- 
                                        
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
December 01, 2017 - History of pressure ulcers 
   
   
 
 
 h. … ulcers? … We discuss prevention of new pressure ulcers  after  someone has had one. … History of pressure ulcers 
 X 
   
 
 
 h. … way, and how they investigate new pressure ulcers.
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts2.html
December 01, 2017 - Ulcer Risk 
 In this section, we would like to learn more about your facility's pressure ulcer risk … Does your facility have a pressure ulcer risk policy? … History of pressure ulcers 
 X 
 ___ 
 
 
 h. … ulcer: Yes _X_ No ___ 
 Paralysis: Yes ___ No _X_ 
 
 
 
 Section 2: Pressure Ulcer Prevention Plan … ulcers?
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html
December 01, 2014 - ulcers. … ulcers. … ulcers. … Review On-Time Pressure Ulcer Prevention Reports 
 2nd month - 3rd month 
 Pressure Ulcer Prevention … Return to Pressure Ulcer Prevention
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
December 01, 2017 - Pressure Ulcer Healing. 
 
 
 Reports in Development
	 
 Falls Prevention. … Large decline in pressure ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation. … Slide 14: Examples of On-Time Reports 
 
 
 Examples from Pressure Ulcer Healing Reports:
	 
 Pressure … Ulcers at Risk for Delayed Healing. … Weekly Pressure Ulcer Treatment Summary Report. 
 Pressure Ulcer Counts by Month Report.
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts2.html
December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention 
 
 
 
 Pressure Ulcer Prevention … Root Cause Analysis for New Pressure Ulcers 
   
 X 
 
 
 6. … Weekly Risk Meetings (e.g., Pressure Ulcer Risk, Nutrition Risk) 
   
 X 
 
 
 On-Time Pressure Ulcer … pressure ulcers. … Focusing on persons with new pressure ulcers.
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/menu.html
December 01, 2017 - 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. … Root cause analysis for new pressure ulcer development 
   
   
 
 
 9.
                                     
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals 
 3. … Frequent small repositioning shifts can help prevent pressure ulcers. … Dehydration is a common problem predisposing patients to pressure ulcers. … ulcers despite implementation of pressure ulcer prevention bundles: Shanks HT, Kleinhelter P, Baker … Prevention and treatment of pressure ulcers: clinical practice guideline.
                                     
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals 
 3. … Frequent small repositioning shifts can help prevent pressure ulcers. … Dehydration is a common problem predisposing patients to pressure ulcers. … ulcers despite implementation of pressure ulcer prevention bundles: Shanks HT, Kleinhelter P, Baker … Prevention and treatment of pressure ulcers: clinical practice guideline.
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/resources.html
December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention 
 
 
 
 Additional Resources … Evaluation of AHRQ's On-Time Pressure Ulcer Prevention Program: a facilitator-assisted clinical decision … ulcers. … Pressure ulcer plan is working.  Provider  2008;34(5):34-9. … Return to Pressure Ulcer Prevention
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/impmenu.html
December 01, 2017 - Menu of Implementation Strategies 
 
 
 
 AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer … The menu provides possible uses for the reports with, in this case, a focus on pressure ulcer healing … ulcers or pressure ulcers at risk for delayed healing 
   
   
 
 
 Skin rounds 
   
   
 
 
 Weekly … new pressure ulcers or delayed healing pressure ulcers 
   
   
 
 
 Weekly risk meeting 
   
   … Ulcer Counts by Month Report 
 
 
 Root cause analysis for new pressure ulcers or delayed healing pressure
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/ereports.html
December 01, 2014 - Ulcer Trigger Summary Reports 
 There are two Pressure Ulcer Trigger Summary Reports: resident level … of a pressure ulcer. … On-Time Pressure Ulcer Trigger Summary Report (Unit Level) 
 
 
 
 Pressure Ulcer Triggers 
 Week 4 … ulcer risk, nutrition, and weight loss, and it alerts the nurse to new or worsening pressure ulcers. … Insights may lead to adjustment in the care plan to help prevent additional pressure ulcers from forming
                                     
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals 
 7. … 3C: Pressure Ulcer Identification Notepad 
 3D: The Braden Scale for Predicting Pressure Sore Risk … sores developing where tubing or mouthpieces are in contact with patient skin? … Most pressure ulcers can be avoided 
   
   
   
   
   
 
 
 8. … Pressure Ulcers: Facility Assessment Checklists.
                                     
