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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/summary.html
August 01, 2022 - dispute resolution, with the joint aims of (1) putting patient safety first by reducing preventable injuries … better communication between doctors and patients, (3) ensuring fair and timely compensation for medical injuries
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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part4-comm.html
March 01, 2020 - Injury Prevention —reducing mortality from motor vehicle crashes as well as childhood mortality from … injuries. … )
0.62(b)
1.36(a)
1.00
Mental health/substance abuse
0.73(b)
0.79(b)
1.05
1.14(a)
Injury … Age-Sex Adjusted Rate of Injury Inpatient Stays, by Ethnicity
Age-Sex Adjusted Rate of Injury Inpatient … Rates of injury stays were higher in border than non-border counties, both for Hispanics and non- Hispanics
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/workplace_safety_resource_list.pdf
October 01, 2021 - Workbook for Designing, Implementing, and Evaluating a Sharps Injury Prevention
Program
https://www.cdc.gov … lifting, repositioning, and transfers represent some of the most common—and most
preventable—sources of injury … This brief questionnaire can be used to examine the number and
nature of patient handling injuries in … www.ahrq.gov/teamstepps/webinars/previous-webinars-2016.html
Clinical teams can learn how to reduce risk of injury … Equipment (PPE)
Well-Being Initiative
Workbook for Designing, Implementing, and Evaluating a Sharps Injury
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … Say:
Consequences are high when organizations and health care providers don't respond to medical injury … Slide 12
Say:
The response to medical injury involves more than just what to do and what we … field of ergonomics; as we work more at desks and computers, these areas are redesigned to help prevent injuries … Slide 35
Say:
In addition to the organization Medically Induced Trauma Support Services (or
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_fall-prevention.docx
March 01, 2013 - In one study, a fall with serious injury added 6.3 days to the hospital stay. … The average operational cost for a fall with injury is about $14,000. … Between 30 and 51 percent of falls in hospitals result in an injury ranging from bruises to severe wounds … Some falls even result in permanent injury or death.
Lastly, many falls are preventable. … The cost of serious fall-related injuries at three Midwestern hospitals.
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201616.html
November 01, 2016 - University Hospital used AHRQ's Preventing Falls in Hospitals toolkit to reduce falls resulting in injury … By June 2016, falls with injury dropped to 12 percent of all falls, down from 19 percent the previous … Eight units set records for their longest number of days without falls resulting in injury. … outcomes to leaders and staff, we used data and charts to show each unit’s number of falls, falls with injury … This collaborative approach has reduced falls and lowered the rate of falls resulting in 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-2/vol1/Advances-November_45.pdf
January 01, 2007 - resident physicians were
asked to complete incident reporting cards identifying obstacles to care, injuries … The following definitions were
used to code the type of event:
• Adverse events were injuries that … • Potential adverse events were errors where injuries could have occurred but did not, either
due … Injury by type and severity
Injury and severity N %
Adverse events 7 9
Life Threatening 1 … Since near misses do
not result in injuries and are, therefore, unlikely to carry medical liability,
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-slides.html
February 01, 2017 - Adverse Events 4
9 patients had 14 adverse event (<1% of activities):
Falls to knees without injury … Subjects: 2,176 trauma and burn ICU patients,
Pre (n=1044) and post (n=1132) EM program. … Effectiveness of an early mobilization protocol in a trauma and burns intensive care unit: a retrospective … Effectiveness of an early mobilization protocol in a trauma and burns intensive care unit: a retrospective … Slide 23: 5-Year Sustainability of Time to PT Postacute Lung Injury Diagnosis 8
Post-QI → earlier
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/overview.html
October 01, 2017 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … Assessment Tools in Care Planning
Post-Fall Huddles: Reducing Preventable Falls and Fall-Related Injuries … Organization
Staff Roles and Training for Your Fall Prevention Program
Critical Thinking for Fall Injury … Module 5 : How To Measure Fall Rates and Fall Prevention Practices
