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241. 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/2.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) 3.2. … Return to Functional Specifications Contents   Proceed to Next Section Return to Pressure Ulcer Prevention

242. Puh-Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.pdf
     June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing On-Time Pressure Ulcer Assessment … The On-Time Pressure Ulcer Assessment incorporates elements from the Bates-Jensen Wound Assessment … The On-Time Pressure Ulcer Assessment was developed by a multistate multidisciplinary design team that … The data elements on the On-Time Pressure Ulcer Assessment are used to populate the electronic reports … Ulcer Healing On-Time Pressure Ulcer Assessment Bates-Jensen Wound Assessment Elements Instructions

243. Generic Dashboard Data 2024 (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2024.xlsx
     January 01, 2024 - Ulcer Communication 167 2.2% Pressure Ulcer Data * * Pressure Ulcer Environment 29 0.4% Pressure … 0.3% Pressure Ulcer Staff qualifications 184 2.4% Pressure Ulcer Supervisor/Support * * Pressure … Ulcer Under 18 Female No Harm 175 11.8% Pressure Ulcer Under 18 Female Severe Harm * * Pressure Ulcer … * * Pressure Ulcer UNK Female Unknown Harm * * Pressure Ulcer UNK Male Mild Harm 63 75.0% Pressure … Ulcer UNK Male Moderate Harm * * Pressure Ulcer UNK Male No Harm 17 20.2% Pressure Ulcer UNK Male

244. Critical Analysis of the Evidence for Patient Safety Practices in Nursing Home Settings (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/nursing-home-safety_research-protocol.pdf
     July 22, 2015 - Thus, the outcomes targeted for prevention are often the same: falls, pressure ulcers, delirium and … Preventing pressure ulcers: a systematic review. Jama. 2006 Aug 23;296(8):974-84. 8. … , double-blind cross-over trial in patients prone to pressure ulcers. … Pressure Ulcer Prevention Program Study: a randomized, controlled prospective comparative value evaluation … of 2 pressure ulcer prevention strategies in nursing and rehabilitation centers.

245. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
     January 01, 2021 - Ulcers. … Pressure Ulcers, however, result in harm to the patient by their very nature. … Pressure Ulcers, however, result in harm to the patient by their very nature. … Pressure Ulcers, however, result in harm to the patient by their very nature. … Pressure ulcers, by their very nature, result in harm to the patient.

246. Puh-Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.docx
     June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing On-Time Pressure Ulcer Assessment … The On-Time Pressure Ulcer Assessment incorporates elements from the Bates-Jensen Wound Assessment Tool … The On-Time Pressure Ulcer Assessment was developed by a multistate multidisciplinary design team that … The data elements on the On-Time Pressure Ulcer Assessment are used to populate the electronic reports … The On-Time Pressure Ulcer Assessment includes information on the following: Origin (in-house acquired

247. The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England. | PSNet
     psnet.ahrq.gov/issue/effect-providing-staff-training-and-enhanced-support-care-homes-care-processes-safety-climate
     September 15, 2021 - Hospital admissions and preventable adverse events, such as falls and pressure ulcers, are common in … After 24 months, the safety climate had improved, and both falls and pressure ulcers were reduced. … See More About The Topic Long-Term Care Quality and Safety Professionals Geriatrics Pressure … Ulcers Patient Falls View More

248. Final Progress Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
     January 01, 2025 - To further focus the research effort, the problem of pressure ulcers was selected because of the broad … The preventable harm we selected is that of pressure ulcers because of its large adverse impact. … Pressure ulcers are an epidemic problem in the United States, affecting 2.5 million people; they are … ulcer.5 Thus, pressure ulcers represented a meaningful challenge area to demonstrate how rapid prototyping … The Financial Impact of Pressure Ulcers (White paper).

249. Appendixes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-appendix.html
     November 01, 2017 - Ulcers (("Pressure Ulcer" [MeSH] OR "Pressure Ulcer" [tiab] OR "Bedsore" [tiab] OR "Bed Sores" [tiab … ] OR "Decubitus Ulcer" [tiab] OR "Pressure Sore" [MeSH] OR "Pressure Sore" [tiab] OR "Suspected Deep … Tissue Injury" [tiab] OR "Pressure Ulcer" [MeSH] OR "Pressure Ulcer" [tiab] OR "osteomyelitis" [MeSH] … Ulcer All hospitalized patients who are at risk to have pressure ulcer 0.018 c 2.42–5.06 3.26 … Marginal hospital cost of surgery-related hospital-acquired pressure ulcers.

250. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
     November 01, 2016 - Training Overview of On-Time On-Time Pressure Ulcer Healing Facilitator Training Two-day training … Ulcer Prevention Pressure Ulcer Healing Reports in Development: Falls Prevention Prevention of Avoidable … ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation November 2016 On-Time Overview … Ulcer Healing Reports: Pressure Ulcers at Risk for Delayed Healing Weekly Wound Rounds Report Weekly … Pressure Ulcer Treatment Summary Report Pressure Ulcer Counts by Month Report November 2016 On-Time

251. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
     December 01, 2017 - The number of hospitalizations involving pressure ulcers increased by about 80% between 1993 and 2006 … Acute care hospitals treat about 2.5 million pressure ulcers each year, and as many as 15% of hospital … patients may have pressure ulcers at any one time. … Include in the medical record complete documentation of any pressure ulcer found. … Pressure Ulcer Risk Assessment at Admission and Daily: Evaluate all patients for pressure ulcers and

252. 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/exercises6.html
     December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training—Additional … Return to Additional Exercises Contents Proceed to Next Section Return to Pressure Ulcer Prevention

253. Module 3: Best Practices in Pressure Injury Prevention (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
     June 02, 2025 - Ulcers in Hospitals Toolkit in this hospital’s Pressure Injury Prevention Program. … Ulcer Prevention — AHRQ Pressure Injury Prevention Program Implementation Sharing Webinar · Putting … 3C: Pressure Ulcer Identification Pocket Pad · Tool 3D: The Braden Scale for Predicting Pressure Sore … Medical device related pressure ulcers in hospitalized patients. Int Wound J 2010;7:358-65. … Consider using Tool 3C: Pressure Ulcer Identification Pocket Pad (shown on the next slide) for communication

254. Statistical Brief #96: Potentially Preventable Hospitalizations among Medicare-Medicaid Dual Eligibles, 2008 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb96.pdf
     September 01, 2010 - ■ Among the nine selected potentially preventable hospitalizations, stays for pressure ulcers had … Data are also presented on injurious falls and pressure ulcers, two conditions that are highly relevant … Stays principally for pressure ulcers were relatively rare among other Medicare beneficiaries (49 stays … ulcers (32 percent of all dual eligible pressure ulcer stays), asthma (30 percent of all dual eligible … Data are also presented on pressure ulcers and injurious falls, two conditions that are not from the

255. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.pdf
     December 01, 2016 - ulcers, and about 16 percent from catheter- associated urinary tract infections (CAUTIs) (Exhibit 4) … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … Ulcers MPSMS (2014) Hospital-Acquired Pressure Ulcers 1,010,000 30.9 Surgical Site Infections … Ulcers were modified in 2012 from earlier higher projections. … ulcer, rather than on the incremental cost due to the HAC.

256. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
     December 01, 2016 - ulcers, and about 16 percent from catheter- associated urinary tract infections (CAUTIs) (Exhibit 4) … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … Ulcers MPSMS (2014) Hospital-Acquired Pressure Ulcers 1,010,000 30.9 Surgical Site Infections … Ulcers were modified in 2012 from earlier higher projections. … ulcer, rather than on the incremental cost due to the HAC.

257. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
     October 01, 2015 - The estimated cost per pressure ulcer was based on a report for CMS by RTI international (Kandilov, … Zhan and Miller estimated that excess mortality due to pressure ulcers was 72 deaths per 1,000 pressure … Mortality for patients with pressure ulcer was compared to mortality among a matched set of patients … For example, pressure ulcers had a high baseline prevalence, and excess mortality attributed to pressure … Ulcers MPSMS (2013) Hospital-Acquired Pressure Ulcers 1,060,000 32.5 Surgical Site Infections

258. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/interimhacrate2014_cx.pdf
     November 19, 2015 - About 40 percent of this reduction is from adverse drug events, about 28 percent from pressure ulcers … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … Ulcers MPSMS (2014) Hospital-Acquired Pressure Ulcers 1,010,000 30.9 7 2010 baseline data … Ulcers were modified in 2012 from earlier higher projections. … ulcer, rather than on the incremental cost due to the HAC. 13 Saving Lives and Saving Money: Hospital-Acquired

259. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
     November 19, 2015 - About 40 percent of this reduction is from adverse drug events, about 28 percent from pressure ulcers … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … Ulcers MPSMS (2014) Hospital-Acquired Pressure Ulcers 1,010,000 30.9 7 2010 baseline data … Ulcers were modified in 2012 from earlier higher projections. … ulcer, rather than on the incremental cost due to the HAC. 13 Saving Lives and Saving Money: Hospital-Acquired

260. Table 15A: Outcome Indicators by County Demographics | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15.html
     February 01, 2023 - Ulcer 3,341 3,555 3,254 3,604 Injurious Falls 429 263 406 260 Dually Eligible … Ulcer 3,678 4,011 3,589 4,072 Injurious Falls 520 339 493 336 Medicaid-Only … Ulcer 4,049 4,237 4,031 4,256 Injurious Falls 778 456 729 451 HCBS … Ulcer 3,678 4,011 3,589 4,072 Injurious Falls 520 339 493 336 Medicaid-Only … Ulcer 4,049 4,237 4,031 4,256 Injurious Falls 778 456 729 451 Notes