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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu6.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals 
 6. … Previous Page Next Page 
 
 Table of Contents 
 
 Preventing Pressure Ulcers in Hospitals 
 Overview … Eliminating Facility-Acquired Pressure Ulcers at Ascension Health. … For example, one hospital noticed an increase in tubing-related pressure ulcers. … ulcers.
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-203-fullreport.pdf
April 10, 2017 - ulcers, but it 
is important to distinguish from pressure ulcers that are “device-related.” … ulcer) and a skin assessment (to detect 
existing pressure ulcers). … Socioeconomic Status 
A study by Smith, et al., examined decubitus ulcer (pressure ulcers) as one of … Pressure ulcers in neonates and children: An NPUAP White Paper. … Guideline for prevention and 
management of pressure ulcers.
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/5.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention 
 
 
 
 Functional Specifications … Specifications for Each Pressure Ulcer Prevention Report (continued) 
 3.5. … Report Example 
 
 
 
 Pressure Ulcer Triggers 
 Week 4 
			5/10/14 
 Week 3 
			5/17/14 
 Week 2 … Current Pressure Ulcer 
 Nurse Wound Assessment 
 For each static week:
			 
 Count the number of residents … Return to Functional Specifications Contents   
 Proceed to Next Section 
 Return to Pressure Ulcer Prevention
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/vendors.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention 
 
 
 
 Vendors With On-Time … Experience 
 The following EMR vendors have programmed the first On-Time Pressure Ulcer Prevention reports … Return to Pressure Ulcer Prevention
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/4.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention 
 
 
 
 Functional Specifications … Specifications for Each Pressure Ulcer Prevention Report (continued) 
 3.4. … There are nine criteria for pressure ulcer risk. … Current Pressure Ulcer 
 Nurse Wound Assessment 
 If the resident has at least one pressure ulcer for … Return to Functional Specifications Contents   
 Proceed to Next Section 
 Return to Pressure Ulcer Prevention
                                     
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides2.html
October 01, 2017 - Slide 18: Assess Current Policies (2D) 
 
 Images: A screenshot shows the Pressure Ulcer Policy Assessment … Ulcer Risk form. … Ulcer Care Plan form. … Slide 24: Sample Action Plan 
 
 Images: Two screenshots show an example of a Pressure Ulcer Prevention … Slide 25: Practice Insight 
 
 Image: A screenshot shows a table titled "Pressure Ulcer Prevention Program
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/pruprev-menu.pdf
June 02, 2025 - Ulcer Prevention Menu of Implementation Strategies 1 
On-Time Pressure Ulcer Prevention 
Menu of Implementation … Root cause analysis for new pressure ulcer development   
9. … Root cause analysis for new pressure ulcer development   
7. … Internal review to monitor residents with pressure ulcers, confirm 
awareness of nutritional status of … Root cause analysis for new pressure ulcer development   
6.
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-factraining-guide.pdf
June 02, 2025 - ulcers. … ulcers. … More 
accurate assessments of changes in pressure ulcers are 
needed. … what 
other wound meetings discuss residents with pressure 
ulcers. … ulcers
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/schedule.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training …   
 
 
 8:30 – 10:30 
 Overview of On-Time 
   
 
 
 10:30 – 10:45 
 Break 
   
 
 
 10:45 – 11:00 
 Pressure … Ulcer Prevention Reports 
   
 
 
 11:00 – 12:00 
 Nutrition Risk Reports 
   
 
 
 12:00 – 1:00 
 Lunch … Exercise—Review of the nursing home's pressure ulcer prevention program; and Debriefing 
   
 
 
 12 … Ulcer Prevention
                                     
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals 
 2. How will we manage change? … Previous Page Next Page 
 
 Table of Contents 
 
 Preventing Pressure Ulcers in Hospitals 
 Overview … Review of the literature to show the costliness of failing to prevent pressure ulcers. … Findings have shown that nurses generally have a "C" level of knowledge about pressure ulcers. … These goals can be related both to outcomes (e.g., a reduction in the incidence rate of pressure ulcers
                                     
                                                                    - 
                                        
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals 
 2. How will we manage change? … Previous Page Next Page 
 
 Table of Contents 
 
 Preventing Pressure Ulcers in Hospitals 
 Overview … Review of the literature to show the costliness of failing to prevent pressure ulcers. … Findings have shown that nurses generally have a "C" level of knowledge about pressure ulcers. … These goals can be related both to outcomes (e.g., a reduction in the incidence rate of pressure ulcers
                                     
