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www.innovations.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.innovations.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.innovations.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.innovations.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.innovations.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.innovations.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.innovations.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.innovations.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.innovations.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.innovations.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.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
August 31, 2017 - Prevention Group or the Wound Care Group. … at least two other types of teams in any patient care unit where changes are to be implemented: the Wound … ASK: Do you have a Wound Care Team or Wound Care Nurse in this hospital? … Once you examine and understand current practices that are being used to help prevent pressure injuries … current policies and practices, you understand what this hospital currently does to prevent pressure injuries
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-fullreport.pdf
December 17, 2019 - Over the past decade, ED visits for traumatic brain injuries have increased substantially
(Coronado, … , seizure associated with trauma, loss of consciousness associated
with trauma, repeated vomiting, documented … These risks include dental trauma;
airway edema (swelling of the windpipe); vocal cord spasm or injury … Over the past decade, ED visits for traumatic brain
injuries have increased substantially. … in a
non-trauma center.
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www.innovations.ahrq.gov/research/findings/studies/index.html?page=1
January 01, 2024 - (253)
Imaging
(245)
Implementation
(191)
Infectious Diseases
(260)
Influenza
(41)
Injuries … and Wounds
(207)
Inpatient Care
(220)
Intensive Care Unit (ICU)
(264)
Kidney Disease and … center (NTC) and were diagnosed with a traumatic injury with an injury severity score of greater than … , major chest injury, and presentation at a teaching hospital. … , Injuries and Wounds
Cron DC , Braun HJ , Ascher NL Sex-based disparities in access to
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www.innovations.ahrq.gov/patient-safety/about/challenge-competition.html
February 01, 2024 - for Improving Quality of Care to decrease Patient Safety Indicator 03 (PSI-03) (reportable pressure injuries … Implementation focused on MU Health Care’s 390-bed University Hospital, the only level I trauma center … technology, MU Health Care rose from the 87th percentile ranking of all-cause hospital-acquired pressure injury … experience using this tool is summarized in "MU Health Care Uses AHRQ Toolkit to Reduce Reportable Pressure Injuries
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www.innovations.ahrq.gov/data/data-visualization/index.html?page=1
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 … Sick Leave Among Wage Earners, 2017
Overview of Emergency Department Visits Related to Injuries … , by Cause of Injury, 2017
Poverty and Access to Internet, by County
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www.innovations.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
November 01, 2017 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries
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www.innovations.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.html
September 01, 2017 - injuries (no signs or symptoms) resulting from the fall. … treating with ice, cleaning the wound, limb elevation, topical medication, or a bruise or abrasion. … Death : The patient died because of injuries sustained from the fall (not from physiologic events causing … the Team does not agree to use these definitions, ask them what definitions they will use for fall injuries … Interventions to prevent falls and fall injuries are tracked.
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www.innovations.ahrq.gov/news/blog/ahrqviews/impacts-gun-violence.html
March 01, 2023 - recognized; too often we may assume that healthcare workers are hardened to such events, given the daily trauma
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www.innovations.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc.html
November 01, 2018 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries … safety, create a more resident-centered environment, and reduce the number of falls and fall-related injuries
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - 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 … Accidental
Puncture/Laceration
32,396 19,811,918 5,220 4,824,816 5,095 4,806,878
PSI 18, Obstetric Trauma … Vaginal Delivery with
Instrument
14,663 121,323 17,925 165,125 17,891 156,244
PSI 19, Obstetric Trauma … Patient Falls
239,286 8.04 225,199 7.57 223,106 7.50 226,642 7.62
Obstetric
Adverse
Events
PSI OB Trauma