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monahrq.ahrq.gov/patient-safety/settings/long-term-care/resource/reviews.html
August 01, 2018 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries
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monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinar/slides.html
June 01, 2018 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … Healthcare Research & Quality
Toolkit: https://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries … Slide 28
Challenge
Unable to sustain falls prevention
Graph with on falls and falls with injury … Falls and falls with injury decreased from 2008 to 2009 but increased in 2010 and 2011.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
August 03, 2017 - 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 … stakeholders and staff
Root cause analysis is conducted for each fall with at least moderate level of injury
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - PSI 18,
PSI 19
OB Trauma – Vaginal Delivery
With Instrument
OB Trauma – Vaginal Delivery
Without … X
PDI 11 Postoperative Wound
Dehiscence Rate
X Depth of the wound dehiscence:
external/superficial … injury or caused by medical
intervention (iatrogenic). … X
PSI 14 Postoperative Wound
Dehiscence
X Depth of the wound dehiscence:
external/superficial vs … PSI 18
PSI 19
OB Trauma – Vaginal
Delivery With Instrument
OB Trauma – Vaginal
Delivery Without
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monahrq.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/mcc-research-summit.html
November 01, 2021 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries
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monahrq.ahrq.gov/patient-safety/settings/long-term-care/resource/epc.html
August 01, 2018 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-december2016.pdf
January 01, 2016 - TEAMSTEPPS 05.2Mod 1 05.2 Page 10
TeamSTEPPS®
Slide 10
Reducing Workplace
Violence
Violent Injuries … areas:
Psychiatric units
Emergency rooms
Waiting rooms
Geriatric units
Traumatic brain injury … Implementation of TeamSTEPPS can reduce workplace
violence and/or injuries through early recognition
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monahrq.ahrq.gov/talkingquality/translate/labels/describe.html
January 01, 2023 - General Hospital (MGH) URL: https://www.massgeneral.org/quality-and-safety/patient-safety/pressure-injury-prevalence … complete information, go to https://www.massgeneral.org/quality-and-safety/patient-safety/pressure-injury-prevalence … that nurses have the necessary knowledge for skin assessment and intervention they attend a Phase I Wound
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monahrq.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/index.html
March 01, 2017 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries
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monahrq.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
October 01, 2023 - received a 3-year AHRQ grant in 2015 to identify the factors that contribute to medication error and injury … Nephrotoxic medicines, such as contrast dye or nonsteroidal anti-inflammatory drugs, can cause acute kidney injury … She developed a customized prototype based on the AHRQ-funded Nephrotoxic Injury Negated by Just-in-Time
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monahrq.ahrq.gov/topics/childrenadolescents.html
January 01, 2011 - Home
University of Iowa Uses AHRQ Data to Study Ways to Lower Incidence, Costs of Sports-Related Injuries
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monahrq.ahrq.gov/topics/index.html?page=1
January 01, 2012 - Falls can lead to serious injuries, decreased ability to function, reduced quality of life, increased
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monahrq.ahrq.gov/es/topics/index.html?page=1
January 01, 2012 - Falls can lead to serious injuries, decreased ability to function, reduced quality of life, increased
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/putoolkit_module5_tools.docx
August 02, 2017 - stakeholders and staff
Root cause analysis is conducted for each fall with at least moderate level of injury
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monahrq.ahrq.gov/research/findings/making-healthcare-safer/index.html
July 01, 2023 - , and obstetric adverse events are responsible for thousands of deaths and hundreds of thousands of injuries
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/sheridan_screening_overuse.pdf
January 01, 2014 - such as physical, emotional/psychological, and costs:
Physical Emotional/Psychological Costs
Injury … from screening
or follow-up testing
Injury from potentially
unnecessary treatment
Stress
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monahrq.ahrq.gov/patient-safety/settings/long-term-care/index.html
September 01, 2021 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries
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monahrq.ahrq.gov/patient-safety/settings/hospital/fall-tips/index.html
February 01, 2021 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … Background
Falls are the most common cause of preventable injury.
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monahrq.ahrq.gov/research/findings/evidence-based-reports/search.html?page=43
January 01, 2024 - Preparedness
(19)
Quality Improvement and Patient Safety
(63)
Skin Conditions
(15)
Violence and Trauma … North Carolina at Chapel Hill Report Status: Final
Rehabilitation for Traumatic Brain Injury … EPC—Oregon Health & Science University Report Status: Final
Rehabilitation for Traumatic Brain Injury
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monahrq.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2024-hcbs-infographic.pdf
January 01, 2024 - respondents
296
Intellectual & Developmental
Disabil ity Program
respondents
304
Acquired Brain Injury