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161. On-Time Prevention Program for Long Term Care: Clinical Decision Support | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/care/resources/ontime/pruprev/spectorhudaktxt.html
     December 01, 2017 - ulcers, falls, and preventable hospitalizations happen too often in nursing homes (NHs) despite regulatory … Focus on identifying & managing high risk residents to: Prevent Pressure Ulcers. … Monitor Pressure Ulcer Healing. Prevent Falls. … Slide 8 HIT Vendors & On-Time Modules   Vendor Pressure Ulcer Prevention Pressure Ulcer … Ulcer Prevention Alternate Formats   Microsoft PowerPoint version - 861 KB

162. AHRQ Slide Template 2004 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/spectorhudak.ppt
     December 01, 2013 - Consulting Presentation at AHIMA June 17, 2013 Baltimore, MD Using HIT for Prevention in Nursing Homes Pressure … ulcers, falls, and preventable hospitalizations happen too often in nursing homes (NHs) despite regulatory … Ulcers Monitor Pressure Ulcer Healing Prevent Falls Reduce Potentially Avoidable Hospitalizations & … Ulcer Prevention Pressure Ulcer Healing Falls Prevention Avoidable Transfers Answers on Demand ✔* ✔ … ulcer rate goes down on average after intervention component interruption no matter when it occurs

163. Puh-Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.pdf
     June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing On-Time Pressure Ulcer Assessment … The On-Time Pressure Ulcer Assessment incorporates elements from the Bates-Jensen Wound Assessment … The On-Time Pressure Ulcer Assessment was developed by a multistate multidisciplinary design team that … The data elements on the On-Time Pressure Ulcer Assessment are used to populate the electronic reports … Ulcer Healing On-Time Pressure Ulcer Assessment Bates-Jensen Wound Assessment Elements Instructions

164. Puh-Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.docx
     June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing On-Time Pressure Ulcer Assessment … The On-Time Pressure Ulcer Assessment incorporates elements from the Bates-Jensen Wound Assessment Tool … The On-Time Pressure Ulcer Assessment was developed by a multistate multidisciplinary design team that … The data elements on the On-Time Pressure Ulcer Assessment are used to populate the electronic reports … The On-Time Pressure Ulcer Assessment includes information on the following: Origin (in-house acquired

165. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
     January 01, 2021 - Ulcers. … Pressure Ulcers, however, result in harm to the patient by their very nature. … Pressure Ulcers, however, result in harm to the patient by their very nature. … Pressure Ulcers, however, result in harm to the patient by their very nature. … Pressure ulcers, by their very nature, result in harm to the patient.

166. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
     November 01, 2016 - Training Overview of On-Time On-Time Pressure Ulcer Healing Facilitator Training Two-day training … Ulcer Prevention Pressure Ulcer Healing Reports in Development: Falls Prevention Prevention of Avoidable … ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation November 2016 On-Time Overview … Ulcer Healing Reports: Pressure Ulcers at Risk for Delayed Healing Weekly Wound Rounds Report Weekly … Pressure Ulcer Treatment Summary Report Pressure Ulcer Counts by Month Report November 2016 On-Time

167. Section 8-A, Data Feasibility Tool (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-8-a-data-feasibility.pdf
     June 02, 2025 - pressure ulcer risk assessment tool was documented within 24 hours of admission. … If not, do you use another standardized pressure ulcer risk assessment tool? … 3 How do you document the results of a standardized pressure ulcer risk assessment tool? … Measure 3 (Pressure Ulcer) Technical Feasibility Feasible. Can do today. n/a Feasible. … Feasibility Results - Pressure Ulcer (link to 8.A.1.).pdf elements and measure tabs

168. AHRQ’s Safety Program for Nursing Homes: On-Time Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
     November 01, 2017 - Adverse Events Pressure Ulcer Prevention . Pressure Ulcer Healing .

169. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/3.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) 3.3. … Return to Functional Specifications Contents   Proceed to Next Section Return to Pressure Ulcer Prevention

170. Module 3: Best Practices in Pressure Injury Prevention (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
     June 02, 2025 - Ulcers in Hospitals Toolkit in this hospital’s Pressure Injury Prevention Program. … Ulcer Prevention — AHRQ Pressure Injury Prevention Program Implementation Sharing Webinar · Putting … 3C: Pressure Ulcer Identification Pocket Pad · Tool 3D: The Braden Scale for Predicting Pressure Sore … Medical device related pressure ulcers in hospitalized patients. Int Wound J 2010;7:358-65. … Consider using Tool 3C: Pressure Ulcer Identification Pocket Pad (shown on the next slide) for communication

