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Showing results for "injuries".

381. IQI, PSI, AND PDI RATES GENERATED BY THE AHRQ WINDOWS QI SOFTWARE (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2b_combo_ratesgenbywin.pdf
     March 01, 2016 - - 0.01018098 PDI10 PDI #10 Postoperative Sepsis Rate 0 0 - 0.01602384 PDI11 PDI #11 Postoperative Wound … - 0.00437031 PSI13 PSI #13 Postoperative Sepsis Rate 0 0 - 0.01180386 PSI14 PSI #14 Postoperative Wound … Rate – Injury to Neonate 0 0 - 0.00210694 PSI18 PSI #18 Obstetric Trauma Rate – Vaginal Delivery With … Thrombosis Rate 0.00437 PSI #13 Postoperative Sepsis Rate 0.011804 PSI #14 Postoperative Wound … Rate - Injury to Neonate 0.002107 PSI #18 Obstetric Trauma Rate - Vaginal Delivery With

382. Voluntary Adverse Event Reporting in Rural Hospitals (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
     January 01, 2007 - family dissatisfaction 4.9 Administrative other/miscellaneous 4.9 Adverse clinical work-related injury … or exposure to hospital staff Blood and body fluid exposure or needlestick and sharp injury or … physical injury report The affected party was employee or staff 7 0.80 1.03 2.68 – 6.87 5.92 Omitted … Reported rates of staff injury increased in all hospitals statewide. … How much work-related injury and illness is missed by the current national surveillance system?

383. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
     September 01, 2022 - events, e.g., not just fall rates over a given time, but also the percentage of falls that resulted in injury … and the rates of each specific type of injury.

384. Module 3: Best Practices in Fall Prevention—Training Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.html
     September 01, 2017 - CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury … Post-Fall Huddles: Reducing Preventable Falls and Fall-Related Injuries —AHRQ Fall Prevention Program … The patient should be carefully and systematically assessed for injuries. … The post-fall clinical review focuses on immediate risk of injury or complications. … RCA is often used for a fall with injury.

385. Preventing Device-Associated Infections | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
     October 01, 2015 - Acute urinary retention may be medication induced, medical (neurogenic bladder), or related to trauma … Assistance with healing of perineal and sacral wounds in incontinent patients. … Required immobilization for trauma or surgery. … Examples include an unstable thoracic or lumbar spine, multiple traumatic injuries such as pelvic fractures … Common indications include respiratory failure, cardiac or pulmonary arrest, laryngeal trauma or edema

386. TeamSTEPPS Specialty Scenarios: OR (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/operroom.pdf
     March 19, 2014 - At 2200, two emergency trauma cases arrive. … Comments  This scenario demonstrates how managing resources can prevent inefficiency or potential injury … chronic pain patient jumps from the hospital roof and sustains severe and multiple life-threatening injuries … The trauma surgeons request access to the Operating Room (OR) for immediate laparotomy and other repairs …  This scenario demonstrates how cross-monitoring team members can help prevent error, damage, or injury

387. C1 Prioritization Matrix (xls file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
     July 01, 2016 - 13 Postoperative Sepsis 12.7 11.7 15 $49,215 $ 738,225 N 9 7 3 Y Y Y Y Y PSI 14 Postoperative Wound … Accidental Puncture or Laceration 3.2 3.3 1 $22,629 $ 22,629 Y 4 3 7 Y N Y Y Y Obstetric PSI 17 Birth Trauma-Injury … to Neonate   0.0 0.1 0 $88,000 $ - 0 N 2 3 9 Y Y Y Y Y PSI 18 Obstetric Trauma-Vaginal Delivery … With Instrument   134.8 135.1 17 $90,000 $ 1,530,000 N 2 3 8 Y Y Y Y Y PSI 19 Obstetric Trauma-Vaginal … Postoperative Sepsis Rate 0.0 16.2 0 $117,815 $ - 0 N 9 10 10 Y Y Y Y Y PDI 11 Postoperative Wound

388. Dentists Prescribing Fewer High-Alert Drugs to Children | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/850.html
     February 01, 2023 - care consultation offsets hospitalization duration and costs for elderly patients with traumatic brain injuries … : insights from a level 1 trauma center.

