Pressure Injury Prevention Program Implementation Guide

Appendix D. Sample Production Agenda for the In-Person Training

Production Agenda: Pressure Injury Prevention Program Training

Hospital Name

Date and Time for Training

Time Min. Content Speaker Tools
8:15–8:20 5 Opening Remarks
Thank you from leadership to attendees for participating in pressure injury initiative
Senior Leader  
8:20–9:05 35 Module 1: Understanding Why Change Is Needed

  • Welcome
  • Instructions to maximize participation
  • Logistics, breaks, cell phones, etc.
  • Objectives
  • AHRQ Toolkit approach/training
Quality Improvement Specialist (QIS)/Instructor

Note: Alert the organizational leader (or other appropriate individual) to share what led the organization to begin this pressure injury prevention initiative and how senior leadership plans to support this initiative. Consider developing a project charter to kick off the project.

Alert the Implementation Team Leader to be ready to present and discuss the completed Resource Needs Assessment (Tool 1E) in Module 1. Have the Team Leader make copies of the completed needs assessment for each participant, or use the laptop to show the completed needs assessment on the screen.

10 Resource needs Implementation Team Leader 1E: Resource Needs Assessment
9:05–10:35 10 Module 2: How To Manage Change

  • Intro

Note: Discuss with the Team Leader if the hospital currently uses a quality improvement (QI) change methodology, such as Plan, Do, Study, Act (PDSA); Lean Six Sigma (LSS); or another methodology.

Meet with the Team Leader(s) prior to the day of training to decide how the team will operate.

Alert the Implementation Team Leaders(s) or designee(s) to be ready to present and discuss findings from Tools 2A, 2B, 2C, 2D, 2E, and 2F.

Alert the Implementation Team Leader to be ready to discuss and decide who will oversee administering the Pieper Pressure Ulcer Knowledge Test to staff, and who will be in charge of assessing the results and folding them into planning for staff training.

  • Multidisciplinary Team
Implementation Team Leader 2A: Multidisciplinary Team
  • Quality improvement process
Implementation Team Leader 2B: Quality Improvement Process
  • Current process analysis
  • Small group exercise
All participants
2C: Current Process Analysis
  • Assessing current fall prevention policies and practices
Implementation Team Leader 2D: Assessing Pressure Ulcer Policies
2E: Assessing Screening for Pressure Ulcer Risk
2F: Assessing Pressure Ulcer Care Planning
  • Action plan
All participants 2I: Action Plan
10:35–10:50 15 Break    
10:50–12:10 40 Module 3: Best Practices in Pressure Injury Prevention

  • Intro
  • Comprehensive skin assessment and video
  • Risk assessment and case study
QIS/Instructor—facilitated group discussion

Note: Ask the Team Leader which pressure injury risk assessment tool the hospital uses. If the hospital is using an assessment scale other than the Braden or Norton Scale, ask the Team Leader(s) to be prepared to review the subscales of the risk assessment tool they use or plan to use. Then, consider deleting the next 5 slides on the Braden Scale and ask the Team Leader(s) to discuss how the assessment scale they are using is scored. Ask them to include an example of how to score using their risk assessment scale.

3A: Pressure Ulcer Prevention Pathway for Acute Care
3B: Elements of a Comprehensive Skin Assessment
3C: Pressure Ulcer Identification Pocket Pad
3D: The Braden Scale for Predicting Pressure Sore Risk
Mr. K Case Study
3E: Norton Scale
  • Care planning
  • Identifying bundle of best practices
  • Action plan and summary
QIS/Instructor—facilitated group discussion 3F: Care Plan
3G: Patient and Family Education Booklet
2I: Action Plan
12:10–12:55 45 Lunch    
12:55–2:10 30 Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization

  • Implementation planning goals
  • Staff roles/unit team
  • Communication/integration
  • EHR
  • Change/monitoring/staff engagement
  • Staff education and training
  • Assessment of current staff education and training
Individuals who can speak on IT issues

Note: Ask the Implementation Team Leader to work with the manager of the pilot unit(s) prior to this training to identify Unit Champions for each shift on each pilot unit.

  • Ask the Implementation Team Leader to assign a Task Force Leader to think about which staff roles will be responsible for performing the best practices tasks using Tool 4B: Staff Roles.
  • Alert the Implementation Team Leader or designee to be ready to present findings from Tool 4C: Assessing Staff Education and Training and to lead a group planning discussion of developing an action plan for this education.
  • Alert the Education Department representative to be present and ready to discuss Tool 2G: Pieper Pressure Ulcer Knowledge Test and staff training needs.
  • Alert the information technology (IT) representative on the Implementation Team to be ready to talk about the following topics during this module:
    • The electronic health record (EHR) and the possibility of building pressure injury prevention into the electronic documentation system.
    • How to use electronic communication modalities to communicate the program’s progress and success to the rest of the hospital staff.
4A: Assigning Responsibility for Using Best Practices
4B: Staff Roles
4C: Assessing Staff Education and Training
2G: Pieper Pressure Ulcer Knowledge Test
  • Develop an education plan on best practices for staff
QIS/Instructor—facilitated group discussion Education plan for pressure ulcer prevention staff education and training
  • Enhance action plan
  • Summary
QIS/Instructor 2I: Action Plan
2:10–2:25 15 Break    
2:25–3:50 15 Module 5: How To Measure Fall Rates and Fall Prevention Practices

  • Introduction
QIS/Instructor—facilitated group discussion

Note: Alert the Implementation Team Leader or designee (as well as the QI Team, if appropriate) that he/she will be leading or helping to lead a group activity to complete the Action Plan Tool To Measure Pressure Injury Rates and Pressure Injury Prevention Practices.

  • Measuring pressure injury rates
QIS/Instructor—facilitated group discussion  
  • Measuring key processes of care
  5C: Assessing Comprehensive Skin Assessment
5D: Assessing Standardized Risk Assessment
5E: Assessing Care Planning
  • Creating measurement action plan and enhancing overall action plan
QIS/Instructor Action Plan Tool To Measure Pressure Injury Rates and Pressure Injury Prevention Practices
3:50–3:55 5 Closing

  • Evaluation
  • Next steps

Note: Remember to review supplementary webinars.


Page last reviewed October 2017
Page originally created September 2017
Internet Citation: Appendix D. Sample Production Agenda for the In-Person Training. Content last reviewed October 2017. Agency for Healthcare Research and Quality, Rockville, MD.
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