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www.ahrq.gov/topics/injuries-and-wounds.html
Topic: Injuries and Wounds
AHRQ wound research centers on pressure ulcers. … For more information on Injuries and Wounds, you may want to visit Patient Safety Net (PSNet) and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
June 02, 2025 - Best Practices in Pressure Injury Prevention
Best Practices in
Pressure Injury Prevention
ADD Hospital … literature and expert opinion—that represent the best ways we currently know of preventing pressure injuries … assessment.
10
Barriers to Practice
Finding time for skin assessments
Determining correct etiology of wounds … Page 42
14
Pressure Injury risk assessment
BEST PRACTICE
15
Pressure Injury Risk Assessment
Next … Care planning guides what will be done to prevent pressure injuries.
23
Pressure Injury care planning
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
October 01, 2017 - Collect and analyze data to learn about pressure injury rates and causes of pressure injuries. … device-related pressure injuries, mucosal injuries, and how they differ from regular pressure injuries … injuries. … and wound care. … prevention education targeted to different types of nurses
Simulation with a mannequin to educate on wounds
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
October 01, 2017 - Additional Related Training Resources
Wound Classification —AHRQ Pressure Injury Prevention Program … The wound may evolve rapidly to reveal the actual extent of tissue injury or may resolve without tissue … If you are not sure a skin lesion is a pressure injury, ask the Wound Care Team or Wound Care Nurse. … Number of injuries.
Location of injuries.
Stage of the deepest injury. … The shadowing intervention included requiring two RNs to sign off on skin assessments and staging of wounds
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
June 02, 2025 - Any patient with an existing pressure injury is at risk for additional injuries.
· Determine whether … Int Wound J 2010;7:358-65. PMID:20561094. … as possible, integrate the skin exam into the normal workflow.
· Determine the correct etiology of wounds … · Consider having a wound care expert or nurse from another unit with wound expertise round with unit … SAY: The answer is the wound or ostomy nurse consult revealed a slightly pink coccyx.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
June 16, 2017 - Preventing Pressure Injuries in Hospitals
Preventing Pressure Injuries in Hospitals
ADD Name of Hospital … Most pressure injuries are preventable. … How do you measure pressure injury rates and pressure injury prevention practices? … patients, which includes skin and pressure ulcer assessment as part of all aspects of patient care needs
Wound … Care Team
Interdisciplinary group
of experts who provide
day-to-day care of skin and wound needs
Implementation
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide3.html
October 01, 2017 - Risk Factors for Pressure Injuries: Going Beyond Validated Instruments —AHRQ Pressure Injury Prevention … Any patient with an existing pressure injury is at risk for additional injuries. … Int Wound J 2010;7:358-65. PMID:20561094. … Determine the correct etiology of wounds. Many lesions may occur on the skin. … Consider having a wound care expert or nurse from another unit with wound expertise round with unit staff
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - Adipose (fat) is visible in the injury, and granulation tissue and epibole (rolled wound edges) are often … The wound may evolve rapidly to reveal the actual extent of tissue injury or may resolve without tissue … If you are not sure a skin lesion is a pressure injury, ask the Wound Care Team or Wound Care Nurse. … ,
· Number of injuries,
· Location of injuries, and
· Stage of the deepest injury. … The shadowing intervention included requiring two RNs to sign off on skin assessments and staging of wounds
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar6_pu_woundassesst.pdf
April 01, 2011 - • If it is a pressure ulcer, you need to determine
the stage.
5
Assessing and Measuring Wounds … However—
• Not all wounds are clear cut. … • The cause may be multifactoral.
6
Types of Wounds
• Vascular (arterial, venous, and mixed) … • Deep tissue injury may be difficult to
detect in individuals with dark skin tone. … A Little About Myself…
Today We Will Talk About
Assessing and Measuring Wounds
Types of Wounds
Mixed
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.html
October 01, 2017 - reducing pressure injuries. … and wound care. … Show photos of pressure injury prevention staff (such as wound care nurses, skin champions, and Skin … Simulation with a mannequin to educate on wounds, proper head-to-toe skin assessment, and appropriate … and deep tissue injuries.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides5.html
October 01, 2017 - injuries? … Slide 7: Pressure Injury Staging
There are four stages of pressure injuries. … Slide 9: Stage 2
Shallow open injury with a red-pink wound bed.
No slough. … If not sure, ask the Wound Care Team or Nurse. … Location of injuries.
