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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - Video: Do Less Harm
2
Presentation Goals
Highlight the gap between optimal response to medical injury … Resolution) process and how this toolkit will help organizations improve their response to medical injury … Module 1
Today’s presentation goals are to:
Highlight the gap between optimal response to medical injury … field of ergonomics; as we work more at desks and computers, these areas are redesigned to help prevent injuries … helps them care for their patients.
36
Module 1
In addition to the organization Medically Induced Trauma
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ce.effectivehealthcare.ahrq.gov/data/data-visualization/index.html
September 01, 2023 - Grants Health Insurance HIV Hospital Safety Hospital-Acquired Conditions Hospitalizations Influenza Injuries … Poverty Prescription Drugs Sick Leave Social Determinants of Health Surgery Technology Traumatic Brain Injury
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-resources.pdf
May 01, 2023 - 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 … Healthcare Outcomes
Well-Being Initiative
Workbook for Designing, Implementing, and Evaluating a Sharps Injury
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
July 01, 2016 - Perioperative Pulmonary Embolism or Deep Vein Thrombosis
PSI 13 Postoperative Sepsis
PSI 14 Postoperative Wound … Dehiscence
PSI 15 Accidental Puncture or Laceration
Obstetric PSI 17 Birth Trauma-Injury to Neonate …
PSI 18 Obstetric Trauma-Vaginal Delivery With Instrument
PSI 19 Obstetric Trauma-Vaginal Delivery … 09 Postoperative Respiratory Failure Rate
PDI 10 Postoperative Sepsis Rate
PDI 11 Postoperative Wound
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-2.html
August 01, 2023 - involve one of two situations:
Common time-limited conditions (e.g., mild viral illnesses, minor injuries … conditions ranging from lower respiratory tract infections and constipation to febrile seizures and head trauma … conditions that are not dangerous present with similar signs or symptoms as more serious illnesses and injuries
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-slides.pptx
January 01, 2017 - Patients
Adverse Events4
9 patients had 14 adverse events (<1% of activities)
Falls to knees without injury … sustainably decreased time to onset of active physical therapy intervention in patients with acute lung injury … sustainably decreased time to onset of active physical therapy intervention in patients with acute lung injury … Safety Program for Mechanically Ventilated Patients
5-Year Sustainability of Time to PT
Postacute Lung Injury … sustainably decreased time to onset of active physical therapy intervention in patients with acute lung injury
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-1-tables-1-5.pdf
April 01, 2019 - thunderclap 339.43
Other complicated 339.44
Other
Post-traumatic headache 339.2x
Acute pain due to trauma … seizure 780.33
Other convulsions 780.39
4
Table 4 [=IMG9]: ICD-9-CM Codes to Identify Head Trauma … 800.2
Closed with other and unspecified intracranial hemorrhage 800.3
Closed with intracranial injury … 852.x
Other/unspecified intracranial hemorrhage following injury 853.x
Intracranial injury of other … excision of foreign body from brain 61570
Craniectomy or craniotomy; with treatment of penetrating wound
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new-sops-workplace-safety-mcgaffigan.pdf
December 01, 2020 - www.ihi.org/Engage/Initiatives/Lucian-Leape-Institute/Pages/Publications.aspx
Higher incidence
of injuries
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ce.effectivehealthcare.ahrq.gov/news/newsroom/ahrq-stats.html
November 01, 2023 - Emergency Care of Injuries in Children Following a Hurricane
Among people living in the direct path … , by Cause of Injury, 2017 .) … visits related to treatment of traumatic brain injuries in 2017 were highest among people living in … Trauma During Childbirth
The rate of obstetric trauma during childbirth involving instruments such as … highest average expenses per person were for the treatment of heart conditions ($3,794 per person), trauma-related
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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/access/elements3.html
June 01, 2018 - Measures of Timeliness
Adults who needed care right away for an illness, injury, or condition in the … sometimes or never got care as soon as wanted
Children who needed care right away for an illness, injury … Adults’ Ability To Get Care As Soon As Wanted
