320,000 40.41 1,300,000 39.43 Surgical Site

51. C1 Prioritization Matrix (xls file)
    pbrn.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

52. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
    September 01, 2014 - Adverse 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 procedures … Hospital-Acquired Pressure Ulcers 53.03 62.45 0.85 VAP Ventilator-Associated Pneumonia 1.30 2.67 … Discharges (HCUP) 2010 PFP Measured HACs per 1,000 Discharges Pressure Ulcer MPSMS Hospital-Acquired … Pressure Ulcers 1,317,211 32,750,000 40.220 Surgical Site Infection NHSN SSIs for 17 procedures in

53. AHRQ Quality Indicators Toolkit Facilitates Process Improvement Work at Cedars-Sinai Medical Center | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
    December 01, 2017 - Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure Ulcers … as higher than expected cases of accidental punctures or lacerations during procedures or pressure ulcers … The Healthcare-Acquired Pressure Ulcers and Falls Prevention task forces have achieved similar successes

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

55. American College of Physicians Uses AHRQ Research to Create Clinical Guidelines for Physicians | Agency for Healthcare Research and Quality
    pbrn.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

56. Toolkit for Using the AHRQ Quality Indicators | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
    March 01, 2017 - Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure Ulcers … information on best practices for selected indicators Introduction PDF [248.26 KB] PSI03 Pressure Ulcer … KB] IQI: Mortality Review PDF [115.84 KB] PDI01 Accidental Puncture PDF [61.67 KB] PDI02 Pressure Ulcer

57. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
    pbrn.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

58. Patient Safety and Quality Areas | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/about/areas.html
    February 01, 2018 - Our areas of research and tools cover: Healthcare Infections Team Training Falls Pressure Ulcers

59. Declines in Hospital-Acquired Conditions (pdf file)
    pbrn.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

60. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
    July 01, 2020 - 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 2017, while measured pressure ulcers … Events PSI OB Trauma in Vaginal Delivery (PSI 19) With (PSI 18) and Without Instrument Pressure Ulcer … MPSMS Hospital-Acquired Pressure Ulcers/Pressure Injuries Surgical Site Infection NHSN SSIs for … Baseline to 2014 Baseline Normalized to 2014 Baseline Normalized to 2014 Baseline Pressure Ulcer