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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apc.html
October 01, 2017 - Staff Roles and Training for Your Pressure Ulcer Prevention Program
Presented by Elizabeth Ayello … Using Pressure Ulcer Risk Assessment Tools in Care Planning
Presented by Elizabeth Ayello, Ph.D., … Measuring Pressure Ulcer Rates and Prevention Practices
Presented by Karen Zulkowski, D.N.S., RN. … Risk Factors for Pressure Ulcers: Going Beyond Validated Instruments
Presented by Elizabeth Ayello … The Power of Nutrition for Pressure Ulcer Prevention
Presented by Mary D.
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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 … Step 1: Agree To Use On-Time Pressure Ulcer Healing
Nursing home leadership agrees to incorporate the … 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/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/patient-safety/settings/long-term-care/resource/ontime/pruprev/slides.html
December 01, 2014 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training … Slide 1: Overview of On-Time
AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention … Facilitator Training
Overview of On-Time
Slide 2: On-Time Pressure Ulcer Prevention Facilitator … Pressure Ulcer Healing.
Falls Prevention.
Prevention of Avoidable Hospitalizations. … Large decline in pressure ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apd.html
October 01, 2017 - Ulcer Policies
2E: Assessing Screening for Pressure Ulcer Risk
2F: Assessing Pressure Ulcer … Ask them to include an example of how to score using their risk assessment scale.
3A: Pressure Ulcer … Ulcer Identification Pocket Pad
3D: The Braden Scale for Predicting Pressure Sore Risk
Mr. … Ulcer Knowledge Test and staff training needs. … Instructor—facilitated group discussion
Education plan for pressure ulcer prevention staff education
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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. … 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. … Overall, the VA has experienced a decline in the incidence of pressure ulcers from 4.9 percent in 1990
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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_Ulcer_Dashboard_Data_2024.xlsx
January 01, 2024 - of first pressure ulcer risk assessment. … Timing of First Pressure Ulcer Risk Assessment by Most Advanced Stage of Pressure Ulcer or sDTI Reported … Ulcer
Increased Risk of Pressure Ulcer Percentage Frequency
At increased risk for pressure ulcer 72.6% … PRU_2
PRU_2: Documented Timing of First Pressure Ulcer Risk Assessment by Most Advanced Stage of Pressure … Ulcer or sDTI Reported
Timing of first pressure ulcer risk assessment Most advanced stage of pressure
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
October 01, 2017 - Ulcer Risk Assessment Tools in Care Planning
Risk Factors for Pressure Ulcers: Going Beyond Validated … Ulcer Policies, Tool 2D
Assessing Screening for Pressure Ulcer Risk, Tool 2E
Assessing Pressure Ulcer … Risk Factors for Pressure Ulcers: Going Beyond Validated Instruments
Presented by Elizabeth Ayello, … Ulcer Policies
2E: Assessing Screening for Pressure Ulcer Risk
2F: Assessing Pressure Ulcer Care Planning … Identification Pocket Pad
3D: The Braden Scale for Predicting Pressure Sore Risk
Mr.
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www.ahrq.gov/hai/pfp/interimhac2014-ap1.html
November 01, 2015 - Ulcers
MPSMS (2014)
Hospital-Acquired Pressure Ulcers
1,010,000
30.9
Surgical Site Infections … Ulcers
250,000
50%
50%
25%
62,500
$17,000
Surgical Site Infections
110,000
35% … * Additional costs per HAC for Falls and Pressure Ulcers were modified in 2012 from earlier higher … ulcer, rather than on the incremental cost due to the HAC. … Ulcers
.072
$1,062,500,000
4,525
Surgical Site Infections
.028
$161,700,000
217
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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
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www.ahrq.gov/hai/pfp/hacrate2013-appendix.html
October 01, 2015 - Ulcers
MPSMS (2013)
Hospital-Acquired Pressure Ulcers
1,060,000
32.5
Surgical Site Infections … Ulcers
250,000
50%
50%
25%
62,500
$17,000
Surgical Site Infections
110,000
35% … *Additional costs per HAC for Falls and Pressure Ulcers were modified in 2012 from earlier higher projections … ulcer, rather than on the incremental cost due to the HAC. … Ulcers
.072
$1,062,500,000
4,525
Surgical Site Infections
.028
$161,700,000
217
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/8.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)
3.8. … Return to Functional Specifications Contents
Return to Pressure Ulcer Prevention
Alternate
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www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
October 27, 2014 - The estimated cost per pressure ulcer was based on a report for CMS by RTI international
(Kandilov, … 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 … Ulcers
MPSMS
(2013)
Hospital-Acquired
Pressure Ulcers
1,060,000 32.5
DRAFT
Page 14
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide1.html
October 01, 2017 - Ulcers in Hospitals Toolkit training. … Preventing in-facility pressure ulcers. … Ulcers in Hospitals Toolkit. … Preventing in-facility pressure ulcers. … Preventing in-facility pressure ulcers.
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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
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-6-b-expert-workgroup.pdf
September 18, 2014 - Incidence of Hospital Acquired Serious Pressure Ulcers in PICU
Patients (administrative claims)
3. … Initial Risk Assessment for Immobility-related Pressure Ulcer within
24 Hours of PICU Admission (eMeasure … Measure #2: Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients
(administrative … • Staging of Pressure ulcers would need to be done by a wound care expert vs. the PICU staff nurse … Measure #3: Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 Hours of
PICU Admission
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-6-b-pmcoe-picu-expert-workgroup.pdf
September 18, 2014 - Incidence of Hospital Acquired Serious Pressure Ulcers in PICU
Patients (administrative claims)
3. … Initial Risk Assessment for Immobility-related Pressure Ulcer within
24 Hours of PICU Admission (eMeasure … Measure #2: Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients
(administrative … • Staging of Pressure ulcers would need to be done by a wound care expert vs. the PICU staff nurse … Measure #3: Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 Hours of
PICU Admission
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-6-b-workgroup.pdf
September 18, 2014 - Incidence of Hospital Acquired Serious Pressure Ulcers in PICU
Patients (administrative claims)
3. … Initial Risk Assessment for Immobility-related Pressure Ulcer within
24 Hours of PICU Admission (eMeasure … Measure #2: Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients
(administrative … • Staging of Pressure ulcers would need to be done by a wound care expert vs. the PICU staff nurse … Measure #3: Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 Hours of
PICU Admission