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www.ahrq.gov/patient-safety/reports/liability/brock.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Applying a Novel Organization Change Scale in a Multisite … The AHRQ-funded, 3-year demonstration project “Communication to Prevent and Respond to Medical Injury … Methods
The Intervention
The “Communication to Prevent and Respond to Medical Injury: A Washington … Patients' and physicians' attitudes regarding the disclosure of medical errors. … Risk managers, physicians, and disclosure of harmful medical errors.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/saworksheet.pdf
June 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
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
April 01, 2025 - It makes the case that true transparency will result in improved
outcomes, fewer medical errors, more … ’s On-Time Preventable Hospital and Emergency Department Visits helps nursing homes
with electronic medical … Preventing Falls and Reducing Injury from Falls
https://rnao.ca/bpg/guidelines/prevention-falls-and-fall-injuries … Pressure Injury Training Modules
https://npiap.com/page/TrainingModules
The NPIAP Pressure Injury … Network Resource Library
Pressure Ulcer Data Collection Tool Instructions
Preventing Falls and Reducing Injury
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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/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/es/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/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/action-alliance/competencies-affinity-group/index.html
May 01, 2025 - Research to Practice The Human Experience Burnout Co-Design Fatigue Improving Access to Care Moral Injury … Affinity Group: Contributor Organization Lisa Howley, Ph.D., M.Ed., Senior Director for Transforming Medical … Education Association of American Medical Colleges Molly J. … Steve Singer, Ph.D., Vice President of Education and Outreach Accreditation Council for Continuing Medical … Sponsoring Institutions and Clinical Learning Environments Officer Accreditation Council for Graduate Medical
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www.ahrq.gov/data/infographics/index.html
July 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/topics/childrenadolescents.html
January 01, 2011 - Home
University of Iowa Uses AHRQ Data to Study Ways to Lower Incidence, Costs of Sports-Related Injuries
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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/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.pdf
September 01, 2015 - Blood clots can put you at risk
for heart attack, stroke, and other
serious medical problems. … You also need to avoid activities and sports that could cause injury. … Ask your doctor about
whether you should wear a medical
alert bracelet or necklace. … the
bracelet lets health care workers know
that you are taking a blood thinner.
7
To prevent injury … To prevent injury outdoors:
■ Always wear shoes.
■ Wear gloves when using sharp tools.
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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.
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www.ahrq.gov/news/newsroom/ahrq-stats.html
July 01, 2025 - , by Cause of Injury, 2017 .) … Highest Rates of Traumatic Brain Injury Population rates of hospitalizations and emergency department … visits related to treatment of traumatic brain injuries in 2017 were highest among people living in … Trauma During Childbirth The rate of obstetric trauma during childbirth involving instruments such as … highest average expenses per person were for the treatment of heart conditions ($3,794 per person), trauma-related
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www.ahrq.gov/sites/default/files/2025-03/walsh-kirkendall-report.pdf
January 01, 2025 - Adverse drug event: An injury resulting from medication use. … The Developmental
Behavioral Pediatrics medical clinic has 2113 children with ASD. … The K was 0.62 on whether the errors resulted in injury or had the
potential for severe injury. … Two injuries required emergency department
(ED) visits for severe hypoglycemia and lethargy, for which … Injury among children and young adults with epilepsy.
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
January 01, 2005 - devices must report device-related deaths,
serious injuries, and certain types of malfunctions to the … related deaths to FDA and to the manufacturer and report serious injuries to the
manufacturer. … become more proactive in addressing device issues before a death or injury
occurs. … the various types and sizes of facilities that are obligated to make
reports of deaths and serious injuries … facilities, it promotes a
blame-free environment in order to encourage the reporting of deaths, serious
injuries
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
June 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/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
March 01, 2004 - or disability or the immediate danger of serious
injury or disability”); and Class C (an adverse event … Nevada defines a sentinel event as “an unexpected occurrence” involving death or
serious injury or the … According to JCAHO,
the classification of an AE that was avoided or did not result in injury is drawn … Reducing medical errors. … Marchev M., Medical malpractice and medical error
disclosure: balancing facts and fears.
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www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/index.html
April 01, 2016 - Patient got answer to medical question as soon as needed when contacted provider’s office after hours … Home
Read about the Patient-Centered Medical Home Item Set . … Respondent got answer to medical question as soon as needed when contacted provider’s office after hours … Home
Read about the Patient-Centered Medical Home Item Set . … Respondent and provider talked about injury prevention
PCMH8.