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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
November 20, 2014 - (Tool 2C)
Present the assessment of current pressure injury prevention policies and procedures. … Implementation Team
Wound Care Team
Unit Team
12
Collaborative Relationships
Unit-Based Team
Staff … who provide daily care to patients, including skin and pressure ulcer assessment and care planning
Wound … Care Team
Interdisciplinary group
of experts who provide
day-to-day care of skin and wound needs and … Let’s look at completed Tool 2D now.
19
Assess Pressure Injury Screening Practices
Tool 2E
20
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healthcare411.ahrq.gov/patient-safety/about/challenge-competition.html
February 01, 2024 - for Improving Quality of Care to decrease Patient Safety Indicator 03 (PSI-03) (reportable pressure injuries … Implementation focused on MU Health Care’s 390-bed University Hospital, the only level I trauma center … technology, MU Health Care rose from the 87th percentile ranking of all-cause hospital-acquired pressure injury … experience using this tool is summarized in "MU Health Care Uses AHRQ Toolkit to Reduce Reportable Pressure Injuries
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healthcare411.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
November 01, 2017 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries
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healthcare411.ahrq.gov/data/data-visualization/index.html?page=1
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 … Sick Leave Among Wage Earners, 2017
Overview of Emergency Department Visits Related to Injuries … , by Cause of Injury, 2017
Poverty and Access to Internet, by County
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healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.html
September 01, 2017 - injuries (no signs or symptoms) resulting from the fall. … treating with ice, cleaning the wound, limb elevation, topical medication, or a bruise or abrasion. … Death : The patient died because of injuries sustained from the fall (not from physiologic events causing … the Team does not agree to use these definitions, ask them what definitions they will use for fall injuries … Interventions to prevent falls and fall injuries are tracked.
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healthcare411.ahrq.gov/news/blog/ahrqviews/impacts-gun-violence.html
March 01, 2023 - recognized; too often we may assume that healthcare workers are hardened to such events, given the daily trauma
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healthcare411.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
January 01, 2024 - Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children … Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children
PI: Stuart L. … rate
(per exposure) 20.8% 15.0% -28 15.4%
Acute kidney injury
Intensity rate
(Acute kidney injury … Modified RIFLE criteria in critically ill children with acute
kidney injury. … Guideline for Acute Kidney Injury.
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healthcare411.ahrq.gov/research/findings/studies/index.html?page=4
January 01, 2024 - (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 … Pediatric firearm injury emergency department visits from 2017 to 2022: a multicenter study. … Keywords: Children/Adolescents, Emergency Department, Healthcare Utilization, Injuries and Wounds
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healthcare411.ahrq.gov/research/findings/studies/index.html?page=3
January 01, 2024 - (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 … Pediatric firearm injury emergency department visits from 2017 to 2022: a multicenter study. … Keywords: Children/Adolescents, Emergency Department, Healthcare Utilization, Injuries and Wounds
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - Central Venous Catheters
Falls MPSMS In-Hospital Patient Falls
Obstetric
Adverse
Events
PSI OB Trauma … National number of adverse events captured by PSIs 18 and 19 on obstetric
injury and national number … Accidental
Puncture/Laceration
32,396 19,811,918 5,220 4,824,816 5,095 4,806,878
PSI 18, Obstetric Trauma … Vaginal Delivery with
Instrument
14,663 121,323 17,925 165,125 17,891 156,244
PSI 19, Obstetric Trauma … Patient Falls
239,286 8.04 225,199 7.57 223,106 7.50 226,642 7.62
Obstetric
Adverse
Events
PSI OB Trauma
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healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/slides.html
September 01, 2017 - None or no injury: The patient is free of injuries (no signs or symptoms) resulting from a fall … in neurological or internal injury. … Death: The patient died as a result of injuries sustained from the fall (not from physiologic events … Slide 13: NDNQI Definitions of Fall Injury
None: No injury
Minor: Resulted in bruise, abrasion … Count the number and level of injury of falls in a month.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
January 01, 2012 - o Wound edges. … Laurel, NJ: Wound
Ostomy and Continence Nurses Society; June 2010.
2. … national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury … national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury … national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_slides_fallprev.pptx
December 03, 2012 - ‹#›
NDNQI Definitions of Fall Injury
None or no injury: The patient is free of injuries (no signs or … Major: Needs surgery, cast, traction; and/or results in neurological or internal injury. … Death: The patient died as a result of injuries sustained from the fall (not from physiologic events … causing the fall).
‹#›
NDNQI Definitions of Fall Injury
None: No injury
Minor: Resulted in bruise … What other definitions of fall injury would be appropriate for this hospital?
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
January 01, 2012 - Adv Skin Wound Care 2007;20(4):208, 210, 212, 214, 216, 218-20.
2. … national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury … national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury … national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury … Laurel, NJ: Wound
Ostomy and Continence Nurses Society; June 2010.
8.
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healthcare411.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/index.html
September 01, 2021 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries … safety, create a more resident-centered environment, and reduce the number of falls and fall-related injuries
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
January 01, 2012 - · Identify all visible injuries and initiate first aid; for example, cover wounds.
· Assist patient … · Identify all visible injuries and initiate first aid; for example, cover wounds. … · Clean and dress any wounds.
· Arrange medical review. … requires ice, dressing, cleaning of wound, elevating of limb, or medication)
__Moderate (requires suturing … Describe injuries; check all that apply
Injury
Yes
No
Site of Injury
Abrasion/bruise/laceration
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
November 09, 2017 - head injuries with altered consciousness, and
Subdural hematomas. … Note that one fall may have major and minor injuries; in such a
case, only the major injury will be … injuries occur, they will only be counted as one. … or major injuries, only major injury will appear. … Injury Site.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
January 01, 2019 - Conditions
National efforts to reduce hospital-acquired conditions such
as adverse drug events and injuries
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-decline.pdf
June 04, 2018 - Conditions
National efforts to reduce hospital-acquired conditions such
as adverse drug events and injuries
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healthcare411.ahrq.gov/funding/grantee-profiles/grtprofile-catchpole.html
December 01, 2022 - point-of-use reprocessing due to time pressures to limited space and low lighting that resulted in fatigue and injuries … Medication Delivery , focuses on reducing the 200,000 to 20 million anesthesia-related medication injuries … approaches, and perspectives across simulated and real environments to address these types of medication injuries