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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.pdf
April 02, 2025 - HRCC elements are captured from multiple data sources within the
facility’s electronic medical record … Medical director may
also participate. … Department heads, including administrator and
medical director (or physician/NP designee). … injury with altered consciousness
Subdural hematoma
Injury Type: Minor Skin tear X … Medical director may also participate.
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www.ahrq.gov/action-alliance/resources/foundational-area.html
March 01, 2025 - their risk of workplace exposure to bloodborne pathogens from needlesticks and other sharps-related injuries … resource supports understanding of and action around safe patient handling to prevent healthcare worker injury … Handling: A Self-Assessment Patient handling is a common and preventable source of healthcare employee injuries … Organizations can use this brief questionnaire to examine the number and nature of patient handling injuries … , understand, and solve problems with the use of medical devices.
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www.ahrq.gov/cahps/surveys-guidance/item-sets/pcmh/measures.html
May 01, 2017 - Measures From the CAHPS Patient-Centered Medical Home Item Set
Adult Version
Talking With You … Respondent and provider talked about injury prevention
PCMH8.
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www.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
August 01, 2022 - Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program … systems test models that meet the following goals:
Put patient safety first by reducing preventable injuries … Ensure fair and timely compensation for medical injuries while reducing malpractice litigation. … In doing so, the effort aimed to connect medical liability to patient safety and quality. … These projects sought to understand how health care providers can best communicate medical errors and
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapa.html
December 01, 2017 - Review article: Physical restraint removal, falls and injuries. … Centers for Disease Control (CDC) National Center for Injury Prevention and Control (NCIPC). … American Medical Directors Association. Cost for members $20.00. … Fall and injury prevention in older people living in residential care facilities. … Journal of the American Medical Directors Association May/June, 180-185.
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www.ahrq.gov/news/newsroom/case-studies/cquips1301.html
November 01, 2012 - Safety Culture" in 2006, when concern about the hospital's patient safety arose as a result of worker injuries … using the survey, the facility has shown a significant decrease in both the incidence of reportable injuries … The facility has seven active medical staff members and various visiting specialists, but 84 full-time … Hospital Survey on Patient Safety Culture" at Newman Memorial Hospital, only one incident of a reportable injury
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appb.html
August 01, 2022 - Liability claims and costs before and after implementation of a medical error disclosure program. … Communication To Prevent and Respond to Medical Injuries: WA State Collaborative. … Eliminating Preventable Perinatal Injuries and Reducing Malpractice Claims. Final Progress Report. … Results of the Harvard Medical Practice Study I. N Engl J Med 1991; 324(6):370-376. … New York’s innovative approach to medical malpractice. New Eng L Rev. 2011-2012;46(3):475.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
January 01, 2022 - Human
abstractors answer questions related to objective information from the medical record. … Historical Background: Medicare Patient Safety Monitoring System
The extent of medical errors in U.S. … seizures,
coma)
Death during or shortly after anesthesia in ASA Class 1
patient
Dehiscence, flap or wound … or cranial nerve or spinal cord;
Malignant hyperthermia
Ocular injury
Peri-operative injury
Post-dural … Birth – Neonatal Other birth injury
3.
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides.html
March 01, 2020 - Slide 61
Birth trauma—injury to neonate per 1,000 live births, by race/ethnicity, 2004-2012
Image … : Graph shows birth trauma—injury to neonate per 1,000 live births:
Year
Total
White
Black … Note:
Trends:
Birth trauma-neonatal injury rates fell from 2.6 per 1,000 live births in 2004 … Between 2004 and 2012, birth trauma-neonatal injury rates fell for all racial/ethnic groups. … Injuries: Any external cause of injury code indicating motor vehicle accident and unintentional injuries
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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 … injuries while reducing malpractice litigation, and (4) reducing liability premiums. … 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
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www.ahrq.gov/patient-safety/reports/advancing-patient-safety.html
March 01, 2024 - patient safety findings, investigative approaches, process analyses, and practical tools for preventing medical … Advances in Patient Safety and Medical Liability
In October 2009, AHRQ launched the Patient Safety and … Medical Liability (PSML) Initiative to address four goals: (1) putting patient safety first by reducing … preventable injuries, (2) fostering better communication between doctors and patients, (3) ensuring … fair and timely compensation for medical injuries while reducing malpractice litigation, and (4) reducing
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
August 01, 2022 - University of Washington
Title: Communication to Prevent and Respond to Medical Injuries: WA State … The grantee aimed to implement a set of interventions to prevent and respond to medical injuries with … The second intervention aimed to prevent and respond to medical injuries through enhanced, sustained … Improving stakeholder understanding of accountability following medical injury using a patient-created … Communication To Prevent and Respond to Medical Injuries: WA State Collaborative.
