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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
June 16, 2017 - Preventing Pressure Injuries in Hospitals
Preventing Pressure Injuries in Hospitals
ADD Name of Hospital … Most pressure injuries are preventable. … How do you measure pressure injury rates and pressure injury prevention practices? … patients, which includes skin and pressure ulcer assessment as part of all aspects of patient care needs
Wound … Care Team
Interdisciplinary group
of experts who provide
day-to-day care of skin and wound needs
Implementation
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ce.effectivehealthcare.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
February 01, 2024 - Implementation focused on MU Health Care’s 390-bed University Hospital, the only Level I trauma center … AHRQ toolkit, MU Health Care began this journey by assessing the need for hospital-acquired pressure injury … representatives from quality; data analytics; information technology; and content experts, such as wound … the head-to-toe skin assessment by two nurses known as 4E4H (4 eyes in 4 hours) and to utilize the wound … scout, a thermal imaging device that can identify possible deep tissue injury.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
July 12, 2017 - Module 1: Preventing Pressure Injuries in Hospitals
Module 1: Preventing Pressure Injuries in Hospitals … Pressure injuries are preventable, but pressure injury rates continue to escalate. … In addition, pressure injuries cause pain and, in some cases, late-stage pressure injuries lead to life-threatening … This sparked interest in a physician member of the board who has expertise in wound care. … The Prevention Implementation Team, wound care experts, and patient care unit staff need to work together
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ce.effectivehealthcare.ahrq.gov/data/visualizations/ed-visits-injury.html
June 01, 2021 - , by Cause of Injury, 2017
SHARE: … , by Cause of Injury, 2017
Injuries are common and can have many causes, such as falls, cuts, … In 2018, unintentional injuries were the leading cause of death among people ages 1 to 44 years. … The chart shows the five most common types of injury and can be categorized by age, income, patient location … , by Cause of Injury, 2017.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - Adipose (fat) is visible in the injury, and granulation tissue and epibole (rolled wound edges) are often … The wound may evolve rapidly to reveal the actual extent of tissue injury or may resolve without tissue … If you are not sure a skin lesion is a pressure injury, ask the Wound Care Team or Wound Care Nurse. … ,
· Number of injuries,
· Location of injuries, and
· Stage of the deepest injury. … The shadowing intervention included requiring two RNs to sign off on skin assessments and staging of wounds
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
July 02, 2008 - injuries. … with a red-pink wound bed
No slough
9
Stage 3
Full-thickness tissue loss
Visible subcutaneous fat … If not sure, ask the Wound Care Team or Nurse.
16
Measures
Measures used in monitoring pressure injury … Document the results of the assessment, noting:
Presence of an injury.
Number of injuries. … of injuries) 17 patients with any pressure injury
# of patients with a >Stage 2 pressure injury 5 patients
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
June 12, 2018 - Any patient with an existing pressure injury is at risk for additional injuries.
· Determine whether … Int Wound J 2010;7:358-65. PMID:20561094. … as possible, integrate the skin exam into the normal workflow.
· Determine the correct etiology of wounds … · Consider having a wound care expert or nurse from another unit with wound expertise round with unit … SAY: The answer is the wound or ostomy nurse consult revealed a slightly pink coccyx.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/index.html
September 01, 2018 - Safety
Patient Safety Resources by Setting
Long Term Care
Resources
Injuries … Patient Safety News and Events
Education & Training
Resources
Falls and Injury … Long-term care resources about falls and injuries
The Falls Management Program: A Quality … reviewed September 2018
Page originally created March 2013
Internet Citation: Falls and Injury … https://www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/index.html
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Layde_34.pdf
March 14, 2008 - Overall medical injury rates for drug-associated
injuries increased significantly during the study period … payer, hospital ownership, presence of a residency program, percentage of board-certified staff,
trauma … present [N (%)] 18 (28) 7 (23) 5 (15) 30 (24)
Percentage board-certified staff 86.7 86.1 86.9 86.6
Trauma … , 2002 vs. 2005 (%)
Post-op infections/nonhealing
wounds 1.97 1.51 1.28 1.35 2.42 2.07 0.42 … • Dehiscence (998.3) or
• Persistent post-operative fistula (998.6) or
• Non-healing surgical wound
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
January 01, 2003 - Validation of medical injury surveillance criteria
Medical chart review
Injury
No
Injury … ; and more
than 1,400 discharges with injuries due to radiation. … Infection/inflammation 4,203 7.5 2.01***
Hematoma, hemorrhage, seron 4,958 8.9 1.06***
Nonhealing wound … injuries from hospital discharge data. … Accuracy of
administrative data in trauma. Surgery 1999
Aug;126(2):191–7.
