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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
November 20, 2014 - Best Practices in Pressure Injury Prevention
Best Practices in
Pressure Injury Prevention
ADD Hospital … injuries in the hospital. … injury prevention practices checklist:
Comprehensive skin assessment
Standardized pressure injury risk … 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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ahrqpubs.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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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
June 12, 2018 - Module 3: Best Practices in Pressure Injury Prevention
Module 3: Best Practices in Pressure Injury … — AHRQ Pressure Injury Prevention Program Training Webinar
· Risk Factors for Pressure Injuries: Going … Any patient with an existing pressure injury is at risk for additional injuries.
· Determine whether … Medical device related pressure ulcers in hospitalized patients. Int Wound J 2010;7:358-65. … Staging of pressure injuries is discussed in Module 5.
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ahrqpubs.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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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
July 02, 2008 - Injury rates
15
Measure Only Pressure Injuries
Many types of skin lesions may develop in hospitalized … Pressure injuries are areas of soft tissue damage caused by pressure or pressure and shear. … 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 … Count the number and stage of pressure injuries in a month.
24
Stage 3 and 4 Injuries
All pressure
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ahrqpubs.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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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
July 12, 2017 - Module 1: Preventing Pressure Injuries in Hospitals
Module 1: Preventing Pressure Injuries in Hospitals … 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.
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation_slides.pptx
November 20, 2014 - How To Implement the Pressure Injury Prevention Program in Your Organization
How To Implement the
Pressure … Planning Goals
Determine the roles and responsibilities of staff in preventing pressure injuries. … injury prevention/ wound care lunch and learn sessions
18
18
Staff Turnover
All hospitals experience … Outcome measures: track changes in pressure injury rates. … Care Team, and Implementation Team
in preventing pressure injuries
Importance of the Unit Champions
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation.docx
August 31, 2017 - injuries? … injuries. … A Wound Care Team usually:
· Serves as the hospital’s content experts on pressure injury prevention. … injuries. … Team and Wound Care Team to prevent pressure injuries in patients.
· The importance of the Unit Champions
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ahrqpubs.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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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
November 20, 2014 - (Tool 2C)
Present the assessment of current pressure injury prevention policies and procedures. … Link the Pressure Injury Prevention Program with quality improvement. … Injury Implementation Team
Wound Care Team
Unit Team
12
Collaborative Relationships
Unit-Based Team … Current Pressure Injury Processes
Understand current processes in patient care units. … Let’s look at completed Tool 2D now.
19
Assess Pressure Injury Screening Practices
Tool 2E
20
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
January 01, 2012 - o Wound edges. … -
terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-
injury/
Staff … Washington, DC: National Pressure Ulcer
5 Tool D.4a
http://www.npuap.org/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury … /
http://www.npuap.org/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury … /
http://www.npuap.org/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
January 01, 2012 - hospital mattress.7,8-11
o Consider the use of foam overlay to reduce occipital pressures in children … /national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-
terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure … /
http://www.npuap.org/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury … /
http://www.npuap.org/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury … Medical device related pressure ulcers in
hospitalised patients. Int Wound J 2010;7:358-65.
7.
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ahrqpubs.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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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/putoolkit_module5_tools.docx
August 02, 2017 - Pressure Ulcer Prevention Toolkit
Pressure Ulcer Prevention Toolkit
Module 5 Tools
Action Plan Tool … to Measure Pressure Ulcer Rates and Pressure Ulcer Prevention Practices
Tool 5C: Assessing Comprehensive … Assessment
Tool 5D: Assessing Standardized Risk Assessment
Tool 5E: Assessing Care Planning
AHRQ Pressure … stakeholders and staff
Root cause analysis is conducted for each fall with at least moderate level of injury … admission nursing assessment, subsequent nursing progress notes, or any notes specifically documenting pressure
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - • Patient safety concerns such as falls,
pressure injuries, and adverse medication
events were reported … Pressure Injury
Among the pressure injury events (n = 10; 3.3%), several records identified the development … of pressure
injuries due to the interaction between patient pronation and poor patient mobility. … Four records identified
the development of multiple pressure injuries to the lips, tongue, ears, and … The remaining pressure injuries were identified across multiple other contact points such as
the coccyx
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ahrqpubs.ahrq.gov/patient-safety/about/challenge-competition.html
February 01, 2024 - Toolkit for Improving Quality of Care to decrease Patient Safety Indicator 03 (PSI-03) (reportable pressure … 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%."
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ahrqpubs.ahrq.gov/talkingquality/translate/labels/describe.html
January 01, 2023 - Massachusetts General Hospital (MGH) URL: https://www.massgeneral.org/quality-and-safety/patient-safety/pressure-injury-prevalence … (To view complete information, go to https://www.massgeneral.org/quality-and-safety/patient-safety/pressure-injury-prevalence … Overall, the rate of patients who have pressure ulcers at MGH is low. … that nurses have the necessary knowledge for skin assessment and intervention they attend a Phase I Wound … Bed surface is a key factor in preventing pressure ulcers.
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ahrqpubs.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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ahrqpubs.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