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www.ahrq.gov/patient-safety/reports/liability/preface.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Preface
Previous Page Next Page
Table … of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue … and Medical Liability (PSML) Initiative was established in October 2009. … Funding was intended to address four goals: (1) putting patient safety first by reducing preventable injuries … injuries while reducing malpractice litigation, and (4) reducing liability premiums.
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide3.html
February 01, 2016 - group, but it may be a substantial proportion of medical inpatients in non-intensive care settings. … 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
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/appc.html
May 01, 2016 - have them ordered: Does patient have a contraindication for mechanical prophylaxis, such as edema, wound … Acute spinal cord injury with paresis.
Multiple major trauma. … s/p Transplant or multiple major trauma to clear bleeding risk: 48 hours. … Open wounds/ulcerations of both lower extremities. … of the term "hospital-acquired VTE" for two reasons:
VTE is often due to underlying illnesses or injuries
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www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicaid-Inpatient-Weighted.pdf
September 26, 2023 - formerly miscellaneous) 722 0.01 7,105,255 81.87
50: Nurse practitioner 9,426 0.11 7,114,681 81.98
53: Medical … prostheticorthotic personnel certified by an accrediting organization 5,747 0.07 7,124,175 82.09
58: Medical … 72,130 0.83 7,390,400 85.16
89: Certified clinical nurse specialist 560 0.01 7,390,959 85.16
90: Medical … 4,423,876 50.98
2: Urgent 1,938,165 22.33 6,362,041 73.31
3: Elective 2,204,592 25.40 8,566,633 98.71
5: Trauma … care of organized home health service organization. 462,147 5.33 8,050,828 92.77
07: Left against medical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar4_pu_skinassesst_final.pdf
April 01, 2011 - 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 … Documenting Results
• Document the results of comprehensive skin
assessment in each patient’s medical … • Have a standardized place to record results in
the medical record. … pressure ulcers he/she has
• Highest stage of his/her deepest ulcer
• Treatment for any existing wounds
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www.ahrq.gov/patient-safety/resources/learning-lab/enhancing-long-desc.html
April 01, 2021 - of skin at risk for developing pressure ulcers (recently renamed by expert organizations as pressure injury … The M-Safety Lab created a patient safety display—a digital bedside display of catheter and wound information … pulled from the electronic medical record (EMR) every 10 minutes. … improved provider's awareness of indwelling urinary catheters, central venous catheters, and pressure injuries … In Reference to: 'Focused Ethnography of Diagnosis in Academic Medical Centers'" .
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html
December 01, 2017 - the nurse after a resident falls should include a review of the resident systems and description of injuries … Risk factors related to medical conditions or medication use may be reflected in abnormal values for … The presence or absence of a resultant injury is not a factor in the definition of a fall. … A fall without injury is still a fall. … Documentation of the immediate response on the medical record is important.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1b_combo_psifactsheet.pdf
October 01, 2015 - Thrombosis Rate
4.99 0450 2012
PSI 13 Postoperative Sepsis Rate 9.61
PSI 14 Postoperative Wound … Laceration Rate X 1.89 0345 2012
PSI 16 Transfusion Reaction Count X N/A* 0349 2012
PSI 17 Birth Trauma … Rate – Injury to Neonate 1.89
PSI 18 Obstetric Trauma Rate – vaginal delivery
with instrument … 133.19
PSI 19 Obstetric Trauma Rate – vaginal delivery
without instrument
20.97
PSI 90 … International Classification of Diseases, Ninth Revision, Clinical
Modification (ICD-9-CM) used to report medical