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www.innovations.ahrq.gov/patient-safety/resources/learning-lab/acute-care-long-desc.html
June 01, 2020 - caregivers in the design of health information technology (IT) tools to prevent patient falls and related injuries
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.pdf
May 01, 2017 - communication
breakdowns are identified as the primary root
cause of maternal and perinatal deaths and
injuries … Other root causes for maternal and perinatal
deaths and injuries are—
• Assessment,
• Leadership,
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www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
August 01, 2022 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
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www.innovations.ahrq.gov/policymakers/chipra/overview/background/appendix-a5.html
December 01, 2009 - Sally Fogerty
Deputy Director, Center for the Study and Prevention of Injury, Violence, and Suicide
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www.innovations.ahrq.gov/cpi/about/directions/index.html
December 01, 2017 - Instruments or material likely to produce substantial injury or damage to persons or property such as
-
www.innovations.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - Evidence
(Not reviewed)
(Not reviewed)
Interventions To Prevent Contrast-Induced Acute Kidney Injury … Summary of Evidence
Update
(all patients)
(Not reviewed)
Preventing Patient Death or Serious Injury
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2023-hp-chartbook.pdf
January 01, 2023 - with a specialist
as soon as needed
Getting Care Quickly for a Child
Child got care for illness, injury … soon as needed 48% 50% 50% 52% 42%
Getting Care Quickly 54% 58% 58% 58% 47%
Got care for illness, injury … 48% 56% 54% 45%
Getting Care Quickly for a Child 67% 67% 72% 71% 59%
Child got care for illness, injury … as
needed 51% 52% 51%
Getting Care Quickly for a Child 67% 66% 68%
Child got care for illness, injury … as
needed 54% 54% 56%
Getting Care Quickly for a Child 72% 71% 73%
Child got care for illness, injury
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www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
August 01, 2022 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … An adverse event is "any injury caused by medical care" and doesn't imply "error," "negligence," or poor
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www.innovations.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
March 01, 2017 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … Pulmonary Embolism or DVT PDF [136.84 KB] PSI13 Postoperative Sepsis PDF [78.65 KB] PSI14 Postoperative Wound … Dehiscence PDF [137.17 KB] PSI15 Accidental Puncture or Laceration PDF [115.46 KB] PSI18-19 Obstetric Trauma … Respiratory Failure PDF [270.5 KB] PDI10 Postoperative Sepsis PDF [286.81 KB] PDI11 Postoperative Wound
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www.innovations.ahrq.gov/hai/pfp/hacrate2013.html
January 01, 2018 - 2
In 2010 an HHS Office of the Inspector General (OIG) team identified the rate of harm—that is, injuries … This estimate is based on analysis of data from HCUP identifying injuries in 7.45 million hospital discharge
-
www.innovations.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
August 01, 2022 - Regardless of the setting, diagnostic errors can derail proper care and may lead to severe injury or
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-2-chart-tech-specs.pdf
January 01, 2013 - Screening Tool for the Assessment of Malnutrition
in Paediatrics (STAMP) in patients with spinal cord injuries
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/adult-eng-cg40-3351a.pdf
October 30, 2020 - Was your most recent visit for an illness,
injury, or condition that needed care right
away?
-
www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apa.html
August 01, 2022 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p008-2-ef.pdf
January 01, 2015 - Impact of pediatric critical illness and injury on families: a systematic literature review.
-
www.innovations.ahrq.gov/teamstepps/officebasedcare/module5/office_sitmon.html
September 01, 2015 - An opportunity to interrupt or correct an action or event before there is harm or injury to the patient
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/engagement.pptx
May 01, 2017 - Program for Perinatal Care
Patient & Family
16
Engaging After Adverse Events
An adverse event is an injury … Victim: Health Care Workers7
Health care workers involved in an adverse event experience their own trauma … Many hospitals have developed employee assistance programs and medically induced trauma support services
-
www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/acknowledgements.html
August 01, 2022 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … Sources include:
George Mason University
Harvard School of Public Health
Medically Induced Trauma
-
www.innovations.ahrq.gov/npsd/data/dashboard/index.html
October 01, 2023 - to falls, the presence of fall assistance, presence of fall assistance by patient harm, type of fall injury
-
www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
August 01, 2022 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … Medicine (IOM) report, To Err Is Human: Building a Safer Health System , the problems associated with injury