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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impsteps.docx
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
Implementation Steps and Timeline … The goal of the On-Time program is to incorporate the On-Time reports into day-to-day prevention activities … Ulcer Assessment and Pressure Ulcer Healing reports 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
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/getready.html
October 01, 2017 - Pressure Injury Prevention Program Implementation Guide
Get Ready
Previous Page Next Page … Pressure Injury Prevention Program Phases
Appendix A. … Program, review Section 1 of AHRQ’s Pressure Ulcer Prevention Toolkit . … more about measurement, see the supplementary training webinars Wound Classification and Measuring Pressure … Ulcer Rates and Prevention Practices and the Learning Network webinar Measurement .)
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide4.html
October 01, 2017 - Additional Related Training Resources
Staff Roles and Training for Your Pressure Ulcer Prevention … Tool 2G: Pieper Pressure Ulcer Knowledge Test. … Ulcer Prevention Program. … Pressure Ulcer Knowledge Test is administered to staff to help determine their educational needs. … Instructor’s Note: Tool 2H: Pressure Ulcer Baseline Assessment, which is a shorter knowledge test, is
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar4_pu_skinassesst_final.pdf
April 01, 2011 - • Provide data needed to calculate pressure
ulcer incidence and prevalence.
• Stratify risk. … – Patients with existing pressure ulcers are at risk
for more. … For each patient, record—
• Whether he/she has pressure ulcers
• How many pressure ulcers he/she has … Preventing pressure ulcers in hospitals: a
toolkit for improving quality of care. … – Tool 3A: Pressure Ulcer Prevention Pathway for Acute Care
– Tool 3C: Pressure Ulcer Identification
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www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
January 01, 2025 - A PUP CONOPs outlined key operational
needs, metrics, and use cases for pressure ulcer prevention. … ulcer prevention. … ulcer prevention. … Ulcer Prevention
system. … Ulcer Prevention
system.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
June 02, 2025 - Measuring pressure injury prevention practices. … 35
Which Prevention Practices
Should Be Measured? … Care plan addressing every deficit on pressure ulcer risk factor assessment has been developed and is … 46
Next Steps
Over the next several weeks, we will meet weekly to refine your Action Plan for the Pressure … Ulcer Prevention Program.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
December 01, 2014 - PowerPoint Presentation
AHRQ’s Safety Program for
Nursing Homes:
On-Time Pressure Ulcer Prevention … Facilitator Training
Overview of On-Time
On-Time Pressure Ulcer Prevention Facilitator Training
2-day … Ulcer Prevention
Pressure Ulcer Healing
Falls Prevention
Prevention of Avoidable Hospitalizations
December … ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation
December 2014
On-Time Overview … Ulcer Prevention Reports:
Nutrition Risk Report
Risk criteria
Meal consumption
Weight loss
Trigger
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www.ahrq.gov/prevention/guidelines/archive.html
July 01, 2018 - Pressure Ulcer Prevention
Clinical Guide / Quick Reference Guide
Consumer Version: English / … Pressure Ulcer Treatment
Clinical Guide / Quick Reference Guide
Consumer Version: English / Spanish
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
June 02, 2025 - ulcer prevention training. … ulcers, pressure ulcers that are not healing
appropriately, falls, and preventable hospitalizations … For example:
Pressure Ulcer Prevention has been pilot tested in more than
50 nursing homes across … the country; several studies have
shown significant reductions in pressure ulcer incidence
rates … when On-Time pressure ulcer prevention reports were
integrated into day-to-day workflow
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
June 02, 2025 - 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 to staff, and who will be in charge … Ulcer Policies (completed by the Implementation Team Leader)
Tool 2E: Assessing Screening for Pressure … Ulcer Risk (completed by the Implementation Team Leader or designee)
Tool 2F: Assessing Pressure Ulcer
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2024.xlsx
January 01, 2024 - Ulcer Communication 167 2.2%
Pressure Ulcer Data * *
Pressure Ulcer Environment 29 0.4%
Pressure … 0.3%
Pressure Ulcer Staff qualifications 184 2.4%
Pressure Ulcer Supervisor/Support * *
Pressure … Gen_7
Near Miss Prevention Actions within Event Types
Event Type Near Miss Prevention Action Event … * *
Pressure Ulcer UNK Female Unknown Harm * *
Pressure Ulcer UNK Male Mild Harm 63 75.0%
Pressure … Ulcer UNK Male Moderate Harm * *
Pressure Ulcer UNK Male No Harm 17 20.2%
Pressure Ulcer UNK Male
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
November 01, 2017 - version of On-Time introduction is for training Facilitators who have not had pressure ulcer prevention … It is more difficult for staff to identify which residents are at risk for a fall or pressure ulcer or … ulcers, pressure ulcers that are not healing appropriately, falls, and preventable hospitalizations. … For example:
Pressure Ulcer Prevention has been pilot tested in more than 50 nursing homes across … On-Time pressure ulcer prevention reports were integrated into day-to-day workflow.
