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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
June 16, 2017 - Preventing Pressure Injuries in Hospitals
Preventing Pressure Injuries in Hospitals
ADD Name of Hospital … Most pressure injuries are preventable. … How do you measure pressure injury rates and pressure injury prevention practices? … patients, which includes skin and pressure ulcer assessment as part of all aspects of patient care needs
Wound … Care Team
Interdisciplinary group
of experts who provide
day-to-day care of skin and wound needs
Implementation
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www.cpsi.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
February 01, 2024 - Implementation focused on MU Health Care’s 390-bed University Hospital, the only Level I trauma center … AHRQ toolkit, MU Health Care began this journey by assessing the need for hospital-acquired pressure injury … representatives from quality; data analytics; information technology; and content experts, such as wound … the head-to-toe skin assessment by two nurses known as 4E4H (4 eyes in 4 hours) and to utilize the wound … scout, a thermal imaging device that can identify possible deep tissue injury.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - Adipose (fat) is visible in the injury, and granulation tissue and epibole (rolled wound edges) are often … The wound may evolve rapidly to reveal the actual extent of tissue injury or may resolve without tissue … If you are not sure a skin lesion is a pressure injury, ask the Wound Care Team or Wound Care Nurse. … ,
· Number of injuries,
· Location of injuries, and
· Stage of the deepest injury. … The shadowing intervention included requiring two RNs to sign off on skin assessments and staging of wounds
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www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/index.html
September 01, 2018 - Safety
Patient Safety Resources by Setting
Long Term Care
Resources
Injuries … Patient Safety News and Events
Education & Training
Resources
Falls and Injury … Long-term care resources about falls and injuries
The Falls Management Program: A Quality … reviewed September 2018
Page originally created March 2013
Internet Citation: Falls and Injury … https://www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/index.html
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
July 02, 2008 - injuries. … with a red-pink wound bed
No slough
9
Stage 3
Full-thickness tissue loss
Visible subcutaneous fat … If not sure, ask the Wound Care Team or Nurse.
16
Measures
Measures used in monitoring pressure injury … Document the results of the assessment, noting:
Presence of an injury.
Number of injuries. … of injuries) 17 patients with any pressure injury
# of patients with a >Stage 2 pressure injury 5 patients
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
June 12, 2018 - Any patient with an existing pressure injury is at risk for additional injuries.
· Determine whether … Int Wound J 2010;7:358-65. PMID:20561094. … as possible, integrate the skin exam into the normal workflow.
· Determine the correct etiology of wounds … · Consider having a wound care expert or nurse from another unit with wound expertise round with unit … SAY: The answer is the wound or ostomy nurse consult revealed a slightly pink coccyx.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
November 20, 2014 - Best Practices in Pressure Injury Prevention
Best Practices in
Pressure Injury Prevention
ADD Hospital … literature and expert opinion—that represent the best ways we currently know of preventing pressure injuries … assessment.
10
Barriers to Practice
Finding time for skin assessments
Determining correct etiology of wounds … Page 42
14
Pressure Injury risk assessment
BEST PRACTICE
15
Pressure Injury Risk Assessment
Next … Care planning guides what will be done to prevent pressure injuries.
23
Pressure Injury care planning
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www.cpsi.ahrq.gov/news/newsroom/case-studies/201802.html
August 01, 2018 - Pressure injuries are painful, can lead to serious deep tissue infections, and can affect clinicians’ … Major steps included:
Measuring staff’s knowledge of and attitude about pressure injuries. … Staging pressure injuries on a 1-4 scale. … “If one nurse thought there was a pressure injury, we required confirmation from a second RN. … If anything, they’re over-reporting pressure injuries,” Dr. Safer said.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
January 10, 2005 - Such on-the-job injuries can affect
patient care. … self-care capability, the VHA units typically have
temporary patients recuperating from surgery or trauma … The
vast majority of injuries did not require medication. … Reduction in injury incidence and severity
Injury data included a description of the incident (equipment … Injury incidence rates were defined as the number of reported injuries
divided by the total number of
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www.cpsi.ahrq.gov/data/infographics/brain-injury.html
May 01, 2020 - Home
Data & Analytics
Data Infographics
Sports-Related Traumatic Brain Injuries … Knowledgebase
Data Sources Available from AHRQ
Sports-Related Traumatic Brain Injuries … Among Children, 2017
Sports-Related Traumatic Brain Injuries Among Children, 2017 (PDF … Statistical Brief #255, Inpatient Stays and Emergency Department Visits Involving Traumatic Brain Injury … Page originally created May 2020
Internet Citation: Sports-Related Traumatic Brain Injuries
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meurer.pdf
January 01, 2004 - Selection of priority medical injuries and preventive interventions
We selected key medical injury … • Confidential WMIRS data: baseline injury rates and most frequent injuries and most
frequent procedures … of our five
high priority injuries. … A series of different measures of medical injury occurrence will be
used: any medical injury, four major … Injury prevention:
educational strategies.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation_slides.pptx
November 20, 2014 - Implementation Planning Goals
Determine the roles and responsibilities of staff in preventing pressure injuries … What role will the Unit Team and Wound Care Team play?
