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  1. 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.
  2. 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 … 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
  3. 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
  4. 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.
  5. 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 UlcerUlcer 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
  6. 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
  7. 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.
  8. 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 PressureUlcer or sDTI Reported Timing of first pressure ulcer risk assessment Most advanced stage of pressure
  9. 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.
  10. 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
  11. 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 Pressureulcers, 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
  12. 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 UlcerUlcer Prevention Alternate Formats   Microsoft PowerPoint version - 861 KB
  13. 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
  14. 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
  15. 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 pressureUlcers MPSMS (2013) Hospital-Acquired Pressure Ulcers 1,060,000 32.5 DRAFT Page 14
  16. 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.
  17. 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
  18. 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
  19. 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
  20. 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

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