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www.ahrq.gov/ncepcr/reports/2024-annual-report/message.html
March 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 … Understanding How Nurse Practitioners Increase Access to Primary Care
S9: Using Integrated Social and Medical
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www.ahrq.gov/ncepcr/reports/2024-annual-report/authors.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 … Understanding How Nurse Practitioners Increase Access to Primary Care
S9: Using Integrated Social and Medical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keyes.pdf
January 01, 2004 - Identify the causes of preventable health care errors and patient injury
in health care delivery. … noted in the IOM report, approximately 3 to 4 percent of hospitalized
patients suffer preventable injuries … injuries reflected in the
PSIs.7 Furthermore, the Centers for Disease Control and Prevention estimates … errors contributing to actual or potential
patient injury…. 2) the ability to identify patient safety … Excess length of stay, charges, and
mortality attributable to medical injuries during
hospitalization
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
March 27, 2025 - central line-associated
bloodstream infections, ventilator-associated events, hospital-acquired pressure injuries … Bureau of Labor Statistics, in 2018, healthcare workers accounted for 73% of all nonfatal
workplace injuries … Safety Science-
Adjacent
• Workload Management
• Burnout
• Worker Safety
• Fatigue
• Moral Injury … The Human Experience • Burnout
• Co-Design
• Fatigue
• Improving Access to Care
• Moral Injury … individual improvement efforts in specific areas
such as healthcare-associated infections, falls,
employee injuries
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/quarterlysum.html
November 01, 2017 - Sample Quarterly Summary of Falls Risk Factors by Unit (continued)
Injury
Totals
… Fall
With
Major
Injury
Fall
With
Minor
Injury
Total Residents
Who Fell
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/faclevel.html
November 01, 2017 - Sample Quarterly Summary of Falls Risk Factors by Facility (continued)
Injury
Totals …
Fall
With
Major
Injury
Fall
With
Minor
Injury
Total
Residents
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
August 01, 2022 - New injuries were more common in informed consent (IC)/SDM complaints, with 80 percent resulting in some … new unanticipated injury compared to non-IC/SDM complaints (35%; p = 0.001)” (Posner et al., 2013). … Injury (MACRMI), which comprises representation of a variety of stakeholder groups. … of clinically Avoidable Classes of Events (ACEs), which providers recognize as preventable patient injuries … associated with high rates of patient injuries and liability claims.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/implmatls.html
November 01, 2017 - is aimed at two types of nursing homes:
Nursing homes that are currently not using an electronic medical … taking measures to prevent further falls in those who have had a previous fall/falls (with or without injury … unusual for the resident
|__|
|__|
Interviews with witnesses
|__|
|__|
Body check for injury … Initiative for Nursing Facilities, https://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries … Staff may choose to go back to the medical record to confirm that data on the report are consistent.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-resources.pdf
May 01, 2023 - Workbook for Designing, Implementing, and Evaluating a Sharps Injury Prevention
Program
https://www.cdc.gov … lifting, repositioning, and transfers represent some of the most common—and most
preventable—sources of injury … This brief questionnaire can be used to examine the number and
nature of patient handling injuries in … Resources Hospital Engagement Network team includes
a summary of activities that help leaders and medical … https://edhub.ama-assn.org/steps-forward/pages/professional-well-being
This collection of American Medical
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb5txt.html
December 01, 2017 - meaning, you will need to explore the circumstances of the behavior, review the resident's personal and medical … Step 2: Get as much information as possible about the resident's personal and medical history. … Address underlying medical conditions and medication use first. … Step 1
Behavior stated clearly using action verbs
Step 2
Relevant personal and medical … _ Increase activities involvement
__ Other ___________________________
__ Reduce risk of injury
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - injuries while reducing malpractice litigation, and (4) reducing liability premiums. … Injury (MACRMI), which comprises a variety of stakeholder
groups. … some new unanticipated
injury compared to non-IC/SDM complaints (35%; p = 0.001)” (Posner et al., 2013 … Injury (MACRMI), which comprises representation of a variety of
stakeholder groups. … associated with high rates
of patient injuries and liability claims.
