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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:
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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.
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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/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.
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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
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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/topics/chronic-conditions.html
Achievements in Prevention
AHRQ Research Findings Support Effort to Reduce Pressure Ulcers in Virginia
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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
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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/long-term-care/resource/hcbs/findings/tab16.html
December 01, 2012 - Ulcer
3,322
4,088
3,865
3,029
3,557
3,496
Injurious Falls
256
436
294
308 … Ulcer
3,754
4,475
4,359
3,374
3,884
3,947
Injurious Falls
331
531
376
387 … Ulcer
2,118
2,834
2,481
1,988
2,480
2,233
Injurious Falls
48
127
63
70
110 … Ulcer
1,348
1,729
1,777
1,154
1,411
1,428
Injurious Falls
65
102
76
70
88 … Ulcer
2,614
3,022
2,987
2,392
2,628
2,719
Injurious Falls
212
363
233
258
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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.
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www.ahrq.gov/topics/patient-self-management.html
AHRQ Research Findings Support Effort to Reduce Pressure Ulcers in Virginia
Engaging Patients and
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www.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - About 42 percent of this reduction is from adverse drug events, about 23 percent from pressure ulcers … Ulcers
MPSMS (2015)
Hospital-Acquired Pressure Ulcers
1,190,000
36.3
Surgical Site Infections … Ulcers were modified in 2012 from earlier higher projections. … ulcer, rather than on the incremental cost due to the HAC. … [7] The AHRQ-developed pressure ulcer toolkit and falls toolkit are online.
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www.ahrq.gov/npsd/data/dashboard/index.html
September 01, 2024 - Pressure Ulcer Dashboard Details the documentation of increased risk for pressure ulcer following a risk … assessment; and the timing of the first risk assessment for reported pressure ulcers or sDTIs.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-wound-cleaning.pdf
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/
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
June 02, 2025 - ulcers, pressure ulcers that are not
healing appropriately, falls, and preventable hospitalizations … For example, the
dietitian is an important member of a pressure ulcer team
because declining nutrition … 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 … • Pressure Ulcer Healing, Falls, and Avoidable Hospitalization
reports and worksheets have been
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www.ahrq.gov/topics/prevention.html
Preventive Services to People with Disabilities
AHRQ Research Findings Support Effort to Reduce Pressure … Ulcers in Virginia
Celebrating the 40th Anniversary of the U.S.
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www.ahrq.gov/topics/long-term-care.html
AHRQ Research Findings Support Effort to Reduce Pressure Ulcers in Virginia
AHRQ’s Safety Program
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/factraining.html
September 01, 2017 - 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. … Pressure Ulcer Healing, Falls, and Avoidable Hospitalization reports and worksheets have been tested
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www.ahrq.gov/patient-safety/settings/hospital/index.html
February 01, 2025 - Preventing Pressure Ulcers in Hospitals is a toolkit that assists hospital staff in implementing effective … pressure ulcer prevention practices through an interdisciplinary approach to care. … Hospitals Training Program supports the training of hospital staff on how to implement AHRQ's Preventing Pressure … Ulcers in Hospitals Toolkit.