389. 2021 National Healthcare Quality and Disparities Report Appendixes (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-appendixes.pdf
     December 01, 2021 - 1,000 elective-surgery admissions of length 4 or HCUP 2018 Reclosure of postoperative abdominal wound … dehiscence per 1,000 2 or more days, adults HCUP 2018 Home health care patients whose surgical wound … 2018 Home health improved care patients whose management of oral medications OASIS 2018 Birth trauma … - injury to neonate per 1,000 selected live births HCUP 2018 High-risk, long-stay nursing home patients … QUALITY MAP Measure Title Data Source Data Year Home health care patients whose surgical wound

390. Appendix II: Technical Expert Panel and Federal Partners Group | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apii.html
     June 01, 2010 - Effectiveness Reviews Facilities Home and Community Resources Findings Report Injuries

391. Creating a Work-Around to Implement Fall Risk Screening For Older Adults Using Appointment Notes Case Study (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-work-around.pdf
     December 15, 2023 - note prompted clinicians to use a three-question version of the Stopping Elderly Accidents, Deaths & Injuries

392. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/sands.html
     August 01, 2017 - The Massachusetts Alliance for Communication and Resolution following Medical Injury (MACRMI) was formed … Its goals are to (1) proactively identify adverse events, (2) differentiate between injuries caused by … an apology and rapid, fair compensation, with patient representation, when unreasonable care caused injury … models in the State: the Massachusetts Alliance for Communication and Resolution following Medical Injury … Errors, the Massachusetts Hospital Association, the Massachusetts Medical Society, and Medically Induced Trauma

393. Changing-System-Facilitator-Guide (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
     June 01, 2021 - The resident not only had a heart attack but has developed a rash and acute kidney injury. … Stopping antibiotics would likely have prevented the development of a rash and acute kidney injury. … which was an allergic reaction to amoxicillin/clavulanic acid which led to a rash and acute kidney injury … aware of the laboratory results in a timely manner, the antibiotics were held, and the acute kidney injury

394. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-facguide.docx
     January 01, 2017 - These included: five falls to knees without injury, four with systolic blood pressure less than 90 mmHg … Slide 16 Early Mobility in a Trauma and Burns ICU SAY: Clark et al. performed a retrospective before … and after cohort study, based on chart review, at an academic medical center in a trauma and burns ICU … study focusing on the time to the first incidence of physical therapy for patients with acute lung injury … Slide 22 5-Year Sustainability of Time to PT Postacute Lung Injury Diagnosis SAY: In this chart you

395. Appendix F. Hospital Practice Insights: Challenges and Solutions | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/appendix-f.html
     September 01, 2017 - Video monitoring has helped reduce falls and falls with injury. … Module 3: Best Practices in Fall Prevention Hospital: >400 beds Pilot Units: Ortho/Trauma, Medical … Implement the Fall Prevention Program in Your Organization Hospital: >400 beds Pilot Units: Ortho/Trauma … injury). … It looks at data for all falls, as well as for falls with injury.

396. SOPS Nursing Home Survey: What You Need To Know - Nicholas Castle, Ph.D., M.H.A., FGSA (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
     January 01, 2006 - Patient Safety Culture in Nursing Homes • Safety culture influences staff as well as residents ► Overall injury

397. Resource List - AHRQ Nursing Home Survey (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
     April 01, 2023 - Falls Management Program http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries … Provider Fax Report and Orders http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries … professionals/onthejob/falls.asp http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries … /fallspx/index.html http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries/fallspx … /fallspx/fallspxmanapb10pcp.html http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries

398. Tool 3F: Orthostatic Vital Sign Measurement | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/orthostatic-vital-sign.html
     January 01, 2013 - CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury … Have possible spinal injuries. Have lower extremity or pelvic fractures.

399. Search Evidence-Based Reports | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/evidence-based-reports/search.html?page=32
     August 01, 2007 - Preparedness (19) Quality Improvement and Patient Safety (60) Skin Conditions (15) Violence and Trauma … Ottawa Report Status: Final Primary Care Interventions to Prevent Motor Vehicle Occupant Injuries

400. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
     May 01, 2016 - the establishment of the Massachusetts Alliance for Communication and Resolution following Medical Injury … All complaints involved some additional patient care and most complaints (70%) resulted in some new injury … some new unanticipated injury compared to non-IC/SDM complaints (35%; p = 0.001)” (Posner et al., 2013 … and establishment of the Massachusetts Alliance for Communication and Resolution following Medical Injury … grievances to formal claims against Wishard alleging malpractice or other actions leading to patient injury