Stage of the deepest injury.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
January 01, 2003 - Validation of medical injury surveillance criteria
Medical chart review
Injury
No
Injury … ; and more
than 1,400 discharges with injuries due to radiation. … Infection/inflammation 4,203 7.5 2.01***
Hematoma, hemorrhage, seron 4,958 8.9 1.06***
Nonhealing wound … injuries from hospital discharge data. … Accuracy of
administrative data in trauma. Surgery 1999
Aug;126(2):191–7.
22.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides3.html
October 01, 2017 - literature and expert opinion—that represent the best ways we currently know of preventing pressure injuries … How to conduct a standardized assessment of pressure injury risk factors. … Determining correct etiology of wounds.
Using inadequate documentation forms. … Slide 15: Best Practice
Pressure Injury Risk Assessment
Slide 16: Pressure Injury Risk Assessment … Care planning guides what will be done to prevent pressure injuries.
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www.ahrq.gov/data/visualizations/ed-visits-injury.html
June 01, 2021 - Overview of Emergency Department Visits Related to Injuries, by Cause of Injury, 2017
Injuries … In 2018, unintentional injuries were the leading cause of death among people ages 1 to 44 years. … While severe or untreated injuries can be fatal, most are nonfatal, and many are treated in emergency … The bar chart below presents statistics on ED visits related to injuries using AHRQ’s 2017 Nationwide … The chart shows the five most common types of injury and can be categorized by age, income, patient location
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressure-injury/index.html
October 01, 2017 - Pressure Injury Prevention in Hospitals Training Program
AHRQ developed the Pressure Injury Prevention … Webinars in a systematic quality improvement effort focused on reducing hospital acquired pressure injuries … Risk Factors for Pressure Injuries: Going Beyond Validated Instruments —AHRQ Pressure Injury Prevention … Device-Related Pressure Injury —AHRQ Pressure Injury Prevention Program Implementation Sharing Webinar … Wound Classification —AHRQ Pressure Injury Prevention Program Training Webinar.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
June 02, 2025 - injuries. … with a red-pink wound bed
No slough
9
Stage 3
Full-thickness tissue loss
Visible subcutaneous fat … If not sure, ask the Wound Care Team or Nurse.
16
Measures
Measures used in monitoring pressure injury … Document the results of the assessment, noting:
Presence of an injury.
Number of injuries. … of injuries) 17 patients with any pressure injury
# of patients with a >Stage 2 pressure injury 5 patients
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides4.html
October 01, 2017 - Implementation Planning Goals
Determine the roles and responsibilities of staff in preventing pressure injuries … Slide 13: Wound Care Team Role
Serves as this hospital’s content experts on pressure injury prevention … Bimonthly Unit Champion pressure injury prevention/ wound care lunch and learn sessions. … Braden risk assessment and patient comorbidity review.
5 in 5 Visual Assessment Tool for pressure injuries … Wound Care Team, and Implementation Team in preventing pressure injuries.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide1.html
October 01, 2017 - Pressure injuries are preventable, but pressure injury rates continue to escalate. … In addition, pressure injuries cause pain and, in some cases, late-stage pressure injuries lead to life-threatening … reductions in rates and stages of pressure injuries. … This sparked interest in a physician member of the board who has expertise in wound care. … The Prevention Implementation Team, wound care experts, and patient care unit staff need to work together
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation_slides.pptx
June 02, 2025 - Implementation Planning Goals
Determine the roles and responsibilities of staff in preventing pressure injuries … What role will the Unit Team and Wound Care Team play?
What role will the Unit Champions play? … Unit staff tell the Wound Care Team about high-risk patients or if skin problems occur. … Braden risk assessment and patient comorbidity review
5 in 5 Visual Assessment Tool for pressure injuries … Care Team, and Implementation Team
in preventing pressure injuries
Importance of the Unit Champions
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation.docx
June 02, 2025 - answering the following questions:
· What roles and responsibilities will staff have in preventing pressure injuries … · What role will the Wound Care Team play? What if the hospital has no formal Wound Care Team? … implementation, such as determining the roles and responsibilities of staff in preventing pressure injuries … A Wound Care Team usually:
· Serves as the hospital’s content experts on pressure injury prevention. … Braden risk assessment and patient comorbidity review.
· 5 in 5 Visual Assessment Tool for pressure injuries