- 
                                        
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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psnet.ahrq.gov/node/45434/psn-pdf
September 22, 2017 - Organisational strategies to implement hospital pressure
ulcer prevention programmes: findings from … Organisational strategies to implement hospital pressure ulcer
prevention programmes: findings from … https://psnet.ahrq.gov/issue/organisational-strategies-implement-hospital-pressure-ulcer-prevention- … programmes-findings
Hospital-acquired pressure ulcers are considered a never event and can result in … https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
                                     
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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.
                                     
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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/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
                                     
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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.
                                     
                                                                    - 
                                        
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.
                                     
                                                                    - 
                                        
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
                                     
                                                                    - 
                                        
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.
                                     
                                                                    - 
                                        
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.
                                     
                                                                    - 
                                        
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.
                                     
                                                                    - 
                                        
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.
                                     
                                                                    - 
                                        
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.
                                     
                                                                    - 
                                        
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
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/47582/psn-pdf
December 12, 2018 - Success in hospital-acquired pressure ulcer prevention: a
tale in two data sets. … Success In Hospital-Acquired Pressure Ulcer Prevention: A Tale In
Two Data Sets. … Hospital-acquired pressure ulcers (HAPUs) are considered a never event, represent a significant source … ulcers. … ://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
                                     
                                                                    - 
                                        
pso.ahrq.gov/sites/default/files/wysiwyg/adverse-events-rehab-hospitals.pdf
July 01, 2016 - ulcer
• Progression of stage II pressure ulcer on buttocks to a stage IV pressure ulcer
• Progression … ulcers 
• Multiple, stage I pressure ulcers on sacrum, coccyx and buttocks 
• Stage I pressure ulcer … on buttocks
• Stage I pressure ulcer on heel
• Stage I/II pressure ulcer on leg due to poor-fitting … prosthesis
Page 4 of 4
• Progression of Stage I pressure ulcer on heel to Stage II
• Stage II pressure … ulcer on buttocks
• Stage I pressure ulcer on heels
• Stage II pressure ulcer at coccyx
• Stage I pressure