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Showing results for "medical injury".

221. Conceptual Paradigms of Diagnostic Quality, Safety, and Excellence | Agency for Healthcare Research and Quality
     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

222. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/slides.html
     November 01, 2017 - Falls With Major Injury Falls With Minor Injury Slide 27: Sample Summary of Falls … 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 … Assessment Notes Bleeding Suspected Cause of Fall Fall Comments Fall Injury Injury Type Major

223. Fact Sheet on Patient Safety Indicators (pdf file)
     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

224. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
     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

225. Chapter 1. Background | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter1.html
     August 01, 2022 - Reviewers List of Tables and Exhibits Evidence documenting health care-associated injury … Building a Safer Health System ( IOM, 1999 ), raised national awareness of the prevalence and severity of medical … individual States and health care systems have established reporting systems to detect preventable medical

226. 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 - 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

227. 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 - 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

228. Self-Assessment Worksheet for Pressure Ulcer Healing | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/saworksheet.html
     December 01, 2017 - National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, and Pan Pacific Pressure Injury … ___ ___   Appropriate use of topical wound agents? … calorie, vitamin, and mineral needs ___ Incontinence prevention and/or management ___ Management of medical … "brief" with CNAs         Report or brief with Department Heads         Medical … staff/medical director meeting         QAPI or quality improvement review      

229. Appendix B. Detailed Research Domain Framework Definitions and Classification Rules | Agency for Healthcare Research and Quality
     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

230. Appendix B24: Letter to Primary Care Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb24.html
     December 01, 2017 - Program (FMP) is directed at identifying and managing residents at high risk for falls and related injuries … Sincerely, Medical Director

231. On-Time Pressure Ulcer Healing: Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/intro.html
     December 01, 2017 - Healing On-Time Pressure Ulcer Healing was developed to provide nursing homes that have an electronic medical … treatments, mobility status, bowel and bladder patterns, and other clinical details known to affect wound … For example, during wound rounds, the wound nurse may prefer having treatment details for each ulcer … rounds with a copy of the Weekly Wound Rounds Report in hand. … National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury

232. P7: Understanding the Relationship Between Proximity and Utilization of Patient-Centered Medical Homes | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p7-bell.html
     May 01, 2024 - and 2022 P7: Understanding the Relationship Between Proximity and Utilization of Patient-Centered Medical … Appendix D: Grant Summaries P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury … between where pediatric Medicaid patients in South Carolina live and their use of patient-centered medical … Approach: The research team used pediatric medical claims data in South Carolina from the years 2016 … Community social determinants and health outcomes drive availability of patient-centered medical homes

233. Final Progress Report: Effects of Patient Turnover on Nursing Care and Patient Outcomes in Acute Care Hospital Settings (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/park-report.pdf
     January 01, 2024 - NDNQI 7 Patient outcomes Patient falls Unit Total and injury fall rates measured by the number of … , surgical, or medical- surgical. … injuries were used. … falls, and pressure injuries, as reported by NDNQI. … Unit-level patient outcomes of falls, injury falls, and pressure injuries were not statistically significant

234. SOPS Nursing Home Survey: What You Need To Know - Nicholas Castle, Ph.D., M.H.A., FGSA (pdf file)
     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

235. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
     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

236. 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 … Displaying Patient Photos in Medical Records Reduces Errors, Improves Patient Safety . *  * Indicates … & Safety Officer   MedStar Health   Lillee Gelinas, D.N.P., R.N., CPPS, FAAN, Assistant Professor, Medical … Deutsch, M.D., M.S., FACS, FAAP, FSSH, Medical Officer, Division of General Patient Safety, Center for

237. 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 - 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

238. Intramuscular Injections – Best Practices for Safe Vaccine Administration in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/intramuscular-injections.pdf
     June 01, 2021 - intramuscular (IM) administration is important to make sure the vaccine does its job and to avoid shoulder injury … Recommendations for LTC, National Guard, Medical Reserve Corps and Pharmacy Staffs. … Confirm the medical order and resident consent. … and Health Administration (OSHA) regulations do not require you to wear gloves unless you have open wounds … Fully document vaccine administration in each resident’s medical record.

239. Person-Centered Care | Agency for Healthcare Research and Quality
     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

240. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
     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.