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161. 2. How will we manage change? | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
     October 01, 2014 - Preventing Pressure Ulcers in Hospitals 2. How will we manage change? … Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview … Review of the literature to show the costliness of failing to prevent pressure ulcers. … Findings have shown that nurses generally have a "C" level of knowledge about pressure ulcers. … These goals can be related both to outcomes (e.g., a reduction in the incidence rate of pressure ulcers

162. Evaluation of AHRQ's on-time pressure ulcer prevention program: a facilitator-assisted clinical decision support intervention for nursing homes. | Digital Healthcare Research
     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

163. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47788/psn-pdf
     March 06, 2019 - Medical device-related pressure ulcers: a systematic review and meta-analysis. … Medical device-related pressure ulcers: A systematic review and meta-analysis. … https://psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis … Hospital-acquired pressure ulcers are considered never events and represent a significant source of … https://psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis

164. Psn-Pdf (pdf file)
     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

165. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     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]

166. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     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.

167. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44525/psn-pdf
     October 21, 2015 - Wound-care teams for preventing and treating pressure ulcers. … Wound-care teams for preventing and treating pressure ulcers. … https://psnet.ahrq.gov/issue/wound-care-teams-preventing-and-treating-pressure-ulcers Pressure ulcers … https://psnet.ahrq.gov/issue/wound-care-teams-preventing-and-treating-pressure-ulcers https://psnet.ahrq.gov … /issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review https://psnet.ahrq.gov

168. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     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.

169. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
     September 01, 2011 - Unfortunately, likely secondary to an infection of the pressure ulcer, she developed septic shock and … Pressure Ulcers in America: Prevalence, Incidence, and Implications for the Future. … Reston, VA: National Pressure Ulcer Advisory Panel; 2001. … RN staffing time and outcomes of long-stay nursing home residents: pressure ulcers and other adverse … Organizations can monitor their rates of falls, pressure ulcers, infections, unplanned hospitalizations

170. Module 3: Best Practices in Pressure Injury Prevention | Agency for Healthcare Research and Quality
     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.

171. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/erepguide_slides.pptx
     December 01, 2014 - Facilitator Training Introduction to Pressure Ulcer Prevention Reports Pressure Ulcer Prevention Electronic … ulcers December 2014 Pressure Ulcer Prevention 5 5 Nutrition Reports: High Risk and Medium Risk … Ulcers December 2014 Pressure Ulcer Prevention 8 Check Your Understanding: Nutrition Report … : Unit Level December 2014 Pressure Ulcer Prevention 25 Pressure Ulcer Triggers Week 4 5/10/14 Week … ulcers 0 1 2 2 Temperature 99.2 Pulse 82 88 90 100 Respirations 20 20 20 20 Blood pressure

172. | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/tools/index.html?page=2
     January 01, 2018 - records system with tools to effectively monitor and manage pressure ulcers. … Clinical reports provide information about the number and types of pressure ulcers that residents have … Ulcer Prevention The Agency for Healthcare Research and Quality (AHRQ) created On-Time Pressure … pressure ulcers. … Pressure ulcers remain a serious problem in nursing homes despite regulatory and market approaches to

173. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46926/psn-pdf
     March 07, 2018 - A comprehensive program to reduce rates of hospital- acquired pressure ulcers in a system of community … A Comprehensive Program to Reduce Rates of Hospital- Acquired Pressure Ulcers in a System of Community … https://psnet.ahrq.gov/issue/comprehensive-program-reduce-rates-hospital-acquired-pressure-ulcers- system-community … This implementation study sought to reduce incidence of pressure ulcers in hospitalized patients using … https://psnet.ahrq.gov/issue/comprehensive-program-reduce-rates-hospital-acquired-pressure-ulcers-system-community

174. Module 2: How To Manage Change | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides2.html
     October 01, 2017 - Slide 18: Assess Current Policies (2D) Images: A screenshot shows the Pressure Ulcer Policy Assessment … Ulcer Risk form. … Ulcer Care Plan form. … Slide 24: Sample Action Plan Images: Two screenshots show an example of a Pressure Ulcer Prevention … Slide 25: Practice Insight Image: A screenshot shows a table titled "Pressure Ulcer Prevention Program

175. Background for AHRQ Quality Indicators
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3b_combo_resultspresentation.pptx
     January 01, 2012 - However, Pressure Ulcers (PSI 03) occur at higher rates than the national average – this may be an area … 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) Toolkit for Using the AHRQ Quality Indicators How to Improve … Examining Observed Rates of Pressure Ulcers (PSI 03) Observed Rate 2006 2007 2008 2009 2010 2011 2012 … Comparing Risk-Adjusted Rates of Pressure Ulcers (PSI 03) to National Average Rates Risk-Adjusted Rate

176. Adverse and Temporary Harm Events in Rehabilitation Hospitals Designated in OIG Report as Clearly Preventable or Likely Preventable by Clinical Category (pdf file)
     pso.ahrq.gov/sites/default/files/wysiwyg/adverse-events-rehab-hospitals.pdf
     July 01, 2016 - ulcer • Progression of stage II pressure ulcer on buttocks to a stage IV pressure ulcer • Progression … ulcers • Multiple, stage I pressure ulcers on sacrum, coccyx and buttocks • Stage I pressure ulcer … on buttocks • Stage I pressure ulcer on heel • Stage I/II pressure ulcer on leg due to poor-fitting … prosthesis Page 4 of 4 • Progression of Stage I pressure ulcer on heel to Stage II • Stage II pressure … ulcer on buttocks • Stage I pressure ulcer on heels • Stage II pressure ulcer at coccyx • Stage I pressure

177. Pressure Injury Prevention in Hospitals Training Program. | PSNet
     psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
     May 01, 2017 - Pressure ulcers are a common hospital-acquired condition that can lead to patient harm . … designed to help hospitals implement practice and process improvements to reduce the occurrence of pressure … ulcers. … September 6, 2013 Preventing in-facility pressure ulcers as a patient safety strategy … Ulcers Epidemiology of Errors and Adverse Events View More

178. Module 5: How To Measure Pressure Injury Rates and Prevention Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides5.html
     October 01, 2017 - Source: National Pressure Ulcer Advisory Panel. … Source: National Pressure Ulcer Advisory Panel. … Source: National Pressure Ulcer Advisory Panel. … Source: National Pressure Ulcer Advisory Panel. … Source: National Pressure Ulcer Advisory Panel.

179. HCUP Statistical Brief #3: Hospitalizations Related to Pressure Sores, 2003 (pdf file)
     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

180. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/5.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) 3.5. … Report Example Pressure Ulcer Triggers Week 4 5/10/14 Week 3 5/17/14 Week 2 … Current Pressure Ulcer Nurse Wound Assessment For each static week: Count the number of residents … Return to Functional Specifications Contents   Proceed to Next Section Return to Pressure Ulcer Prevention