-
talkingquality.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
-
talkingquality.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
-
talkingquality.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
-
talkingquality.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
-
talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
June 01, 2014 - 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
Infection
-
talkingquality.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.
-
talkingquality.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
-
talkingquality.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
-
talkingquality.ahrq.gov/practiceimprovement/index.html
August 01, 2022 - On-Time Pressure Ulcer Prevention
Tools to assist nursing homes that have electronic medical record
-
talkingquality.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
-
talkingquality.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
-
talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
July 02, 2008 - Care plan addressing every deficit on pressure ulcer risk factor assessment has been developed and is … Steps
Over the next several weeks, we will meet weekly to refine your Action Plan for the Pressure Ulcer
-
talkingquality.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
-
talkingquality.ahrq.gov/research/findings/final-reports/index.html?page=2
September 01, 2018 - Environmental Factors
(3)
Patient and Family Engagement
(3)
Pain Management
(2)
Pressure Ulcers … Date: April 2015
Using an Electronic Health Record To Examine Nurse Continuity and Pressure Ulcers … Grant Number: R36 HS 023072 Topic(s): Health Information Technology, Pressure Ulcers Publication Date
-
talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - 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
-
talkingquality.ahrq.gov/news/newsroom/case-studies/index.html?page=7
January 01, 2016 - 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 … Texas Southwestern Date: January 2016
AHRQ Research Findings Support Effort to Reduce Pressure Ulcers … Study Identifier: 2015-32 AHRQ Product(s): Research Topic(s): Prevention, Long-Term Care, Pressure Ulcers
-
talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
July 12, 2017 - Understanding Why Change Is Needed
Module Aim
The aim of Module 1 is to introduce the Preventing Pressure Ulcers … Preventing in-facility pressure ulcers. … Change Is Needed
Slide
Script
Slide 1
SAY: Welcome to the training on the Preventing Pressure Ulcers … Preventing in-facility pressure ulcers. … Preventing in-facility pressure ulcers.
-
talkingquality.ahrq.gov/news/newsroom/case-studies/index.html?page=4
June 01, 2017 - 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 … Infections (HAIs), Hospital Readmissions, Medical Errors, Medication: Safety, Patient Safety, Pressure Ulcers … Clots, Healthcare-Associated Infections (HAIs), Long-Term Care, Outcomes, Patient Safety, Pressure Ulcers
-
talkingquality.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
-
talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1c_combo_pdifactsheet.pdf
October 01, 2015 - Rate 25.18 0478 2013
PDI 01 Accidental Puncture or Laceration Rate 0.46 0344 2012
PDI 02 Pressure Ulcer