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals 
 7. … 3C: Pressure Ulcer Identification Notepad 
 3D: The Braden Scale for Predicting Pressure Sore Risk … sores developing where tubing or mouthpieces are in contact with patient skin? … Most pressure ulcers can be avoided 
   
   
   
   
   
 
 
 8. … Pressure Ulcers: Facility Assessment Checklists.
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-1-ef.pdf
May 01, 2016 - ulcer risk using a standardized 
pressure ulcer risk assessment 
tool was documented within 
24 hours … ulcer development.1,2,3,4 
A pressure ulcer assessment tool should be applied in a standardized manner … ulcers as early as the first day of admission to the PICU.5  
Pressure ulcers cause significant financial … ulcer to be as high as $70,000.9
Additionally, pressure ulcers potentially lead to infection, pain … Are pressure ulcers preventable? A survey of experts.
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts4.html
December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention 
 
 
 
 Handouts: Overview … On-Time Pressure Ulcer Prevention to change team. … ulcers, prevention practices, and process for root cause review. … ulcers. … End of 9th month-12 th  month 
 
 
 
 
 Return to Contents 
 Return to Pressure Ulcer Prevention
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/ereports.html
December 01, 2017 - On-Time Existing Pressure Ulcers Report 
 Table 1: Sample On-Time Existing Pressure Ulcers Report … Ulcer Report and Pressure Ulcers At Risk for Delayed Healing Report . … Level 
 Pressure Ulcer Count by Unit 
Facility Level 
Month: January 2014 
 
 
 
   
 All Pressure Ulcers … ulcer that developed during the month (this includes residents who had one or more pressure ulcers at … ulcer and developed one) 
 Number of all current residents 
 
 
 Pressure Ulcers That Have Declined
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
January 01, 2012 - Ulcer 
Why Focus on Pressure Ulcers? … hospital patients may have pressure ulcers at any one time.2 
•	 Hospital-acquired pressure ulcer complications … for pressure ulcers and pressure 
ulcer risk (using Braden Scale or other tool) upon 
admission and every … Sore 
Risk http://www.bradenscale.com/images/bradenscale.pdf 
•	 Pressure Ulcer Scale for Healing ( … Ulcer
	Why Focus on Pressure Ulcers?
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/erepguide-slides.html
December 01, 2017 - : On-Time Pressure Ulcer Prevention 
 Introduction to Pressure Ulcer Prevention Reports 
 
Slide 2: Pressure … # pressure ulcers. … # Pressure Ulcers. … ulcer development due to an increase in pressure ulcer risk factors or triggers from the prior week. … Alerts the nurse to new or worsening pressure ulcer.
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/impguide.html
December 01, 2014 - How the staff changes care plans to intervene early on those risks to prevent pressure ulcers from forming … Ulcer Prevention can help them reduce pressure ulcers. … , what huddles and team meetings are used to discuss pressure ulcer risk factors or pressure ulcer prevention … , and what they do to identify the root cause of new pressure ulcers. … will begin to pilot in specific huddles or clinical meetings to help prevent pressure ulcers.
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/impsteps.html
January 01, 2017 - Ulcer Assessment and Pressure Ulcer Healingreports 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 … Agree To Use On-Time Pressure Ulcer Healing Module 
   
 
 
 2. … Review Pressure Ulcer Healing Rates 
 As required 
 
 
 16.