                                                                    - 
                                        
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/6.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention 
 
 
 
 Functional Specifications … Specifications for Each Pressure Ulcer Prevention Report (continued) 
 3.6. … ulcer, and new pressure ulcer. … Ulcer 
 Health Status # 
 
 
 
 De- creased Meal Intake + Weight Loss 
 
 
 De- creased Meal Intake … Return to Functional Specifications Contents   
 Proceed to Next Section 
 Return to Pressure Ulcer Prevention
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/erepguide_slides.pptx
December 01, 2014 - Facilitator Training
Introduction to Pressure Ulcer Prevention Reports
Pressure Ulcer Prevention
Electronic … ulcers
December 2014
Pressure Ulcer Prevention
5
5
Nutrition Reports:  High Risk and Medium Risk … Ulcers
December 2014
Pressure Ulcer Prevention
8
Check Your Understanding:
Nutrition Report … :
Unit Level
December 2014
Pressure Ulcer Prevention
25
	Pressure Ulcer Triggers	Week 4
5/10/14	Week … ulcers  0 1 2 2 
Temperature   99.2   
Pulse  82 88 90 100 
Respirations  20 20 20 20 
Blood pressure
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Teigland.pdf
March 01, 2004 - ulcers has tremendous financial 
implications—the cost of treating a pressure ulcer is estimated at … billion.17 
Falls and pressure ulcers are often avoidable. … ulcers (more falls 
and pressure ulcers than expected after risk-adjustment). … Preventing Falls and Pressure Ulcers 
85 
12. Dyck MJ. … Description 
of the National Pressure Ulcer Long-Term Care Study.
                                     
                                                                    - 
                                        
www.ahrq.gov/news/newsroom/case-studies/201802.html
August 01, 2018 - Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving Quality of Care  was central to the … hospital’s effort to prevent an estimated 114 pressure ulcers and avoid nearly $2 million in excess hospital … Saint Francis, pressure injuries identified as Stage 2 (characterized by partial loss of skin at the bedsore … Saint Francis implemented the toolkit as part of an AHRQ-sponsored Hospital Pressure Ulcer Training Program … Safety,   
 Pressure Ulcers,   
 Quality of Care  
 
 
 
 
 
 Geographic Location:  
 
 
 Connecticut
                                     
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals 
 4. … Previous Page Next Page 
 
 Table of Contents 
 
 Preventing Pressure Ulcers in Hospitals 
 Overview … 4.1 What roles and responsibilities will staff have in preventing pressure ulcers? … Works with wound team to prevent or treat pressure ulcers. … Some organizations monitor pressure ulcers in multidisciplinary patient safety rounds.
                                     
                                                                    - 
                                        
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals 
 4. … Previous Page Next Page 
 
 Table of Contents 
 
 Preventing Pressure Ulcers in Hospitals 
 Overview … 4.1 What roles and responsibilities will staff have in preventing pressure ulcers? … Works with wound team to prevent or treat pressure ulcers. … Some organizations monitor pressure ulcers in multidisciplinary patient safety rounds.
                                     
                                                                    - 
                                        
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7c.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals 
 Section 7. … What are the best practices in pressure ulcer prevention that we want to use? 
 4. … How do we measure our pressure ulcer rates and practices? 
 6. … more pressure ulcers during the hospital stay? … Was the patient discharged with one or more pressure ulcers?  
                                     
                                                                    - 
                                        
www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7c.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals 
 Section 7. … What are the best practices in pressure ulcer prevention that we want to use? 
 4. … How do we measure our pressure ulcer rates and practices? 
 6. … more pressure ulcers during the hospital stay? … Was the patient discharged with one or more pressure ulcers?  
                                     
                                                                    - 
                                        
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/intro.html
October 01, 2017 - Ulcers in Hospitals: A Toolkit for Improving Quality of Care . … Module 2 : How To Manage Change 
   
   
 
 
 Chapter 3 
			What are the best practices in pressure ulcer … Ulcer Risk Assessment Tools in Care Planning 
 
 
 
 
 Risk Factors for Pressure Ulcers: Going Beyond … Validated Instruments 
 The Power of Nutrition for Pressure Ulcer Prevention 
 Putting the Nutrition … Ulcer Prevention Program 
 
 
   
 
 
 Chapter 5 
			How do we measure our pressure ulcer rates and