What role will the Unit Champions play? … Unit staff tell the Wound Care Team about high-risk patients or if skin problems occur. … Braden risk assessment and patient comorbidity review
5 in 5 Visual Assessment Tool for pressure injuries … Care Team, and Implementation Team
in preventing pressure injuries
Importance of the Unit Champions
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqdr-data-spotlight-healthcare-workforce-covid.pdf
May 11, 2023 - Yearly work injury rates per 100 full-time-equivalent workers (left) and
illness incidence rates per … Note: The Occupational Safety and Health Administration considers an injury or illness work related if … definitions/occupational-safety-and-health-definitions.htm
◆ The work injury … ◆ The work injury incidence rate for ambulatory healthcare services decreased 19% from 2.1
per 100 … ◆ The work injury incidence rate for the nursing and residential care facilities industry
decreased
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/James.pdf
January 01, 2004 - While evidence documenting
high rates of treatment-associated injury and mortality have appeared in … A few institutions have reached the initial IOM goal
for some injury sources (for example, Brigham & … [ADEs]; Intermountain Health Care’s LDS Hospital in
Salt Lake City for ADEs and for postoperative wound … retrospective clinical trigger
systems), to successful interventions that addressed specific, single injury … Invisible injuries. (Op-ed column) The
Washington Post 2003 July 29; p. A17.
3. Morrissey J.
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www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx.html
March 01, 2023 - Patient Safety
Patient Safety Resources by Setting
Long Term Care
Resources
Injuries … Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries … https://www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx.html
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/pressure-injury/index.html
October 01, 2017 - Webinars in a systematic quality improvement effort focused on reducing hospital acquired pressure injuries … Risk Factors for Pressure Injuries: Going Beyond Validated Instruments —AHRQ Pressure Injury Prevention … Device-Related Pressure Injury —AHRQ Pressure Injury Prevention Program Implementation Sharing Webinar … Putting the Nutrition Guidelines into Practice for Pressure Injury Prevention —AHRQ Pressure Injury Prevention … Wound Classification —AHRQ Pressure Injury Prevention Program Training Webinar.
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www.cpsi.ahrq.gov/data/resources/index.html
April 29, 2024 - Topics include infections (CDI and MRSA), adverse drug events (ADEs), and potentially avoidable injuries … HCUP Statistical Briefs: Emergency Department Visits by Injury These HCUP Statistical Briefs provide … statistics about injuries that result in emergency department visits. … Topics include sports-related injuries, motor vehicle accidents, firearm-related injuries, and bicycle-related … injuries that result in visits to the emergency room.
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www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/access/elements4.html
June 01, 2018 - Distribution of trauma center utilization (Level I and II) for severe injuries in the United States, … Trauma Center Utilization for Severe Injuries
Trauma care systems were developed to provide complex … Level II: Provide initial definitive trauma care regardless of the severity of the injury. … Distribution of trauma center utilization (level I and II) for severe injuries in the United States, … Importance: Well-coordinated and timely treatment for trauma patients can prevent needless injury to
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www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.html
December 01, 2017 - She was assessed to have no injuries resulting from the fall. … Physical restraint—increases risk of serious injury. … Full side rails—increase risk of serious injury. … P has no evidence of injury resulting from her two falls on 4/1/04 at this time. … P has no evidence of injury resulting from her two falls on 4/1/04 at this time.
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www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/slides.html
December 01, 2017 - Patient Safety
Patient Safety Resources by Setting
Long Term Care
Resources
Injuries … Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries … Physical Restraints
Physical restraints increase the likelihood of serious injury resulting from … Consequences of Falls
Serious injury such as hip fracture
Increased risk of death associated … https://www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/slides.html