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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises5.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training—Additional … Return to Additional Exercises Contents
Proceed to Next Section
Return to Pressure Ulcer Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.docx
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
On-Time Pressure Ulcer Assessment … The On-Time Pressure Ulcer Assessment incorporates elements from the Bates-Jensen Wound Assessment Tool … The On-Time Pressure Ulcer Assessment was developed by a multistate multidisciplinary design team that … The data elements on the On-Time Pressure Ulcer Assessment are used to populate the electronic reports … The On-Time Pressure Ulcer Assessment includes information on the following:
Origin (in-house acquired
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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
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www.ahrq.gov/hai/pfp/interimhac2013-ap4.html
December 01, 2014 - Ulcers
250,000
50%
50%
25%
62,500
$17,000
.072
$1,062,500,000
4,525
Surgical … 17.4%
1,040,500
NA
NA
$9,141,150,000
35,647
* Additional costs per HAC for Falls and Pressure … Ulcers were modified in 2012 from earlier higher projections. … been wrongly based on the full cost of a hospital stay that included a fall or a hospital-acquired pressure … ulcer, rather than on the incremental cost due to the HAC.
18.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
April 04, 2008 - For example, African American and Latino veterans are at higher risk of decubitus ulcers than
whites … ulcers, in addition to
continuing efforts to lower decubitus ulcer rates overall, it is important for … the VHA to eliminate
racial disparities in pressure ulcer rates. … Pressure ulcers:
More lethal than we thought? Adv Skin Wound Care
2005; 18: 367-372.
31. … Pressure ulcer risk assessment in
patients with darkly pigmented skin.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15.html
February 01, 2023 - Ulcer
3,341
3,555
3,254
3,604
Injurious Falls
429
263
406
260
Dually Eligible … Ulcer
3,678
4,011
3,589
4,072
Injurious Falls
520
339
493
336
Medicaid-Only … Ulcer
4,049
4,237
4,031
4,256
Injurious Falls
778
456
729
451
HCBS … Ulcer
3,678
4,011
3,589
4,072
Injurious Falls
520
339
493
336
Medicaid-Only … Ulcer
4,049
4,237
4,031
4,256
Injurious Falls
778
456
729
451
Notes
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
July 12, 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.
-
www.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - Adverse Events
PSI
OB Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19)
Pressure … Ulcers
MPSMS
Hospital-Acquired Pressure Ulcers
Surgical Site Infections
NHSN
SSIs combined … Ulcers
Hospital-Acquired Pressure Ulcers
53.03
62.45
0.85
VAP
Ventilator-Associated … Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19)
82,300
32,750,000
2.513
Pressure … Ulcer
MPSMS
Hospital-Acquired Pressure Ulcers
1,317,211
32,750,000
40.220
Surgical Site
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/small_hospitals-slides/Small-and-Rural-Critical-Access-Hospitals-July-19-2011-508.ppt
January 01, 2011 - Ulcers
on the Unit
Develop a team -- Include staff nurses
Gather baseline data
Have first team meeting … ; educate on science of safety, data, goals
Research the evidence-based practices that eliminate pressure … ulcers
The CUSP/Improvement Intervention
Alt text
CUSP
1. … Provide feedback, investigate each case
Eliminate Stage 3, 4 Pressure Ulcers
1. … Standardized pressure ulcer risk assessment
3.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-wound-cleaning.docx
March 01, 2022 - CHG in clinical trials with the explicit instructions to clean superficial wounds and stage 1 and 2 decubitus … ulcers. … CHG can be applied to any superficial wound, including stage 1 and 2 decubitus ulcers, friable skin/rashes
-
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]
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www.ahrq.gov/news/newsroom/case-studies/202203.html
April 01, 2022 - Other previous topics based on AHRQ research include depression, diabetes, kidney disease, pressure ulcers … Depression,
Diabetes,
Kidney Disease and Health,
Outcomes,
Patient Safety,
Pressure … Ulcers,
Prevention,
Primary Care,
Quality of Care
Geographic Location:
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals/slides.html
October 01, 2014 - Walking Through the Process
Eliminate Hospital-Acquired Stage 3/4 Pressure Ulcers on the Unit … meeting; educate on science of safety, data, goals
Research the evidence-based practices that eliminate pressure … ulcers
Return to Contents
Slide 13. … unit
Implement teamwork tools
Provide feedback, investigate each case
Eliminate Stage 3, 4 Pressure … Ulcers
Comprehensive skin assessment
Standardized pressure ulcer risk assessment
Care planning
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www.ahrq.gov/patient-safety/resources/learning-lab/enhancing-long-desc.html
April 01, 2021 - Identify areas of skin at risk for developing pressure ulcers (recently renamed by expert organizations … of indwelling urinary catheters, central venous catheters, and pressure injuries (formerly called "pressure … ulcers"). … detect and report important patient motions, such as no motion, a sign that the patient is at-risk for pressure … ulcers.
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-8-a-data-feasibility.pdf
June 02, 2025 - pressure
ulcer risk assessment tool was documented within
24 hours of admission. … If not, do you use another
standardized pressure ulcer risk assessment tool? … 3 How do you document the results of a standardized pressure ulcer risk
assessment tool? … Measure 3 (Pressure Ulcer) Technical
Feasibility
Feasible. Can do today. n/a Feasible. … Feasibility Results - Pressure Ulcer (link to 8.A.1.).pdf
elements and measure tabs
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - .
· Measuring Pressure Ulcer Rates and Prevention Practices — AHRQ Pressure Injury Prevention Program … 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. … Slide 5
SAY: As of 2016, the National Pressure Ulcer Advisory Panel (NPUAP) and the European Pressure
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
September 01, 2014 - Obstetric Adverse Events PSI OB Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19)
Pressure … Ulcers MPSMS Hospital-Acquired Pressure Ulcers
Surgical Site Infections NHSN SSIs combined for 17 procedures … Ulcers
Hospital-Acquired Pressure
Ulcers
53.03 62.45 0.85
VAP Ventilator-Associated
Pneumonia … Discharges
(HCUP)
2010 PFP
Measured
HACs per
1,000
Discharges
Pressure Ulcer MPSMS Hospital-Acquired … Pressure Ulcers 1,317,211 32,750,000 40.220
Surgical Site
Infection
NHSN SSIs for 17 procedures in
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - ulcers/pressure injuries and falls. … ulcers/pressure injuries
increased from 2014 to 2015 and then decreased somewhat from 2015 to 2016 … Ulcers/
Pressure Injuries
21.7 23.5 22.7 23.0 6%
Surgical Site Infections 2.5 2.5 2.5 2.7 8% … Ulcer MPSMS Hospital-Acquired Pressure Ulcers/Pressure Injuries
Surgical Site
Infection
NHSN SSIs … Ulcer
MPSMS Hospital-
Acquired
Pressure
647,096 21.75 699,790 23.52 676,834 22.75 682,984 22.96
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides4.html
October 01, 2017 - An icon of a magnifying glass in front of open book refers to Tool 2G: Pieper Pressure Ulcer Knowledge … A screenshot shows the Pressure Ulcer Prevention Program Action Plan: June 2015 - January 2016.
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
January 01, 2023 - About half (49.0%; 29,384 / 60,021) of Pressure ulcers were reported in Inpatient care areas. … Pressure Ulcers result in harm to the patient
by their very nature. … This is unexpected, as pressure ulcers result in harm
to the patient by their very nature. … Ulcer
• A pressure ulcer that, on admission, was at stage/category III or stage/category IV or was … Pressure Ulcers result in harm to the patient by their very nature.