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preventiveservices.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 … The incidence of pressure injuries increased by 80% from 1995 to 2008. … Most pressure injuries are preventable. … significant reductions in pressure injury rates. … How do you measure pressure injury rates and pressure injury prevention practices?
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - pressure injuries. … pressure injuries. … 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. … Can you relate changes in pressure injury rates, including the rates of types of pressure injuries, to
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/resource/pressure-injury/index.html
October 01, 2017 - 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 … Putting the Nutrition Guidelines into Practice for Pressure Injury Prevention —AHRQ Pressure Injury Prevention … Wound Classification —AHRQ Pressure Injury Prevention Program Training Webinar.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
August 31, 2017 - Injury Prevention Group or the Wound Care Group. … ASK: Do you have a Wound Care Team or Wound Care Nurse in this hospital? … Once you examine and understand current practices that are being used to help prevent pressure injuries … injuries. … Review pressure injury prevention training webinars.
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/index.html
February 01, 2024 - Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … 4.2 What pressure ulcer practices go beyond the unit?
… Publication: 11-0053-EF
Related Publications
Connecticut Hospital Reduces Pressure Injuries … Using AHRQ Toolkit
Pressure Injury Prevention for Hospitals Training Program
( PDF , 1 MB) ( DOCX … , 835 KB)
University of Missouri Reduces Pressure Injuries and Wins $25,000 Challenge Award From AHRQ
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preventiveservices.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/index.html
March 01, 2023 - Ulcer Healing
The Agency for Healthcare Research and Quality (AHRQ) created On-Time Pressure … Ulcer Healing to help nursing homes with electronic medical records address pressure ulcers that are … Pressure ulcers remain a serious problem in nursing homes despite regulatory and market approaches to … and Report Descriptions ( PDF , 642 KB)
Pressure Ulcer Assessment (used to populate the reports) … . ( PDF , 532 KB; Word , 98 KB)
Implementation Materials
Self-Assessment Worksheet for Pressure
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/putoolkit_module3_tools.docx
August 31, 2017 - Pressure Ulcer Prevention Toolkit
Pressure Ulcer Prevention Toolkit
Module 3 Tools
3A: Pressure Ulcer … If a skin disruption is found, the type of skin injury will need to be identified. … Since there are many different etiologies of skin wounds and ulcers, differential diagnosis of the skin … For example is it a skin tear, a pressure ulcer, or moisture-associated skin damage or injury? … A wound/ostomy nurse consult revealed he has a slightly pink coccyx area (base of spinal column).
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preventiveservices.ahrq.gov/challenges/patient-safety-tools/index.html
February 01, 2024 - injuries) by 92% and save an estimated $350,000 in avoidable costs. … Implementation focused on MU Health Care’s 390-bed University Hospital, the only level I trauma center … injury rates and PSI-03 among Vizient peers to the top decile over the course of 2 years. … Injuries by 92%.” … the Federal Government and its related entities, except in the case of willful misconduct, for any injury
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preventiveservices.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/menu.html
December 01, 2017 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries … Wound rounds
4. Weekly wound review meetings
5. Skin rounds
6. … Weekly wound review meetings
4. Internal nutritional review
5. … Wound rounds
2. Weekly nutrition-at-risk meetings
3. … Weekly wound review meetings
5. Restorative care review
6.
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preventiveservices.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
November 01, 2017 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries … Adverse Events
Pressure Ulcer Prevention .
Pressure Ulcer Healing .
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/prp/prp-wound-care.pdf
September 17, 2020 - formation include diabetes, pressure
injuries, and venous or arterial diseases. … formation include diabetes, pressure
injuries, and venous or arterial diseases. … Haesler E, ed Prevention and Treatment of
Pressure Ulcers/Injuries. … EPUAP/NPIAP/PPPIA: European Pressure
Ulcer Advisory Panel, National Pressure
Injury Advisory Panel … and Pan Pacific
Pressure Injury Alliance; 2019.