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www.ahrq.gov/talkingquality/translate/labels/describe.html
January 01, 2023 - Overall, the rate of patients who have pressure ulcers at MGH is low. … We achieve this by focusing on prevention. … They are also supported in their work toward pressure ulcer prevention by their local Clinical Nurse … Bed surface is a key factor in preventing pressure ulcers. … The highest percentage of pressure ulcers occur in our intensive care areas where our patients have complex
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www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
June 01, 2018 - Reducing the Incidence of Pressure Ulcers
For the hospitalized and home care patient, pressure ulcers … , or bed sores, can be a serious and chronic problem. … , and treatment of pressure ulcers ( Bergstrom, 1992 ; Bergstrom, 1994 ). … The VA viewed pressure ulcer development as an ideal indicator because they are common, required the … The rate of pressure ulcer development dropped from 11.5 percent to zero.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
June 02, 2025 - (Tool 2C)
Present the assessment of current pressure injury prevention policies and procedures. … Relationships
Unit-Based Team
Staff on the unit who provide daily care to patients, including skin and pressure … ulcer assessment and care planning
Wound Care Team
Interdisciplinary group
of experts who provide … patient/family
Implementation Team
Interdisciplinary team charged with designing and implementing pressure … ulcer change project
13
Assess Current Pressure Injury Processes
Understand current
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/factraining.html
September 01, 2017 - ulcer prevention training. … It is more difficult for staff to identify which residents are at risk for a fall or pressure ulcer or … ulcers, pressure ulcers that are not healing appropriately, falls, and preventable hospitalizations. … For example:
Pressure Ulcer Prevention has been pilot tested in more than 50 nursing homes across … On-Time pressure ulcer prevention reports were integrated into day-to-day workflow.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
June 02, 2025 - ulcer prevention
training. … ulcers, pressure ulcers that are not
healing appropriately, falls, and preventable hospitalizations … For example:
• Pressure Ulcer Prevention has been pilot tested in more than
50 nursing homes across … On-Time pressure ulcer prevention reports were
integrated into day-to-day workflow … • Pressure Ulcer Healing, Falls, and Avoidable Hospitalization
reports and worksheets have been
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining-slides.html
October 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training
Overview … Training
Overview of On-Time
Slide 2: On-Time Falls Prevention Facilitator Training
2-day … Slide 6: On-Time Reports for Four Adverse Events
Four Reports
Pressure Ulcer Prevention
Pressure … Ulcer Healing
Falls Prevention
Preventable Hospital and ED Visits
Slide 7: Common Elements … Large decline in pressure ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation.
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www.ahrq.gov/hai/pfp/hacrate2013.html
January 01, 2018 - The estimated cost per pressure ulcer was based on a report for CMS by RTI international (Kandilov, et … ulcers and matched patients without hospital-acquired Stage III and IV pressure ulcers, based on bivariate … Zhan and Miller estimated that excess mortality due to pressure ulcers was 72 deaths per 1,000 pressure … Mortality for patients with pressure ulcer was compared to mortality among a matched set of patients, … For example, pressure ulcers had a high baseline prevalence, and excess mortality attributed to pressure
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www.ahrq.gov/hai/pfp/interimhacrate2013.html
November 01, 2015 - The estimated cost per pressure ulcer was based on a report for CMS by RTI international (Kandilov, et … ulcers and matched patients without hospital-acquired Stage III and IV pressure ulcers, based on bivariate … Zhan and Miller estimated that excess mortality due to pressure ulcers was 72 deaths per 1,000 pressure … Mortality for patients with pressure ulcer was compared to mortality among a matched set of patients, … For example, pressure ulcers had a high baseline prevalence, and excess mortality attributed to pressure