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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/index.html
February 01, 2018 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries
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teamstepps.ahrq.gov/patient-safety/settings/hospital/index.html
March 01, 2024 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … Pressure Injury Prevention in Hospitals Training Program supports the training of hospital staff on … in-person training curriculum and a series of companion webinars on specific topics related to pressure injury
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teamstepps.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/index.html
May 01, 2016 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries
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teamstepps.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - events, e.g., not just fall rates over a given time, but also the percentage of falls that resulted in injury … and the rates of each specific type of injury.
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teamstepps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.html
September 01, 2017 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … Post-Fall Huddles: Reducing Preventable Falls and Fall-Related Injuries —AHRQ Fall Prevention Program … The patient should be carefully and systematically assessed for injuries. … The post-fall clinical review focuses on immediate risk of injury or complications. … RCA is often used for a fall with injury.
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa1.pdf
January 01, 2018 - telephone
-1.89 0.0 0.00 MEPS 15 (2002-2016)
Adults who needed care right away for an illness, injury … in the last
12 months
173.01 7.14 MEPS 2016
Adults who needed care right away for an illness, injury … routine care as soon as needed
69.39 2.81 MEPS 2016
Adults who needed care right away for an illness, injury … care as soon as needed
104.76 5.61 MEPS 2016
Adults who needed care right away for an illness, injury … specific source of ongoing care 83.51 9.48 NHIS 2017
Adults who needed care right away for an illness, injury
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
July 01, 2016 - 13 Postoperative Sepsis 12.7 11.7 15 $49,215 $ 738,225 N 9 7 3 Y Y Y Y Y
PSI 14 Postoperative Wound … Accidental Puncture or Laceration 3.2 3.3 1 $22,629 $ 22,629 Y 4 3 7 Y N Y Y Y
Obstetric PSI 17 Birth Trauma-Injury … to Neonate 0.0 0.1 0 $88,000 $ - 0 N 2 3 9 Y Y Y Y Y
PSI 18 Obstetric Trauma-Vaginal Delivery … With Instrument 134.8 135.1 17 $90,000 $ 1,530,000 N 2 3 8 Y Y Y Y Y
PSI 19 Obstetric Trauma-Vaginal … Postoperative Sepsis Rate 0.0 16.2 0 $117,815 $ - 0 N 9 10 10 Y Y Y Y Y
PDI 11 Postoperative Wound
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teamstepps.ahrq.gov/research/findings/studies/index.html?page=484
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 … Adv Skin Wound Care 2013 Feb;26(2):83-92; quiz p.93-4. doi: 10.1097/01.ASW.0000426718.59326.bb.
.
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teamstepps.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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teamstepps.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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teamstepps.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