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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. … the number of residents (and percentage of the total nursing unit census) who have met each pressure ulcer … Report Example
Pressure Ulcer Triggers
Week 4
5/10/14
Week 3
5/17/14
Week 2
5/24/ … 20%) (a)
Foley Catheter
8 (23%)(c)
7 (20%) (b)
5 (14%) (b)
8 (23%) (a)
Current Pressure Ulcer
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Pressure_Ulcer_Dashboard_Data_2023.xlsx
January 01, 2023 - Data Submission Dashboard
Introduction
Introduction-Pressure Ulcer
The tables in this workbook … of first pressure ulcer risk assessment. … Timing of First Pressure Ulcer Risk Assessment by Most Advanced Stage of Pressure Ulcer or sDTI Reported … Increased Risk of Pressure Ulcer Percentage Frequency Total
At increased risk for pressure ulcer 75.9% … Ulcer or sDTI Reported
Timing of first pressure ulcer risk assessment Most advanced stage of pressure
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide_slides.pptx
November 01, 2016 - Report
Pressure Ulcers at Risk for Delayed Healing
Weekly Wound Rounds Report
Weekly Pressure Ulcer … assessed ulcer stage
Ulcer days
Existing Pressure Ulcers Report
November 2016
Pressure Ulcer Healing … Increased induration in the skin around the ulcer
Increase in pressure ulcer pain
Pressure Ulcers at … Ulcer Healing
28
28
Pressure ulcers will be flagged on the Pressure Ulcers at Risk for Delayed Healing … Ulcers by Stage
New Pressure Ulcers
Worsening Pressure Ulcers
Reviewing Pressure Ulcer Count by Month
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html
December 01, 2014 - identifies details about the current processes at the facility to identify residents at risk for pressure ulcers … to identify gaps and begin to think about ways they can use On-Time reports to help prevent pressure ulcers … information for any resident and can be used to provide a clinical history for residents with new pressure ulcers … Review On-Time Pressure Ulcer Prevention Reports
2nd month - 3rd month
Pressure Ulcer Prevention … Return to Pressure Ulcer Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/impguide.pdf
December 15, 2014 - identified, and
How the staff changes care plans to intervene early on
those risks to prevent pressure ulcers … Prevention Program can help
them reduce pressure ulcers. … The goal of the meeting is to identify
what is being done to prevent pressure ulcers and to clarify … ulcer prevention, and what they do to identify the root
cause of new pressure ulcers. … home
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/long-term-care/resource/ontime/pruprev/functspecs3.html
December 01, 2017 - Most Recent Ulcer Assessment Date
Nurse documentation of pressure ulcer assessment
If nurses are … pressure ulcer assessment. … # Pressure Ulcers
Nurse documentation of pressure ulcer assessment
Count the number of unique … ulcers for the resident and display the count. … Do not count ulcers that are considered inactive or healed.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Pressure_Ulcer_Dashboard_Data_2022.xlsx
January 01, 2022 - Data Submission Dashboard
Introduction
Introduction-Pressure Ulcer
The tables in this workbook … present data on Pressure Ulcer reports submitted by AHRQ-listed Patient Safety Organizations (PSOs) … , and timing of first pressure ulcer risk assessment. … PRU_2
PRU_2: Documented Increased Risk for Pressure Ulcer
At increased risk for pressure ulcer 0.7618675013 … Ulcer or sDTI Reported
Timing of first pressure ulcer risk assessment Most advanced stage of pressure
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/4.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)
3.4. … trigger activated during the report week presented in descending order of total number of pressure ulcer … There are nine criteria for pressure ulcer risk. … Current Pressure Ulcer
Nurse Wound Assessment
If the resident has at least one pressure ulcer for
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Pressure_Ulcer_Dashboard_Data_2021.xlsx
January 01, 2021 - Data Submission Dashboard
Introduction
Introduction-Pressure Ulcer
The tables in this workbook … PRU_2
PRU_2: Documented Increased Risk for Pressure Ulcer
Documented Increased Risk for Pressure Ulcer … Percentage Frequency Total
At increased risk for pressure ulcer 78.6% 2,094 2,663
Not at increased … risk for pressure ulcer 17.2% 459 2,663
Unknown 4.1% 110 2,663
NOTE: The percentage column may not … Ulcer or sDTI Reported
Timing of first pressure ulcer risk assessment Most advanced stage of pressure
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts3.html
December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Pressure Ulcer Prevention … Review
X
Risk Management Meetings
X Quarterly
Root Cause Analysis for New Pressure Ulcers … Review
X
Risk Management Meetings
X Quarterly
Root Cause Analysis for New Pressure Ulcers … residents' risks that affect healing as well as prevention, and may help prevent additional pressure ulcers … QAPI * or performance improvement plan meeting
Yes, if pressure ulcers are a problem
DON
Department
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide.docx
February 10, 2014 - Pressure Ulcer Healing Reports
Slide
Slide 15–16: Existing Pressure Ulcers Report
SAY:
This report … Pressure Ulcer and Pressure Ulcers at Risk for Delayed Healing Reports. … Current Pressure Ulcers by Ulcer Stage. This is a count of ulcers recorded by their highest stage. … Worsening Pressure Ulcers are also categorized as POA or IHA.
