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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.pdf
January 01, 2004 - Ulcer Policies 
2E: Assessing Screening for Pressure Ulcer Risk  
2F: Assessing Pressure Ulcer Care … sores developing where tubing or mouthpieces are in contact with 
patient skin? … preventing and managing pressure ulcers. … ulcers 
    
 
2F: Assessing Pressure Ulcer Care Planning 
Background: This tool can be used to … Sore Risk 
Background: This tool can be used to identify patients at-risk for pressure ulcers.
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/pressureulcer.html
December 01, 2017 - Pressure Ulcers 
 
 
 
 Long-term care resources about pressure ulcers 
 AHRQ's Safety Program for Nursing … Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving Quality of Care 
Each year, more than … 2.5 million people in the United States develop pressure ulcers. … The aim of this toolkit is to assist hospital staff in implementing effective pressure ulcer prevention
                                     
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals 
 5. … ulcer rates and practices. 
 5.1 Measuring pressure ulcer rates 
 5.1.1 Why measure pressure ulcer rates … In measuring pressure ulcer rates, you will be counting the number of patients with pressure ulcers. … This form notes whether there is a pressure ulcer, the number of different pressure ulcers, their location … pressure ulcer status.
                                     
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals 
 5. … ulcer rates and practices. 
 5.1 Measuring pressure ulcer rates 
 5.1.1 Why measure pressure ulcer rates … In measuring pressure ulcer rates, you will be counting the number of patients with pressure ulcers. … This form notes whether there is a pressure ulcer, the number of different pressure ulcers, their location … pressure ulcer status.
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/erepguide.pdf
March 22, 2014 - ulcers. … Number of Pressure Ulcers. … Does not indicate 
how many pressure ulcers. … ulcer risk, such as nutrition and weight loss, and alert the 
nurse to new or worsening pressure ulcers … Vital Signs 
 Number of Pressure Ulcers. This is a count of unique 
pressure ulcers.
                                     
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psnet.ahrq.gov/issue/organisational-strategies-implement-hospital-pressure-ulcer-prevention-programmes-findings
June 02, 2021 - Study 
 
 
 
 
 
 
 
 
 
 Organisational strategies to implement hospital pressure ulcer prevention programmes … Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a … Hospital-acquired  pressure ulcers  are considered a  never event  and can result in  loss of payment … Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a … Ulcers 
 
 
 
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/care/resources/ontime/pruprev/saworksheet.html
December 01, 2017 - ulcers and identify gaps and places for improvement. … ulcers. … Self-Assessment Worksheet for Pressure Ulcer Prevention 
 Section 1: Screening for Pressure Ulcer Risk … History of pressure ulcers 
 ___ 
 ___ 
 
 
 h.  … ulcers?
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/impmaterials.html
December 01, 2017 - Pressure Ulcer Prevention Menu of Implementation Strategies . … ulcer risk, prevent pressure ulcers from occurring, prioritize residents who may need changes in care … Description 
 There are four sections: screening for pressure ulcer risk, pressure ulcer risk prevention … ulcers. … Return to Pressure Ulcer Prevention
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts3.html
December 01, 2017 - Root Cause Analysis for New Pressure Ulcers 
   
   
 
 
    6. Skin Rounds 
   
   
 
 
    7. … Root Cause Analysis for New Pressure Ulcers 
   
   
 
 
    6. Skin Rounds 
   
   
 
 
    7. … Root Cause Analysis for New Pressure Ulcers 
   
   
 
 
    6. … Weekly Risk Meetings (e.g., Pressure Ulcer Risk, Nutrition Risk) 
   
   
 
 
 On-Time Pressure Ulcer … Root Cause Analysis for New Pressure Ulcers 
   
   
 
 
    7.
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/intro.html
November 01, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention 
 
 
 
 Introduction 
 This … materials used in preventing pressure ulcers in nursing homes. … Ulcer Prevention 
 
 
 2 
 Pressure Ulcer Prevention Menu of Implementation Strategies 
 
 
 3 
 Implementation … Pressure Ulcer Prevention Menu of Implementation Strategies . … Return to Pressure Ulcer Prevention
                                     
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/pressure-ulcer-prevention_disposition-comments.pdf
May 08, 2013 - Pressure sore risk 
assessment in palliative care. … Ek AC, Unosson M, Larsson J, Von Schenck H, Bjurulf P: 
The development and healing of pressure sores … Hartgrink HH, Wille J, Konig P, Hermans J, Breslau PJ: 
Pressure sores and tube feeding in patients with … of pressure ulcers.” … ulcer incidence for elderly nursing home residents and should 
be used to help prevent pressure ulcers
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impsteps.pdf
June 02, 2025 - Ulcer Assessment 
and Pressure Ulcer Healing reports are in the system. … ulcers, pressure ulcer healing practices, and communication 
processes. … Agree To Use On-Time Pressure Ulcer Healing 
Module 
 
2. … Review Pressure Ulcer Healing Rates As required 
16. … Ulcer Healing
	Implementation Steps and Timeline
	Step 1: Agree To Use On-Time Pressure Ulcer Healing
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facguide.html
December 01, 2017 - changes in the characteristics of pressure ulcers that indicate probable infection or delayed healing … The On-Time reports can be used to guide root cause analysis of why some pressure ulcers are not healing … ulcers. … More accurate assessments of changes in pressure ulcers are needed. … other wound meetings discuss residents with pressure ulcers.
                                     
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts3.html
December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention 
 
 
 
 Pressure Ulcer Prevention … Ulcers 
   
 X 
 
 
 Weekly Nutrition Risk Huddle 
 X 
   
 
 
 Weekly Risk Meetings (e.g., Pressure … Ulcer Risk, Nutrition Risk) 
   
 X 
 
 
 On-Time Pressure Ulcer Trigger Summary Report: Resident Level … Ulcers 
   
 X 
 
 
 Weekly Risk Meetings (e.g., Pressure Ulcer Risk, Nutrition Risk) 
   
 X … Units may be selected based on having high pressure ulcer rates.
                                     
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psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings
February 05, 2020 - Study 
 
 
 
 
 
 
 
 
 
 Accuracy of pressure ulcer events in US nursing home ratings. … Accuracy of pressure ulcer events in US nursing home ratings. … This study compared seven years of self-reported pressure ulcer data with claims-based data for pressure … Accuracy of pressure ulcer events in US nursing home ratings. … Ulcers 
  Epidemiology of Errors and Adverse Events 
 
 
 
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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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psnet.ahrq.gov/node/49615/psn-pdf
December 01, 2010 - Not all pressure ulcers are avoidable, but every pressure ulcer occurring in hospitals today should provide … Take-Home Points
Pressure ulcers continue to occur despite national focus on pressure ulcer prevention … Hip fracture and pressure ulcers – the Pan-European
Pressure Ulcer Study – intrinsic and extrinsic risk … Etiology of decubitus ulcers. Arch Phys Med Rehabil. 1961;42:19-29. [go to PubMed]
13. … How elderly patients with femoral fractures develop pressure sores in hospital.
                                     
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2012
January 01, 2012 - Evaluation of AHRQ’s On-Time Pressure Ulcer Program - 2012 
 
 
 
 
 
 
 
 Project Name 
 
 Evaluation … of AHRQ's On-time Pressure Ulcer Program 
 
 
 
 Principal Investigator 
 
 Hurd, Donna 
 
 
 
 Organization … Although substantial research has documented that preventing pressure ulcers and falls is possible, these … In response, AHRQ funded a rigorous evaluation of the On-Time Pressure Ulcer program. … A training curriculum for the On-Time Pressure Ulcer program was developed and tested.
                                     
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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