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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
January 01, 2004 - The medical chart review also revealed three trauma cases
(4.5 percent), two of which had the puncture … If trauma patients are
going to be identified and eliminated from the PSI, the definition of a trauma … Only 14.9 percent of the
events did not appear to be serious injuries, and 4.5 percent involved trauma … It is likely that many of the trauma
patients identified by the indicator suffered injuries outside … Excess length of stay, charges,
and mortality attributable to medical injuries during
hospitalization
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www.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
January 01, 2024 - and categorization of the types and severities of major inpatient fall-related injuries. … injury
(e.g., nasal bone fracture), or disruption of a surgical wound; major B - injuries that caused … ; 2: fall, minor injury; 3. fall, moderate injury; 4: fall, major
injury; 5: fall, fatal. … with injuries x 1,000
Total number of inpatient days
A cost-benefit analysis was performed. … the originally enrolled medical surgical units at MGB.1, 3 These medical/surgical units had the
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www.ahrq.gov/sites/default/files/2024-01/gallagher1-report.pdf
January 01, 2024 - Final Progress Report: Communication to Prevent and Respond to Medical Injuries: WA State Collaborative … Communication training to prevent medical injuries, as well as disclosure coach
training, was widely … injuries;
2) To implement intensive communication training to prevent and respond to medical injuries … Tim McDonald, of the Collaborative for
Accountability Following Medical Injury. … injuries (team communication training) and to respond to medical injuries more
effectively (disclosure
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www.ahrq.gov/news/newsroom/case-studies/201802.html
August 01, 2018 - May 2018
Saint Francis Hospital and Medical Center, a 617-bed hospital in Hartford, CT, reduced … Implementing new policies and procedures in two hospital units—critical care and medical-surgical—which … Staging pressure injuries on a 1-4 scale. … “If one nurse thought there was a pressure injury, we required confirmation from a second RN. … Geographic Location:
Connecticut
Implementer:
Saint Francis Hospital and Medical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
January 01, 2012 - o Wound edges. … Laurel, NJ: Wound
Ostomy and Continence Nurses Society; June 2010.
2. … Medical device related pressure ulcers in
hospitalised patients. Int Wound J 2010;7:358-65.
6. … national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury … national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury
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www.ahrq.gov/research/shuttered/acfselection/appendixa.html
July 01, 2018 - injuries to the displaced children. … Injury prevention experts from the Safe Kids Tulsa Area (SKTA) Chapter, the closest pediatric injury … Aspiration pneumonia, tetanus, and extensive soft tissue wounds of the lower extremities were the prominent … injuries encountered. … "Do trauma centers have the capacity to respond to disasters?" J Trauma 61 (4): 949-53.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4b_pdi02-pressureulcer-bestpractices.pdf
January 01, 2012 - Adv Skin Wound Care 2007;20(4):208, 210, 212, 214, 216, 218-20.
2. … national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury … national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury … Medical device related pressure ulcers in
hospitalised patients. Int Wound J 2010;7:358-65.
7. … Laurel, NJ: Wound
Ostomy and Continence Nurses Society; June 2010.
8.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
January 01, 2012 - Adv Skin Wound Care 2007;20(4):208, 210, 212, 214, 216, 218-20.
2. … national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury … national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury … Medical device related pressure ulcers in
hospitalised patients. Int Wound J 2010;7:358-65.
7. … Laurel, NJ: Wound
Ostomy and Continence Nurses Society; June 2010.
8.
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www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p1-barreto.html
April 01, 2024 - Research for 2021 and 2022
P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury … 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 … Main Objective: To evaluate the Acute Kidney Injury in Care Transitions (ACT) program, a new care model
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
March 04, 2016 - Achievable
Benchmark: 2.2%
Importance: Nursing home residents who experience falls resulting in major injuries … The home health team should regularly change wound dressing and teach the patient about
wound care … temporary injury and Major temporary injury; Permanent, significant injury = Significant Permanent Injury … Only
Insignificant
Injury
Temporary
Injury
Permanent,
Minor Injury
Permanent,
Significant Injury … Only
Insignificant
Injury
Temporary
Injury
Permanent,
Minor Injury
Permanent,
Significant Injury
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www.ahrq.gov/sites/default/files/2024-03/tzeng-report.pdf
January 01, 2024 - hip fractures, head traumas) [1]. … The sites for this study are 28 adult noncritical care inpatient units (medical, surgical
and medical-surgical … This study includes medical, surgical, and medical-surgical combined units and excludes critical care … A fall was defined as an
unplanned descent to the floor with or without injury. … The unit type included three
categories: (1) medical, (2) surgical, and
(3) medical-surgical combined
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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-Scanlon_62.pdf
March 25, 2008 - an
injury occurs. … That rate would be:
Identified injuries
Potential opportunities for those injuries to occur
As … Medical injury is very
much a reality in health care, but it is worth raising the question as to whether … Identified injuries also become a source of risk identification, regardless of whether or
not the injury … Patient safety
efforts should focus on medical injuries. JAMA 2002;
287: 1993-1997.
4.
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www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
January 01, 2024 - Scope
Trauma-related injuries are the leading cause of death in Americans ages 1-44 and are responsible … Incidence
Trauma-related injuries are the leading cause of death in Americans ages 1-44 and are responsible … consecutive readings) in the pre-hospital setting
Stab wound, impalement, or gunshot wound to the neck … Medical Center trauma registry. … The injury severity score: a method for describing patients with multiple injuries and
evaluating emergency
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
March 01, 2006 - reduction program for 65 medical centers. … • Monthly fall injury rate, calculated as the number of injuries/number of falls x 100. … laceration), or major injury (e.g., hip fracture, head trauma, arm fracture).12
Team characteristics … their major injury rate by
82 percent, to only 0.39 major injuries per 100 falls. … Office of the Medical Inspector, Veterans Health
Administration.
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www.ahrq.gov/downloads/pub/advances2/vol1/advances-hook_25.pdf
February 26, 2008 - , impaired physical
mobility, accidental injuries, patient safety, safety management, injury control … Minor: Resulted in application of a dressing, ice, cleaning of a wound, limb
elevation, or topical … A
comparative study of the use of four fall risk-
assessment tools on acute medical wards. … Complications
of preinjury warfarin use in the trauma patient. J
Trauma 2003; 54: 842-847.
36. … Minor head
trauma in anticoagulated patients. Acad Emerg Med
1999; 6: 121-124.
38.
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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-Hook_25.pdf
February 26, 2008 - , impaired physical
mobility, accidental injuries, patient safety, safety management, injury control … Minor: Resulted in application of a dressing, ice, cleaning of a wound, limb
elevation, or topical … A
comparative study of the use of four fall risk-
assessment tools on acute medical wards. … Complications
of preinjury warfarin use in the trauma patient. J
Trauma 2003; 54: 842-847.
36. … Minor head
trauma in anticoagulated patients. Acad Emerg Med
1999; 6: 121-124.
38.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/065-dec-staff-faqs-decolonization.docx
October 01, 2024 - Be especially thorough if there are any nearby wounds, pressure injuries, or breaks in the skin. … Use the CHG on superficial wounds and stage 1 and 2 pressure injuries. … Wound Cleaning
For what types of wounds is CHG safe? … CHG can be applied to any superficial wounds, including stage 1 and 2 pressure injuries, friable skin … and stage 1 and 2 pressure injuries.
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/access/access-slides.html
June 01, 2018 - Distribution of trauma center utilization (Level I and II) for severe injuries in the United States, … Slide 26
Trauma Center Utilization for Severe Injuries
Trauma care systems were developed to … Level II: Provide initial definitive trauma care regardless of the severity of the injury. … Image: Chart shows distribution of trauma center utilization (level I and II) for severe injuries in … Image: Chart shows distribution of trauma center utilization (Level I and II) for severe injuries in
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-falls-rev.pdf
March 01, 2023 - healthcare spending), as well as to
medical organizations (increased lengths of stay,
care costs, … Patient falls involve other intrinsic
factors, such as patient sex, medical condition, mobility impairment … Other injury made up 47.3% (3,002 / 6,343) of injuries among female patients and 45.1% (2,947
/ 6,536 … ) of injuries among male patients.xi Across all 6,091 Other injury records, only 627
(10.3%) had any … Minor injuries from the pre-existing injury types in CFER-H v1.2
made up over 20% of Other injuries.
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www.ahrq.gov/sites/default/files/2024-01/lo-report.pdf
January 01, 2024 - record data from HIV-infected patients at Veterans Affairs medical facilities
across the United States … Fourth, alcohol
history was based on retrospective review of the medical record, which may have led … Thus, studies evaluating
ALF will need to rely on medical records to confirm this outcome. … Studies of ALF will need to rely on medical records to confirm this
outcome. … Incidence of drug-induced hepatic injuries: a French
population-based study.