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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17e.html
February 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 17E: Serious Mental Illness Subpopulation
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Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indicator…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19g.html
March 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 19G: HCBS Population Age 65+
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Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indicators for the HCB…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
January 01, 2025 - For example:
■ The Communication to Prevent and Respond to Medical Injuries project resulted in the … Using a gait belt during an assisted fall decreases
the odds of injury. … important steps in the gradual process
of moving toward patient-centered accountability after medical injury … Patient outcomes for trauma resuscitations were obtained through the Harborview
Medical Center Trauma … outcome (leadership effectiveness and
patient care) while controlling for pretraining performance, injury
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/handouts.html
December 01, 2017 - information on undermining and tunneling, the tissue in the wound bed, and wound drainage? … the team with enough information to assess pressure ulcer healing and you will be able to identify wounds … National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, and Pan Pacific Pressure Injury … Nurse manager, wound nurse, wound physician, NP, and CNA
Physician, wound nurse, or DON typically … I would like to use this and the Weekly Wound Rounds Report to prepare for wound rounds.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.docx
July 01, 2016 - information on undermining and tunneling, the tissue in the wound bed, and wound drainage? … the team with enough information to assess pressure ulcer healing and you will be able to identify wounds … National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, and Pan Pacific Pressure Injury … Nurse manager, wound nurse, wound physician, NP, and CNA
Physician, wound nurse, or DON typically leads … I would like to use this and the Weekly Wound Rounds Report to prepare for wound rounds.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.pdf
July 01, 2016 - include information on undermining and tunneling, the tissue in the wound bed, and
wound drainage? … the team with enough information to assess pressure ulcer healing and you
will be able to identify wounds … National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, and
Pan Pacific Pressure Injury … Nurse manager, wound
nurse, wound physician,
NP, and CNA
Physician, wound nurse,
or DON typically … I would like to use this and the Weekly Wound Rounds Report to prepare for wound
rounds.
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www.ahrq.gov/sites/default/files/2024-10/james-report.pdf
January 01, 2024 - linked to risk of patient care error and poorer quality
patient care, as well as to occupational injury … is the equivalent of a 0.11 blood alcohol content with “very high” risk of accident, error, and
injury
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www.ahrq.gov/sites/default/files/2025-07/weinger3-report.pdf
January 01, 2025 - Abbreviation Initial
presentation
Clinical location Scenario progression
Transfusion
related lung
injury … manikin)
Shortness of
breath
Post-anesthesia
care unit (PACU)
Effects of transfusion-related lung
injury
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
March 12, 2008 - related to pediatrics, respiratory emergencies,
and seizures, the urgent care staff also requested trauma … scenarios (e.g., lacerations, fractures,
head injuries, spinal cord injuries).
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/qdr-ruralhealthchartbook-update.pdf
January 01, 2020 - Center Utilization
Trauma center utilization for severe injuries, by residence location, 2014 … Note: Injuries with an Injury Severity Score of 16 or greater were considered severe. … Note: Injuries with an Injury Severity Score of 16 or greater were considered severe. … injured patients with trauma-related injuries. … Most patients with severe injuries are treated in Level I or II trauma centers, but access to
trauma
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/transform.pdf
January 01, 2020 - Patient falls, which are common in hospitals, can result in
serious injuries, extend a patient’s stay … By 2020 the estimated annual cost of fall injuries for older
people will exceed $30 billion.7,8 Now that … improving light sources for
surgical staff; and designing patient beds to reduce back stress,
fatigue, and injuries
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-event-reporting-revised.docx
April 01, 2022 - policy)
☐ Acute urinary retention (e.g., due to medication [anesthesia, opioids, paralytics], nerve injury … measurements of urinary output in the critically ill
☐ To assist in healing of open sacral or perineal wounds … strict prolonged immobilization (e.g., potentially unstable thoracic or lumbar spine, multiple traumatic injuries
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keyes.pdf
January 01, 2004 - Identify the causes of preventable health care errors and patient injury
in health care delivery. … noted in the IOM report, approximately 3 to 4 percent of hospitalized
patients suffer preventable injuries … PSI) suggests that more than 32,000 deaths
annually may be attributable to the 18 types of medical injuries … sufficient to gain a complete
understanding of medical errors contributing to actual or potential
patient injury … Excess length of stay, charges, and
mortality attributable to medical injuries during
hospitalization
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiic.html
June 01, 2010 - elders; Adults and/or children with severe and persistent mental illness; Adults with acquired brain injuries … elders; Adults and/or children with severe and persistent mental illness; Adults with acquired brain injuries … elders; Adults and/or children with severe and persistent mental illness; Adults with acquired brain injuries … elders; Adults and/or children with severe and persistent mental illness; Adults with acquired brain injuries … elders; Adults and/or children with severe and persistent mental illness; Adults with acquired brain injuries
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www.ahrq.gov/research/findings/making-healthcare-safer/index.html
July 01, 2023 - , and obstetric adverse events are responsible for thousands of deaths and hundreds of thousands of injuries
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www.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
October 01, 2020 - The toolkit:
Targets six areas of safety—infections, falls, medication errors, security, injuries
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/healthit-ed-4.html
February 01, 2021 - facilitate communication about diagnostic testing in adult patients presenting to an ED with minor head injuries
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www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html
December 01, 2017 - Patient Falls
Patient falls, which are common in hospitals, can result in serious injuries, extend … By 2020 the estimated annual cost of fall injuries for older people will exceed $30 billion. 7-8 Now … improving light sources for surgical staff; and designing patient beds to reduce back stress, fatigue, and injuries
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - the establishment of the Massachusetts Alliance for Communication and
Resolution following Medical Injury … All complaints involved some additional patient care and most
complaints (70%) resulted in some new injury … some new unanticipated
injury compared to non-IC/SDM complaints (35%; p = 0.001)” (Posner et al., 2013 … and establishment of the Massachusetts Alliance for Communication and Resolution
following Medical Injury … grievances to formal claims against Wishard alleging malpractice or other
actions leading to patient injury
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www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
May 01, 2016 - the establishment of the Massachusetts Alliance for Communication and
Resolution following Medical Injury … All complaints involved some additional patient care and most
complaints (70%) resulted in some new injury … some new unanticipated
injury compared to non-IC/SDM complaints (35%; p = 0.001)” (Posner et al., 2013 … and establishment of the Massachusetts Alliance for Communication and Resolution
following Medical Injury … grievances to formal claims against Wishard alleging malpractice or other
actions leading to patient injury