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161. Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization | Agency for Healthcare Research and Quality
     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

162. PowerPoint Presentation
     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

163. Generic Dashboard Data 2024 (xls file)
     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

164. Best Practices in Pressure Injury Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
     November 20, 2014 - Best Practices in Pressure Injury Prevention Best Practices in Pressure Injury Prevention ADD Hospital … documentation forms Lacking ways to empower staff to report abnormal skin findings: Consider using Tool 3C: Pressure … Ulcer Identification Pocket Pad. 11 ID Pocket Pad Tool 3C 12 Practice Insight Or note location … 27 Practice Insight EHR Care Plans Triggered Based on Risk Assessment Braden Scale for Predicting Pressure … Sore Risk SENSORY PERCEPTION 1.

165. Generic Dashboard Data 2023 (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2023.xlsx
     January 01, 2023 - Ulcer Unknown 8 60,021 0.0% Pressure Ulcer Other location 1,109 60,021 1.9% Pressure Ulcer Outside … Pressure Ulcer Environment 38 10,940 0.4% Pressure Ulcer Data 810 10,940 7.4% Pressure Ulcer Communication … Gen_7 Near Miss Prevention Actions within Event Types Event Type Near Miss Prevention Action Count … Pressure Ulcer UNK Female No Harm 21 86 24.4% Pressure Ulcer UNK Female Unknown Harm 2 86 2.3% Pressure … Ulcer UNK Male Moderate Harm 1 83 1.2% Pressure Ulcer UNK Male Mild Harm 63 83 75.9% Pressure Ulcer

166. Final Progress Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste (pdf file)
     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.

167. Module 2: How To Manage Change (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
     August 31, 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 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

168. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/3.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) 3.3. … Return to Functional Specifications Contents   Proceed to Next Section Return to Pressure Ulcer Prevention

169. Describe How a Plan or Provider Can Influence a Quality Measure | Agency for Healthcare Research and Quality
     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

170. Carbapenem-Resistant Enterobacteriaceae (CRE) Control and Prevention Toolkit | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/patient-safety-resources/cre-toolkit/cretoolkit-tool2b.html
     April 01, 2014 - Enterobacteriaceae (CRE) Control and Prevention Toolkit Introduction Section 1. … you find that your organization has fully operationalized quality improvement processes, connect the pressure … ulcer prevention initiative with these existing processes. … If some processes are missing, advocate for them to be put into place in the context of the pressure … ulcer initiative.

171. QI Guide on Improved Nursing Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/monahrq/myqi/nursing.html
     November 01, 2020 - Ulcers Each year, more than 2.5 million people in the United States develop pressure ulcers. ii Prevention … AHRQ toolkit to prevent pressure ulcers in hospitals   Preventing and Managing Pressure Ulcers from … the Evidence-Based Handbook for Nurses iii Pressure Ulcer Training from the National Database of … Agency for Healthcare Research and Quality, Rockville, MD. ii Preventing Pressure Ulcers in Hospitals … http://www.ahrq.gov/professionals/systems/long-term-care/resources/pressure-ulcers/pressureulcertoolkit

172. From Quality Measures to Quality Care: Examples of Quality Improvement at Work | Agency for Healthcare Research and Quality
     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.

173. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises4.html
     December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training—Additional … a a a f e Return to Additional Exercises Contents Proceed to Next Section Return to Pressure … Ulcer Prevention Alternate Formats Additional Exercises [ - 948.29 KB]

174. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
     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

175. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention - Facilitator Training: Overview of On-Time (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
     November 06, 2017 - 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

176. How To Manage Change
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
     November 20, 2014 - (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

177. Hospital Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/about.html
     December 01, 2017 - Fall Prevention in Hospitals Training Program AHRQ developed the Fall Prevention in Hospitals Training … Ulcers in Hospitals Toolkit . … Preventing Pressure Ulcers in Hospitals 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

178. Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms | Agency for Healthcare Research and Quality
     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

179. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
     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.

180. How To Measure Pressure Injury Rates and Prevention Practices
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
     July 02, 2008 - 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.