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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises7.html
December 01, 2017 - Week Ending
4/6/14
4/13/14
4/20/14
4/27/14
Vital Signs
Number of pressure ulcers … Questions for the nurse manager : This resident now has two pressure ulcers. … Have you discussed the progress of these pressure ulcers with the physician? … Should labs be more frequent now with the additional pressure ulcer? … With a new pressure ulcer, have calorie and vitamin requirements been re-evaluated?
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
August 01, 2017 - Preventing Pressure Ulcers in Hospitals
Section 7. … Pressure Ulcers: Facility Assessment Checklists. … ulcers
Top of Page
2F: Assessing Pressure Ulcer Care Planning … Pressure Ulcers: Facility Assessment Checklists. … Assessment of Pressure Ulcer Care Plan
Does the care plan for pressure ulcers address all the areas
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
August 01, 2017 - Preventing Pressure Ulcers in Hospitals
Section 7. … Pressure Ulcers: Facility Assessment Checklists. … ulcers
Top of Page
2F: Assessing Pressure Ulcer Care Planning … Pressure Ulcers: Facility Assessment Checklists. … Assessment of Pressure Ulcer Care Plan
Does the care plan for pressure ulcers address all the areas
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/ereports.html
December 01, 2014 - Ulcer Trigger Summary Reports
There are two Pressure Ulcer Trigger Summary Reports: resident level … of a pressure ulcer. … On-Time Pressure Ulcer Trigger Summary Report (Unit Level)
Pressure Ulcer Triggers
Week 4 … ulcer risk, nutrition, and weight loss, and it alerts the nurse to new or worsening pressure ulcers. … Insights may lead to adjustment in the care plan to help prevent additional pressure ulcers from forming
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts4.html
December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Handouts: Overview … On-Time Pressure Ulcer Prevention to change team. … ulcers, prevention practices, and process for root cause review. … ulcers. … End of 9th month-12 th month
Return to Contents
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-impmenu.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time
Pressure Ulcer Healing
Menu of Implementation Strategies … ulcers or pressure ulcers at risk for
delayed healing
Skin rounds
Weekly nutrition risk huddle … Ulcer Treatment Report
Rehab Department internal review
Root cause analysis for new pressure ulcers … or delayed healing pressure
ulcers
Weekly risk meeting
Weekly wound review meetings
Weekly … by Month Report
Root cause analysis for new pressure ulcers or delayed healing pressure
ulcers
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.docx
June 02, 2025 - using reports is a list of potential ways facility teams may choose to integrate the pressure ulcer … The menu provides possible uses for the reports with, in this case, a focus on pressure ulcer healing … ulcers or pressure ulcers at risk for delayed healing
Skin rounds
Weekly nutrition risk … ulcers or delayed healing pressure ulcers
Weekly risk meeting
Weekly wound review meetings … Ulcer Counts by Month Report
Root cause analysis for new pressure ulcers or delayed healing pressure
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
1. Are we ready for this change? … Cost: Pressure ulcers cost $9.1-$11.6 billion per year in the US. … Pain: Pressure ulcers may be associated with severe pain. … about pressure ulcer reduction. … Now incidence of pressure ulcers is down to 2 percent.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
1. Are we ready for this change? … Cost: Pressure ulcers cost $9.1-$11.6 billion per year in the US. … Pain: Pressure ulcers may be associated with severe pain. … about pressure ulcer reduction. … Now incidence of pressure ulcers is down to 2 percent.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7b.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
Section 7. … How do we measure our pressure ulcer rates and practices?
6. … Top of Page
3D: The Braden Scale for Predicting Pressure Sore Risk
Background: This tool can … be used to identify patients at-risk for pressure ulcers. … ulcers.
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7b.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
Section 7. … How do we measure our pressure ulcer rates and practices?
6. … Top of Page
3D: The Braden Scale for Predicting Pressure Sore Risk
Background: This tool can … be used to identify patients at-risk for pressure ulcers. … ulcers.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/impsteps.html
January 01, 2017 - Ulcer Assessment and Pressure Ulcer Healingreports 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 … Agree To Use On-Time Pressure Ulcer Healing Module
2. … Review Pressure Ulcer Healing Rates
As required
16.