-
www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
May 01, 2016 - injuries while reducing malpractice litigation, and (4) reducing liability premiums. … Injury (MACRMI), which comprises a variety of stakeholder
groups. … some new unanticipated
injury compared to non-IC/SDM complaints (35%; p = 0.001)” (Posner et al., 2013 … Injury (MACRMI), which comprises representation of a variety of
stakeholder groups. … associated with high rates
of patient injuries and liability claims.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiia.html
June 01, 2010 - mental health disabilities, adults with severe and persistent mental illness, adults with acquired brain injuries … Tool or Measure Set: Participant Experience Survey, Acquired Brain Injury Version (PES BI)
Data Source … Unmet Need, Person Centeredness/Autonomy, Health and Welfare
Populations: Adults with acquired brain injuries … advisory group of administrators from State Medicaid HCBS programs for persons with acquired brain injuries … daily living (ADL/IADL) questions-that can be used depending on the service scope of a State's brain injury
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pptx
October 01, 2015 - in October 2015:
Addition of information relevant to ambulatory and managed care encounters
Expanded injury … Postoperative pulmonary embolism or deep vein thrombosis
PSI 13 Postoperative sepsis
PSI 14 Postoperative wound … dehiscence
PSI 15 Accidental puncture or laceration
PSI 16 Transfusion reaction
PSI 17 Birth trauma-injury … to neonate
PSI 18 Obstetric trauma-vaginal delivery with instrument
PSI 19 Obstetric trauma-vaginal … PDI 09 Postoperative Respiratory Failure Rate
PDI 10 Postoperative Sepsis Rate
PDI 11 Postoperative Wound
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www.ahrq.gov/ncepcr/reports/2024-annual-report/spotlight-s3-snyder.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 … Understanding How Nurse Practitioners Increase Access to Primary Care
S9: Using Integrated Social and Medical
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
April 01, 2004 - Not
surprisingly, health care errors and consequent adverse events are a leading cause
of death and injury … Introduction
Health care errors and consequent adverse events are a leading cause of death
and injury … contrast media-induced renal
failure, and use a clinically appropriate method for reducing risk of renal injury … Use of specialized hospital flooring to reduce injury from patient falls.
3. … Use of medical device alarms to prevent falls.
12.
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www.ahrq.gov/funding/process/study-section/peerdesc.html
July 01, 2017 - It reviews applications relating to identifying risks and hazards that lead to medical errors and identifying … solutions to prevent patient injury associated with delivery of health care. … The research findings and products encompass providing information on the scope and impact of medical … quality, efficiency, and effectiveness of care; quality improvement research; examining and improving medical … Dissemination and translation of research findings and methods to reduce medical errors, examining effective
-
www.ahrq.gov/teamstepps-program/evidence-base/surgical.html
July 01, 2023 - Bridging the communication gap in the operating room with medical team training. … Patterns of communication breakdowns resulting in injury to surgical patients. … A surgical simulation curriculum for senior medical students based on TeamSTEPPS. … Enhancing patient safety in the trauma/surgical intensive care unit. Journal of Trauma 67, 430-5.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docx
January 01, 2017 - Business Case
(Speroni, 2011)10
PRO: Study was focused on medical and surgical ICU patients who were … Medical records of 2,159 ventilated patients, intubation reason, were reviewed for intubation duration … (AKI), and chronic renal injury. … J Trauma Acute Care Surg. 2016 Feb;80(2):218-22. PMID: 26595709. … , Glasgow Coma Scale score, alcohol intoxication, or Injury Severity Score.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-rfi-report-040323_LOCKED.pdf
March 01, 2023 - Administration (OSHA)
o ECRI
o Workplace Change Collaborative – National Framework on Burnout and Moral Injury … “By and large, the U.S. does not account for medical care injuries and deaths in our vital
statistics … Where it should
say 'medical care harm/injuries,' it's blank. … Administration (OSHA)
o ECRI
o Workplace Change Collaborative – National Framework on Burnout and Moral Injury … “By and large, the U.S. does not account for medical care injuries and deaths in our vital statistics