Measuring Fall and Fall-Related Injury
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ce.effectivehealthcare.ahrq.gov/research/findings/studies/index.html?page=484
January 01, 2024 - Behavioral Health
(699)
Blood Clots
(62)
Blood Pressure
(132)
Blood Thinners
(79)
Brain Injury … (253)
Imaging
(245)
Implementation
(191)
Infectious Diseases
(260)
Influenza
(41)
Injuries … and Wounds
(207)
Inpatient Care
(220)
Intensive Care Unit (ICU)
(264)
Kidney Disease and … Tools & Toolkits
(49)
Training
(143)
Transitions of Care
(192)
Transplantation
(141)
Trauma
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/index.html
August 01, 2017 - Liability (PSML) Initiative to address four goals: (1) putting patient safety first by reducing preventable injuries … better communication between doctors and patients, (3) ensuring fair and timely compensation for medical injuries
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
November 01, 2021 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries … Nursing Homes: On-Time Prevention
End of Life Care
Home and Community-based Services
Falls and Injury
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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-infmat.html
June 01, 2018 - Change
Infant mortality per 1,000 live births (more than 2,499 grams)
Worse
No Change
Birth trauma—injury … trauma rates were all improving over time. … Birth Trauma
Birth trauma—injury to neonate per 1,000 live births, by race/ethnicity, 2004-2013 … Trends:
From 2004 to 2013, birth trauma-neonatal injury rates fell from 2.6 per 1,000 live births in … Between 2004 and 2012, birth trauma-neonatal injury rates fell for all racial/ethnic groups.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/about.html
December 01, 2017 - Process
Millions of patients visit hospital emergency departments (EDs) each year for a variety of injuries … Pressure Injury Prevention in Hospitals Training Program
AHRQ developed the Pressure Injury Prevention … how to overcome the challenges associated with developing, implementing, and sustaining a pressure injury
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
September 01, 2017 - In one study, a fall with serious injury added 6.3 days to the hospital stay. … The average operational cost for a fall with injury is about $14,000. … Between 30 and 51 percent of falls in hospitals result in an injury ranging from bruises to severe wounds … Some falls even result in permanent injury or death.
Lastly, many falls are preventable. … The cost of serious fall-related injuries at three Midwestern hospitals.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
January 01, 2004 - mandatory error reporting programs gather data
on errors associated with fatal outcomes or serious injuries … of administration
were trapped prior to completion.10
The population above age 65 sustained more injuries … The most significant potential for injury occurred in the
transition of a patient across and between … Inaccurate or
incomplete data about medication regimens, when undetected, caused patient
injuries. … In
addition, with rare events, the absence of injury is not necessarily the best
indication that the
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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/Tuinen.pdf
March 01, 2004 - Uses
have included characterizing the anatomical location of injury,1 injury severity,2, 3
disease … Classifying trauma severity based on hospital
discharge diagnoses. … J Trauma 1996;41(3):380–8.
4. Rutledge R, Osler T, Kromhout-Schiro S. … J Trauma 1998;45(4):791–9.
13. Hartz AJ, Kuhn EM. … Patient safety
efforts should focus on medical injuries. JAMA
2002;287(15):1993–7.
23.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar3_falls_staffroles.pdf
January 01, 2013 - 12
Unit Champions: Roles and Duties
• Maintain and transfer current knowledge of fall-
related injury … • Track unit injuries and close calls. … Preventing falls and fall-related injuries in hospitals.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool5c.docx
January 29, 2013 - stakeholders and staff
Root cause analysis is conducted for each fall with at least moderate level of injury
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiic.html
June 01, 2010 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries … elders; Adults and/or children with severe and persistent mental illness; Adults with acquired brain injuries … elders; Adults and/or children with severe and persistent mental illness; Adults with acquired brain injuries … elders; Adults and/or children with severe and persistent mental illness; Adults with acquired brain injuries … elders; Adults and/or children with severe and persistent mental illness; Adults with acquired brain injuries