22.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/French.pdf
April 27, 2004 - 31 7,413 229,803
234 Crush injury 8 4,744 37,952
235 Open wound head 16 16,499 263,984
236 Open … wound extremity 27 4,150 112,050
239 Superficial injury 25 3,995 99,875
240 Burns 3 6,911 20,733 … 122.23 248 30,313
234 Crush injury 231.05 14 3,235
235 Open wound head 206.20 306 63,097
236 Open … 926 4.63 2,530 294 24.08 7,707
234 Crush injury 76 0.38 1,793 30 2.46 4,189
235 Open wound head 1,801 … 9.01 324 39 3.19 5,631
236 Open wound extremity 1,139 5.70 633 74 6.06 7,210
239 Superficial injury
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
January 01, 2003 - Injury surveillance systems have been operational and producing public
information on trends in injuries … codes in the 800–999 range, included various types fractures; sprains;
wounds; complications due to … across the many settings
VHA Injury Surveillance System
269
of care where injuries are treated … during the inpatient episode and may be coded in the
secondary diagnosis fields, such as postoperative wound … in episodes of care; and identify risk
factors for injuries to aid in focused injury prevention and
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/cdom0803.html
October 01, 2014 - , as well as the economic burden associated with these injuries," Yang notes. … At least 4.3 million sports and recreational injury episodes occur each year in school-aged children … During this period, there were approximately 10,000 sports injury hospitalizations per year for patients … codes that do not specify the injury as being sports-related. … More than half of these injury hospitalizations were attributed to fractures, and approximately half
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
November 20, 2014 - Best Practices in Pressure Injury Prevention
Best Practices in
Pressure Injury Prevention
ADD Hospital … literature and expert opinion—that represent the best ways we currently know of preventing pressure injuries … assessment.
10
Barriers to Practice
Finding time for skin assessments
Determining correct etiology of wounds … Page 42
14
Pressure Injury risk assessment
BEST PRACTICE
15
Pressure Injury Risk Assessment
Next … Care planning guides what will be done to prevent pressure injuries.
23
Pressure Injury care planning
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ce.effectivehealthcare.ahrq.gov/research/findings/studies/index.html?page=483
January 01, 2024 - Behavioral Health
(699)
Blood Clots
(62)
Blood Pressure
(132)
Blood Thinners
(79)
Brain Injury … and Wounds
(207)
Inpatient Care
(221)
Intensive Care Unit (ICU)
(267)
Kidney Disease and … Tools & Toolkits
(49)
Training
(143)
Transitions of Care
(192)
Transplantation
(141)
Trauma … Keywords: Healthcare Costs, Injuries and Wounds, Social Determinants of Health
Mohanan M … Keywords: Healthcare Costs, Injuries and Wounds, Social Determinants of Health
Boland MR ,
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201802.html
August 01, 2018 - Pressure injuries are painful, can lead to serious deep tissue infections, and can affect clinicians’ … Major steps included:
Measuring staff’s knowledge of and attitude about pressure injuries. … Staging pressure injuries on a 1-4 scale. … “If one nurse thought there was a pressure injury, we required confirmation from a second RN. … If anything, they’re over-reporting pressure injuries,” Dr. Safer said.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
January 01, 2004 - Adnominal injuries caused by
lysis of peritoneal adhesions 91 52.6 82 47.4
Abdominal injuries caused … If trauma patients are
going to be identified and eliminated from the PSI, the definition of a trauma … Only 14.9 percent of the
events did not appear to be serious injuries, and 4.5 percent involved trauma … It is likely that many of the trauma
patients identified by the indicator suffered injuries outside … While it is impressive that bladder
injuries from hysterectomies, bowel injuries from cholecystectomies
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
October 01, 2017 - Collect and analyze data to learn about pressure injury rates and causes of pressure injuries. … device-related pressure injuries, mucosal injuries, and how they differ from regular pressure injuries … injuries. … and wound care. … prevention education targeted to different types of nurses
Simulation with a mannequin to educate on wounds
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ce.effectivehealthcare.ahrq.gov/data/infographics/common-cause.html
March 01, 2021 - Home
Data & Analytics
Data Infographics
Most Common Cause of Injuries … Treated in Emergency Departments
Most Common Cause of Injuries Treated in Emergency Departments … )
Source: AHRQ, HCUP Statistical Brief #266, Overview of Emergency Department Visits Related to Injuries … , by Cause of Injury, 2017 ( PDF , 292 KB). … March 2021
Page originally created March 2021
Internet Citation: Most Common Cause of Injuries
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
March 01, 2006 - • Monthly fall injury rate, calculated as the number of injuries/number of falls x 100. … • Severity of injury for each fall, defined as no injury, minor injury (e.g., abrasion, bruise,
minor … laceration), or major injury (e.g., hip fracture, head trauma, arm fracture).12
Team characteristics … their major injury rate by
82 percent, to only 0.39 major injuries per 100 falls. … o No injury or minor injury.
o Major injury.
o Death.