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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises2.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training—Additional … True
False
Worsening Pressure Ulcer information is captured from weekly wound assessment documentation … Wound nurse: Is the report helpful in tracking residents with new or worsening pressure ulcers? … Was a root cause analysis done for the new pressure ulcer noted on the report? … 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/hospital/qitoolkit/combined/b3b_combo_resultspresentation.pdf
June 02, 2025 - However, Pressure Ulcers (PSI 03) occur at higher rates than the
national average – this may be an area … Ulcers (PSI 03) and how this
particular hospital performed over time … ulcer and any secondary ICD-
10-CM diagnosis codes for pressure ulcer stage III or IV (or
unstageable … A PSI Example: Pressure Ulcer (PSI 03)
http://www.qualityindicators.ahrq.gov/Modules/PSI_TechSpec.aspx … Ulcer (PSI 03)
Comparing Performance Over Time
Slides below are only applicable for ICD-9 versions
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psnet.ahrq.gov/node/47582/psn-pdf
December 12, 2018 - Success in hospital-acquired pressure ulcer prevention: a
tale in two data sets. … Success In Hospital-Acquired Pressure Ulcer Prevention: A Tale In
Two Data Sets. … Hospital-acquired pressure ulcers (HAPUs) are considered a never event, represent a significant source … ulcers. … ://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
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psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy
September 27, 2016 - Pressure ulcers are never events that continue to occur, despite potential repercussions on reimbursement … December 8, 2021
Medical device-related pressure ulcers: a systematic review and meta-analysis … March 6, 2019
Success in hospital-acquired pressure ulcer prevention: a tale in two data … February 3, 2015
Preventing in-facility pressure ulcers as a patient safety strategy: … Ulcers
View More
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
June 02, 2025 - ulcers, pressure ulcers that are not healing
appropriately, falls, and avoidable hospitalizations. … In the packet are the following On-Time
Pressure Ulcer Healing documents:
Existing Pressure Ulcers … Report
Pressure Ulcers at Risk for Delayed Healing
Weekly Wound Rounds Report
Weekly Pressure … pressure ulcers
showing signs of potential delayed healing. … :
Existing Pressure Ulcers Report
Pressure Ulcers at Risk for Delayed Healing Report
Weekly
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psnet.ahrq.gov/node/46524/psn-pdf
October 18, 2017 - https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
Pressure ulcers are … designed to help hospitals implement practice and process improvements to reduce the
occurrence of pressure … ulcers. … pressure-injury-prevention-hospitals-training-program
https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review … safety-and-quality-long-term-care
https://psnet.ahrq.gov/issue/organisational-strategies-implement-hospital-pressure-ulcer-prevention-programmes-findings
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/impmenu.html
January 01, 2015 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Implementation Materials … They are:
Self-Assessment Worksheet for Pressure Ulcer Prevention
Pressure Ulcer Prevention Menu … Menu of Implementation Strategies Overview
Purpose
The Pressure Ulcer Prevention Menu of Implementation … Description
The Pressure Ulcer Prevention Menu of Implementation Strategies lists possible meetings … Return to Pressure Ulcer Prevention
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/7.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)
3.7. … Week Ending
4/6/14
4/13/14
4/20/14
4/27/14
Vital Signs
Number of pressure ulcers … Report Column
Data Source
Valid Input & Display
Vital Signs
Number of pressure ulcers … Wound Assessment
Count number of unique pressure ulcers and display count.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts.html
April 01, 2016 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training—Handouts … : Introduction to Pressure Ulcer Prevention Reports
Contents
Sample Nutrition Report: High Risk … (a) representing an increase, (b), a decrease, and (c), no change in weekly pressure ulcer trigger prevalence … ulcers
0
1
2
2
Temperature
99.2
Pulse
82
88
90
100
Respirations … Ulcer Prevention
Alternate Formats
Handouts [ - 752.61 KB]
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psnet.ahrq.gov/node/60758/psn-pdf
August 05, 2020 - Decubitus ulcers were the most common diagnosis in
claims involving ICU nurses and compared to nurses … lessons-learned-medical-malpractice-claims-involving-critical-care-nurses
https://psnet.ahrq.gov/issue/crico
https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
