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1. 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

2. 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 … Ulcers View More

3. Accuracy of pressure ulcer events in US nursing home ratings. | PSNet
   psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings
   February 05, 2020 - Study Accuracy of pressure ulcer events in US nursing home ratings. … Accuracy of pressure ulcer events in US nursing home ratings. … 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. … Ulcers Epidemiology of Errors and Adverse Events View More

4. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/49615/psn-pdf
   December 01, 2010 - 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. 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.

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
   May 17, 2018 - 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 … Success In Hospital-Acquired Pressure Ulcer Prevention: A Tale In Two Data Sets. … December 21, 2014 Preventing in-facility pressure ulcers as a patient safety strategy

7. Preventing pressure ulcers: the goal is zero. | PSNet
   psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
   September 30, 2010 - 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. … ulcers. … Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10. … August 27, 2013 Preventing in-facility pressure ulcers as a patient safety strategy:

8. 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. … April 29, 2015 Preventing in-facility pressure ulcers as a patient safety strategy: a

9. 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 … This implementation study sought to reduce incidence of pressure ulcers in hospitalized patients using … A Comprehensive Program to Reduce Rates of Hospital-Acquired Pressure Ulcers in a System of Community … April 27, 2019 Organisational strategies to implement hospital pressure ulcer prevention

10. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45434/psn-pdf
    September 22, 2017 - Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from … Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from … https://psnet.ahrq.gov/issue/organisational-strategies-implement-hospital-pressure-ulcer-prevention- … programmes-findings Hospital-acquired pressure ulcers are considered a never event and can result in … https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

11. 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 - 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 … January 23, 2019 Success in hospital-acquired pressure ulcer prevention: a tale in two … October 18, 2017 Organisational strategies to implement hospital pressure ulcer prevention

12. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47582/psn-pdf
    December 12, 2018 - Success in hospital-acquired pressure ulcer prevention: a tale in two data sets. … 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. … ://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

13. 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
    January 06, 2018 - 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. … Pressure ulcers are considered a never event , but their incidence has been increasing despite effective … , 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.

14. 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
    March 10, 2021 - 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.

15. 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
    April 07, 2019 - 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

16. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837890/psn-pdf
    August 24, 2022 - Accuracy of pressure ulcer events in US nursing home ratings. … Accuracy of pressure ulcer events in US nursing home ratings. … https://psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings All nursing homes … This study compared seven years of self-reported pressure ulcer data with claims-based data for pressure … https://psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings https://psnet.ahrq.gov

17. Root cause analysis for hospital-acquired pressure injury. | PSNet
    psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
    July 07, 2021 - ulcer development. … July 14, 2021 Accuracy of pressure ulcer events in US nursing home ratings. … June 9, 2021 Medical device-related pressure ulcers: a systematic review and meta-analysis … October 24, 2018 Organisational strategies to implement hospital pressure ulcer prevention … ulcers: a systematic review and documentary analysis.

18. 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

19. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/841476/psn-pdf
    December 14, 2022 - Barriers and facilitators to reporting medical device- related pressure ulcers: a qualitative exploration … Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration … https://psnet.ahrq.gov/issue/barriers-and-facilitators-reporting-medical-device-related-pressure-ulcers … Interviews with experts in hospital-acquired pressure ulcers revealed four domains related to reporting … https://psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings https://psnet.ahrq.gov

20. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866161/psn-pdf
    June 19, 2024 - accurate data capture interventions to improve rates of the composite PSI-90 and three individual PSIs (pressure … ulcers, postoperative PE/DVT, and postoperative sepsis). … Postoperative PE/DVT, postoperative sepsis, and composite PSI-90 all decreased, while pressure ulcer … psnet.ahrq.gov/primer/patient-safety-indicators https://psnet.ahrq.gov/issue/success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets