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Showing results for "injury".

321. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
     April 09, 2004 - concluding that mandatory and voluntary systems can work together to help reduce death and serious injury … Health Law 2805-l12 requires hospitals to report and investigate incidents of deaths and other serious injuries … • IV-related • Embolic and related disorders • Laparoscopic complications • Perioperative injuries … Elopement from hospital leading to death/serious injury 923 44 0.6 Equipment malfunction leading … to death/serious injury 938 22 0.3 Infant abduction 961 8 0.1 Infant discharged to wrong family

322. C1 Prioritization Matrix (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
     June 02, 2025 - 13 Postoperative Sepsis 12.7 11.7 15 $49,215 $ 738,225 N 9 7 3 Y Y Y Y Y PSI 14 Postoperative Wound … Accidental Puncture or Laceration 3.2 3.3 1 $22,629 $ 22,629 Y 4 3 7 Y N Y Y Y Obstetric PSI 17 Birth Trauma-Injury … to Neonate   0.0 0.1 0 $88,000 $ - 0 N 2 3 9 Y Y Y Y Y PSI 18 Obstetric Trauma-Vaginal Delivery … With Instrument   134.8 135.1 17 $90,000 $ 1,530,000 N 2 3 8 Y Y Y Y Y PSI 19 Obstetric Trauma-Vaginal … Postoperative Sepsis Rate 0.0 16.2 0 $117,815 $ - 0 N 9 10 10 Y Y Y Y Y PDI 11 Postoperative Wound

323. Changing-System-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
     June 01, 2021 - The resident not only had a heart attack but has developed a rash and acute kidney injury. … Stopping antibiotics would likely have prevented the development of a rash and acute kidney injury. … which was an allergic reaction to amoxicillin/clavulanic acid which led to a rash and acute kidney injury … aware of the laboratory results in a timely manner, the antibiotics were held, and the acute kidney injury

324. Table 15A: Outcome Indicators by County Demographics | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15.html
     February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 15A: Outcome Indicators by County Demographics Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indi…

325. Health Equity | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-health-equity.html
     May 01, 2024 - Appendix D: Grant Summaries P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury … The leading cause of death in 2020 in the US was heart disease, cancer, COVID-19, and unintentional injuries … The most common unintentional injury was drug overdose, accidental falls, and motor vehicle accidents

326. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraref.html
     April 01, 2018 - Assessing patient safety risk before the injury occurs: An introduction to sociotechnical probabilistic

327. Improving Workplace Safety in Hospitals: A Resource List for Users of the AHRQ Workplace Safety Supplemental Item Set (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-resources.pdf
     May 01, 2023 - Workbook for Designing, Implementing, and Evaluating a Sharps Injury Prevention Program https://www.cdc.gov … lifting, repositioning, and transfers represent some of the most common—and most preventable—sources of injury … This brief questionnaire can be used to examine the number and nature of patient handling injuries in … www.ahrq.gov/teamstepps/webinars/previous-webinars-2016.html Clinical teams can learn how to reduce risk of injury … Healthcare Outcomes Well-Being Initiative Workbook for Designing, Implementing, and Evaluating a Sharps Injury

328. Engineering Safe Practices Affinity Group | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/engineering-safety-practice/index.html
     April 01, 2025 - that make it more difficult for people to make errors in care delivery or experience a work-related injury … Healthcare Settings includes strategies to identify risks and hazards and prevent/control work-related injury

329. Functional Status Preservation and Rehabilitation | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/functional-status.html
     April 01, 2016 - Home-based physical therapy assists people in restoring strength, balance, and mobility after an illness or injury … Importance : Many patients who receive home health care are recovering from an injury or illness and

330. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4g_pdi09-postoprespfailure-bestpractices.pdf
     May 17, 2016 - o Decreased central nervous system input (head injury, ingestion of central nervous system depressant … o Peripheral nerve/neuromuscular junction (spinal cord injury, organophosphate/carbamate poisoning,

331. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
     May 17, 2016 - o Decreased central nervous system input (head injury, ingestion of central nervous system depressant … o Peripheral nerve/neuromuscular junction (spinal cord injury, organophosphate/carbamate poisoning,

332. Cellulitis-One-Page (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-one-page.docx
     November 01, 2019 - elevated white blood cell count in 35–50% · Usually associated with skin surface disruption due to recent trauma … Blood cultures are low yield; consider for patients with severe illness or immunocompromise · Obtain wound … Patients with aquatic injuries, bites, and cellulitis associated with long-standing diabetic foot ulcers

333. Conducting a Comprehensive Skin Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar4_pu_skinassesst_final.pdf
     April 01, 2011 - Management and Advances in Skin and Wound Care • Legal consultant and former NPUAP board member … or coolness can indicate skin damage, including— – Stage I pressure ulcer – Suspected deep tissue injury … venous or arterial) – Neuropathic/diabetic – Skin tears (especially forearm of older adults) – Trauma … pressure ulcers he/she has • Highest stage of his/her deepest ulcer • Treatment for any existing wounds … Wound care essentials: practice principles. 3rd ed.

334. IQI, PSI, AND PDI RATES GENERATED BY THE AHRQ WINDOWS QI SOFTWARE (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2b_combo_ratesgenbywin.pdf
     March 01, 2016 - - 0.01018098 PDI10 PDI #10 Postoperative Sepsis Rate 0 0 - 0.01602384 PDI11 PDI #11 Postoperative Wound … - 0.00437031 PSI13 PSI #13 Postoperative Sepsis Rate 0 0 - 0.01180386 PSI14 PSI #14 Postoperative Wound … Rate – Injury to Neonate 0 0 - 0.00210694 PSI18 PSI #18 Obstetric Trauma Rate – Vaginal Delivery With … Thrombosis Rate 0.00437 PSI #13 Postoperative Sepsis Rate 0.011804 PSI #14 Postoperative Wound … Rate - Injury to Neonate 0.002107 PSI #18 Obstetric Trauma Rate - Vaginal Delivery With

335. Module 3: Falls Prevention and Management | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3.html
     March 01, 2019 - Knowing When a Fall Has Occurred     Risk Factors for Falls Session 2     Limiting Falls that Cause Injury

336. Appendix III (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiig.html
     June 01, 2010 - Populations: Adults with physical or intellectual disabilities, including those with acquired brain injuries … and Access Populations: Elders with physical or cognitive disabilities, adults with acquired brain injuries … of Life Populations: Elders with physical and cognitive disabilities, adults with acquired brain injuries … questions HCBS MS Domains: Safety, Health and Welfare Populations: Adults with acquired brain injuries … Department of Health Use history: Developed to monitor safety for individuals with traumatic brain injury

337. Examples of Hospital Quality Measures for Consumers | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/measures/setting/hospitals/examples.html
     March 01, 2016 - Rates at which patients fall and incur injury during a hospital stay.

338. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
     August 01, 2022 - demonstration projects to put “patient safety first,” with the intent of reducing the occurrence of preventable injuries … Funding was intended to address four goals: (1) putting patient safety first by reducing preventable injuries … better communication between doctors and patients, (3) ensuring fair and timely compensation for medical injuries … addressing the problem so that no other patient is harmed in the same way, as it is to get compensation for injury … Ascension Health Evidence-based obstetrics practice model The project reported a 50% drop in injuries

339. Chapter 3. Outline the Evidence and Identify Best Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide3.html
     February 01, 2016 - associated with a very high risk of VTE include abdominal or pelvic surgery for cancer, multiple major trauma … Examples include craniotomy, traumatic brain injury, spinal cord injury repair, major trauma, plastic … use, ideally used for 18 hours or more. 4 Prophylaxis for Knee Arthroscopy and Isolated Lower Leg Injuries … The same recommendation applies to patients with isolated lower leg injuries distal to the knee that

340. Chapter 3. Outline the Evidence and Identify Best Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide3.html
     February 01, 2016 - associated with a very high risk of VTE include abdominal or pelvic surgery for cancer, multiple major trauma … Examples include craniotomy, traumatic brain injury, spinal cord injury repair, major trauma, plastic … use, ideally used for 18 hours or more. 4 Prophylaxis for Knee Arthroscopy and Isolated Lower Leg Injuries … The same recommendation applies to patients with isolated lower leg injuries distal to the knee that