- 
                                        
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/impmenu.html
January 01, 2015 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention 
 
 
 
 Implementation Materials … They are: 
 
 Self-Assessment Worksheet for Pressure Ulcer Prevention 
 Pressure Ulcer Prevention Menu … Menu of Implementation Strategies Overview 
 Purpose 
 The Pressure Ulcer Prevention Menu of Implementation … Description 
 The Pressure Ulcer Prevention Menu of Implementation Strategies lists possible meetings … Return to Pressure Ulcer Prevention
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts.html
December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention 
 
 
 
 Facilitator Training—Handouts … Ulcer 
 # of Triggers Last Week 
 # of Triggers This Week 
 
 
 Res1 
 330 
   
   
   
 X 
 X 
 X … (a) representing an increase, (b), a decrease, and (c), no change in weekly pressure ulcer trigger prevalence … ulcers 
 0 
 1 
 2 
 2 
 
 
 Temperature 
   
 99.2 
   
   
 
 
 Pulse 
 82 
 88 
 90 
 100 
 
 
 Respirations … Return to Contents 
 Proceed to Next Section 
 Return to Pressure Ulcer Prevention
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-electronic-reports.pdf
February 10, 2014 - Existing Pressure Ulcers Report 
Table 1: Sample On-Time Existing Pressure Ulcers Report  
On-Time … Ulcer Report and Pressure Ulcers At Risk for Delayed Healing Report. … residents 
Residents With New Pressure 
Ulcers 
Number of current residents with a 
pressure ulcer … ulcer and developed one) 
Number of all current 
residents 
Pressure Ulcers That Have 
Declined in … Existing Pressure Ulcers Report
	Note: POA* indicates that the pressure ulcer was present on admission
                                     
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
August 01, 2017 - Preventing Pressure Ulcers in Hospitals 
 Section 7. … Pressure Ulcers: Facility Assessment Checklists. … ulcers 
 
 
   
   
   
     
 
 
 
 Top of Page 
   
 2F: Assessing Pressure Ulcer Care Planning … Pressure Ulcers: Facility Assessment Checklists. … Assessment of Pressure Ulcer Care Plan 
 Does the care plan for pressure ulcers address all the areas
                                     
                                                                    - 
                                        
www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
August 01, 2017 - Preventing Pressure Ulcers in Hospitals 
 Section 7. … Pressure Ulcers: Facility Assessment Checklists. … ulcers 
 
 
   
   
   
     
 
 
 
 Top of Page 
   
 2F: Assessing Pressure Ulcer Care Planning … Pressure Ulcers: Facility Assessment Checklists. … Assessment of Pressure Ulcer Care Plan 
 Does the care plan for pressure ulcers address all the areas
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/functspecs3.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 
 3.1. … not documenting pressure ulcer assessments in the EMR, then leave cell BLANK. … pressure ulcer assessment. … # Pressure Ulcers 
 Nurse documentation of pressure ulcer assessment 
 Count the number of unique
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/saworksheet.docx
June 02, 2025 - On-Time Pressure Ulcer Prevention
Self-Assessment Worksheet for Pressure Ulcer 
The Self-Assessment Worksheet … ulcers and identify gaps and places for improvement. … ulcers, 
Identifies how they develop interventions to prevent pressure ulcer formation, 
Identifies … History of pressure ulcers
	
	
	h.	Paralysis
	
	
6. … Are there any particular obstacles or challenges to investigating the root cause of pressure ulcers?
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/functspecs.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention 
 
 
 
 Functional Specifications … Functional Specs for Pressure Ulcer Prevention 
 2.0. Pressure Ulcer Prevention Reports 
 3.0. … Specifications for Each Pressure Ulcer Prevention Report 
    3.1. … Functional Specs for Pressure Ulcer Prevention 
 This document describes the functional and high-level … system requirements for each clinical report included in On-Time Pressure Ulcer Prevention.
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts.html
April 01, 2016 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention 
 
 
 
 Facilitator Training—Handouts … : Introduction to Pressure Ulcer Prevention Reports 
   Contents 
 Sample Nutrition Report: High Risk … (a) representing an increase, (b), a decrease, and (c), no change in weekly pressure ulcer trigger prevalence … ulcers 
 0 
 1 
 2 
 2 
 
 
 Temperature 
   
 99.2 
   
   
 
 
 Pulse 
 82 
 88 
 90 
 100 
 
 
 Respirations … Ulcer Prevention 
 
 
 
 
 
