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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/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
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monahrq.ahrq.gov/teamstepps/instructor/scenarios/operroom.html
March 01, 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 … Comments
This scenario demonstrates how cross-monitoring team members can help prevent error, damage, or injury
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monahrq.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.html
March 01, 2023 - You also need to avoid activities and sports that could cause injury. … To prevent injury indoors:
Be very careful using knives and scissors.
Use an electric razor. … To prevent injury outdoors:
Always wear shoes.
Wear gloves when using sharp tools.
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monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/index.html
February 01, 2024 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … How do you measure fall and fall-related injury rates?
5.2.
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monahrq.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
October 01, 2015 - MPSMS (2013) In-Hospital Patient
Falls
240,000 7.2
Obstetric
Adverse
Events
PSI (2013) OB Trauma … Fall and injury prevention (Chapter 10). In: Hughes RG, ed. … Preventing falls and eliminating injury at Ascension Health. … The road to zero preventable birth injuries. … Eliminating birth trauma at Ascencion Health.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
January 01, 2021 - • The leading causes of death in the United States are heart disease, cancer, and
unintentional injuries … However, unintentional injury is the leading cause of years of
potential life lost (YPLL). … • Death rates from unintentional injury have been rising, while deaths from heart disease
and cancer
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
May 01, 2017 - Effects of shoulder dystocia training on the incidence of brachial plexus injury. … Shoulder dystocia and injuries: prevention and management. … This procedure is considered a heroic measure due to the significant risk of brachial plexus injury associated
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ancillary.pdf
March 19, 2014 - Both shifts start
scrambling to get the Trauma Bay ready. … Looking into the bay, Nancy Moody, the night nurse, sees that the trauma
surgeon has not arrived and … They seem
overwhelmed by the extent of the patient’s injuries. … the situational leader when the x ray team is
temporarily immobilized by the sight of the patient’s injuries … Trauma load was heavy all night long, and a patient has
come to the lab for a blood draw.
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monahrq.ahrq.gov/patient-safety/settings/multiple/index.html
August 01, 2023 - approaches to desgin tat target six areas of safety: infections, falls, medication errors, security, injuries
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monahrq.ahrq.gov/news/newsletters/e-newsletter/852.html
February 01, 2023 - They found that the average total cost of a fall is $62,521 and that the level of injury was not a significant … implementation of the Fall TIPS intervention, there was a nearly 20 percent reduction in falls and injuries
-
monahrq.ahrq.gov/healthsystemsresearch/hspc-research-study/index.html
July 01, 2021 - areas of focus, such as research organized around specific diseases, body systems, populations, or injuries
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/functional-specifications.docx
February 10, 2014 - The vendor determines the methodology to assign unique IDs to resident wounds. … :
· 1, 2, 3, 4, U (Unstageable) or Suspected Deep Tissue Injury (sDTI)
Most Recent Assess Ulcer Stage … Display as 1, 2, 3, 4, U (Unstageable) or Suspected Deep Tissue Injury (sDTI)
Ulcer Origin
Wound Assessment … :
Stage 1, 2, 3, 4, U (Unstageable) or Suspected Deep Tissue Injury (sDTI)
Ulcer Origin
Wound Assessment … Display as 1, 2, 3, 4, U (Unstageable) or Suspected Deep Tissue Injury (sDTI).
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monahrq.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/summit-agenda.html
November 01, 2021 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar6_falls_sustainingpractices.pdf
January 01, 2013 - fallers
Examples of Process Measures
Percentage of—
• Patients at risk for falls and fall-related injuries
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/putoolkit_module3_tools.docx
August 31, 2017 - If a skin disruption is found, the type of skin injury will need to be identified. … Since there are many different etiologies of skin wounds and ulcers, differential diagnosis of the skin … For example is it a skin tear, a pressure ulcer, or moisture-associated skin damage or injury? … A wound/ostomy nurse consult revealed he has a slightly pink coccyx area (base of spinal column).
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monahrq.ahrq.gov/research/findings/studies/index.html
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 … Hospital Readmissions Reduction Program (HRRP) was associated with a reduction in severe fall-related injuries
-
monahrq.ahrq.gov/data/resources/index.html?page=4
Systems
(1)
Hospital Characteristics
(2)
Hospitalizations
(10)
Household Spending
(1)
Injuries
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monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
September 01, 2017 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … Medicare won’t pay for increased costs due to injury from inpatient falls. … Falls harm patients.
30% to 51% of falls result in injury.
Many falls are preventable.
-
monahrq.ahrq.gov/news/newsletters/e-newsletter/870.html
June 01, 2023 - Walsh has identified factors that contribute to medication errors and injuries in children with chronic … Trauma Case Rep . 2023 Apr;44:100800. Epub 2022 Feb 18.
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monahrq.ahrq.gov/news/newsletters/e-newsletter/866.html
May 01, 2023 - disorders, bipolar and related disorders, suicidal ideation or attempt or intentional self-harm, and trauma … Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries