Pressure Ulcer Prevention
Resources; guidelines
Sample Guides
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Wound care reference guide
A graphic Shawnee Mission Medical Center Wound Care Quick Reference Guide, August 2008, is provided courtesy of the Shawnee Mission Medical Center: www.shawneemission.org. This reference guide is consistent with the National Pressure Ulcer Advisory Panel Scale (NPUAP). To download the scale, go to NPUAP under Guidelines.
Download Wound care guide
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AHRQ – Preventing pressure ulcers in hospitals:
A toolkit for improving quality care
This toolkit is designed for multiple audiences and aims to assist
hospital staff in implementing effective pressure ulcer prevention
practices. It draws on best practices in pressure ulcer prevention and
includes both validated and newly developed tool. The core document is
an implementation guide organized under six major
questions intended to be used primarily by the Implementation Team
Download Toolkit
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AHRQ – "Hospitalizations related to pressure ulcers among adults 18 years and older, 2006" Statistical Brief #64 - December 2008
The latest statistical briefing (#64) from the Agency for Healthcare Research and Quality (AHRQ) notes that hospital stays involving patients with pressure ulcers rose nearly 80 percent from 1993 to 2006.
Download brief
- AHRQ - "Making Health Care Safer: A Critical Analysis of Patient Safety Practices"
"Prevention of Pressure Ulcers in Older Patients." Joseph V. Agostini, M.D. et al
Making Health Care Safer: A Critical Analysis of Patient Safety Practices,. Evidence Report/Technology Assessment: Number 43. Chapter 2. AHRQ Publication No. 01-E058, July 2001. Agency for Healthcare Research and Quality, Rockville, MD.
http://www.ahrq.gov/clinic/ptsafety/chap27.htm
- AHRQ -Clinical Practice Guidelines
Agency for Healthcare Research and Quality. No. 15: "Treatment of Pressure Ulcers"; (December 1994) and No 3 Guideline: "Pressure Ulcers in Adults: Prediction and Prevention" (May, 1992) remain available online.
http://www.ahrq.gov/clinic/cpgonline.htm
- AMDA American Medical Directors Association
Clinical Practice Guidelines: "Pressure Ulcers, 1996; Pressure Ulcer Therapy Companion, 1999."
http://www.amda.com/tools/cpg/pressureulcer.cfm
- Geriatric Nursing Protocols Guideline
"Preventing Pressure Ulcers and Skin Tears Geriatric Nursing Protocols for Best Practice." 2nd ed. New York: Springer Publishing Company Inc.; 2003:165-84
http://www.guideline.gov/summary/summary.aspx?doc_id=3511&nbr=002737&string=002737
- IHI Institute of Healthcare Improvement HI
IHI provides a comprehensive approach to pressure ulcer prevention as part of its 5Million Lives campaign, introducing a "How To guide," educational tools and more resources for caregivers and families.
http://www.ihi.org/IHI/Programs/Campaign/PressureUlcers.htm
- The Joint Commission
In 2007 The Joint Commission established prevention of pressure ulcers as a
National Patient Safety goal.
Download NPSG 14
http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/07_ltc_npsgs.htm
- Lyder CH Morbidity and mortality
"Pressure Ulcer Prevention and Management" JAMA 2003;289:223-226.
Download Lyder
- Quality Improvement Organizations
Medicare Quality Improvement Community Initiatives
http://www.medqic.org
- National Guideline Clearinghouse
The National Guideline Clearinghouse™ (NGC), a public resource for evidence-based clinical practice guidelines. NGC is an initiative of AHRQ—and searchable on desired topics. The general link is provided here with some examples of guidelines following.
http://www.guideline.gov
- NPUAP -National Pressure Ulcer Advisory Panel Scale
Updated staging system and many other free resources
Download Pressure Ulcer scale -National Pressure Ulcer Advisory
NPUAP Web site: www.npuap.org
- NQF – National Quality Forum
The NQF-endorsed™ Safe Practices are a set of voluntary consensus standards that serve as a tool for healthcare providers, purchasers, and consumers to identify and encourage practices that will reduce errors and improve care and focus on practices that: 1) have strong evidence that they are effective in reducing the likelihood of harming a patient; 2) are generalizable; 3) are likely to have a significant benefit to patient safety if fully implemented; and 4) have knowledge about them that is usable by consumers, purchasers, providers, and researchers. Pressure ulcer prevention has been an NQF endorsed safe practice since 2003.
https://premierinc.com/quality-safety/tools-services/safety/topics/guidelines/nqf.jsp
- Ontario Guideline
"Risk Assessment & Prevention of Pressure Ulcers." Registered Nurses Assn of Ontario (RNAO); 2005 Mar. 80 pages
http://www.guideline.gov/summary/summary.aspx?doc_id=7006&nbr=004215&string=004215
- Reddy M. Treatment
Treatment of Pressure Ulcers: A Systematic Review Reddy M et al. JAMA. 2008; 300: 2647-56
Download Reddy-08
- Reddy M. Risk factors
Preventing Pressure Ulcers: A Systematic Review Reddy M et al. JAMA. 2006;
296:974-984
Download Reddy
- WOCN Wound, Ostomy, and Continence Nurses Society - Guideline
Prevention and Management of Pressure Ulcers Wound, Ostomy, and Continence Nurses Society (WOCN); 2003. 52 pages
http://www.guideline.gov/summary/summary.aspx?doc_id=3860&nbr=003071&string=003071
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