AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention

Handouts: Overview of On-Time (continued)

Menu of Implementation Strategies

Pressure Ulcer Prevention Menu of Implementation Strategies
  Existing New
On-Time Nutrition Risk Reports    
   1. Care Plan Meetings    
   2. Dietary Department Internal Review    
   3. MDS Assessment Documentation    
   4. Nurse Shift Change Report    
   5. Root Cause Analysis for New Pressure Ulcers    
   6. Skin Rounds    
   7. Weekly Nutrition Risk Huddle    
   8. Weekly Risk Meetings    
   9. Weekly Wound Review Meetings*    
   10. Wound Rounds*    
On-Time Weight Summary Report    
   1. Care Plan Meetings    
   2. Dietary Department Internal Review    
   3. MDS Assessment Documentation    
   4. Risk Management Meetings    
   5. Root Cause Analysis for New Pressure Ulcers    
   6. Skin Rounds    
   7. Weekly Nutrition Risk Huddle    
   8. Weekly Risk Meetings    
   9. Weekly Wound Review Meetings*    
   10. Wound Rounds*    
On-Time Intervention History for Nutrition Risk Report    
   1. Care Plan Meetings    
   2. Dietary Department Internal Review    
   3. MDS Assessment Documentation    
   4. Risk Management Meetings    
   5. Root Cause Analysis for New Pressure Ulcers    
   6. Weekly Nutrition Risk Huddle    
   7. Weekly Risk Meetings (e.g., Pressure Ulcer Risk, Nutrition Risk)    
On-Time Pressure Ulcer Trigger Summary Report: Resident Level    
   1. Care Plan Meetings    
   2. CNA Shift Change Report    
   3. MDS Assessment Documentation    
   4. Rehab Department Internal Review    
   5. Restorative Care Internal Review    
   6. Weekly Risk Huddle for Nurse and Rehab    
   7. Weekly Nutrition Risk Huddle    
   8. Weekly Risk Meetings (e.g., Pressure Ulcer Risk, Nutrition Risk)    
   9. Weekly Wound Review Meetings*    
On-Time Pressure Ulcer Trigger Summary Report: Unit Level    
   1. Restorative Care Internal Review    
   2. Risk Management Meetings    
   3. Root Cause Analysis for New Pressure Ulcers    
On-Time Risk Change Report    
   1. Care Plan Meetings    
   2. CNA Shift Change Report    
   3. Dietary Department Internal Review    
   4. MDS Assessment Documentation    
   5. Nurse Shift Change Report    
   6. Rehab Department Internal Review    
   7. Restorative Care Internal Review    
   8. Root Cause Analysis for New Pressure Ulcers    
   9. Skin Rounds    
   10. Weekly Risk Huddle for Nurse and Rehab    
   11. Weekly Risk Meetings (e.g., Pressure Ulcer Risk, Nutrition Risk)    
   12. Weekly Wound Review Meetings*    
   13. Wound Rounds*    
On-Time Resident Clinical, Functional, and Intervention Profile Report—
4-Week View
   
   1. Care Plan Meetings    
   2. Dietary Department Internal Review    
   3. MDS Assessment Documentation    
   4. Restorative Care Internal Review    
   5. Risk Management Meetings    
   6. Root Cause Analysis for New Pressure Ulcers    
   7. Weekly Risk Meetings (e.g., Pressure Ulcer Risk, Nutrition Risk)    
   8. Weekly Wound Review Meetings*    

Although the focus of the meeting is not strictly for prevention, some of the prevention reports can provide helpful information about residents' risks that affect healing as well as prevention, and may help prevent additional pressure ulcers (e.g., nutrition and incontinence status).

Return to Contents
Proceed to Next Section
Return to Pressure Ulcer Prevention

Page last reviewed October 2014
Page originally created March 2013
Internet Citation: AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention. Content last reviewed October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/ontime/overviewhandouts3.html