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1. Preventing Pressure Injuries in Hospitals
   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?

2. Module 5: How To Measure Pressure Injury Rates and Prevention Practices (doc file)
   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

3. Pressure Injury Prevention in Hospitals Training Program | Agency for Healthcare Research and Quality
   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. 

4. Module 2: How To Manage Change (doc file)
   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.

5. Preventing Pressure Ulcers in Hospitals | Agency for Healthcare Research and Quality
   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

6. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing | Agency for Healthcare Research and Quality
   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

7. Pressure Ulcer Prevention Toolkit (doc file)
   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).

8. Challenge Competition on the Impact of AHRQ’s Patient Safety Tools | Agency for Healthcare Research and Quality
   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

9. On-Time Quality Improvement Program: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
   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.

10. AHRQ’s Safety Program for Nursing Homes: On-Time Prevention | Agency for Healthcare Research and Quality
    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 .

11. Platelet-Rich Plasma for Wound Care: Technology Assessment (pdf file)
    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

12. Fall Prevention Toolkit (doc file)
    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

13. 3. What are the best practices in pressure ulcer prevention that we want to use? | Agency for Healthcare Research and Quality
    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.

14. Hospital Resources | Agency for Healthcare Research and Quality
    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.

15. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
    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 .

16. Fall Prevention in Hospitals—Webinars | Agency for Healthcare Research and Quality
    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

17. Saworksheet (pdf file)
    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?

18. Fall Prevention in Hospitals Training Program | Agency for Healthcare Research and Quality
    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

19. 5. How do you measure fall rates and fall prevention practices? | Agency for Healthcare Research and Quality
    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

20. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits - Transfer Note and Intake Note (pdf file)
    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