 
 Alternate Formats 
 
 Handouts  [  - 752.61 KB]
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.pdf
July 01, 2016 - Ulcer Counts by Month 
Root cause analysis for new pressure ulcers or ulcers at risk 
for delayed healing … Ulcer 
Report 
Pressure 
Ulcers At 
Risk for 
Delayed 
Healing 
Weekly 
Wound 
Rounds 
Report … Ulcers At 
Risk for 
Delayed 
Healing 
Weekly 
Wound 
Rounds 
Report 
Weekly 
Pressure Ulcer 
Treatment … Ulcer 
Report 
Pressure 
Ulcers At 
Risk for 
Delayed 
Healing 
Weekly 
Wound 
Rounds 
Report … QAA Coordinator: The Existing Pressure Ulcers Report and the Pressure Ulcer Counts by 
Facility and
                                     
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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
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time  
Pressure Ulcer Healing 
Menu of Implementation Strategies … ulcers or pressure ulcers at risk for 
delayed healing 
  
Skin rounds   
Weekly nutrition risk huddle … Ulcer Treatment Report 
Rehab Department internal review   
Root cause analysis for new pressure ulcers … or delayed healing pressure 
ulcers 
  
Weekly risk meeting   
Weekly wound review meetings   
Weekly … by Month Report 
Root cause analysis for new pressure ulcers or delayed healing pressure 
ulcers
                                     
                                                                    - 
                                        
www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/intro.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals 
 Overview 
 
 
 
 
 Previous Page Next Page 
 
 Table of Contents … Preventing Pressure Ulcers in Hospitals 
 Overview 
 Key Subject Area Index 
 1. … people in the United States develop pressure ulcers. … The Challenges of Pressure Ulcer Prevention 
 Pressure ulcer prevention requires an interdisciplinary … 4.1 What roles and responsibilities will staff have in preventing pressure ulcers? 
   
                                     
                                                                    - 
                                        
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/intro.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals 
 Overview 
 
 
 
 
 Previous Page Next Page 
 
 Table of Contents … Preventing Pressure Ulcers in Hospitals 
 Overview 
 Key Subject Area Index 
 1. … people in the United States develop pressure ulcers. … The Challenges of Pressure Ulcer Prevention 
 Pressure ulcer prevention requires an interdisciplinary … 4.1 What roles and responsibilities will staff have in preventing pressure ulcers? 
   
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-2-tech-specs.pdf
December 14, 2011 - Pressure ulcers in neonates and children: An NPUAP white paper. … Are pressure ulcers preventable? A survey of experts. … Pressure ulcers in pediatric intensive care: Incidence and associated 
factors. … Under pressure:
 
Preventing pressure ulcers in critically ill infants. JSPN. … ulcer) and 
a skin assessment (to detect existing pressure ulcers).
                                     
                                                                    - 
                                        
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
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.docx
July 01, 2016 - Weekly we identify new pressure ulcers and their stage. … Ulcer Counts by Month
	Root cause analysis for new pressure ulcers or ulcers at risk for delayed healing … Ulcer Report
	Pressure Ulcers At Risk for Delayed Healing
	Weekly Wound Rounds Report
	Weekly Pressure … persons with new pressure ulcers. … QAA Coordinator: The Existing Pressure Ulcers Report and the Pressure Ulcer Counts by Facility and by
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.docx
June 02, 2025 - using reports is a list of potential ways facility teams may choose to integrate the 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 nutrition risk … ulcers or delayed healing pressure ulcers
	
	
	Weekly risk meeting
	
	
	Weekly wound review meetings … Ulcer Counts by Month Report
	Root cause analysis for new pressure ulcers or delayed healing pressure
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
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 … pressure ulcers 
showing signs of potential delayed healing. … : 
 Existing Pressure Ulcers Report 
 Pressure Ulcers at Risk for Delayed Healing Report 
 Weekly
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar6_pu_woundassesst.pdf
April 01, 2011 - Ulcers
• 9.1% of all identified 
pressure ulcers
• 11.9% of facility-
acquired pressure 
ulcers
Most … frequent locations
25
Anatomic Location
Percentage of 
Device-Related 
Pressure Ulcers
Ears 20% … Preventing 
pressure ulcers in hospitals: a toolkit for improving 
quality of care. … Ulcers From Other Sources of Pressure
	2009 Pressure Ulcer Definition
	Pressure
	Shear
	Pressure Ulcer … Ulcers
	Remember the Bariatric Patient
	Assess the Wound
	Pressure Ulcer Present
	Know Your Assessment