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www.ahrq.gov/ncepcr/reports/2024-annual-report/spotlight-s9-hessler-jones-fichtenberg.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
S9: Using Integrated Social and Medical Risk … Appendix D: Grant Summaries
P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury … Reform Models
P7: Understanding the Relationship Between Proximity and Utilization of Patient-Centered Medical … Understanding How Nurse Practitioners Increase Access to Primary Care
S9: Using Integrated Social and Medical … This project will enhance and evaluate the impacts of dashboards sharing integrated social and medical
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www.ahrq.gov/patient-safety/reports/engage/appc.html
March 01, 2017 - "patient safety"[All Fields] OR "safety culture"[All Fields] OR "systems approach"[All Fields] OR "medical … error*"[All Fields] OR "medical mistake*"[All Fields] OR "adverse event*"[All Fields] OR checklist … ((medical error [mh] OR Diagnostic errors [mh] OR iatrogenic disease [mh] OR sentinel surveillance [ … OR (medication* [ti] AND (error* [ti] OR safety [ti])) OR iatrogenesis [ti] OR iatrogenic [ti] OR ((medical … [ti] OR treatment [ti] OR care [ti]) AND (injury [ti] OR injuries [ti])) OR mishap* [ti] OR (root [ti
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-appendixes.pdf
December 01, 2021 - Interview Survey (NHIS)
• National HIV Surveillance System (NHSS)
• National Hospital Ambulatory Medical … 1,000 elective-surgery admissions of length 4 or HCUP 2018
Reclosure of postoperative abdominal wound … dehiscence per 1,000
2 or more days, adults
HCUP 2018
Home health care patients whose surgical wound … 2018
Home health
improved
care patients whose management of oral medications OASIS 2018
Birth trauma … QUALITY MAP
Measure Title Data Source Data Year
Home health care patients whose surgical wound
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
June 01, 2020 - This category also includes HSR or PCR that focuses on treatment of injury or disease produced by health … Prevention also includes prevention of injury, such as a health professional providing counseling about … This category includes studies of population health, injury occurrence, and disease progression. … home, or behavioral health medical home). … that primarily examine how to treat injuries or disease (even if the injury or disease is preventable
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.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/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.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/patient-safety/about/uni-chicago-medicine.html
February 01, 2024 - distribution to a system-wide weekly nursing newsletter, the message to prevent VTE and reduce hospital injuries … practices in the trauma patient population, which was implemented through a standardized protocol. … 50% reduction in general surgery, a 57% reduction in orthopedic surgery, and an 80% reduction in the medical … practices in the trauma patient population, which was implemented through a standardized protocol. … distribution to a system-wide weekly nursing newsletter, the message to prevent VTE and reduce hospital injuries
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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. … The patient was admitted to the medical intensive care unit and was given intravenous steroids and respiratory
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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 … Medical transportation. Personal safety. Community inclusion and empowerment.
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
October 01, 2015 - Acute urinary retention may be medication induced, medical (neurogenic bladder), or related to trauma … Assistance with healing of perineal and sacral wounds in incontinent patients. … Required immobilization for trauma or surgery. … Examples include an unstable thoracic or lumbar spine, multiple traumatic injuries such as pelvic fractures … Common indications include respiratory failure, cardiac or pulmonary arrest, laryngeal trauma or edema
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
October 01, 2014 - Determining the correct etiology of wounds: Many different types of lesions may occur on the skin and … Spinal cord injury: Immobility, incontinence, and impaired sensation may combine to place these patients … The level and completeness of the spinal cord injury is critical in this determination. … Adv Skin Wound Care 2009;22(2):83-92.
