-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-section-2.pdf
January 01, 2016 - Calculation
This measure of imaging overuse requires administrative and medical record data and … was not documented in the medical record
Time of the injury was documented to be greater than 24 … seizure or convulsions associated with trauma
History of loss of consciousness associated with trauma … Documentation of trauma
☐Yes ☐No
2b. … Mark “Yes” for mechanisms of injury such as penetrating trauma, fall from more than 5 feet, pedestrian
-
www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdf
January 01, 2024 - The direct cost of these injuries exceeds $150 billion a year for medical
care alone.1 Second, an increasing … HHC patients may be
at risk of adverse events caused by medical management or medical errors as well … The majority of these injuries were back injuries, (n=68, 48%),
upper-extremity injuries (n=38, 27%) … Review of accidents/injuries among emergency medical
services workers in Baltimore, Maryland. … Childhood injury prevention at home and play.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv1b.html
June 01, 2010 - waiver: clients who can do more for themselves now
Participant Experience Survey, Acquired Brain Injury … version
3
3
3
4
13
Adults with acquired brain injuries
Percentage of new service recipients … Medical Outcomes Study-HIV Health Survey
4
3
3
2
12
Adults with HIV. … three versions (elderly/disabled, mental retardation/developmental disabilities, and acquired brain injury … ); additional money management item in brain injury tool.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - PSI 18,
PSI 19
OB Trauma – Vaginal Delivery
With Instrument
OB Trauma – Vaginal Delivery
Without … X
PDI 11 Postoperative Wound
Dehiscence Rate
X Depth of the wound dehiscence:
external/superficial … injury or caused by medical
intervention (iatrogenic). … X
PSI 14 Postoperative Wound
Dehiscence
X Depth of the wound dehiscence:
external/superficial vs … PSI 18
PSI 19
OB Trauma – Vaginal
Delivery With Instrument
OB Trauma – Vaginal
Delivery Without
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www.ahrq.gov/sites/default/files/2024-02/wei-report.pdf
January 01, 2024 - Prognostic factors: The project team examined all inpatient or outpatient medical
encounters with a … 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. … , because their events did not present in
medical settings.
8.
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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 - , and other
serious medical conditions, such as strokes and acute myocardial infarctions (AMIs). … safety issues
requires further examination and studies that could include examination of the patients’ medical … This is exemplified by the Center’s
studies of hospitalizations and costs for fall-related injuries … Ideally, these should be electronic medical records similar to
the VHA’s electronic medical record system … Developing a VHA Serious Injury Surveillance
System.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.html
December 01, 2017 - Her other past medical problems include: diabetes mellitus, hypertension, osteoarthritis, depression … She was assessed to have no injuries resulting from the fall. … Physical restraint—increases risk of serious injury. … Full side rails—increase risk of serious injury. … Medical conditions (intrinsic factors)
History of falls at home.
Dementia.
Depression.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
January 29, 2008 - However, a single error does not guarantee that a patient
will experience a medical injury. … Postoperative wound dehiscence
15. Transfusion reaction
Treatment
5. … Birth trauma and obstetric trauma (3 types
related to delivery methods)
Preventive
10. … as “response generalization.”36
This line of OBM research informed an intervention to decrease injuries … Preventing medical injury. Qual Rev Bull 1993; 19:
144-149.
6.
-
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.
-
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 - When the Institute of Medicine (IOM) report on
medical errors1 was issued, the subcommittee reviewed … 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 … Inaccurate or
incomplete data about medication regimens, when undetected, caused patient
injuries. … Lack of ready access to the
patient’s full medical history prevents the pharmacy from being able to
-
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
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.html
September 01, 2017 - 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
-
www.ahrq.gov/topics/maternal-health.html
January 01, 2023 - latest news and resources on patient safety, innovations and toolkits, opportunities for free Continuing Medical … Maternal Safety WebM&M: WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical … 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/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
May 01, 2014 - In wound infections among soldiers in the Middle East, multidrug resistant acinetobacter infections have … problem
Vital signs
Usual cognitive function
Recent/current health status (including falls)
Falls, minor injury … : require on-site first aid treatment (dressing, ice pack, pain medication)
Falls, serious injury: require … does not have COPD
- suspected or proven influenza in the absence of a secondary infection
- a skin wound … mobility (passive or active)
Acetaminophen 650 mg as needed or prior to cleaning/dressing changes
Cleanse wounds
-
www.ahrq.gov/patient-safety/settings/hospital/resource/about.html
December 01, 2017 - Process
Millions of patients visit hospital emergency departments (EDs) each year for a variety of injuries … Pressure Injury Prevention in Hospitals Training Program
AHRQ developed the Pressure Injury Prevention … how to overcome the challenges associated with developing, implementing, and sustaining a pressure injury … RED (Re-Engineered Discharge) Toolkit
Researchers at the Boston University Medical Center (BUMC) developed
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4e_combo_psi08-postophipfx-bestpractices.pdf
May 20, 2016 - In 2008 the Centers for
Medicaid & Medicare Services (CMS) identified falls and trauma—including fractures—as … Prevention
Protocol
Use a standardized fall prevention protocol to help reduce falls
and associated injury … previous falls
o Agitation and/or confusion
o Iatrogenic delirium
o Environmental hazards (i.e. medical … all stakeholders (physicians and other providers, pharmacy, nursing, and •
ancillary staff; senior medical … Joseph’s Medical Center, Brainerd, MN, Protocol: Inpatient Fall Prevention/Reduction
http://www.mnhospitals.org
-
www.ahrq.gov/patient-safety/reports/liability/prologue.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Prologue
Previous Page Next Page
Table … of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue … Too often, we medical professionals ignore their expertise and opinion. … Injury Implementation Guide 7 ) and shared decision-making (see the AHRQ SHARE Program toolkit 8 ) and … Massachusetts Alliance for Communication and Resolution following Medical Injury .
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - 10 3.3%
Blood 10 3.3%
Proper PPE 9 3.0%
Against medical advice 6 2.0%
Altercation 5 1.7%
Perinatal … Device Events
Among the device or medical/surgical device concerns (n = 14; 4.7%), the most commonly … Pressure Injury
Among the pressure injury events (n = 10; 3.3%), several records identified the development … of pressure
injuries due to the interaction between patient pronation and poor patient mobility. … Number of Records
Identified
Number of Records
Sampled
Blood or blood product 12 12
Device of medical
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-3-ef.pdf
May 01, 2016 - Paper medical record. … Measure Importance
Children who develop critical illness or injury may be malnourished at the time of … 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/2025-03/mcfarland-report.pdf
January 01, 2025 - Institute of Medicine (2000) estimated that, in 1999, as many as
98,000 people may have died owing to injuries … Seriousness of harm varied from a minor temporary injury or near miss to an injury that
would permanently … permanent injury. … Suppose you commit a medical error that results in a Near Miss to the patient? … Excludes discussions of
electronic medical records (use EMR code instead).