Adults who needed care right away for an illness, injury … were less likely than adults with private insurance to receive needed care right away for an illness, injury … Children’s Ability To Get Care As Soon As Wanted
Children who needed care right away for an illness, injury
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
April 01, 2016 - Say:
Today’s Presentation Goals are to:
■ Highlight the gap between optimal response to medical injury … the CANDOR process and how this toolkit will help organizations
improve their response to medical injury … Slide 12
Facilitator Notes - Grand Rounds Presentation – 5
Say:
The response to medical injury … 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
MITSS)
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiib.html
June 01, 2010 - , Quality of Life Populations: Elders and adults with physical disabilities, including spinal cord injuries … and acquired brain injuries Developer: Cheryl Cott, PhD and colleagues, University of Toronto Use history … Malec, PhD, ABPP, The Center for Outcome Measurement in Brain Injury Use history: In 2005 Kentucky piloted … Consumers were given the inventory when they initially entered the waiver for persons with brain injuries … developed to assist in the clinical evaluation of people during the period following the acquired brain 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/vol3/Vane.pdf
February 01, 2005 - Surgeries included multiple traumas and burns. … Patient Safety During Military Deployments
471
Combat missions involved trauma and burn surgeries … Humanitarian missions included
trauma surgery along with a broad-based OR capability, which included … When the fixed facility hospital in Baghdad was established and wounds were
cultured out, there was … a number of surgical site wound infections.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - event type; and, detailed information about specific event types,
such as the distribution of various injuries … pertaining to nine patient safety event
types that represent the majority of reported preventable injuries … Event-Specific Formats pertain to nine patient safety events that represent the great majority of
preventable injuries … that they represent minor injuries such as soreness, bumps, and
minor abrasions. … and the type of the injury.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-retention.pdf
April 01, 2022 - Issue
Specialty ICUs, such as cardiothoracic surgery, neurology, and trauma, have unique patients with … silver alloy-coated silicone urinary catheters
in patients with acute traumatic cervical spinal cord injury … Prevention of urinary tract infections in patients with
spinal cord injury. … Neurogenic bladder in spinal cord injury patients. Res Rep Urol.
201510;7:85-99. … protocol for
catheter removal to decrease catheter-associated urinary tract infection rate in a surgical
trauma
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-091013.ppt
January 01, 2010 - Facilitates I/O measurement
Keeps patients from having to get up to urinate, protecting them from injury … Incontinent with open sacral/perineal wounds
Consult with wound care
End of life/hospice
Be sure it … Trauma)
Admitting service (e.g. … Incontinent with open sacral/perineal wounds?
End of life/hospice? … Protocolized care for trauma
Incontinence without open sacral or perineal wounds
Pre-operative
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ce.effectivehealthcare.ahrq.gov/research/findings/studies/index.html?page=485
January 01, 2024 - Behavioral Health
(699)
Blood Clots
(62)
Blood Pressure
(132)
Blood Thinners
(79)
Brain Injury … (255)
Imaging
(245)
Implementation
(191)
Infectious Diseases
(260)
Influenza
(41)
Injuries … 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
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ce.effectivehealthcare.ahrq.gov/topics/falls.html
Falls can lead to serious injuries, decreased ability to function, reduced quality of life, increased
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guide3.html
February 01, 2016 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … associated with a very high risk of VTE include abdominal or pelvic surgery for cancer, multiple major trauma … Examples include craniotomy, traumatic brain injury, spinal cord injury repair, major trauma, plastic … use, ideally used for 18 hours or more. 4
Prophylaxis for Knee Arthroscopy and Isolated Lower Leg Injuries … The same recommendation applies to patients with isolated lower leg injuries distal to the knee that
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool5a.docx
January 29, 2013 - Type of injury
Be specific, e.g., “fractured tibia,” not “broken leg.” … If a fall from bed, whether bedrails were in use
Help assess how bedrail use is affecting falls or injury