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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 - Medical Injury Identification Using Hospital Discharge Data
119
Medical Injury Identification
Using … Validation of medical injury surveillance criteria
Medical chart review
Injury
No
Injury … Infection/inflammation 4,203 7.5 2.01***
Hematoma, hemorrhage, seron 4,958 8.9 1.06***
Nonhealing wound … Injury Identification and Discharge Data
129
events as, “injuries caused by medical management … Accuracy of
administrative data in trauma. Surgery 1999
Aug;126(2):191–7.
22.
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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 - 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 … is POA, make sure that document is sent to be cosigned by the medical provider. … Page 46
21
Documentation
Have computerized (or paper) form in medical record. … 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/module3/module3_pu-bestpractices.docx
June 02, 2025 - In adults, 34.5 percent of facility-acquired pressure injuries were identified as medical device related … Medical device-related pressure injuries result from the use of devices designed and applied for diagnostic … This slide shows best practices for preventing medical device-related pressure injuries. … /best-practices-for-prevention-of-medical-device-related-pressure-injuries/. … Medical device related pressure ulcers in hospitalized patients. Int Wound J 2010;7:358-65.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
October 01, 2017 - Device-Related Pressure Injury
Presented by Karen Zulkowski, D.N.S., RN
This webinar reviews medical … device-related pressure injuries, mucosal injuries, and how they differ from regular pressure injuries … injuries. … Module 3: Best Practices in Pressure Injury Prevention
Hospital: 200–400 beds
Pilot Units: Medical ICU … 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/guide3.html
October 01, 2017 - In adults, 34.5 percent of facility-acquired pressure injuries were identified as medical device related … Medical device-related pressure injuries result from the use of devices designed and applied for diagnostic … This slide shows best practices for preventing medical device-related pressure injuries. … Medical device related pressure ulcers in hospitalized patients. Int Wound J 2010;7:358-65. … Determine the correct etiology of wounds. Many lesions may occur on the skin.
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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 … for prevention of medical device-related pressure ulcers." … 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/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/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar6_pu_woundassesst.pdf
April 01, 2011 - However—
• Not all wounds are clear cut. … of sDTI
• Falls
• Long OR/ER or transportation times
• Splints
• Accidents
24
Medical Device-Related … this is skin failure at life’s
end
36
Selecting Dressings and Treatment
Based on—
• Overall medical … A Little About Myself…
Today We Will Talk About
Assessing and Measuring Wounds
Types of Wounds
Mixed … Causes of sDTI
Medical Device-Related Pressure Ulcers
Remember the Bariatric Patient
Assess the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Layde_34.pdf
March 14, 2008 - Overall medical injury rates for drug-associated
injuries increased significantly during the study period … injuries based on hospital discharge data, the Wisconsin
Medical Injury Prevention Program (WMIPP) … injury rates would
increase patient safety efforts and reduce medical injuries. … Medical Injury Surveillance Criteria
The methods we used for identifying medical injuries using hospital … Post P-valuea
Patient records with at least one
medical injury code (%)
All injuries, 2001 vs.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides5.html
October 01, 2017 - Image: Photograph shows a medical provider writing and using laptop. … 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. … Image: Photograph shows medical providers looking at papers.
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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/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.html
October 01, 2017 - reducing pressure injuries. … Module 3: Best Practices in Pressure Injury Prevention
Hospital: 200–400 beds
Pilot Units: Medical … 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/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
January 01, 2003 - Discharges for injuries and adverse events
due to medications and medical complications were identified … patient-safety
related data designed to monitor injuries resulting from medical care.5–8 The data … codes in the 800–999 range, included various types fractures; sprains;
wounds; complications due to … during the inpatient episode and may be coded in the
secondary diagnosis fields, such as postoperative wound … Patient safety
efforts should focus on medical injuries. JAMA. 2002
Apr 17;287(15):1,993–7.
5.
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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/patient-safety/about/uni-missouri-healthcare.html
February 01, 2024 - Implementation focused on MU Health Care’s 390-bed University Hospital, the only Level I trauma center … AHRQ toolkit, MU Health Care began this journey by assessing the need for hospital-acquired pressure injury … The electronic medical record (EMR) was utilized in numerous ways to inform team members and prompt action … scout, a thermal imaging device that can identify possible deep tissue injury. … scout utilization in the medical intensive care unit.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides1.html
October 01, 2017 - Image: Photograph shows medical providers standing behind a seated patient. … Image: Photograph shows medical provider with patient. … Image: Photograph shows leaders and medical providers meeting at a table. … Image: Photograph shows leaders and medical providers meeting at a table. … Wound Care Team: Interdisciplinary group of experts who provide day-to-day care of skin and wound needs
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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 - underlying soft tissue, usually over a bony prominence or related to a medical or other device. … 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 … 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/guide/apc.html
October 01, 2017 - Wound Classification
Presented by Karen Zulkowski, D.N.S., RN. … This webinar discusses how to assess and measure a wound. … National Pressure Ulcer Advisory Panel (NPUAP) Clinical Practice Guidelines specific to nutrition in wound … This webinar reviews medical device-related pressure injuries, mucosal injuries, and how they differ … injuries.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/French.pdf
April 27, 2004 - Over $3 million dollars in direct medical costs were associated with these
injuries. … 31 7,413 229,803
234 Crush injury 8 4,744 37,952
235 Open wound head 16 16,499 263,984
236 Open … wound extremity 27 4,150 112,050
239 Superficial injury 25 3,995 99,875
240 Burns 3 6,911 20,733 … 122.23 248 30,313
234 Crush injury 231.05 14 3,235
235 Open wound head 206.20 306 63,097
236 Open … 9.01 324 39 3.19 5,631
236 Open wound extremity 1,139 5.70 633 74 6.06 7,210
239 Superficial injury
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/getready.html
October 01, 2017 - your hospital identified hospital-specific reasons to change how it manages the prevention of pressure injuries … Has your hospital assessed staff attitudes about pressure injuries?
… On a scale of 1 to 5, with 5 being the highest level of support, rate the overall medical staff support … and a sense of urgency is lacking, has your hospital begun efforts to show stakeholders that pressure injuries … (To learn more about measurement, see the supplementary training webinars Wound Classification and