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181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866161/psn-pdf
     June 19, 2024 - accurate data capture interventions to improve rates of the composite PSI-90 and three individual PSIs (pressure … ulcers, postoperative PE/DVT, and postoperative sepsis). … Postoperative PE/DVT, postoperative sepsis, and composite PSI-90 all decreased, while pressure ulcer … psnet.ahrq.gov/primer/patient-safety-indicators https://psnet.ahrq.gov/issue/success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets

182. AHRQ's Safety Program for Nursing Homes | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/case.html
     December 01, 2017 - Ulcer Prevention Program. … Drop in Pressure Ulcers with AHRQ-Funded Program St. … ulcer development. … ulcer development. … ulcer outcomes.

183. 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

184. Puh-Impsteps (doc file)
     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

185. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
     November 01, 2016 - Training Overview of On-Time On-Time Pressure Ulcer Healing Facilitator Training Two-day training … Ulcer Prevention Pressure Ulcer Healing Reports in Development: Falls Prevention Prevention of Avoidable … ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation November 2016 On-Time Overview … Ulcer Healing Reports: Pressure Ulcers at Risk for Delayed Healing Weekly Wound Rounds Report Weekly … Pressure Ulcer Treatment Summary Report Pressure Ulcer Counts by Month Report November 2016 On-Time

186. 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]

187. Get Ready | Agency for Healthcare Research and Quality
     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 .)  

188. Pressure Injury Dashboard Data 2025 (xls file)
     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 … Yes 13824 77.1% HARM_BY_INTERVENTION Extent of Harm by Preventive Intervention Harm Scale Prevention

189. 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

190. Preventing pressure ulcers: the goal is zero. | PSNet
     psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
     September 30, 2010 - Commentary Preventing pressure ulcers: the goal is zero. … Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10. … ulcers. … Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10. … August 27, 2013 Preventing in-facility pressure ulcers as a patient safety strategy:

191. Conducting a Comprehensive Skin Assessment (pdf file)
     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

192. Clinical Practice Guidelines Archive | Agency for Healthcare Research and Quality
     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

193. 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

194. 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.

195. 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
     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.

196. Pressure Injury Prevention in Hospitals Training Program. | PSNet
     psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
     May 01, 2017 - Citation Text: Pressure Injury Prevention in Hospitals Training Program. … Pressure ulcers are a common hospital-acquired condition that can lead to patient harm . … ulcers. … September 6, 2013 Preventing in-facility pressure ulcers as a patient safety strategy … Ulcers Epidemiology of Errors and Adverse Events View More

197. 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
     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

198. Adverse and Temporary Harm Events in Long-Term-Care Hospitals (LTCH) Designated in Office of Inspector General Report1 as Clearly Preventable or Likely Preventable, by Clinical Category (pdf file)
     pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
     January 01, 2019 - ulcers • New sacrococcygeal pressure ulcer that progressed to stage 4 during LTCH stay • Pressure ulcer … ulcers • Stage 2 nasal pressure ulcer associated with face mask • Deep tissue injuries related to ace … • Sacral pressure ulcer • Stage 1 coccygeal pressure ulcer • Stage 1 facial pressure ulcer associated … with BiPAP mask • Stage 1 pressure ulcer heel • Stage 1 pressure ulcer on sacrum • Stage 1 sacral pressure … ulcer Page 9 of 9 • Stage 2 pressure ulcer of sacrum • Stage 2 pressure ulcer of sacrum • Suspected

199. Accelerating Change and Transformation in Organizations and Networks (ACTION) | Digital Healthcare Research
     digital.ahrq.gov/funding-mechanism/accelerating-change-and-transformation-organizations-and-networks-action
     January 01, 2023 - of Implementing Health Information Technology Evaluation of AHRQ's on-time pressure … ulcer prevention program: a facilitator-assisted clinical decision support intervention for nursing … Evaluation of AHRQ's on-time pressure ulcer prevention program: a facilitator-assisted clinical decision … Principal Investigator Hurd, Donna Project Name Evaluation of AHRQ's On-time Pressure … Ulcer Program Provider perceptions of colorectal cancer screening clinical decision

200. 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
     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