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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.docx
June 02, 2025 - Fall With Minor Injury
Total Residents Who Fell
Total Residents With >1 Fall
Total Falls
Apr-11 … Fall With Minor Injury
Total Residents Who Fell
Total Residents With >1 Fall
Total Falls
Unit … Yes/no
N
N
Y
Y
Y
N
If yes, what type of injury? … Injury Type: Major
Fracture: hip
X
Fracture: other
Joint dislocation … Injury Type: Minor
Skin tear
X
Abrasion
X
Laceration
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/access/elements3.html
June 01, 2018 - Measures of Timeliness
Adults who needed care right away for an illness, injury, or condition in … sometimes or never got care as soon as wanted
Children who needed care right away for an illness, injury … Adults’ Ability To Get Care As Soon As Wanted
Adults who needed care right away for an illness, injury … were less likely than adults with private insurance to receive needed care right away for an illness, injury … Children’s Ability To Get Care As Soon As Wanted
Children who needed care right away for an illness, injury
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www.ahrq.gov/sites/default/files/2024-02/wei-report.pdf
January 01, 2024 - of respiratory infections, infections due to
nonsterile opioid injection, cognitive impairment, and injuries … Injuries (800-959, excluding 895-897, 905-
909, 930-939)
Agreement (82-
87%)29
Predisposing factors … Not all fatal prognostic factors --- e.g., injuries --- would be present in inpatient or
outpatient … care, and we included only injuries that received medical attention. … diseases,
pulmonary conditions, kidney disease, gastrointestinal disorders, respiratory
infections, injuries
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www.ahrq.gov/talkingquality/translate/labels/describe.html
January 01, 2023 - General Hospital (MGH)
URL: https://www.massgeneral.org/quality-and-safety/patient-safety/pressure-injury-prevalence … complete information, go to https://www.massgeneral.org/quality-and-safety/patient-safety/pressure-injury-prevalence … that nurses have the necessary knowledge for skin assessment and intervention they attend a Phase I Wound
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/treat-release.html
September 01, 2017 - Gastrointestinal/
Genitourinary
Symptoms
Endocrine/
Metabolic/
Nutrition
Issues
Wound … 5
14
10
0
Table 4 (continued)
Reason for Transfer
Resident
Injury … : Fall Related
Injury: Not Fall Related
Musculoskeletal Symptoms
Abnormal Labs or Anemia
Fever
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www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
January 01, 2024 - Scope: Incentivizing outcomes by withholding payment for serious fall-related injuries has not significantly … ,3
with an average associated excess cost of $7,000 per injury.4 Regardless of injury, falling can lead … Background: Incentivizing outcomes by withholding payment for serious fall-related injuries has not … Preventing falls and fall-related injuries in hospitals. Clin Geriatr Med.
2010;26(4):645-692.
2. … Circumstances of patient falls and injuries in 9 hospitals in a
Midwestern healthcare system.
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www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdf
January 01, 2024 - Therefore, this project was an
important first step in reducing the risk of injury and illness related … Nearly one of four RNs (19%,
n=142) reported experiencing an injury in the past 3 years. … The majority of these injuries were back injuries, (n=68, 48%),
upper-extremity injuries (n=38, 27%) … , and lower extremity injuries (n=37, 26%). … Childhood injury prevention at home and play.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
June 02, 2025 - Perioperative Pulmonary Embolism or Deep Vein Thrombosis
PSI 13 Postoperative Sepsis
PSI 14 Postoperative Wound … Dehiscence
PSI 15 Accidental Puncture or Laceration
Obstetric PSI 17 Birth Trauma-Injury to Neonate …
PSI 18 Obstetric Trauma-Vaginal Delivery With Instrument
PSI 19 Obstetric Trauma-Vaginal Delivery … 09 Postoperative Respiratory Failure Rate
PDI 10 Postoperative Sepsis Rate
PDI 11 Postoperative Wound
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-slides.pptx
January 01, 2017 - Patients
Adverse Events4
9 patients had 14 adverse events (<1% of activities)
Falls to knees without injury … sustainably decreased time to onset of active physical therapy intervention in patients with acute lung injury … sustainably decreased time to onset of active physical therapy intervention in patients with acute lung injury … Safety Program for Mechanically Ventilated Patients
5-Year Sustainability of Time to PT
Postacute Lung Injury … sustainably decreased time to onset of active physical therapy intervention in patients with acute lung injury
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www.ahrq.gov/opioids/about.html
August 01, 2021 - from drug overdoses have risen steadily over the past two decades and have become a leading cause of injury
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb1txt.html
December 01, 2017 - Monthly falls analysis by:
location and time of fall
shift and day of week
type of injury … Monthly falls analysis by # of falls, fallers, patients ≥2 falls, and falls with serious injury?