171. Background for AHRQ Quality Indicators
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3b_combo_resultspresentation.pptx
     January 01, 2012 - However, Pressure Ulcers (PSI 03) occur at higher rates than the national average – this may be an area … ulcer and any secondary ICD-10-CM diagnosis codes for pressure ulcer stage III or IV (or unstageable … A PSI Example: Pressure Ulcer (PSI 03) Toolkit for Using the AHRQ Quality Indicators How to Improve … Examining Observed Rates of Pressure Ulcers (PSI 03) Observed Rate 2006 2007 2008 2009 2010 2011 2012 … Comparing Risk-Adjusted Rates of Pressure Ulcers (PSI 03) to National Average Rates Risk-Adjusted Rate

172. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises4.html
     December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training—Additional … a a a f e Return to Additional Exercises Contents Proceed to Next Section Return to Pressure … Ulcer Prevention Alternate Formats Additional Exercises [ - 948.29 KB]

173. Final Progress Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
     January 01, 2025 - To further focus the research effort, the problem of pressure ulcers was selected because of the broad … The preventable harm we selected is that of pressure ulcers because of its large adverse impact. … Pressure ulcers are an epidemic problem in the United States, affecting 2.5 million people; they are … ulcer.5 Thus, pressure ulcers represented a meaningful challenge area to demonstrate how rapid prototyping … The Financial Impact of Pressure Ulcers (White paper).

174. Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
     April 04, 2008 - For example, African American and Latino veterans are at higher risk of decubitus ulcers than whites … ulcers, in addition to continuing efforts to lower decubitus ulcer rates overall, it is important for … the VHA to eliminate racial disparities in pressure ulcer rates. … Pressure ulcers: More lethal than we thought? Adv Skin Wound Care 2005; 18: 367-372. 31. … Pressure ulcer risk assessment in patients with darkly pigmented skin.

175. Table 16A: Outcome Indicators by County Socioeconomic Status | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16.html
     December 01, 2012 - Ulcer 3,322 4,088 3,865 3,029 3,557 3,496 Injurious Falls 256 436 294 308 … Ulcer 3,754 4,475 4,359 3,374 3,884 3,947 Injurious Falls 331 531 376 387 … Ulcer 2,118 2,834 2,481 1,988 2,480 2,233 Injurious Falls 48 127 63 70 110 … Ulcer 1,348 1,729 1,777 1,154 1,411 1,428 Injurious Falls 65 102 76 70 88 … Ulcer 2,614 3,022 2,987 2,392 2,628 2,719 Injurious Falls 212 363 233 258

176. Appendixes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-appendix.html
     November 01, 2017 - Ulcers (("Pressure Ulcer" [MeSH] OR "Pressure Ulcer" [tiab] OR "Bedsore" [tiab] OR "Bed Sores" [tiab … ] OR "Decubitus Ulcer" [tiab] OR "Pressure Sore" [MeSH] OR "Pressure Sore" [tiab] OR "Suspected Deep … Tissue Injury" [tiab] OR "Pressure Ulcer" [MeSH] OR "Pressure Ulcer" [tiab] OR "osteomyelitis" [MeSH] … Ulcer All hospitalized patients who are at risk to have pressure ulcer 0.018 c 2.42–5.06 3.26 … Marginal hospital cost of surgery-related hospital-acquired pressure ulcers.

177. Describe How a Plan or Provider Can Influence a Quality Measure | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/translate/labels/describe.html
     January 01, 2023 - Overall, the rate of patients who have pressure ulcers at MGH is low. … They are also supported in their work toward pressure ulcer prevention by their local Clinical Nurse … Bed surface is a key factor in preventing pressure ulcers. … The highest percentage of pressure ulcers occur in our intensive care areas where our patients have complex

178. Section 8-A, EHR Data Feasibility Tool (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-8-a-ehr-data-feasibility-tool.pdf
     June 02, 2025 - time) >= 24 hours 3 Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 hours … of PICU Admission Occurrence of administration of a pressure ulcer risk assessment by standardized … pressure ulcer risk assessment tool was documented within 24 hours of admission. … If not, do you use another standardized pressure ulcer risk assessment tool? … 3 How do you document the results of a standardized pressure ulcer risk assessment tool?

179. From Quality Measures to Quality Care: Examples of Quality Improvement at Work | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
     June 01, 2018 - Reducing the Incidence of Pressure Ulcers For the hospitalized and home care patient, pressure ulcers … , or bed sores, can be a serious and chronic problem. … The VA viewed pressure ulcer development as an ideal indicator because they are common, required the … The rate of pressure ulcer development dropped from 11.5 percent to zero. … Overall, the VA has experienced a decline in the incidence of pressure ulcers from 4.9 percent in 1990

180. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2013.html
     January 01, 2018 - The estimated cost per pressure ulcer was based on a report for CMS by RTI international (Kandilov, et … ulcers and matched patients without hospital-acquired Stage III and IV pressure ulcers, based on bivariate … Zhan and Miller estimated that excess mortality due to pressure ulcers was 72 deaths per 1,000 pressure … Mortality for patients with pressure ulcer was compared to mortality among a matched set of patients, … For example, pressure ulcers had a high baseline prevalence, and excess mortality attributed to pressure