{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T11:35:35Z","timestamp":1777635335116,"version":"3.51.4"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2011]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Background: Hospital stays for patients with pressure ulcers (PU) increased nearly 80% from 1992 to 2006. Most PU\u2019s developed during an admission, often despite preventive efforts from clinical staff. Data from Electronic medical records (EMR\u2019s) were used to prepare daily patient risk factor and PU information for nurses to help prevent PU development and exacerbations.<\/jats:p><jats:p>Objectives: The objectives of this study were to determine whether: 1) dissemination of an automated daily report with patient risk and current status of pressure ulcers (\u201cPU Daily\u201d) helps prevent the development of pressure ulcers, and 2) using the PU Daily information impacts the severity of pressure ulcers that develop in an acute care setting.<\/jats:p><jats:p>Methods: A pre-post study with four control units was designed to determine the impact of the PU Daily in intensive care units (ICU) in a large medical center. The control units included ICU\u2019s using the same EMR and similar complexity of cases with a high risk of developing a PU. The pre-post study took place over a six month period (March \u2013 August 2009).<\/jats:p><jats:p>Results: A total of 6,735 cases were included in the study. The intervention unit showed a significant decrease (p = 0.004) in PU\u2019s at post-evaluation; none of the four comparison units showed a decrease at the p&lt;0.05 level. The intervention led to a significant reduction in the total number of PU\u2019s documented (p &lt;0.000) and the number of Stage II PU\u2019s (p = 0.046).<\/jats:p><jats:p>Conclusion: The intervention with the PU Daily showed a significant decrease in the total PU\u2019s and severity of PU\u2019s and allowed for implementation of interventions that help prevent the development of PU\u2019s. As EMR\u2019s become more widely available, this intervention showed a reduction in PU\u2019s. Future studies should further develop this intervention and include multiple institutions and patient populations.<\/jats:p>","DOI":"10.4338\/aci-2011-07-ra-0046","type":"journal-article","created":{"date-parts":[[2011,12,7]],"date-time":"2011-12-07T08:35:48Z","timestamp":1323246948000},"page":"508-521","source":"Crossref","is-referenced-by-count":7,"title":["Evaluation of the Pressure Ulcer Prevention Clinical Decision Report for Bedside Nurses in Acute Care Hospitals"],"prefix":"10.4338","volume":"02","author":[{"given":"D.","family":"Tschannen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.","family":"Guo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Kazemi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Talsma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2017,12,16]]},"reference":[{"issue":"3","key":"10.4338\/ACI-2011-07-RA-0046-1","first-page":"30","volume":"53","author":"National","year":"2007","journal-title":"Ostomy Wound Manage"},{"key":"10.4338\/ACI-2011-07-RA-0046-2","doi-asserted-by":"publisher","DOI":"10.1097\/01.WON.0000335960.68113.82"},{"key":"10.4338\/ACI-2011-07-RA-0046-3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2004.03333.x"},{"key":"10.4338\/ACI-2011-07-RA-0046-4","unstructured":"California Healthcare Foundation. 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Clinical Informatics and its usefulness for assessing risk and preventing falls and pressure ulcers in nursing home environments. In Henriksen K, Battles JB, Marks ES, Lewin DI, editors. Advances in Patient Safety: From research to implementation (Volume 3: Implementation Issues) Rockville, MD: Agency for Healthcare Research and Quality (US); 2005."},{"issue":"11","key":"10.4338\/ACI-2011-07-RA-0046-9","first-page":"39","volume":"55","author":"VanGilder","year":"2009","journal-title":"Ostomy Wound Management"},{"key":"10.4338\/ACI-2011-07-RA-0046-10","unstructured":"Russo, CA (Thomson Reuters), Steiner C, (AHRQ) and Spector W. (AHRQ). Hospitalizations Related to Pressure Ulcers, 2006. HCUP Statistical Brief #64. December 2008. Agency for Healthcare Research and Quality, Rockville, MD. Available from: http:\/\/www.hcup-us.ahrq.gov\/reports\/statbriefs\/sb64.pdf"},{"key":"10.4338\/ACI-2011-07-RA-0046-11","unstructured":"Maeda JL, Parlato J, Levit K, Andrews RM, Jiang HJ. Hospital-acquired conditions in selected community hospitals from 15 states. AHRQ Statistical Brief #118; 2008; 2011. Agency for Healthcare Research and Quality, Rockville, MD. Available from: http:\/\/www.hcup-us.ahrq.gov\/reports\/statbriefs\/sb118.pdf"},{"key":"10.4338\/ACI-2011-07-RA-0046-12","unstructured":"U.S. Department of Health and Human Services, HealthCare.gov. Pressure Ulcers; 2011. U.S. Department of Health and Human Services, Washington, D.C. Available from: http:\/\/www.healthcare.gov\/center\/programs\/partnership\/resources\/ulcers.html"},{"key":"10.4338\/ACI-2011-07-RA-0046-13","unstructured":"Lyder, CH, Ayello, EA. Chapter 12. Pressure ulcers: a patient safety issue. Patient safety and quality: An evidenced-based handbook for nurses. Rockville, MD: Agency for Healthcare Research and Quality; 2008."},{"key":"10.4338\/ACI-2011-07-RA-0046-14","unstructured":"Agency for Healthcare Research and Quality. 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