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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apd.html
August 01, 2022 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
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pbrn.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
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pbrn.ahrq.gov/talkingquality/measures/setting/hospitals/examples.html
March 01, 2016 - Rates at which patients fall and incur injury during a hospital stay.
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
August 01, 2022 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
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pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module3/ebcommunication.html
October 01, 2014 - Deering, et al., 13 reported reduced rates of needle stick injuries and medication and transfusion errors
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
August 01, 2022 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … Potential future injuries that may result from the adverse event.
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pbrn.ahrq.gov/patient-safety/settings/hospital/engage-tool.html
July 01, 2022 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/CombatCare.pdf
March 18, 2014 - They seem overwhelmed by the extent of the patient’s injuries. … the situational leader when the team becomes
temporarily immobilized by the sight of the patient’s injuries … has an actively
hemorrhaging 6-inch laceration on his right lower leg but no other obvious signs of injury … While the physician
is reviewing wound care instructions with the mother, the child complains of nausea
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pbrn.ahrq.gov/teamstepps/instructor/scenarios/ancillarysvcs.html
October 01, 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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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.html
August 01, 2022 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … Over the next few days, it is clear that he has suffered a significant brain injury due to the lack of
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pbrn.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.
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pbrn.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … After surgery or injury, the favorite may not be possible. … Pressure ulcer prevention and treatment following spinal cord injury: a clinical practice guideline for … Wound, Ostomy and Continence Nurses Society.
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pbrn.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
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
May 17, 2016 - o Decreased central nervous system input (head injury, ingestion of central nervous system
depressant … o Peripheral nerve/neuromuscular junction (spinal cord injury, organophosphate/carbamate
poisoning,
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pbrn.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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pbrn.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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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/index.html
August 01, 2022 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
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pbrn.ahrq.gov/patient-safety/settings/hospital/match/index.html
April 01, 2023 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
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pbrn.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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pbrn.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