-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/getready.html
October 01, 2017 - organization’s readiness to launch AHRQ’s Pressure Injury Prevention 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 .)
-
www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-l.html
October 01, 2015 - "All immobile patients need a urinary catheter to prevent hospital-acquired pressure ulcers." … Clostridium difficile infection, immobility (Foley is considered a "one-point restraint), hospital-acquired pressure … ulcers, falls, and venous thromboembolism. 2 , 3
Not all critically ill, immobile patients need Foley
-
www.ahrq.gov/topics/p.html
June 12, 2025 - Policy Population Health Practice Improvement Practice-Based Research Network (PBRN) Pregnancy Pressure … Ulcers Prevención y bienestar Prevention Primary Care Provider Performance Provider: Clinician
-
www.ahrq.gov/sites/default/files/2024-02/stone-benner-report.pdf
January 01, 2024 - ulcers, restraints, pain,
staff stability, and quality improvement. … There are four clinical areas that have long plagued nursing homes; 1)
presence of pressure ulcers in … ulcers , n=18, and dementia,
n=3). … Ulcers: Best Practices
• Quality Improvement: Maintaining and Sustaining Success
• Resident Centered … Ulcers: Best Practices X 3.5
9
2008 Local Area Networks for Excellence (LANE) Conference: Final
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14b.html
February 01, 2023 - Ulcer
3,799
3,199
3,745
3,230
Injurious Falls
334
265
324
272
Dually Eligible … Ulcer
4,200
3,634
4,114
3,703
Injurious Falls
415
344
410
347
Medicaid-Only … Ulcer
2,619
1,957
2,698
1,836
Injurious Falls
96
38
80
50
I/DD Subpopulation … Ulcer
5,536
4,402
5,759
4,127
Injurious Falls
189
96
161
116
HCBS Population … Ulcer
4,932
3,599
4,712
3,767
Injurious Falls
608
453
613
448
HCBS
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16b.html
February 01, 2023 - Ulcer
3,050
4,160
3,514
3,406
Injurious Falls
252
369
291
315
Dually Eligible … Ulcer
3,478
4,542
4,009
3,629
Injurious Falls
327
453
373
390
Medicaid-Only … Ulcer
1,883
2,943
2,104
2,733
Injurious Falls
45
101
57
88
I/DD Subpopulation … Ulcer
1,206
1,720
1,560
1,136
Injurious Falls
61
90
75
68
SMI Subpopulation … Ulcer
3,775
4,848
4,198
4,163
Injurious Falls
436
657
486
644
HCBS
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15b.html
February 01, 2023 - Ulcer
3,481
3,488
3,458
3,512
Injurious Falls
365
245
338
259
Dually Eligible … Ulcer
3,912
3,899
3,818
3,992
Injurious Falls
448
321
423
333
Medicaid-Only … Ulcer
2,094
2,388
2,373
2,172
Injurious Falls
99
43
81
51
I/DD Subpopulation … Ulcer
1,283
1,527
1,280
1,578
Injurious Falls
91
53
84
57
SMI Subpopulation … Ulcer
4,594
3,884
4,481
3,940
Injurious Falls
644
430
625
433
HCBS
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
June 02, 2025 - documentation forms
Lacking ways to empower staff to report abnormal skin findings:
Consider using Tool 3C: Pressure … Ulcer Identification Pocket Pad.
11
ID Pocket Pad
Tool 3C
12
Practice Insight
Or note location … 27
Practice Insight
EHR Care Plans Triggered Based on Risk Assessment
Braden Scale for Predicting Pressure … Sore Risk
SENSORY PERCEPTION 1.
-
www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-decline.pdf
June 02, 2025 - Infections
+CLABSI - Central Line-Associated Bloodstream Infection
Falls
Obstetric
Adverse
Events
Pressure … Ulcers
Surgical
Site
Infections
Ventilator-
Associated
Pneumonias
0%
(Post-op)
Venous
-
www.ahrq.gov/es/tools/index.html?page=3
June 01, 2016 - Date Published: August 2016
Setting of Care: Hospital
Preventing Pressure Ulcers … in Hospitals
These materials assist hospital staff in implementing effective pressure ulcer prevention
-
www.ahrq.gov/hai/pfp/hacrate2011-12.html
January 01, 2018 - Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19)
82,000
2.51
77,000
2.36
Pressure … Ulcer
MPSMS
Hospital-Acquired Pressure Ulcers
1,320,000
40.41
1,300,000
39.43
Surgical
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - ulcers). … PDI 02 Pressure Ulcer Rate (stage
III, IV, Unstageable)
Diagnosis and site of pressure ulcer must … PSI 03 Pressure Ulcer Encourage providers to document pressure ulcers as part of the admission H&P to … Provider must document the site of pressure ulcer; the stage of
the ulcer can be documented and coded … PSI 03 Pressure Ulcer X “Unspecified stage” and “unstageable”
are not interchangeable terms; the code
-
www.ahrq.gov/sops/about/patient-safety-culture.html
June 01, 2024 - include the following: Hospital units with more positive SOPS scores had: Fewer hospital-acquired pressure … ulcers and patient falls. 1 Lower surgical site infection rates. 2 Hospitals with more positive SOPS
-
www.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
February 01, 2024 - Avoidable Costs
University of Missouri (MU) Health Care utilized the AHRQ toolkit Preventing Pressure … Ulcers in Hospitals to decrease PSI-03 (reportable pressure injuries) by 92% and save an estimated
-
www.ahrq.gov/patient-safety/about/areas.html
February 01, 2018 - Our areas of research and tools cover:
Healthcare Infections
Team Training
Falls
Pressure Ulcers
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
September 01, 2015 - patients at
“CAUTI
“Incontinent patients
need a urinary catheter
to prevent hospital-
acquired pressure … ulcers.” … Clostridium difficile infection, immobility (Foley is considered a "one-point
restraint"), hospital-acquired pressure … ulcers, falls, and venous
thromboembolism.2,3
• Not all critically ill, immobile patients need Foley
-
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
-
www.ahrq.gov/patient-safety/about/challenge-competition.html
February 01, 2024 - University of Missouri
University of Missouri Health Care (MU Health Care) utilized AHRQ’s Preventing Pressure … Ulcers in Hospitals: A Toolkit for Improving Quality of Care to decrease Patient Safety Indicator 03
-
www.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - Pressure Ulcers.
Surgical Site Infections.
Venous Thromboembolism. … Ulcers
Surgical Site Infections
Ventilator Associated Pneumonia
Venous … Ulcers
Surgical Site Infections (SSI)
Venous Thromboembolism (VTE)
Ventilator-Associated Pneumonia … Pressure Ulcers
A new pressure ulcer developed during a stay, or Stage 1 or 2 pressure ulcer(s) present … ulcer.