Pressure Ulcer Measures. … POA pressure ulcers
Pressure Ulcer Counts
Number of Residents With More Than One Pressure Ulcer.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide.pdf
February 10, 2014 - Ulcers Report. … Most Recent Ulcer Stage, as displayed on the Existing Pressure
Ulcers Report and the Pressure Ulcers … Pressure Ulcer and Pressure
Ulcers at Risk for Delayed Healing Reports. … Current Pressure Ulcers by Ulcer Stage. This is a count of
ulcers recorded by their highest stage. … Ulcer Healing 46
Pressure Ulcer
Healing Reports
% of POA Pressure Ulcers That Declined.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/functional-specifications.docx
February 10, 2014 - Ulcer Treatments
Ulcer treatments are physician orders that specify how pressure ulcers are cared for … All Pressure Ulcers
Unit total number of pressure ulcers by ulcer stage. … For all New Ulcers, sort by Ulcer Stage and for each stage count the number of unique pressure ulcer … # Ulcers Present on Admission (POA)
Wound Assessment/Ulcer Origin
Determine Ulcers Present on Admission … # Ulcers In-House Acquired (IHA)
Wound Assessment/Ulcer Origin
Determine Ulcers In-House Acquired
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Slide Presentation
AHRQ’s Safety Program … Pressure Ulcer Healing.
Reports in Development
Falls Prevention. … Large decline in pressure ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation. … Ulcers at Risk for Delayed Healing. … Weekly Pressure Ulcer Treatment Summary Report.
Pressure Ulcer Counts by Month Report.
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7c.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
Section 7. … Include whether the patient has an ulcer, the number of different ulcers, and the stage of the deepest … ulcer. … more pressure ulcers during the hospital stay? … Was the patient discharged with one or more pressure ulcers?
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7c.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
Section 7. … and the stage of the deepest ulcer. … Include whether the patient has an ulcer, the number of different ulcers, and the stage of the deepest … ulcer. … more pressure ulcers during the hospital stay?
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts.html
December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training—Handouts … Supplement Intake %
Weight Change in lb)
Most Recent Ulcer Assess Date
# Pr Ulcers
A
001 … 5
7
8
1
Return to Contents
Sample Trigger Summary Report—Unit Level
Pressure Ulcer … Report
Week Ending
4/6/14
4/13/14
4/20/14
4/27/14
Vital Signs
Number of pressure ulcers … Return to Contents Proceed to Next Section 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-electronic-reports.pdf
February 10, 2014 - Existing Pressure Ulcers Report
Table 1: Sample On-Time Existing Pressure Ulcers Report
On-Time … On-Time Pressure Ulcers At Risk for Delayed Healing Report
Table 4: Sample On-Time Pressure Ulcers … to the
Existing Pressure Ulcer Report and Pressure Ulcers At Risk for Delayed Healing Report. … residents
Residents With New Pressure
Ulcers
Number of current residents with a
pressure ulcer … Existing Pressure Ulcers Report
Note: POA* indicates that the pressure ulcer was present on admission
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
4. … Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview … 4.1 What roles and responsibilities will staff have in preventing pressure ulcers? … Works with wound team to prevent or treat pressure ulcers. … Some organizations monitor pressure ulcers in multidisciplinary patient safety rounds.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
4. … Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview … 4.1 What roles and responsibilities will staff have in preventing pressure ulcers? … Works with wound team to prevent or treat pressure ulcers. … Some organizations monitor pressure ulcers in multidisciplinary patient safety rounds.