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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb16.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B16: Pre and Posttests for Inservice #2, How to Reduce Falls, Spanish
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The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapt…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb7.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B13: Pre and Posttests for Inservice #1, Why Falls Happen
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The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introd…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb18.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B18: Handout for Inservice #2, How to Reduce Falls in Nursing Facilities
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The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Ch…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt4.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix C4: Fax Alert Sample
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The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Overview
Chapter…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt6.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix C6: Falls Assessment Report Sample
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The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Over…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb5.html
February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B8: Unsafe Behavior Worksheet
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The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Overview …
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www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-fac-guide.html
February 01, 2017 - Say:
Low tidal volume ventilation, or LTVV, protects lungs from a variety of insults and injuries associated … There’s also a cyclical type of trauma that occurs, often called “atelectrauma.” … There’s some sort of priming insult, such as pneumonia, sepsis, severe trauma, noncardiogenic shock, … Indirect pulmonary insult includes extrapulmonary sepsis, systemic inflammatory response syndrome from trauma … Insults secondary to mechanical ventilation include ventilation-induced lung injuries.
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac_rates_2019.pdf
January 01, 2019 - Conditions
National efforts to reduce hospital-acquired conditions such
as adverse drug events and injuries
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www.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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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
March 04, 2016 - Achievable
Benchmark: 2.2%
Importance: Nursing home residents who experience falls resulting in major injuries … are at
higher risk of death and disability, as well as emotional trauma that can affect functional … The home health team should regularly change wound dressing and teach the patient about
wound care … Only
Insignificant
Injury
Temporary
Injury
Permanent,
Minor Injury
Permanent,
Significant Injury … Only
Insignificant
Injury
Temporary
Injury
Permanent,
Minor Injury
Permanent,
Significant Injury
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/index.html
March 01, 2023 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
The Agency for Healthcare Research and Quality (AHRQ) created On-Time Pressure Ulcer Healing to help nursing homes with electronic medical records address pressure ulcers that are slow to heal. Pressure ulcers remain a serious problem in nu…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications-notes.docx
April 01, 2022 - Knight is a 25-year-old man who was admitted with acute urinary retention due to a spinal cord injury … the last row on this table), urology consultation should be considered for prostatitis and urethral trauma … Of note, catheters are appropriate in the case of urinary incontinence with open wounds if the urine … cannot be kept from contaminating the wounds using other strategies. … .
· Not all open sacral/hip wounds require an indwelling catheter if the wound can be kept clean by other
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-2-tech-specs.pdf
December 14, 2011 - Advances in
Skin & Wound Care, 20(4), 208-220. … Wound assessment and decision making options. … These patients may be admitted with existing wounds and they may develop impaired skin
integrity due … Describes the different types of injuries that critically ill children, including infants, experience … Wound Ostomy and Continence Nurses Society.
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www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
January 01, 2024 - Scope: Incentivizing outcomes by withholding payment for serious fall-related injuries has not significantly … ,3
with an average associated excess cost of $7,000 per injury.4 Regardless of injury, falling can lead … Background: Incentivizing outcomes by withholding payment for serious fall-related injuries has not … Preventing falls and fall-related injuries in hospitals. Clin Geriatr Med.
2010;26(4):645-692.
2. … Circumstances of patient falls and injuries in 9 hospitals in a
Midwestern healthcare system.
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www.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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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-facguide.docx
January 01, 2017 - SAY:
Low tidal volume ventilation, or LTVV, protects lungs from a variety of insults and injuries associated … There’s also a cyclical type of trauma that occurs, often called “atelectrauma.” … There’s some sort of priming insult, such as pneumonia, sepsis, severe trauma, noncardiogenic shock, … Indirect pulmonary insult includes extrapulmonary sepsis, systemic inflammatory response syndrome from trauma … Insults secondary to mechanical ventilation include ventilation-induced lung injuries.
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www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program1.html
April 01, 2018 - Safety
Definition of Patient Safety
Reference
Freedom from accidental or preventable injuries … glossary.aspx )
The prevention of health care errors and elimination or mitigation of patient injury … National Patient Safety Foundation
Freedom from accidental injury; ensuring patient safety involves … The avoidance, prevention, and amelioration of adverse outcomes or injuries stemming from the processes … final definition below:
Patient safety is the prevention and amelioration of adverse outcomes or injuries
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/tbi-hospital-stays-2017.pdf
January 01, 2017 - Infographic - Causes of Hospital Stays for Traumatic Brain Injury in 2017
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www.ahrq.gov/data/infographics/tbi-hospital-stays.html
May 01, 2020 - Causes of Hospital Stays for Traumatic Brain Injury in 2017
Causes of Hospital Stays for … Traumatic Brain Injury in 2017 (PDF, 785 KB)
Source: Healthcare Cost and Utilization Project Statistical … Brief #255, Inpatient Stays and Emergency Department Visits Involving Traumatic Brain Injury, 2017
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www.ahrq.gov/hai/pfp/interimhac2013-ref.html
December 01, 2014 - Reduction of falls-related injuries using a hospital inpatient falls prevention program. … 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. Jt Comm J Qual Patient Saf 2008;34:201-5. … Eliminating birth trauma at Ascencion Health. Jt Comm J Qual Patient Saf 2007;33:15-24.