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1. Accuracy of pressure ulcer events in US nursing home ratings. | PSNet
   psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings
   August 09, 2023 - Study Accuracy of pressure ulcer events in US nursing home ratings. … Accuracy of pressure ulcer events in US nursing home ratings. Med Care. … This study compared seven years of self-reported pressure ulcer data with claims-based data for pressure … Accuracy of pressure ulcer events in US nursing home ratings. Med Care. … Ulcers Epidemiology of Errors and Adverse Events View More

2. Spotlight Case July 2008 (ppt file)
   psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.230_slideshow.ppt
   December 01, 2010 - Hip fracture and pressure ulcers–the Pan-European Pressure Ulcer Study–intrinsic and extrinsic risk factors … Ulcer Definition National Pressure Ulcer Advisory Panel (APUP) defines a pressure ulcer as: “A localized … Etiology of decubitus ulcers. … Etiology of decubitus ulcers. … ulcer. * * Documentation of Pressure Ulcers Appropriate documentation is not just part of the nursing

3. Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey. | PSNet
   psnet.ahrq.gov/issue/organisational-strategies-implement-hospital-pressure-ulcer-prevention-programmes-findings
   June 02, 2021 - Study Organisational strategies to implement hospital pressure ulcer prevention programmes … Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a … Hospital-acquired pressure ulcers are considered a never event and can result in loss of payment … Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a … May 30, 2018 A comprehensive program to reduce rates of hospital-acquired pressure ulcers

4. The Forgotten Turn | PSNet
   psnet.ahrq.gov/web-mm/forgotten-turn
   August 01, 2018 - Not all pressure ulcers are avoidable, but every pressure ulcer occurring in hospitals today should provide … Take-Home Points Pressure ulcers continue to occur despite national focus on pressure ulcer prevention … Hip fracture and pressure ulcers – the Pan-European Pressure Ulcer Study – intrinsic and extrinsic risk … Etiology of decubitus ulcers. Arch Phys Med Rehabil. 1961;42:19-29.  [go to PubMed] 13. … How elderly patients with femoral fractures develop pressure sores in hospital.

5. Preventing pressure ulcers: the goal is zero. | PSNet
   psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
   August 16, 2006 - Commentary Preventing pressure ulcers: the goal is zero. … Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10. … Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10. … October 18, 2017 Organisational strategies to implement hospital pressure ulcer prevention … April 17, 2013 Preventing in-facility pressure ulcers as a patient safety strategy: a

6. Success in hospital-acquired pressure ulcer prevention: a tale in two data sets. | PSNet
   psnet.ahrq.gov/issue/success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets
   October 18, 2017 - Study Success in hospital-acquired pressure ulcer prevention: a tale in two data … Success In Hospital-Acquired Pressure Ulcer Prevention: A Tale In Two Data Sets. … Hospital-acquired pressure ulcers (HAPUs) are considered a never event , represent a significant source … ulcers. … Success In Hospital-Acquired Pressure Ulcer Prevention: A Tale In Two Data Sets.

7. Wound-care teams for preventing and treating pressure ulcers. | PSNet
   psnet.ahrq.gov/issue/wound-care-teams-preventing-and-treating-pressure-ulcers
   June 05, 2019 - Review Wound-care teams for preventing and treating pressure ulcers. … Wound-care teams for preventing and treating pressure ulcers. … Pressure ulcers are considered a never event for hospitals. … Wound-care teams for preventing and treating pressure ulcers. … Ulcers Epidemiology of Errors and Adverse Events View More

8. A comprehensive program to reduce rates of hospital-acquired pressure ulcers in a system of community hospitals. | PSNet
   psnet.ahrq.gov/issue/comprehensive-program-reduce-rates-hospital-acquired-pressure-ulcers-system-community
   May 12, 2021 - Study A comprehensive program to reduce rates of hospital-acquired pressure ulcers … A Comprehensive Program to Reduce Rates of Hospital-Acquired Pressure Ulcers in a System of Community … A Comprehensive Program to Reduce Rates of Hospital-Acquired Pressure Ulcers in a System of Community … December 14, 2022 Accuracy of pressure ulcer events in US nursing home ratings. … May 23, 2018 Organisational strategies to implement hospital pressure ulcer prevention

9. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. | PSNet
   psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
   March 06, 2013 - Review Preventing in-facility pressure ulcers as a patient safety strategy: a systematic … Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. … , and regular audit and feedback of pressure ulcer rates in ensuring intervention success. … Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. … June 8, 2016 Wound-care teams for preventing and treating pressure ulcers.

10. Medical device-related pressure ulcers: a systematic review and meta-analysis. | PSNet
    psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis
    September 12, 2018 - Review Classic Medical device-related pressure ulcers: … Medical device-related pressure ulcers: A systematic review and meta-analysis. … Hospital-acquired pressure ulcers are considered never events and represent a significant source of … Medical device-related pressure ulcers: A systematic review and meta-analysis.

