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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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
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teamstepps.ahrq.gov/funding/grantee-profiles/grtprofile-dykes.html
September 01, 2022 - to a million hospitalized patients fall annually; approximately 30 percent of those falls result in injury … Falls and related injuries also are a concern for older adults living in the community. … assessment found that the evidence-based toolkit reduced hospital falls by 15 percent and fall-related injuries … primary care clinicians with standards-based software tools to prevent patient falls, as “fall and injury
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teamstepps.ahrq.gov/data/visualizations/tbi-impacts-and-causes.html
March 01, 2020 - Home
Data & Analytics
Data Visualizations
Traumatic Brain Injury … Information Knowledgebase
Data Sources Available from AHRQ
Traumatic Brain Injury … reviewed March 2020
Page originally created March 2020
Internet Citation: Traumatic Brain Injury
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - 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 … 15, Unrecognized Abdominopelvic Accidental 32,396 19,811,918
Puncture/Laceration
PSI 18, Obstetric Trauma … - Vaginal Delivery with 14,663 121,323
Instrument
PSI 19, Obstetric Trauma - Vaginal Delivery without … 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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teamstepps.ahrq.gov/data/data-visualization/index.html?page=2
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 … « First
‹ previous
‹‹
1
2
3
Traumatic Brain Injury
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teamstepps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinars/index.html
September 01, 2017 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … Assessment Tools in Care Planning (25 min) ( PDF of the Slides , 2.16 MB)
Measuring Fall and Fall-Related Injury … Network Webinars
Creating Control Charts To Interpret Fall Data (62 min)
Critical Thinking for Fall Injury … Prevention Care Planning (61 min)
Post-Fall Huddles: Reducing Preventable Falls and Fall-Related Injuries
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - Falls With Major Injury
Falls With Minor Injury
October 2017
On-Time Falls Prevention
26
Sample … Which of the following best represents how these injuries will appear on the Summary of Falls Risk Factors … Fall with major injury=1 and fall with minor injury=0
Fall with major injury=2 and fall with minor injury … =1
Fall with major injury=1 and fall with minor injury=2
Fall with major injury=2 and fall with minor … Assessment Notes
Bleeding
Suspected Cause of Fall
Fall Comments
Fall Injury
Injury Type Major
Injury
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
March 01, 2013 - bodies have definitions (e.g., the NQF defines a fall as “an unplanned descent to the floor without injury … after accepting a conceptual definition of a fall, there is a difference between any fall, a fall with injury … Violence and Injury Prevention: Falls. 2012. … The cost of serious fall-related injuries at three Midwestern hospitals. … The effect of changing practice on fall prevention in a rehabilitative hospital: the Hospital Injury
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teamstepps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/index.html
September 01, 2018 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … participating in this pilot implementation of the Training Program and Toolkit reduced their fall and fall with injury … companion Webinars in a systematic quality improvement effort focused on reducing falls and falls with injury … Module 3 Tools ( MS Word , 268 KB)
Post-Fall Huddles: Reducing Preventable Falls and Fall-Related Injuries … Webinars
Related AHRQ Resources
Preventing Falls in Hospitals Toolkit
Pressure Injury
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teamstepps.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
August 01, 2022 - systems test models that meet the following goals:
Put patient safety first by reducing preventable injuries … Ensure fair and timely compensation for medical injuries while reducing malpractice litigation.
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
June 05, 2016 - Pulmonary Embolism or Deep Vein Thrombosis Rate
• PSI 13 Postoperative Sepsis Rate
• PSI 14 Postoperative Wound … Quality Indicators
How To Improve Hospital Quality and Safety
ii Tool D.4
• PSI 18 Obstetric Trauma … Postoperative Respiratory Failure Rate
• PDI 10 Postoperative Sepsis Rate
• PDI 11 Postoperative Wound … • PSI 17 Birth Trauma Rate―Injury to Neonate: The existing literature on birth trauma
and injury … to the neonate suggests multiple risk factors, etiologies for, and types of birth
trauma in neonates
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teamstepps.ahrq.gov/data/infographics/index.html
March 01, 2024 - Antidepressant Prescriptions
Potentially Preventable Pediatric Hospital Stays
Most Common Cause of Injuries … People Who Spent the Most for Healthcare in 2017
Causes of Hospital Stays for Traumatic Brain Injury … in 2017
High Healthcare Spending in 2017
Sports-Related Traumatic Brain Injuries Among Children
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teamstepps.ahrq.gov/news/blog/ahrqviews/2022-national-healthcare-disparities-report.html
November 01, 2022 - of death in the United States in 2020, after heart disease, cancer, and COVID-19, was unintentional injuries … Drug overdoses were the most common cause of unintentional injuries, accounting for more than 40 percent … of unintentional injury deaths.
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teamstepps.ahrq.gov/news/blog/ahrqviews/uneven-impact-covid19.html
December 01, 2021 - trends in hospitalizations, lengths of stay, and mortality rates for COVID-19, surgeries, influenza, injuries … urgent needs, and when, for general medical and surgical care, behavioral health services, treatment for injuries