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101. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
     January 01, 2012 - Why Focus on Pressure Ulcers? … hospital patients may have pressure ulcers at any one time.2 • Hospital-acquired pressure ulcer complications … ulcers and pressure ulcer risk (using Braden Scale or other tool) upon admission and every 24 hours … How-to Guide: Prevent Pressure Ulcers. … Why Focus on Pressure Ulcers?

102. Preventing Pressure Ulcers in Hospitals: A Toolkit - Section 7, Tools and Resources (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.pdf
     January 01, 2004 - Most pressure ulcers can be avoided 8. … Pressure Ulcers: Facility Assessment Checklists. … Pressure Ulcers: Facility Assessment Checklists. … Pressure ulcers are sterile wounds. 36. … Pressure ulcers are sterile wounds. False 36.

103. Puh-Implementation-Handouts (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.docx
     July 01, 2016 - QAA Coordinator: It gives us the residents with pressure ulcers and the stage of their ulcer but that … Total count of ulcers √Yes No Yes No b. Count of ulcers by stage √Yes No Yes No 4. … slow healing ulcers. … Report Pressure Ulcers At Risk for Delayed Healing Weekly Wound Rounds Report Weekly Pressure Ulcer … QAA Coordinator: The Existing Pressure Ulcers Report and the Pressure Ulcer Counts by Facility and by

104. Chart Abstraction Form (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-2-tech-specs.pdf
     December 14, 2011 - Pressure ulcers in neonates and children: An NPUAP white paper. … Are pressure ulcers preventable? A survey of experts. … Pressure ulcers in pediatric intensive care: Incidence and associated factors. … Under pressure: Preventing pressure ulcers in critically ill infants. JSPN. … ) and a skin assessment (to detect existing pressure ulcers).

105. Putoolssect7 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
     February 16, 2011 - ulcers include these components? … Assessment of Pressure Ulcer Care Plan Does the care plan for pressure ulcers address all the areas below … Pressure ulcers are sterile wounds. 36. … Include whether the patient has an ulcer, the number of different ulcers, and the stage of the deepest … more pressure ulcers during the hospital stay?

106. Measure: Initial Risk Assessment for Immobility-Related Pressure Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-1-ef.pdf
     May 01, 2016 - Are pressure ulcers preventable? A survey of experts. … Skin integrity in the pediatric population: Preventing and managing pressure ulcers. … Risk factors associated with pressure ulcers in the pediatric intensive care unit. … Preventing pressure ulcers: A systematic review. JAMA 2006; 296:974-84. 10Galvin PA, Curley MA. … Pressure ulcers in neonates and children: An NPUAP white paper.

107. 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/factraining.html
     December 01, 2014 - provide detailed instruction for Facilitators on the content of all materials used to prevent pressure ulcers … Events Say: On-Time reports are being developed to help prevent four adverse events: pressure ulcers … , pressure ulcers that are not healing appropriately, falls, and avoidable hospitalizations. … 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

108. Generic Dashboard Data 2023 (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2023.xlsx
     January 01, 2023 - Unknown 8 60,021 0.0% Pressure Ulcer Other location 1,109 60,021 1.9% Pressure Ulcer Outside area … Pressure Ulcer Other area within the facility 1,566 60,021 2.6% Pressure Ulcer Emergency department … 0.1% Pressure Ulcer Pharmacy 5 60,021 0.0% Pressure Ulcer Radiology/imaging department, including … Ulcer Environment 38 10,940 0.4% Pressure Ulcer Data 810 10,940 7.4% Pressure Ulcer Communication … Ulcer UNK Male Moderate Harm 1 83 1.2% Pressure Ulcer UNK Male Mild Harm 63 83 75.9% Pressure Ulcer

109. On-Time - Menu of Implementation Strategies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/pruprev-menu.pdf
     January 29, 2015 - 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 … Internal review to monitor residents with new ADL decline or worsening ulcers, confirm therapies … Root cause analysis for new pressure ulcer development 6.

110. Puh-Factraining-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
     December 15, 2016 - , 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 … pressure ulcers showing signs of potential delayed healing. … :  Existing Pressure Ulcers Report  Pressure Ulcers at Risk for Delayed Healing Report  Weekly … pressure ulcers on a monthly basis for each unit and for the nursing home as a whole.

111. Initial Risk Assessment for Immobility-Related Pressuer Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-203-fullreport.pdf
     April 10, 2017 - Ulcer Advisory Panel (EPUAP) — “A pressure ulcer is localized injury to the skin and/or underlying … ) and a skin assessment (to detect existing pressure ulcers). … Stage III and IV ulcers are serious, reportable events. … Socioeconomic Status A study by Smith, et al., examined decubitus ulcer (pressure ulcers) as one of … Guideline for prevention and management of pressure ulcers.

112. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
     January 01, 2012 - Why focus on pressure ulcers in children? … ulcers and pressure ulcer risk (using Braden Q Scale, Glamorgan Scale, or other tool) upon admission … How-to Guide: Prevent Pressure Ulcers. … European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. … Why focus on pressure ulcers in children?

113. Patient Safety Concerns Dashboard (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2022.xlsx
     January 01, 2022 - No Harm 24.6% 19,627 1,567,355 Pressure Ulcer Mild Harm 69.0% 54,905 1,567,355 Pressure Ulcer Moderate … Harm 3.2% 2,554 1,567,355 Pressure Ulcer Severe Harm 0.4% 351 1,567,355 Pressure Ulcer Death 0.0% … 3 1,567,355 Pressure Ulcer Unknown Harm 2.8% 2,190 1,567,355 Surgery or Anesthesia No Harm 40.6% 39,833 … No Harm 2.6% 19,627 1,567,355 Pressure Ulcer Mild Harm 13.7% 54,905 1,567,355 Pressure Ulcer Moderate … Harm 6.2% 2,554 1,567,355 Pressure Ulcer Severe Harm 5.5% 351 1,567,355 Pressure Ulcer Death 0.0%

114. Patient Safety Concerns Dashboard (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2021.xlsx
     January 01, 2021 - No Harm 24.5% 18,821 1,267,662 Pressure Ulcer Mild Harm 69.3% 53,321 1,267,662 Pressure Ulcer Moderate … Harm 3.1% 2,402 1,267,662 Pressure Ulcer Severe Harm 0.3% 253 1,267,662 Pressure Ulcer Death 0.0% … 3 1,267,662 Pressure Ulcer Unknown Harm 2.7% 2,113 1,267,662 Surgery or Anesthesia No Harm 36.0% 29,592 … No Harm 3.5% 18,821 1,267,662 Pressure Ulcer Mild Harm 15.2% 53,321 1,267,662 Pressure Ulcer Moderate … Harm 6.9% 2,402 1,267,662 Pressure Ulcer Severe Harm 5.1% 253 1,267,662 Pressure Ulcer Death 0.1%

115. Patient Safety Concerns Dashboard (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2020.xlsx
     January 01, 2020 - 329,830 1,456,736 Fall 10.7% 155,696 1,456,736 Surgery or Anesthesia 5.3% 77,611 1,456,736 Pressure Ulcer … No Harm 25.1% 18,632 1,075,547 Pressure Ulcer Mild Harm 70.1% 52,097 1,075,547 Pressure Ulcer Moderate … Harm 3.0% 2,235 1,075,547 Pressure Ulcer Severe Harm 0.3% 188 1,075,547 Pressure Ulcer Death 0.0% … No Harm 3.5% 18,632 1,075,547 Pressure Ulcer Mild Harm 15.2% 52,097 1,075,547 Pressure Ulcer Moderate … Harm 6.8% 2,235 1,075,547 Pressure Ulcer Severe Harm 4.1% 188 1,075,547 Pressure Ulcer Death 0.1%

116. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4b_pdi02-pressureulcer-bestpractices.pdf
     January 01, 2012 - Why focus on pressure ulcers in children? … ulcers and pressure ulcer risk (using Braden Q Scale, Glamorgan Scale, or other tool) upon admission … How-to Guide: Prevent Pressure Ulcers. … Pressure Ulcer Prevention and Treatment Protocol. … European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel.

117. Puh-Impmenu (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.pdf
     December 15, 2016 - of Nursing and Rehab Weekly wound review meetings Weekly risk meeting On-Time Pressure Ulcers … or pressure ulcers at risk for delayed healing Skin rounds Weekly nutrition risk huddle … 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

118. 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/vendors.html
     December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Vendors With On-Time … Experience The following EMR vendors have programmed the first On-Time Pressure Ulcer Prevention reports … Return to Pressure Ulcer Prevention

119. Implementation Steps and Timeline | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/impsteps.html
     January 01, 2017 - Assessment and Pressure Ulcer Healingreports are in the system. … self-assessment worksheet that identifies current processes at the facility to track and monitor pressure ulcers … 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.

120. Puh-Impmenu (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.docx
     December 15, 2016 - Quality improvement review Risk management meeting Root cause analysis for new pressure ulcers … or pressure ulcers at risk for delayed healing Skin rounds Weekly nutrition risk huddle … 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 … Counts by Month Report Root cause analysis for new pressure ulcers or delayed healing pressure ulcers