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psnet.ahrq.gov/node/841476/psn-pdf
December 14, 2022 - Barriers and facilitators to reporting medical device-
related pressure ulcers: a qualitative exploration … Barriers and facilitators to reporting medical device-related
pressure ulcers: a qualitative exploration … https://psnet.ahrq.gov/issue/barriers-and-facilitators-reporting-medical-device-related-pressure-ulcers … Interviews with experts in hospital-acquired pressure ulcers revealed four
domains related to reporting … https://psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings
https://psnet.ahrq.gov
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/impguide.html
December 01, 2014 - How the staff changes care plans to intervene early on those risks to prevent pressure ulcers from forming … Ulcer Prevention can help them reduce pressure ulcers. … , what huddles and team meetings are used to discuss pressure ulcer risk factors or pressure ulcer prevention … , and what they do to identify the root cause of new pressure ulcers. … will begin to pilot in specific huddles or clinical meetings to help prevent pressure ulcers.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/webinars.html
October 01, 2017 - Ulcer Prevention Program (62 min) ( PDF of the Slides , 1.49 MB). … Using Pressure Ulcer Risk Assessment Tools in Care Planning (44 min) ( PDF of the Slides , 2.33 MB). … Measuring Pressure Ulcer Rates and Prevention Practices (42 min) ( PDF of the Slides , 1.5 MB). … Sustaining Pressure Ulcer Prevention Practices at Your Hospital (34 min) ( PDF of the Slides , 1.32 … Ulcers —Video.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar6_pu_woundassesst.pdf
April 01, 2011 - Ulcers
• 9.1% of all identified
pressure ulcers
• 11.9% of facility-
acquired pressure
ulcers
Most … frequent locations
25
Anatomic Location
Percentage of
Device-Related
Pressure Ulcers
Ears 20% … Preventing
pressure ulcers in hospitals: a toolkit for improving
quality of care. … Ulcers From Other Sources of Pressure
2009 Pressure Ulcer Definition
Pressure
Shear
Pressure Ulcer … Ulcers
Remember the Bariatric Patient
Assess the Wound
Pressure Ulcer Present
Know Your Assessment
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0251_05-20-2010.pdf
January 01, 2010 - Staff-Generated PICOS:
Population(s): Patients at risk of developing pressure ulcers and patients with … pressure
ulcers
Intervention(s): Identification of patients at risk for, prevention, and treatment … How effective are the various pressure ulcer prevention strategies? … What are the benefits and harms of pressure ulcer treatment regimens including the
evidence for treatment … Prevention and early detection are necessary for the successful management of pressure ulcers.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-203-fullreport.pdf
April 10, 2017 - ulcers, but it
is important to distinguish from pressure ulcers that are “device-related.” … ulcer) and a skin assessment (to detect
existing pressure ulcers). … Socioeconomic Status
A study by Smith, et al., examined decubitus ulcer (pressure ulcers) as one of … Pressure ulcers in neonates and children: An NPUAP White Paper. … Guideline for prevention and
management of pressure ulcers.
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digital.ahrq.gov/ahrq-funded-projects/nursing-home-information-technology-it-optimal-medication-and-care-delivery-4
January 01, 2023 - Stage 2 pressure ulcer healing in nursing homes. … Stage 2 pressure ulcer healing in nursing homes. J Am Geriatr Soc 2008 Jul;56(7):1252-8. … Stage 2 pressure ulcer healing in nursing …
Principal Investigator
Horn, Susan
Project
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/factraining.html
December 01, 2014 - ulcers. … ulcers, pressure ulcers that are not healing appropriately, falls, and avoidable hospitalizations. … Materials:
Pressure Ulcer Prevention Self-Assessment . … pressure ulcers on a monthly basis for each unit and for the nursing home as a whole. … Alternatively, the nursing home can track in-house acquired pressure ulcers manually, if this is not