32
Abbreviations and Acronyms
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
January 01, 2012 - · Identify all visible injuries and initiate first aid; for example, cover wounds.
· Assist patient … hydration).
· Clean and dress any wounds … · Identify all visible injuries and initiate first aid; for example, cover wounds. … · Clean and dress any wounds.
· Arrange medical review. … Describe injuries; check all that apply
Injury
Yes
No
Site of Injury
Abrasion/bruise/laceration
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
October 01, 2014 - Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Determining the correct etiology of wounds: Many different types of lesions may occur on the skin and … The level and completeness of the spinal cord injury is critical in this determination. … Adv Skin Wound Care 2009;22(2):83-92.
Magan MA, Maklebust J. … Adv Skin Wound Care 2008;21(3):124-33.
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/resource/about.html
December 01, 2017 - Process
Millions of patients visit hospital emergency departments (EDs) each year for a variety of injuries … Pressure Injury Prevention in Hospitals Training Program
AHRQ developed the Pressure Injury Prevention … injury prevention program. … Preventing Pressure Ulcers in Hospitals
Each year, more than 2.5 million people in the United States … develop pressure ulcers.
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preventiveservices.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/index.html
May 01, 2016 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries … Pressure ulcers remain a serious problem in nursing homes despite regulatory and market approaches to … Pressure ulcers cause pain, disfigurement, and increased infection risk and are associated with longer … Median annual nursing home pressure ulcer prevalence was 7.5 percent in 2009, with associated costs of … Materials
Self-Assessment Worksheet for Pressure Ulcer Prevention .
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinars/index.html
September 01, 2017 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Assessment Tools in Care Planning (25 min) ( PDF of the Slides , 2.16 MB)
Measuring Fall and Fall-Related Injury … Network Webinars
Creating Control Charts To Interpret Fall Data (62 min)
Critical Thinking for Fall Injury … Prevention Care Planning (61 min)
Post-Fall Huddles: Reducing Preventable Falls and Fall-Related Injuries
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/saworksheet.pdf
December 15, 2016 - the On-Time electronic
reports into current workflow to help inform pressure ulcer wound interventions … Ulcer Healing Tool
BWAT – Bates-Jenson Wound Assessment
Tool
None of the above
Other … Injury Alliance’s Prevention and Treatment of Pressure Ulcers
Guidelines
Wound, Ostomy, and Continence … Pressure ulcer debridement?
Selection of dressings based on wound
characteristics? … Wound cleansing?
Assessing the resident for pain?
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/fall-prevention/index.html
September 01, 2018 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Module 3 Tools ( MS Word , 268 KB)
Post-Fall Huddles: Reducing Preventable Falls and Fall-Related Injuries … Network Webinars
Related AHRQ Resources
Preventing Falls in Hospitals Toolkit
Pressure … Injury Prevention in Hospitals Training Program
Page last reviewed September
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/measure-fall-rates.html
January 01, 2013 - Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Also, staff may feel pressure to underreport borderline cases because of concern that their unit will … The NDNQI definitions for injury follow:
None—patient had no injuries (no signs or symptoms) resulting … " Minor—resulted in application of a dressing, ice, cleaning of a wound, limb elevation, topical medication … The actual rates of falls with trauma occurring within the hospital may be found on the Medicare data
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
June 29, 2017 - disorders/neurological/psychological, gastrointestinal/genitourinary,
endocrine/nutritional/metabolic, wound … infection
Endocrine/Nutritional/Metabolic
Dehydration
Malnutrition
Uncontrolled diabetes
Wound … & Skin
Cellulitis
Edema
Infected wound or decubitus
Jaundice
Rash
Fall-Related Injury … Major injury
Minor injury
Non-Fall-Related Injury
Major injury
Minor injury
Musculoskeletal … Medication reaction
Mental status change
Mental disorder/psychosis
Neoplasm
Pneumonia
Pressure