-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
March 01, 2017 - Infections cause pain, injury, disability, and sometimes even death, and can be very expensive to treat … Medical conditions such as lung disease and diabetes. … resident, if needed, that the law requires the use of safety lancets and needles to prevent needle stick injuries … Make sure that wounds are covered.
Contain any urine, stool, or wound drainage. … Used for a medical problem that is not an infection.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership.pdf
March 01, 2024 - For example:
■ The Communication to Prevent and Respond to Medical Injuries project resulted in the … • Communication training to prevent and respond to medical injuries. … injury. … injury. … Patient outcomes for trauma resuscitations were obtained through the Harborview
Medical Center Trauma
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
April 02, 2025 - taking measures to prevent further falls in those who have had a
previous fall/falls (with or without injury …
If the activity was unusual for the resident
Interviews with witnesses
Body check for injury … Initiative for Nursing Facilities,
http://www.ahrq.gov/professionals/systems/long-term-
care/resources/injuries … www.fallpreventiontaskforce.org/
http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries … /fallspx/fallspxmanual.pdf
http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - Central Venous Catheters
Falls MPSMS In-Hospital Patient Falls
Obstetric
Adverse
Events
PSI OB Trauma … National number of adverse events captured by PSIs 18 and 19 on obstetric
injury and national number … Vaginal Delivery with
Instrument
14,663 121,323 17,925 165,125 17,891 156,244
PSI 19, Obstetric Trauma … contractors randomly sampled
between 400 and 800 hospitals (depending on the year) and requested 12 medical … remained similar for several consecutive years such that we obtained a
stable consistent sample of medical
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www.ahrq.gov/data/infographics/index.html
February 01, 2025 - Heart Failure Admissions Down but Hospital Deaths Higher in First Year of COVID-19 COVID-19’s Impact on Medical … Antidepressant Prescriptions Potentially Preventable Pediatric Hospital Stays Most Common Cause of Injuries … 2017 People Who Spent the Most for Healthcare in 2017 Causes of Hospital Stays for Traumatic Brain Injury … in 2017 High Healthcare Spending in 2017 Sports-Related Traumatic Brain Injuries Among Children Inpatient
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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 … Reform Models
P7: Understanding the Relationship Between Proximity and Utilization of Patient-Centered Medical … and Health Outcomes for Children (R01) PI: Sarah Beal Organization: Cincinnati Children’s Hospital Medical … 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
-
www.ahrq.gov/policymakers/chipra/overview/background/appendix-a5.html
December 01, 2009 - Kris Horton
North Carolina Department of Health and Human Services, Division of Medical Assistance … William Golden
University of Arkansas for Medical Sciences, Professor of Medicine and Public Health … Judy Zerzan
Colorado Medicaid Medical Director
10. … Kristin Dowty
State of Connecticut Department of Social Services, Medical Care Administration— HUSKY … Sally Fogerty
Deputy Director, Center for the Study and Prevention of Injury, Violence, and Suicide
-
www.ahrq.gov/funding/process/study-section/hcrtrst.html
March 01, 2025 - Professor Division of Biostatistics and Epidemiology Cincinnati Children's Hospital Medical Center University … Ann Arbor, MI 48109 Marrison, Sarah, M.D., Ph.D. * Assistant Professor Department of Family Medicine Medical … Florida Gainesville, FL 32610 Xiang, Henry, M.D., Ph.D. * Professor Director of Center for Pediatric Trauma … Research Center for Injury Research and Policy Abigail Wexner Research Institute Nationwide Children's
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/reports/2024-annual-report/ncepcr-grant-summaries-table.pdf
January 01, 2024 - Investigator(s)
and Institution
P1 Does A New Care Model Improve Care for Patients with Acute Kidney Injury … program that supports patients discharged from the
hospital to home after an episode of acute kidney injury … examines the impact of primary care provider payment policy on outpatient care, clinical events, and medical … Francisco
P7 Understanding the Relationship Between Proximity and Utilization of Patient-Centered Medical … between where pediatric Medicaid patients in South Carolina live and their use of patient-
centered medical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - Falls With Major Injury
Falls With Minor Injury
October 2017
On-Time Falls Prevention
26
Sample … Which of the following best represents how these injuries will appear on the Summary of Falls Risk Factors … Fall with major injury=1 and fall with minor injury=0
Fall with major injury=2 and fall with minor injury … =1
Fall with major injury=1 and fall with minor injury=2
Fall with major injury=2 and fall with minor … Assessment Notes
Bleeding
Suspected Cause of Fall
Fall Comments
Fall Injury
Injury Type Major
Injury
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
January 01, 2006 - Medicine (IOM) report that identified
between 44,000 and 98,000 individuals die each year as a result
of medical … mistakes.
