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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - Video: Do Less Harm
2
Presentation Goals
Highlight the gap between optimal response to medical injury … Resolution) process and how this toolkit will help organizations improve their response to medical injury … Module 1
Today’s presentation goals are to:
Highlight the gap between optimal response to medical injury … field of ergonomics; as we work more at desks and computers, these areas are redesigned to help prevent injuries … helps them care for their patients.
36
Module 1
In addition to the organization Medically Induced Trauma
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talkingquality.ahrq.gov/data/data-visualization/index.html?page=0
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
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talkingquality.ahrq.gov/data/data-visualization/index.html
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
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-resources.pdf
May 01, 2023 - Workbook for Designing, Implementing, and Evaluating a Sharps Injury Prevention
Program
https://www.cdc.gov … lifting, repositioning, and transfers represent some of the most common—and most
preventable—sources of injury … This brief questionnaire can be used to examine the number and
nature of patient handling injuries in … www.ahrq.gov/teamstepps/webinars/previous-webinars-2016.html
Clinical teams can learn how to reduce risk of injury … Healthcare Outcomes
Well-Being Initiative
Workbook for Designing, Implementing, and Evaluating a Sharps Injury
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
July 01, 2016 - Perioperative Pulmonary Embolism or Deep Vein Thrombosis
PSI 13 Postoperative Sepsis
PSI 14 Postoperative Wound … Dehiscence
PSI 15 Accidental Puncture or Laceration
Obstetric PSI 17 Birth Trauma-Injury to Neonate …
PSI 18 Obstetric Trauma-Vaginal Delivery With Instrument
PSI 19 Obstetric Trauma-Vaginal Delivery … 09 Postoperative Respiratory Failure Rate
PDI 10 Postoperative Sepsis Rate
PDI 11 Postoperative Wound
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talkingquality.ahrq.gov/news/newsroom/ahrq-stats.html
November 01, 2023 - Emergency Care of Injuries in Children Following a Hurricane
Among people living in the direct path … , by Cause of Injury, 2017 .) … visits related to treatment of traumatic brain injuries in 2017 were highest among people living in … Trauma During Childbirth
The rate of obstetric trauma during childbirth involving instruments such as … highest average expenses per person were for the treatment of heart conditions ($3,794 per person), trauma-related
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
April 01, 2016 - Say:
Today’s Presentation Goals are to:
■ Highlight the gap between optimal response to medical injury … the CANDOR process and how this toolkit will help organizations
improve their response to medical injury … Slide 12
Facilitator Notes - Grand Rounds Presentation – 5
Say:
The response to medical injury … of ergonomics; as we work more at desks and computers, these areas
are redesigned to help prevent injuries … Slide 35
Say:
In addition to the organization Medically Induced Trauma Support Services (or
MITSS)
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talkingquality.ahrq.gov/research/findings/studies/index.html?page=485
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
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talkingquality.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
October 01, 2020 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … The toolkit:
Targets six areas of safety—infections, falls, medication errors, security, injuries of
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talkingquality.ahrq.gov/patient-safety/research-summaries/index.html
March 01, 2024 - facilities (e.g., units, rooms, equipment, logistics, and technologies) can improve patient outcomes, reduce injuries
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talkingquality.ahrq.gov/hai/hac/tools.html
March 01, 2024 - Hospitals
Central line-associated blood stream infections (CLABSI): Tools for Reducing CLABSI
Injuries
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talkingquality.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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talkingquality.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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talkingquality.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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talkingquality.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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talkingquality.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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talkingquality.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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talkingquality.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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talkingquality.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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talkingquality.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