-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - event type; and, detailed information about specific event types,
such as the distribution of various injuries … pertaining to nine patient safety event
types that represent the majority of reported preventable injuries … Event-Specific Formats pertain to nine patient safety events that represent the great majority of
preventable injuries … that they represent minor injuries such as soreness, bumps, and
minor abrasions. … and the type of the injury.
-
www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
January 01, 2024 - high-injury-severity incidents
conformed to the 2006 NQF standard. … Ninety-eight percent of hospitals’ policies recommend disclosure in case of serious injuries believed … However, the research team
counted injuries regardless if prolonged hospitalization or disability at … wound infection, and other. … Trivial or
insignificant events include minor injuries of little clinical consequence such as nausea
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
April 14, 2008 - of medication use
with a broad range of potential patient harms that span adverse drug reactions, injuries … adverse
drug-drug or drug-disease interactions to encompass a broader range of patient harms and
injuries … This is exemplified by the Center’s
studies of hospitalizations and costs for fall-related injuries … Developing a VHA Serious Injury Surveillance
System. … Benzodiazepines and injury: A risk adjusted model.
Pharmacoepidemiol Drug Saf 2005; 14: 17-24.
-
www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - Say:
Today's Presentation Goals are to:
Highlight the gap between optimal response to medical injury … Say:
Consequences are high when organizations and health care providers don't respond to medical injury … Slide 12
Say:
The response to medical injury involves more than just what to do and what … field of ergonomics; as we work more at desks and computers, these areas are redesigned to help prevent injuries … Slide 35
Say:
In addition to the organization Medically Induced Trauma Support Services
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mccchartbook.pdf
April 01, 2014 - -4 NO YES
861 HEART & LUNG INJURY -5 NO -4 NO
863 GI TRACT INJURY -4 NO -3 NO
864 LIVER INJURY - … 3 NO -3 NO
869 INTERNAL INJURY NOS -3 NO -3 NO
871 EYEBALL OPEN WOUND -3 NO -4 NO
872 OPEN WOUND OF … OPEN WOUND OF LOWER ARM -5 NO -5 NO
882 OPEN WOUND OF HAND -5 NO -5 NO
883 OPEN WOUND OF FINGER -5 … 893 OPEN WOUND OF TOE -5 NO -5 NO
904 BLOOD VESSEL INJURY NEC -5 NO -4 NO
908 LATE EFF INJURY NEC … TO NERVE NEC/NOS -4 NO -4 NO
958 EARLY COMPLIC OF TRAUMA -4 NO -3 NO
959 INJURY NEC/NOS -4 NO -3 NO
-
www.ahrq.gov/topics/blood-clots.html
clots , ranging from a pediatric central line clot to a popular blood-thinner drug causing deaths and injuries … Studies on venous thromboembolism range from venous thromboembolism after trauma and use of multidisciplinary
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-3-ef.pdf
May 01, 2016 - Measure Importance
Children who develop critical illness or injury may be malnourished at the time of … risk-adjusted mortality.3
The benefits of nutritional support in critically ill patients include improved wound … healing, a decreased catabolic
response to injury, and improved gastrointestinal structure and function … Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP)
in patients with spinal cord injuries … Nutrition and wound healing.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
January 01, 2004 - mandatory error reporting programs gather data
on errors associated with fatal outcomes or serious injuries … of administration
were trapped prior to completion.10
The population above age 65 sustained more injuries … The most significant potential for injury occurred in the
transition of a patient across and between … Inaccurate or
incomplete data about medication regimens, when undetected, caused patient
injuries. … In
addition, with rare events, the absence of injury is not necessarily the best
indication that the
-
www.ahrq.gov/cahps/surveys-guidance/hcbs/index.html