11. Spotlight Case July 2008 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
    September 01, 2011 - Unfortunately, likely secondary to an infection of the pressure ulcer, she developed septic shock and … Pressure Ulcers in America: Prevalence, Incidence, and Implications for the Future. … Reston, VA: National Pressure Ulcer Advisory Panel; 2001. … RN staffing time and outcomes of long-stay nursing home residents: pressure ulcers and other adverse … Organizations can monitor their rates of falls, pressure ulcers, infections, unplanned hospitalizations

12. Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers in US academic medical centers? | PSNet
    psnet.ahrq.gov/issue/are-evidence-based-practices-associated-effective-prevention-hospital-acquired-pressure
    September 23, 2020 - ulcers in US academic medical centers? … Are Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Pressure Ulcers … Severe hospital-acquired pressure ulcers are considered a never event , and they result in loss of payment … Are Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Pressure Ulcers … September 14, 2022 Accuracy of pressure ulcer events in US nursing home ratings.

13. Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration of international practice. | PSNet
    psnet.ahrq.gov/issue/barriers-and-facilitators-reporting-medical-device-related-pressure-ulcers-qualitative
    December 01, 2021 - Study Barriers and facilitators to reporting medical device-related pressure ulcers … Barriers and facilitators to reporting medical device-related pressure ulcers: A qualitative exploration … Hospital-acquired pressure ulcers, categorized as a never event, are underreported , particularly when … Interviews with experts in hospital-acquired pressure ulcers revealed four domains related to reporting … Barriers and facilitators to reporting medical device-related pressure ulcers: A qualitative exploration

14. Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis. | PSNet
    psnet.ahrq.gov/issue/evaluation-suitability-root-cause-analysis-frameworks-investigation-community-acquired
    June 16, 2021 - ulcers: a systematic review and documentary analysis. … ulcers . … In hospital and long-term care settings, pressure ulcers are considered preventable complications, but … June 26, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis … March 6, 2019 Success in hospital-acquired pressure ulcer prevention: a tale in two data

15. The Safety and Quality of Long Term Care | PSNet
    psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
    January 01, 2016 - At the hospital, a full examination revealed a very deep pressure ulcer in her sacrum (stage IV full … For example, the rate of pressure ulcers in nursing homes has been shown to range between 2.2% to 23.9% … Pressure Ulcers in America: Prevalence, Incidence, and Implications for the Future. … Reston, VA: National Pressure Ulcer Advisory Panel; 2001. 6. … RN staffing time and outcomes of long-stay nursing home residents: pressure ulcers and other adverse

16. Root cause analysis for hospital-acquired pressure injury. | PSNet
    psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
    July 07, 2021 - effective method to utilize root cause analysis results to determine latent weaknesses that facilitate pressure … ulcer development. … September 23, 2020 Accuracy of pressure ulcer events in US nursing home ratings. … June 5, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis … May 16, 2018 A comprehensive program to reduce rates of hospital-acquired pressure ulcers

17. Towards international consensus on patient harm: perspectives on pressure injury policy. | PSNet
    psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy
    September 23, 2015 - Pressure ulcers are never events that continue to occur, despite potential repercussions on reimbursement … May 1, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis … June 19, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis … January 23, 2019 Success in hospital-acquired pressure ulcer prevention: a tale in two … Ulcers View More

18. Early identification and evaluation of severe pressure injuries. | PSNet
    psnet.ahrq.gov/issue/early-identification-and-evaluation-severe-pressure-injuries
    October 10, 2018 - summarizes recommended actions to assist health care teams in mitigating harmful healthcare-acquired pressure … ulcers including recognition of conditional risks and educational strategies . … September 14, 2022 Accuracy of pressure ulcer events in US nursing home ratings. … See More About The Topic Hospitals Long-Term Care Geriatrics Nurse Care Pressure … Ulcers View More

19. Enhancing Patient Safety and Outcomes: The Safe Patient Handling Connection. | PSNet
    psnet.ahrq.gov/issue/enhancing-patient-safety-and-outcomes-safe-patient-handling-connection
    September 23, 2021 - Patient handling can affect the safety of patient mobility , development of pressure ulcers and worker … View More See More About Online Education Nursing Latent Errors Pressure … Ulcers Patient Falls View More

20. Pressure Injury Prevention in Hospitals Training Program. | PSNet
    psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
    November 19, 2014 - Pressure ulcers are a common hospital-acquired condition that can lead to patient harm . … designed to help hospitals implement practice and process improvements to reduce the occurrence of pressure … ulcers. … More See More About The Topic Hospitals Health Care Providers Medicine Pressure … Ulcers Epidemiology of Errors and Adverse Events View More