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www.ahrq.gov/patient-safety/settings/long-term-care/resource/reviews.html
August 01, 2018 - Versus Institutional Care
Nonpharmacologic Interventions for Agitation and Aggression in Dementia
Pressure … Ulcer Risk Assessment and Prevention: Comparative Effectiveness
Pressure Ulcer Treatment Strategies
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
September 01, 2011 - Unfortunately, likely secondary to an infection of the pressure ulcer, she developed septic shock and … Pressure Ulcers in America: Prevalence, Incidence, and Implications for the Future. … Reston, VA: National Pressure Ulcer Advisory Panel; 2001. … RN staffing time and outcomes of long-stay nursing home residents: pressure ulcers and other adverse … Organizations can monitor their rates of falls, pressure ulcers, infections, unplanned hospitalizations
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digital.ahrq.gov/sites/default/files/docs/page/reduction-in-hospital-acquired-complications-and-infections-quick-reference-guide.pdf
January 01, 2010 - costs.17 In one hospital system, the Braden Scale for
Predicting Pressure Sore Risk was implemented … ulcer. … Pressure ulcers among the elderly. N
Engl J Med 1989;320:850-3.
17. … Reducing hospital-acquired
pressure ulcer prevalence through a focused
prevention program. … Predicting
pressure ulcer risk: a multistate study of the
predictive validity of the Braden Scale
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0251_05-20-2010.pdf
January 01, 2010 - Staff-Generated PICOS:
Population(s): Patients at risk of developing pressure ulcers and patients with … pressure
ulcers
Intervention(s): Identification of patients at risk for, prevention, and treatment … How effective are the various pressure ulcer prevention strategies? … What are the benefits and harms of pressure ulcer treatment regimens including the
evidence for treatment … Prevention and early detection are necessary for the successful management of pressure ulcers.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
October 01, 2017 - Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System: Revised Pressure Injury … Incidence and prevalence of pressure ulcers. In: Thomas D, Compton M, eds. … Pressure ulcers in the aging population: a guide for clinicians . … Skin assessment in dark pigmented skin: a challenge in pressure ulcer prevention . … Pressure Ulcer Advisory Panel (EPUAP) define a pressure injury as:
Localized damage to the skin
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - Cross-references to other resources:
• Pressure Ulcer Reduction, #5, Pressure Ulcer Baseline Assessment … Survey for Registered
Nurses and Nursing Assistants
• Pressure Ulcer Reduction, #7, Pressure Ulcer … : A Nursing Competency-Based Curriculum
Pressure Ulcer Prevention Points
Preventing Pressure Ulcers Turn … How-To Guide: Prevent Pressure Ulcers
5. … Preventing Pressure Ulcers Turn Clock Tool
9.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Pressure_Injury_Dashboard_Data_2025.xlsx
January 01, 2025 - Introduction
Introduction - Pressure Injury
The tables in this workbook present data on Pressure Ulcer … Documented Increased Risk for Pressure Injury
answer Frequency Percentage
At increased risk for pressure … ulcer 4484 72.9%
Not at increased risk for pressure ulcer 1004 16.3%
Unknown 666
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3b_combo_resultspresentation.pdf
June 02, 2025 - However, Pressure Ulcers (PSI 03) occur at higher rates than the
national average – this may be an area … Ulcers (PSI 03) and how this
particular hospital performed over time … 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)
http://www.qualityindicators.ahrq.gov/Modules/PSI_TechSpec.aspx … Ulcer (PSI 03)
Comparing Performance Over Time
Slides below are only applicable for ICD-9 versions
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides1.html
October 01, 2017 - Ulcer Policy Assessment. … Slide 13: Preventing Pressure Ulcers in Hospitals Toolkit
Toolkit Sections:
Is your hospital … Image: Cover of Preventing Pressure Ulcers in Hospitals Toolkit. … Source: AHRQ Preventing Pressure Ulcers in Hospitals Toolkit. … Preventing in-facility pressure ulcers.
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psnet.ahrq.gov/issue/barriers-and-facilitators-reporting-medical-device-related-pressure-ulcers-qualitative
April 07, 2019 - Study
Barriers and facilitators to reporting medical device-related pressure ulcers … Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration … Hospital-acquired pressure ulcers, categorized as a never event, are underreported , particularly when … Interviews with experts in hospital-acquired pressure ulcers revealed four domains related to reporting … Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration
-
hcup-us.ahrq.gov/reports/statbriefs/sb3.pdf
April 01, 2006 - HCUP Statistical Brief #3: Hospitalizations Related to Pressure Sores, 2003
HEALTHCARE … Findings
Pressure sores, or decubitus ulcers, are increasingly common in
U.S. hospitalizations. … burden of hospitalizations related to pressure sores (figure 1). … sores
More than 90 percent of all hospital stays involving the treatment of pressure sores were for … The ICD-9-CM code defining pressure sore is 707.0, Decubitus Ulcer.
2
Unit of analysis
The unit
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide2.html
October 01, 2017 - Ulcer Policies
Tool 2E: Assessing Screening for Pressure Ulcer Risk
Tool … 2F: Assessing Pressure Ulcer Care Planning
Alert the Implementation Team Leader to … be ready to discuss and decide who will oversee administering the Pieper Pressure Ulcer Knowledge Test … Tool 2D: Assessing Current Pressure Ulcer Policies (completed by the Implementation Team Leader). … Tool 2E: Assessing Screening for Pressure Ulcer Risk (completed by the Implementation Team Leader or
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises5.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training—Additional … Return to Additional Exercises Contents
Proceed to Next Section
Return to Pressure Ulcer Prevention
-
www.ahrq.gov/es/tools/index.html?page=2
January 01, 2018 - records system with tools to effectively monitor and manage pressure ulcers. … Clinical reports provide information about the number and types of pressure ulcers that residents have … Ulcer Prevention
The Agency for Healthcare Research and Quality (AHRQ) created On-Time Pressure … pressure ulcers. … Pressure ulcers remain a serious problem in nursing homes despite regulatory and market approaches to
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15.html
February 01, 2023 - Ulcer
3,341
3,555
3,254
3,604
Injurious Falls
429
263
406
260
Dually Eligible … Ulcer
3,678
4,011
3,589
4,072
Injurious Falls
520
339
493
336
Medicaid-Only … Ulcer
4,049
4,237
4,031
4,256
Injurious Falls
778
456
729
451
HCBS … Ulcer
3,678
4,011
3,589
4,072
Injurious Falls
520
339
493
336
Medicaid-Only … Ulcer
4,049
4,237
4,031
4,256
Injurious Falls
778
456
729
451
Notes
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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
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training—Additional … above
All of the above
Residents who display on the Nutrition Report: High Risk must have a pressure … ulcer. … ulcer rates ≥10%. … Return to Additional Exercises Contents
Proceed to Next Section
Return to Pressure Ulcer Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Aydin_2.pdf
January 01, 2021 - Pressure ulcer prevalence variables
• Percent of patients with any ulcers. … • Percent of patients with hospital-acquired pressure ulcers (all stages) … • Percent of patients with hospital-acquired pressure ulcers stages III & IV only. … CalNOC’s pressure ulcer
measurement guidelines were revised in 2007 to match the National Pressure Ulcer … Getting started kit: Prevent pressure ulcers how-to
guide.
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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
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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