… care plan include general behavior management strategies and specific interventions to reduce risk of injury … results of fall (BP, BS, mental status, VS, tests ordered, ER or hospital visit)
description of injury
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverviewmaterialspacket.pdf
June 02, 2025 - Conditions High-Risk Change in Condition
New Contributing
Risk Factor Additional Info Within 30 Days Injury … Yes/no N N Y Y Y N
If yes, what type of injury? … Injury Type: Major Fracture: hip X
Fracture: other
Joint dislocation
Closed head … injury with altered consciousness
Subdural hematoma
Injury Type: Minor Skin tear X … that causes pain
Injury Site Head
Upper extremity (UE)
Lower extremity (LE)
LE LE LE LE
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
September 01, 2017 - Infected wound or decubitus.
Jaundice.
Rash.
Fall-Related Injury. … Wound or skin issues.
Fall-related injury.
Non-fall-related injury.
Abnormal labs. … Fall/trauma.
Anemia.
Diabetes. … Wound or skin issues.
Fall-related injury.
Non-fall-related injury.
Abnormal labs. … Fall/trauma.
Anemia.
Diabetes.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-mvpguide.pdf
January 01, 2017 - acute
respiratory distress syndrome (ARDS), and substandard ventilator management can increase
the injuries … to be beneficial in patients at risk for
ARDS, such as those with sepsis, pneumonia, or traumatic injuries … been shown to benefit patients at risk for ARDS, such as those with sepsis,
pneumonia, or traumatic injuries … admitted to the ICU already have risk factors for ARDS, such as pneumonia,
sepsis, noncardiogenic shock, trauma … Ventilator-
associated lung injury in patients without acute lung
injury at the onset of mechanical
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www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-d.html
May 01, 2024 - Appendix D: Grant Summaries
P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury … P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury After Hospital Discharge
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess2.html
October 01, 2014 - Additional Tools and Resources
Limiting Falls that Cause Injury
Residents in long-term … However, what we can do is eliminate needless falls and limit the injuries from falls that do occur. … them. 10 Posey vests, pelvic restraints, and lap trays on geri-chairs all contribute to falls and to injuries … Relationship between physical restraint removal and falls and injuries among nursing home residents. … Available at http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries/fallspx/index.html
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-tables1-10.pdf
June 02, 2025 - excision of foreign body from brain 61570
Craniectomy or craniotomy; with treatment of penetrating wound … Personal history of other certain diseases TIA and cerebral infarction V12.5
Table 9 [=IMG9]: Head Trauma … of other and
unspecified nature
800.4
Open w/o mention of intracranial injury 800.5
Open with … 800.7
Open with other and unspecified intracranial
hemorrhage
800.8
Open with intracranial injury … 852.x
Other/unspecified intracranial hemorrhage
following injury
853.x
Intracranial injury
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-tables1-9.pdf
June 02, 2025 - seizure 780.32
Post-traumatic seizure 780.33
Other convulsions 780.39
Table 3 [=IMG9]: Head Trauma … 800.2
Closed with other and unspecified intracranial hemorrhage 800.3
Closed with intracranial injury … of other and unspecified nature 800.4
Open w/o mention of intracranial injury 800.5
Open with cerebral … 852.x
Other/unspecified intracranial hemorrhage following injury 853.x
Intracranial injury of other … excision of foreign body from brain 61570
Craniectomy or craniotomy; with treatment of penetrating wound
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-retention.pdf
April 01, 2022 - Issue
Specialty ICUs, such as cardiothoracic surgery, neurology, and trauma, have unique patients with … silver alloy-coated silicone urinary catheters
in patients with acute traumatic cervical spinal cord injury … Prevention of urinary tract infections in patients with
spinal cord injury. … Neurogenic bladder in spinal cord injury patients. Res Rep Urol.
201510;7:85-99. … protocol for
catheter removal to decrease catheter-associated urinary tract infection rate in a surgical
trauma
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-slides.html
December 01, 2017 - Keeps patients from having to get up to urinate, protecting them from injury. … Trauma)
Admitting service (e.g. … Is immobilization needed for trauma or surgery? … Is the patient incontinent with open sacral or perineal wounds? … Protocolized care for trauma
Incontinence without open sacral or perineal wounds
Pre-operative