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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/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?
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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?
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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
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www.ahrq.gov/sites/default/files/2024-04/baernholdt-report.pdf
January 01, 2024 - Key Words: Pressure ulcers, falls, National Database of Nursing Quality Indicators,
nurse outcomes, … SCOPE
Pressure ulcers and falls are among the most common, preventable, and costly patient
safety events … Patients at risk for
pressure ulcer
Percentage of patients with pressure
ulcers who received this … a
hospital acquired pressure ulcer
Unit-acquired
pressure ulcer
rate
Prevalence rate collected … We find that unit-level care interventions do make a difference in
preventing pressure ulcers.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides5.html
October 01, 2017 - Source: National Pressure Ulcer Advisory Panel. … Source: National Pressure Ulcer Advisory Panel. … Source: National Pressure Ulcer Advisory Panel. … Source: National Pressure Ulcer Advisory Panel. … Source: National Pressure Ulcer Advisory Panel.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
June 02, 2025 - ulcers, pressure ulcers that are not healing appropriately, falls, and avoidable hospitalizations. . … In the packet are the following On-Time Pressure Ulcer Healing documents:
Existing Pressure Ulcers Report … Pressure Ulcers at Risk for Delayed Healing
Weekly Wound Rounds Report
Weekly Pressure Ulcer Treatment … Summary Report
Pressure Ulcer Counts by Month Report
Pressure Ulcer Healing Self-Assessment
Menu of … MATERIALS:
Existing Pressure Ulcers Report
Pressure Ulcers at Risk for Delayed Healing Report
Weekly
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressure-injury/guide.html
October 01, 2017 - In April 2016, the National Pressure Ulcer Advisory Panel (NPUAP) announced a change in terminology from … “pressure ulcer” to “pressure injury,” and updated the stages of pressure injury. … this Guide uses the term “pressure injury” except in cases where an existing document uses the term “pressure … ulcer.”
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides3.html
October 01, 2017 - ulcers." … Slide 12: ID Pocket Pad
Images: The Pressure Ulcer Identification Pocket Pad is shown. … K
Image: A screenshot shows a sample Braden Pressure Ulcer Risk Assessment scale filled out for Mr … Sore Risk
SENSORY PERCEPTION
1. … A screenshot shows the Pressure Ulcer Prevention Program Action Plan: June 2015-January 2016.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/slides.html
December 01, 2014 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training … Slide 1: Overview of On-Time
AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention … Facilitator Training
Overview of On-Time
Slide 2: On-Time Pressure Ulcer Prevention Facilitator … Pressure Ulcer Healing.
Falls Prevention.
Prevention of Avoidable Hospitalizations. … Large decline in pressure ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation.
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
4. … (continued)
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in … How do we measure our pressure ulcer rates and practices?
6. … ulcers is inevitable. … Hospitals will lose reimbursement for hospital-acquired pressure ulcers.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
4. … (continued)
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in … How do we measure our pressure ulcer rates and practices?
6. … ulcers is inevitable. … Hospitals will lose reimbursement for hospital-acquired pressure ulcers.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Pressure_Ulcer_Dashboard_Data_2024.xlsx
January 01, 2024 - of first pressure ulcer risk assessment. … Timing of First Pressure Ulcer Risk Assessment by Most Advanced Stage of Pressure Ulcer or sDTI Reported … Ulcer
Increased Risk of Pressure Ulcer Percentage Frequency
At increased risk for pressure ulcer 72.6% … PRU_2
PRU_2: Documented Timing of First Pressure Ulcer Risk Assessment by Most Advanced Stage of Pressure … Ulcer or sDTI Reported
Timing of first pressure ulcer risk assessment Most advanced stage of pressure
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/7.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)
3.7. … Week Ending
4/6/14
4/13/14
4/20/14
4/27/14
Vital Signs
Number of pressure ulcers … Report Column
Data Source
Valid Input & Display
Vital Signs
Number of pressure ulcers … Wound Assessment
Count number of unique pressure ulcers and display count.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apd.html
October 01, 2017 - Ulcer Policies
2E: Assessing Screening for Pressure Ulcer Risk
2F: Assessing Pressure Ulcer … Ask them to include an example of how to score using their risk assessment scale.
3A: Pressure Ulcer … Ulcer Identification Pocket Pad
3D: The Braden Scale for Predicting Pressure Sore Risk
Mr. … Ulcer Knowledge Test and staff training needs. … Instructor—facilitated group discussion
Education plan for pressure ulcer prevention staff education
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impsteps.docx
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
Implementation Steps and Timeline … Step 1: Agree To Use On-Time Pressure Ulcer Healing
Nursing home leadership agrees to incorporate the … Ulcer Assessment and Pressure Ulcer Healing reports are in the system. … ulcers, pressure ulcer healing practices, and communication processes. … Pressure Ulcer Counts by Month Report that identifies pressure ulcer healing rates to provide feedback
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
June 16, 2017 - Successfully negotiating the change process at your hospital.
12
12
Preventing Pressure Ulcers in … Source: AHRQ Preventing Pressure Ulcers in Hospitals Toolkit
19
19
Sustaining Change
Sustain: Changes … The Toolkit’s content draws on literature on best practices in pressure ulcer prevention and includes … CRITICAL SUCCESS FACTORS
GOAL: Decrease the overall rate of hospital-acquired pressure ulcers Stage … Preventing in-facility pressure ulcers.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apc.html
October 01, 2017 - Staff Roles and Training for Your Pressure Ulcer Prevention Program
Presented by Elizabeth Ayello … Using Pressure Ulcer Risk Assessment Tools in Care Planning
Presented by Elizabeth Ayello, Ph.D., … Measuring Pressure Ulcer Rates and Prevention Practices
Presented by Karen Zulkowski, D.N.S., RN. … Risk Factors for Pressure Ulcers: Going Beyond Validated Instruments
Presented by Elizabeth Ayello … The Power of Nutrition for Pressure Ulcer Prevention
Presented by Mary D.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/case.html
December 01, 2017 - Ulcer Prevention Program. … Drop in Pressure Ulcers with AHRQ-Funded Program
St. … ulcer development. … ulcer development. … ulcer outcomes.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overview.html
November 01, 2017 - ulcers, pressure ulcers that are not healing appropriately, avoidable hospitalizations, and falls—and … Evaluation studies of the On-Time pressure ulcers program have shown reductions in pressure ulcers of … Pressure ulcer prevention in long-term-care facilities: a pilot study implementing standardized nurse … Evaluation of AHRQ's On-Time pressure ulcer prevention program: a facilitator-assisted clinical decision … On-Time Topics
Pressure Ulcer Prevention .
Pressure Ulcer Healing .