June 02, 2025 - ulcers, pressure ulcers that are not healing appropriately, falls, and avoidable hospitalizations. . … In the packet are the following On-Time Pressure Ulcer Healing documents:
Existing Pressure Ulcers Report … Pressure Ulcers at Risk for Delayed Healing
Weekly Wound Rounds Report
Weekly Pressure Ulcer Treatment … Summary Report
Pressure Ulcer Counts by Month Report
Pressure Ulcer Healing Self-Assessment
Menu of … MATERIALS:
Existing Pressure Ulcers Report
Pressure Ulcers at Risk for Delayed Healing Report
Weekly
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-factraining-guide.pdf
June 02, 2025 - ulcers. … ulcers. … More
accurate assessments of changes in pressure ulcers are
needed. … what
other wound meetings discuss residents with pressure
ulcers. … ulcers
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/citation/evaluation-ahrqs-time
January 01, 2023 - Evaluation of AHRQ's on-time pressure ulcer prevention program: a facilitator-assisted clinical decision … Evaluation of AHRQ's on-time pressure ulcer prevention program: a facilitator-assisted clinical decision … Principal Investigator
Hurd, Donna
Project Name
Evaluation of AHRQ's On-time Pressure … Ulcer Program
Technology
Clinical Decision Support System
Document Type
Journal
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides3.html
October 01, 2017 - ulcers." … Slide 12: ID Pocket Pad
Images: The Pressure Ulcer Identification Pocket Pad is shown. … K
Image: A screenshot shows a sample Braden Pressure Ulcer Risk Assessment scale filled out for Mr … Sore Risk
SENSORY PERCEPTION
1. … A screenshot shows the Pressure Ulcer Prevention Program Action Plan: June 2015-January 2016.
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psnet.ahrq.gov/node/45434/psn-pdf
September 22, 2017 - Organisational strategies to implement hospital pressure
ulcer prevention programmes: findings from … Organisational strategies to implement hospital pressure ulcer
prevention programmes: findings from … https://psnet.ahrq.gov/issue/organisational-strategies-implement-hospital-pressure-ulcer-prevention- … programmes-findings
Hospital-acquired pressure ulcers are considered a never event and can result in … https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/functspecs.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Functional Specifications … Functional Specs for Pressure Ulcer Prevention
2.0. Pressure Ulcer Prevention Reports
3.0. … Specifications for Each Pressure Ulcer Prevention Report
3.1. … Functional Specs for Pressure Ulcer Prevention
This document describes the functional and high-level … system requirements for each clinical report included in On-Time Pressure Ulcer Prevention.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/intro.html
October 01, 2017 - Ulcers in Hospitals: A Toolkit for Improving Quality of Care . … Module 2 : How To Manage Change
Chapter 3
What are the best practices in pressure ulcer … Ulcer Risk Assessment Tools in Care Planning
Risk Factors for Pressure Ulcers: Going Beyond … Validated Instruments
The Power of Nutrition for Pressure Ulcer Prevention
Putting the Nutrition … Ulcer Prevention Program
Chapter 5
How do we measure our pressure ulcer rates and
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www.ahrq.gov/sites/default/files/2024-04/baernholdt-report.pdf
January 01, 2024 - Key Words: Pressure ulcers, falls, National Database of Nursing Quality Indicators,
nurse outcomes, … SCOPE
Pressure ulcers and falls are among the most common, preventable, and costly patient
safety events … Patients at risk for
pressure ulcer
Percentage of patients with pressure
ulcers who received this … a
hospital acquired pressure ulcer
Unit-acquired
pressure ulcer
rate
Prevalence rate collected … We find that unit-level care interventions do make a difference in
preventing pressure ulcers.
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hcup-us.ahrq.gov/reports/statbriefs/sb3.pdf
April 01, 2006 - HCUP Statistical Brief #3: Hospitalizations Related to Pressure Sores, 2003
HEALTHCARE … Findings
Pressure sores, or decubitus ulcers, are increasingly common in
U.S. hospitalizations. … burden of hospitalizations related to pressure sores (figure 1). … sores
More than 90 percent of all hospital stays involving the treatment of pressure sores were for … The ICD-9-CM code defining pressure sore is 707.0, Decubitus Ulcer.
2
Unit of analysis
The unit
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/pruprev-menu.pdf
June 02, 2025 - Ulcer Prevention Menu of Implementation Strategies 1
On-Time Pressure Ulcer Prevention
Menu of Implementation … Root cause analysis for new pressure ulcer development
9. … Root cause analysis for new pressure ulcer development
7. … Internal review to monitor residents with pressure ulcers, confirm
awareness of nutritional status of … Root cause analysis for new pressure ulcer development
6.