Magan MA, Maklebust J. … Adv Skin Wound Care 2008;21(3):124-33.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
November 30, 2013 - nurse, dietitian,
Rehab director, medical director or wound physician, nurse
practitioner, QI nurse … nurse, dietitian,
Rehab director, medical director or wound physician, nurse
practitioner, QI nurse … or skin issues
• Fall-related injury
• Non-fall-related injury
• Abnormal labs
• Fever/possible infection … disease
• Asthma
• Circulatory problems
• Hypertension
• Gastroenteritis
• Angina pectoris
• Falls/trauma … obstructive
pulmonary disease, asthma, circulatory problems, hypertension, gastroenteritis, angina,
falls/trauma
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-slides.html
September 01, 2017 - Gastrointestinal/
Genitourinary
Symptoms
Endocrine/
Metabolic/
Nutrition
Issues
Wound … : Fall Related
Injury: Not Fall Related
Musculoskeletal Symptoms
Abnormal Labs or Anemia
Fever … Genitourinary
Endocrine/
Nutritional/
Metabolic
Musculoskeletal/
Joint
Symptoms
Wound … Circulatory Problems
Hypertension or Renal Failure
Gastroenteritis
Angina Pectoris
Falls /Trauma … Medical Director
1
0
0
Franklin, B.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
March 15, 2016 - The potential effect
of surveillance bias on reported DVT rates after trauma. … J Trauma 2007;63(5):1132-37.
Iezzoni LI, Foley SM, Daley J, et al. 1992. … Document and code any associated pleural effusion or chest trauma. … Lack of Coding Specificity
Measure
Includes
Only
Elective
Admissions
PDI 11 Postoperative
Wound … Dehiscence Rate
X Depth of the wound dehiscence:
external/superficial vs. internal/deep
should
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology5.html
April 01, 2025 - iteratively refined. 10 The Safety Paradigm Patient safety has been defined as “freedom from accidental injury … The national consciousness of medical error was stirred by the landmark 1991 Harvard Medical Practice … These are defined as events involving injury or harm resulting from a medical intervention (or lack of … substandard care, called preventable adverse events, was created to capture errors that result in injury … As the field evolved to consider diagnostic errors as a subset of medical error, the term diagnostic
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa1.pdf
January 01, 2018 - telephone
-1.89 0.0 0.00 MEPS 15 (2002-2016)
Adults who needed care right away for an illness, injury … -1.58 0.0 0.00 MEPS 15 (2002-2016)
People who were unable to get or delayed in getting needed
medical … in the last
12 months
173.01 7.14 MEPS 2016
Adults who needed care right away for an illness, injury … Difference Z Score Data Source Data Year
People who were unable to get or delayed in getting needed medical … care as soon as needed
104.76 5.61 MEPS 2016
Adults who needed care right away for an illness, injury
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www.ahrq.gov/patient-safety/settings/hospital/index.html
February 01, 2025 - Based on expert input and lessons learned from the Agency's $23 million Patient Safety and Medical Liability … Medical Alarm Audibility System Checker (MAASC) is a Java-based software tool for checking whether medical … Pressure Injury Prevention in Hospitals Training Program supports the training of hospital staff on … in-person training curriculum and a series of companion webinars on specific topics related to pressure injury … by roughly 30 percent in adult inpatients who were not in intensive care units and who had specific medical
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part3.html
March 01, 2020 - In both years, Hispanics were less likely to have a usual place to go for medical care compared with … Difficulty Getting Care When Wanted: Adults
Adults who needed care right away for an illness, injury … less likely than privately insured Hispanic adults to receive needed care right away for an illness, injury … Difficulty Getting Care When Wanted: Children
Children who needed care right away for an illness, injury … Intervention: Reduce health disparities by providing medical and dental care, referrals, and patient
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www.ahrq.gov/news/newsroom/case-studies/201804.html
July 01, 2018 - Falls by 21 Percent
Search All Impact Case Studies
July 2018
Patient falls resulting in injury … facility, prevented eight patient falls during a nearly 2-year period, saving an estimated $107,000 in medical … Falls in Hospitals Toolkit
Topic(s):
Healthcare Costs,
Quality of Care,
Medical
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-person-centered.html
May 01, 2024 - Appendix D: Grant Summaries
P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury … This grant assesses the applicability of the pediatric SDM framework on a range of medical decisions … Lipstein Organization: Cincinnati Children’s Hospital Medical Center Aims to compare the telehealth … Prioritizing Quality Improvement for the Treatment of Psychiatric Disturbances Following Traumatic Brain Injury … Medicine, Public Health & Preventive Medicine Assesses treatment options for patients with traumatic brain injury