17
Medical Error: A Leading Cause of Death
• Causes of death in US – all ages year 2000 … Patient Safety Culture in Nursing Homes
• Safety culture influences staff as well as residents
► Overall injury … Homes.
25
The Importance of Safety Culture in Nursing Homes
The Importance of Safety Culture
Medical
-
www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Commercial-Outpatient-Weighted.pdf
September 26, 2023 - clinical and laboratory findings, not elsewhere classified 19,056,711 9.73 170,200,752 86.89
S00-T88: Injury … clinical and laboratory findings, not elsewhere
classified
676,983 0.35 192,572,051 98.31
S00-T88: Injury … clinical and laboratory findings, not elsewhere
classified
440,078 0.22 193,379,447 98.72
S00-T88: Injury … clinical and laboratory findings, not elsewhere
classified
295,718 0.15 194,032,672 99.06
S00-T88: Injury … clinical and laboratory findings, not elsewhere
classified
202,990 0.10 194,501,942 99.30
S00-T88: Injury
-
www.ahrq.gov/downloads/pub/advances2/vol1/Advances-Ruddick_61.pdf
March 09, 2008 - Falls account for at
least 40 percent of all accidents in hospitals and are the leading cause of injury … that the risk for falls would be potentially greater here.3 In 1994, the total
annual cost for fall injuries … estimated that the cost will reach $43.8 billion.4
Previous studies have shown that fall-related injuries … Economic
dimensions of slip and fall injuries. J For Sci 1996; 41:
733-746.
5. … Prevention of
fall-related injuries in long term care: A randomized
controlled trial of staff education
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-040814.pptx
January 01, 2013 - (neurogenic bladder)
Urinary blood clots with obstruction Trauma to spinal cord
25
Perioperative … remove the catheter shortly after the surgery is completed
27
Assist Healing of Perineal and Sacral Wounds … end-of-life: depends on what the patient perceives as more comfortable
29
Required Immobilization for
Trauma … or Surgery
Examples include:
Unstable thoracic or lumbar spine
Multiple traumatic injuries, such … ICU, or different non-ICU)
Partnering with other stakeholders (case managers, physical therapists, wound
-
www.ahrq.gov/topics/childrenadolescents.html
January 01, 2011 - Home
University of Iowa Uses AHRQ Data to Study Ways to Lower Incidence, Costs of Sports-Related Injuries
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/saworksheet.pdf
April 02, 2025 - National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, and
Pan Pacific Pressure Injury … Wound cleansing?
Assessing the resident for pain? … calorie, vitamin, and
mineral needs
Incontinence prevention and/or management
Management of medical … plan meeting
Shift report or “brief” with CNAs
Report or brief with Department Heads
Medical … staff/medical director meeting
QAPI or quality improvement review
Skin rounds or wound
-
www.ahrq.gov/talkingquality/measures/setting/hospitals/examples.html
March 01, 2016 - Rates at which patients fall and incur injury during a hospital stay. … The use of electronic patient medical records or prescription ordering systems. … that serves as a proxy for costs, such as the average amount that insurers pay hospitals for certain medical
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/healthyliving-slides.html
April 01, 2018 - Patient Safety:
Birth trauma—injury to neonates. … Birth trauma not elsewhere classified. 24
Many of these injuries to neonates may be preventable … . 25
Slide 42
Birth trauma—injury to neonate per 1,000 live births, 2004-2013
Image: Chart … Overall Rate: In 2013, the birth trauma-neonatal injury rate was 1.9 per 1,000 live births. … Birth Trauma Rate—Injury to Neonate: Technical Specifications.
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/mch-measures.html
June 01, 2018 - Patient Safety:
Birth trauma—injury to neonates. … Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2013.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - Central Venous Catheters
Falls MPSMS In-Hospital Patient Falls
Obstetric
Adverse
Events
PSI OB Trauma … National number of adverse events captured by PSIs 18 and 19 on obstetric
injury and national number … 15, Unrecognized Abdominopelvic Accidental 32,396 19,811,918
Puncture/Laceration
PSI 18, Obstetric Trauma … - Vaginal Delivery with 14,663 121,323
Instrument
PSI 19, Obstetric Trauma - Vaginal Delivery without … remained similar for several consecutive years such that we obtained a
stable consistent sample of medical