January 01, 2025 - physical disabilities, people with developmental or intellectual disabilities, people with acquired brain injury
-
www.ahrq.gov/topics/maternal-health.html
January 01, 2023 - People 2023 MICH-05 Objective AHRQ Quality Indicators Patient Safety Indicators (PSI): PSI 17 Birth Trauma … Rate-Injury to Neonate PSI 18 Obstetric Trauma Rate-Vaginal Delivery With Instrument PSI 19 Obstetric … Trauma Rate-Vaginal Delivery Without Instrument Inpatient Quality Indicators (IQI): IQI 21 Cesarean
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.pdf
June 02, 2025 - cognitively impaired
Other, please describe
Fall Comments Free text
Fall Injury … Yes/no N N Y Y Y N
On-Time Falls Prevention: Electronic Reports 14
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
-
www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
June 01, 2012 - To prevent injury from falls, all nursing staff need
knowledge and skills. … 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. … other staff must revisit the plan to make sure it is effective in preventing
additional falls and injuries
-
www.ahrq.gov/topics/falls.html
Falls can lead to serious injuries, decreased ability to function, reduced quality of life, increased
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html
December 01, 2017 - Fall-related injuries decrease the resident's quality of life and ability to function. … Residents who fall without injury often develop a fear of falling that leads to self-imposed limitation … One in every 10 residents who fall has a serious related injury and about 65,000 patients suffer a hip … Serious injuries.
Increased risk of death. … Injuries resulting from falls are a major reason for lawsuits against facilities and staff, which can
-
www.ahrq.gov/topics/healthcare-costs.html
Falls by 21 Percent
Chartbook on Care Affordability
Connecticut Hospital Reduces Pressure Injuries
-
www.ahrq.gov/hai/cauti-tools/phys-championsgd/section3.html
October 01, 2015 - Teamwork and Communication Definitions and Tools
Several examples of severe patient injury … The virulent organism caused a severe infection and irreversible injury to the patient.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
August 01, 2017 - then display X in Wound
• Infected wound or decubitus ulcer
• Jaundice
• Rash
10 Injury: Fall … Related
Transfer
Note
•
•
Major injury
Minor injury
IF either selected, then display
Fall … X in Injury:
11 Injury: Non-
Fall Related
Transfer
Note
•
•
Major injury
Minor injury
IF … Cardiac/Circulatory Major injury
Anemia Minor injury
Cardiac arrest
Coagulation defect … Chest pain/angina
Dizzy/lightheaded
Non-Fall-Related Injury
Major injury
Minor injury
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
April 01, 2016 - Say:
Today’s Presentation Goals are to:
■ Highlight the gap between optimal response to medical injury … the CANDOR process and how this toolkit will help organizations
improve their response to medical injury … Slide 12
Facilitator Notes - Grand Rounds Presentation – 5
Say:
The response to medical injury … of ergonomics; as we work more at desks and computers, these areas
are redesigned to help prevent injuries … Slide 35
Say:
In addition to the organization Medically Induced Trauma Support Services (or
MITSS)
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-figures-1-3.pdf
June 30, 2015 - Suffers
Post-Traumatic
Headache and
Seeks ED Care
•Without signs or
symptoms of
intracranial injury … ACR Appropriateness Criteria: Head Trauma — Child. American College of
Radiology, 2014.
-
www.ahrq.gov/sites/default/files/2025-02/nishisaki2-report.pdf
January 01, 2025 - intubation procedures across a diverse spectrum of PICUs in North America,
the Pediatric Acute Lung Injury … pressors), laryngospasm, malignant hyperthermia,
pneumothorax/pneumomediastinum, or direct airway injury … immediate recognition, emesis without aspiration, hypertension requiring therapy,
epistaxis, dental or lip trauma … Hypotension requiring
intervention
61 (3.4%) Epistaxis 10 (0.6%)
Laryngospasm 4 (0.2%) Dental/lip trauma … PI: Akira Nishisaki Grant Number: R03 HS21583-01
Cardiac-
medical
Sepsis/shock
Neurological
Trauma