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www.cpsi.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.cpsi.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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www.cpsi.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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www.cpsi.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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www.cpsi.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
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Traumatic Brain Injury
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www.cpsi.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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www.cpsi.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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www.cpsi.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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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - • Patient safety concerns such as falls,
pressure injuries, and adverse medication
events were reported … Pressure Injury
Among the pressure injury events (n = 10; 3.3%), several records identified the development … of pressure
injuries due to the interaction between patient pronation and poor patient mobility. … Four records identified
the development of multiple pressure injuries to the lips, tongue, ears, and … The remaining pressure injuries were identified across multiple other contact points such as
the coccyx
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form.pdf
May 01, 2014 - New or increasing pus draining from wound
Y N ? New breakdown
Y N ? … New or expanding redness around wound
Y N ? Pain / tenderness
Y N ? Warmth
Y N ? … Suspected minor injury Yes No ?
Suspected serious injury Yes No ?
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www.cpsi.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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www.cpsi.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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www.cpsi.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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www.cpsi.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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www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/index.html
February 01, 2024 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … Publication: 11-0053-EF
Related Publications
Connecticut Hospital Reduces Pressure Injuries … Using AHRQ Toolkit
Pressure Injury Prevention for Hospitals Training Program
( PDF , 1 MB) ( DOCX … , 835 KB)
University of Missouri Reduces Pressure Injuries and Wins $25,000 Challenge Award From AHRQ
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www.cpsi.ahrq.gov/hai/pfp/hacrate2013-refs.html
October 01, 2015 - Injury From Falls
Barrett JA, Bradshaw M, Hutchinson K, et al. … 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.
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www.cpsi.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.cpsi.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
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www.cpsi.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program1.html
April 01, 2018 - Patient Safety
Definition of Patient Safety
Reference
Freedom from accidental or preventable injuries … psnet.ahrq.gov/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.cpsi.ahrq.gov/data/infographics/hac-rates_2019.html
July 01, 2020 - Description: National efforts to reduce hospital-acquired conditions such as adverse drug events and injuries