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www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-d.html
May 01, 2024 - Appendix D: Grant Summaries
P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury … P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury After Hospital Discharge
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www.ahrq.gov/research/findings/final-reports/index.html?page=1
January 01, 2024 - Publication Date: April 2023
Reducing the Risk of Preventable Postpartum Lower Extremity Nerve Injuries
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www.ahrq.gov/opioids/about.html
August 01, 2021 - from drug overdoses have risen steadily over the past two decades and have become a leading cause of injury
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-040814.pptx
January 01, 2013 - Medication-induced
Urethral obstruction Medical
(neurogenic bladder)
Urinary blood clots with obstruction Trauma … remove the catheter shortly after the surgery is completed
27
Assist Healing of Perineal and Sacral Wounds … end-of-life: depends on what the patient perceives as more comfortable
29
Required Immobilization for
Trauma … or Surgery
Examples include:
Unstable thoracic or lumbar spine
Multiple traumatic injuries, such … ICU, or different non-ICU)
Partnering with other stakeholders (case managers, physical therapists, wound
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-figures-1-3.pdf
June 30, 2015 - Suffers
Post-Traumatic
Headache and
Seeks ED Care
•Without signs or
symptoms of
intracranial injury … ACR Appropriateness Criteria: Head Trauma — Child. American College of
Radiology, 2014.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
March 27, 2025 - central line-associated
bloodstream infections, ventilator-associated events, hospital-acquired pressure injuries … Bureau of Labor Statistics, in 2018, healthcare workers accounted for 73% of all nonfatal
workplace injuries … Safety Science-
Adjacent
• Workload Management
• Burnout
• Worker Safety
• Fatigue
• Moral Injury … The Human Experience • Burnout
• Co-Design
• Fatigue
• Improving Access to Care
• Moral Injury … individual improvement efforts in specific areas
such as healthcare-associated infections, falls,
employee injuries
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/driscoll.html
April 01, 2015 - Emergency care use for asthma and unintentional injuries, specifically, also showed a significant and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-driscoll.pdf
April 01, 2015 - Emergency care use for asthma and unintentional injuries,
specifically, also showed a significant and
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www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-apa.html
April 01, 2018 - Quality and Patient Safety
Reduce Medical Error
Reducing Medical Error
Reducing Patient Injuries
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www.ahrq.gov/hai/pfp/haccost2017-results.html
November 01, 2017 - literature on excess mortality may be due to the difficulty in finding reliable sources of data on injuries … One study used national representative data (HCUP-NIS) for obstetrical trauma (defined based on AHRQ … only. 54 Further, this study found no increase in mortality for obstetrical trauma. … studies included amniotic fluid embolisms and anesthesia complications; two studies included intracranial injuries … and internal injuries of thorax, abdomen, and pelvis; one study included iatrogenic events.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
March 15, 2004 - These elements were wound
dehiscence requiring repair, displacement/migration/ breakage of implant, … thrombosis requiring repair, postoperative wound infection, wrong patient/site,
incorrect procedure … Adverse events have
been defined as “an injury that was caused by medical management (rather than
the … Excess length of stay, charges and
mortality attributable to medical injuries during
hospitalization … Looking for medical injuries
where the light is bright. JAMA 2003;290(14):1917–9.
22.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
August 01, 2017 - then display X in Wound
• Infected wound or decubitus ulcer
• Jaundice
• Rash
10 Injury: Fall … Related
Transfer
Note
•
•
Major injury
Minor injury
IF either selected, then display
Fall … X in Injury:
11 Injury: Non-
Fall Related
Transfer
Note
•
•
Major injury
Minor injury
IF … Cardiac/Circulatory Major injury
Anemia Minor injury
Cardiac arrest
Coagulation defect … Chest pain/angina
Dizzy/lightheaded
Non-Fall-Related Injury
Major injury
Minor injury
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1b_combo_psifactsheet.pdf
October 01, 2015 - Thrombosis Rate
4.99 0450 2012
PSI 13 Postoperative Sepsis Rate 9.61
PSI 14 Postoperative Wound … Laceration Rate X 1.89 0345 2012
PSI 16 Transfusion Reaction Count X N/A* 0349 2012
PSI 17 Birth Trauma … Rate – Injury to Neonate 1.89
PSI 18 Obstetric Trauma Rate – vaginal delivery
with instrument … 133.19
PSI 19 Obstetric Trauma Rate – vaginal delivery
without instrument
20.97
PSI 90
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www.ahrq.gov/research/findings/final-reports/index.html?page=8
January 01, 2024 - Information Exchange Publication Date: December 2014
Communication To Prevent and Respond to Medical Injuries
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www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
January 01, 2024 - The most
common causes of adverse events were medication use, wound infections,
operative complications … and diagnostic mistakes; 71% of AEs caused short-
term disability, 3% caused permanently disabling injuries … Fully 69% of the iatrogenic injuries were judged to be preventable.
3
Despite the variable methodologies … In addition to being very harmful to patients, iatrogenic injuries are costly. … adverse
event
Injury due to a nonintercepted serious error in
medical management
Serious Medication
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
May 01, 2014 - In wound infections among soldiers in the Middle East, multidrug resistant acinetobacter infections have … problem
Vital signs
Usual cognitive function
Recent/current health status (including falls)
Falls, minor injury … : require on-site first aid treatment (dressing, ice pack, pain medication)
Falls, serious injury: require … does not have COPD
- suspected or proven influenza in the absence of a secondary infection
- a skin wound … mobility (passive or active)
Acetaminophen 650 mg as needed or prior to cleaning/dressing changes
Cleanse wounds
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiii.html
June 01, 2010 - developmental disabilities, adults with severe and persistent mental illness, adults with acquired brain injuries … incidents of unplanned medical attention sought, law enforcement interventions, abuse/neglect/exploitation, injuries … developmental disabilities, adults with severe and persistent mental illness, adults with acquired brain injuries … Care and Other Services, Qualified Providers, Timeliness
Populations: Adults with acquired brain injuries
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16.html
December 01, 2012 - Assessing the Health and Welfare of the HCBS Population
Table 16A: Outcome Indicators by County Socioeconomic Status
Previous Page Next Page
Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outc…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/breadth-and-focus.html
July 01, 2021 - healthy individuals
Protecting health from threats posed by specific diseases, conditions, and injuries … and Prevention
Protecting public health from threats posed by specific diseases, conditions, and injuries … , such as pain management, suicide prevention and other types of mental and behavioral health care, trauma … and traumatic brain injury, and health care for women—the fastest-growing segment of the veteran population … The CDC’s portfolio of HSR and PCR is organized around diseases, conditions, and injuries, but focuses
-
www.ahrq.gov/sites/default/files/2024-07/nuckols-report.pdf
January 01, 2024 - Only half of basic care processes are provided as recommended,
and injuries due to medical errors (preventable … electronic health records with computerized provider
order entry (CPOE), which may reduce patient injuries … Conclusions: In hospital-related settings, implementing CPOE is associated with >50% decline
in patient injuries