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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - patient safety events, including
many types of hospital-acquired infections, adverse drug events, and injuries … Infections
Clostridium difficile
Infections
Falls
Obstetric Adverse
Events
Pressure
Ulcers/Pressure Injuries … 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 … 8,513 0.29
Falls MPSMS In-Hospital Patient Falls 238,965 8.03
Obstetric
Adverse
Events
PSI OB Trauma
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
January 01, 2023 - 1,000 elective-surgery admissions, age
18 and over
HCUP 2020
Reclosure of postoperative abdominal wound … admissions of length 2 or more
days, age 18 and over
HCUP 2020
Home health care patients whose surgical wound … 2020
Home health care patients whose management of oral
medications improved
OASIS 2021
Birth trauma … 1,000 elective-surgery admissions, age
18 and over
HCUP 2020
Reclosure of postoperative abdominal wound … 2020
Home health care patients whose management of oral
medications improved
OASIS 2021
Birth trauma
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www.healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
August 01, 2022 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
-
www.healthcare411.ahrq.gov/cpi/about/35th-anniversary/index.html
April 01, 2024 - show that national efforts to reduce hospital-acquired conditions, such as adverse drug events and injuries
-
www.healthcare411.ahrq.gov/nursing-home/materials/staffing.html
June 01, 2021 - therapists can conduct accident investigations, implement care plan updates, and lead teams in fall/injury
-
www.healthcare411.ahrq.gov/patient-safety/reports/liability/silence.html
August 01, 2017 - If it does, we feel their injury or the loss of their life was in vain.
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/healthited-issuebrief.pdf
February 01, 2021 - facilitate communication about diagnostic testing in adult
patients presenting to an ED with minor head injuries … Tablet-based patient-centered
decision support for minor head injury in the emergency department: pilot
-
www.healthcare411.ahrq.gov/health-literacy/professional-training/lepguide/app-b.html
September 01, 2020 - prevented the severe allergic reaction and allowed him to receive the angioplasty that could have prevented injury
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
January 01, 2006 - 0.1493487343 PSI 12 Statistically Lower 0
PSI 13 Postoperative sepsis 17.433 0
PSI 14 Postoperative wound … 0.0683602771 PSI 15 Statistically Lower 0
PSI 16 Transfusion reaction 0.000004 0
PSI 17 Birth trauma … - injury to neonate 2.188 0
PSI 18 Obstetric trauma - vaginal with instrument 0.139241 0.062898 … 0.215583 133.928 -99.8960329431 0.0570030165 0.0570022699 PSI 18 Statistically Lower 0
PSI 19 Obstetric trauma … 0.01989 -100 -100 117.3881347411 PDI 10 No Statistically Significant Difference 0
PDI 11 Postoperative Wound
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/huddles-component-kit.docx
May 01, 2017 - the work
Key Points (“know how”)
For example, information that is critical to the job, may prevent injury
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-192-fullreport.pdf
November 01, 2019 - These complications include
compromised airway, hypoxia leading to central nervous system injury, and … sedation, moderate and deep sedation carry a greater risk
of airway compromise, hypoxia resulting in CNS injury … These risks include dental trauma;
airway edema (swelling of the windpipe); vocal cord spasm or injury … ; regurgitation of stomach
contents with subsequent aspiration (inhalation) pneumonia; injury … Incidental findings in children with blunt head trauma
evaluated with cranial CT scans.
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
October 12, 2022 - effective, limiting its review to whether the process is reasonable and necessary to treat or diagnose an injury … effective, limiting its review to whether the process is reasonable and necessary to treat or diagnose an injury
-
www.healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
August 01, 2022 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
-
www.healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/slides.html
September 01, 2017 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
-
www.healthcare411.ahrq.gov/policymakers/chipra/overview/background/appendix-b2.html
December 01, 2009 - Children with Special Health Care Needs
CC-37
CSHCN number of missed school days due to illness or injury
-
www.healthcare411.ahrq.gov/npsd/data/dashboard/falls.html
September 01, 2023 - Skip to main content
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - per 1,000 instrument-assisted deliveries
• Birth trauma - injury to neonate per 1,000 selected live … Adverse Drug Events
• An adverse drug event (ADE) is an injury—including physical harm, mental harm, … • Measures include:
Home health care patients whose surgical wounds improved or healed, 2010- … Improvement
Home health care patients whose surgical wounds improved or healed,
2010-2016
50
60 … The home health team should regularly change wound dressing and teach the patient about
wound care.
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pdf
October 01, 2015 - October 2015:
– Addition of information relevant to ambulatory and managed
care encounters
– Expanded injury
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/drug-eng-cancer-552a.pdf
October 07, 2016 - In the last 6 months, did you contact this
cancer center to get an appointment for an
illness, injury
-
www.healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury