-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
November 30, 2013 - Major injury
Minor injury
Non-Fall-Related Injury
Major injury
Minor injury
Musculoskeletal … o Rash
Fall-Related Injury:. … , an “X” will display in this column:
o Major injury
o Minor injury
Non-Fall-Related Injury. … Asthma
Circulatory problems
Hypertension
Gastroenteritis
Angina pectoris
Fall/trauma … cellulitis, dehydration, COPD, asthma, circulatory
problems, hypertension, gastroenteritis, angina,
falls/trauma
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mccchartbook.pdf
April 01, 2014 - -4 NO YES
861 HEART & LUNG INJURY -5 NO -4 NO
863 GI TRACT INJURY -4 NO -3 NO
864 LIVER INJURY - … 3 NO -3 NO
869 INTERNAL INJURY NOS -3 NO -3 NO
871 EYEBALL OPEN WOUND -3 NO -4 NO
872 OPEN WOUND OF … OPEN WOUND OF LOWER ARM -5 NO -5 NO
882 OPEN WOUND OF HAND -5 NO -5 NO
883 OPEN WOUND OF FINGER -5 … 893 OPEN WOUND OF TOE -5 NO -5 NO
904 BLOOD VESSEL INJURY NEC -5 NO -4 NO
908 LATE EFF INJURY NEC … TO NERVE NEC/NOS -4 NO -4 NO
958 EARLY COMPLIC OF TRAUMA -4 NO -3 NO
959 INJURY NEC/NOS -4 NO -3 NO
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - PSI 18,
PSI 19
OB Trauma – Vaginal Delivery
With Instrument
OB Trauma – Vaginal Delivery
Without … X
PDI 11 Postoperative Wound
Dehiscence Rate
X Depth of the wound dehiscence:
external/superficial … injury or caused by medical
intervention (iatrogenic). … X
PSI 14 Postoperative Wound
Dehiscence
X Depth of the wound dehiscence:
external/superficial vs … PSI 18
PSI 19
OB Trauma – Vaginal
Delivery With Instrument
OB Trauma – Vaginal
Delivery Without
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reportguide.html
November 01, 2017 - Prevention reports depends on the presence of standardized data elements being available in the electronic medical … injuries with altered consciousness, and
Subdural hematomas. … Note that one fall may have major and minor injuries; in such a case, only the major injury will be displayed … Likewise, if multiple minor injuries occur, they will only be counted as one and if multiple major injuries … or major injuries, only major injury will appear.
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - event type; and, detailed information about specific event types,
such as the distribution of various injuries … pertaining to nine patient safety event
types that represent the majority of reported preventable injuries … Event-Specific Formats pertain to nine patient safety events that represent the great majority of
preventable injuries … that they represent minor injuries such as soreness, bumps, and
minor abrasions. … and the type of the injury.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4o_combo_pdi01-lacerationpuncture-bestpractices.pdf
May 31, 2016 - feedback to all stakeholders (physicians and other providers, nursing, and ancillary
staff; senior medical … Needlestick Prevention Guide
http://www.nursingworld.org/safeneedles
Tools
• WHO Needlestick Injury … Admissions with accidental puncture or laceration
during procedure per 1,000 medical and surgical admissions … Sharps Injuries in the Operating Room, Massachusetts Sharps Injury Surveillance System
Data, 2004. http … Strategies for preventing sharps injuries in the operating room.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4a_pdi01-lacerationpuncture-bestpractices.pdf
May 31, 2016 - feedback to all stakeholders (physicians and other providers, nursing, and ancillary
staff; senior medical … Needlestick Prevention Guide
http://www.nursingworld.org/safeneedles
Tools
• WHO Needlestick Injury … Admissions with accidental puncture or laceration
during procedure per 1,000 medical and surgical admissions … Sharps Injuries in the Operating Room, Massachusetts Sharps Injury Surveillance System
Data, 2004. http … Strategies for preventing sharps injuries in the operating room.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
April 02, 2025 - reports
depends on the presence of standardized data elements being
available in the electronic medical … Note that one fall may have major and minor injuries; in such a
case, only the major injury will be … injuries occur, they will only be counted as one. … or major injuries, only major injury will appear. … Prevention reports depends on the presence of standardized data elements being available in the electronic medical
-
www.ahrq.gov/patient-safety/reports/liability/index.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Next Page
Table of Contents
Advances … in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commentary … Liability (PSML) Initiative to address four goals: (1) putting patient safety first by reducing preventable injuries … injuries while reducing malpractice litigation, and (4) reducing liability premiums. … Suggested citation: Advances in Patient Safety and Medical Liability.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.html
September 01, 2017 - nurse, dietitian, Rehab director, medical director or wound physician, nurse practitioner, QI nurse … nurse, dietitian, Rehab director, medical director or wound physician, nurse practitioner, QI nurse … or skin issues
Fall-related injury
Non-fall-related injury
Abnormal labs
Fever/possible infection … disease
Asthma
Circulatory problems
Hypertension
Gastroenteritis
Angina pectoris
Falls/trauma … obstructive pulmonary disease, asthma, circulatory problems, hypertension, gastroenteritis, angina, falls/trauma
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-slides.pptx
January 01, 2017 - the Treatment of
Acute Respiratory Failure1
Design: Nonrandomized, controlled trial
Subjects: 330 medical … Patients
Adverse Events4
9 patients had 14 adverse events (<1% of activities)
Falls to knees without injury … Design: Prospective observational study, data collected June 2009–December 2011
Subjects: Academic medical … and Burns ICU6
Design: Retrospective cohort study at an academic medical center
Subjects: 2,176 trauma … Safety Program for Mechanically Ventilated Patients
5-Year Sustainability of Time to PT
Postacute Lung Injury
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/access/elements3.html
June 01, 2018 - Measures of Timeliness
Adults who needed care right away for an illness, injury, or condition in … sometimes or never got care as soon as wanted
Children who needed care right away for an illness, injury … Adults’ Ability To Get Care As Soon As Wanted
Adults who needed care right away for an illness, injury … 17.7
20.4
18.1
18.9
20.2
16.2
Source: Agency for Healthcare Research and Quality, Medical … 2012
5.3
2.1
2013
4.8
2.8
Source: Agency for Healthcare Research and Quality, Medical
-
www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-d.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 … P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury After Hospital Discharge … Adler-Milstein) P7: Understanding the Relationship Between Proximity and Utilization of Patient-Centered Medical
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
May 01, 2014 - In wound infections among soldiers in the Middle East, multidrug resistant acinetobacter infections have … problem
Vital signs
Usual cognitive function
Recent/current health status (including falls)
Falls, minor injury … : require on-site first aid treatment (dressing, ice pack, pain medication)
Falls, serious injury: require … does not have COPD
- suspected or proven influenza in the absence of a secondary infection
- a skin wound … mobility (passive or active)
Acetaminophen 650 mg as needed or prior to cleaning/dressing changes
Cleanse wounds
-
www.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
April 01, 2025 - System (QSRS)
Retrospectively Reviewing Inpatient Health Records To Identify Adverse Events Medical … The extent of medical errors in U.S. hospitals was revealed in 2000 when the Institute of Medicine (now … population at risk numbered at least 100, the highest rates for both 2021 and 2022 were worsening pressure injuries … Pressure Injury. Surgery/Anesthesia. Venous Thromboembolism. Other. … determined that national efforts to reduce hospital-acquired conditions such as adverse drug events and injuries
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv.html
June 01, 2010 - waiver: clients who can do more for themselves now
Participant Experience Survey, Acquired Brain Injury … Medical Outcomes Study HIV Health Survey (MOS-HIV)
Adults with HIV. … three versions (elderly/disabled, mental retardation/developmental disabilities, and acquired brain injury … Serious Reportable Events
Measure
Source
Notes
Falls with injury
American Nurses … Includes all injuries, regardless of impact.
-
www.ahrq.gov/hai/pfp/haccost2017-appendix.html
November 01, 2017 - , Closed"[Mesh] OR "Craniocerebral Trauma"[Mesh] OR "Cerebrovascular Trauma"[Mesh] OR "Cerebrovascular … Ostomy/wound Mgmt . 2016 Nov;62(11):30.
d Weiser TG, Semel ME, Simon AE, et al. … Ostomy Wound Manage . 2016 Nov;62(11):30-8.
Boltz MM, Hollenbeak CS, Julian KG, et al. … The cost of serious fall-related injuries at three Midwestern hospitals. … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reports.html
November 01, 2017 - Medical director may also participate. … Department heads, including administrator and medical director (or physician/NP designee). … Medical Staff Meeting
Return to Top
Monthly Contextual Factors Report
Table 7. … Whether injury resulted from the fall and, if so, the type and severity of the injury. … Medical director may also participate.
-
www.ahrq.gov/topics/maternal-health.html
January 01, 2023 - latest news and resources on patient safety, innovations and toolkits, opportunities for free Continuing Medical … Maternal Safety WebM&M: WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical … People 2023 MICH-05 Objective AHRQ Quality Indicators Patient Safety Indicators (PSI): PSI 17 Birth Trauma … Rate-Injury to Neonate PSI 18 Obstetric Trauma Rate-Vaginal Delivery With Instrument PSI 19 Obstetric … Trauma Rate-Vaginal Delivery Without Instrument Inpatient Quality Indicators (IQI): IQI 21 Cesarean
-
www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb.html
October 01, 2022 - <50kg or age >75)
□ High Risk
Elective hip or knee arthroplasty
Acute spinal cord injury … (<50kg or age>75)
□ High Risk
Elective hip or knee arthroplasty
Acute spinal cord injury … Major surgery, age >40 years with medical risk factors.
Multiple trauma. … Major surgery, age >40 years with medical risk factors.
Neurosurgery.
Multiple Trauma. … Trauma Patients
LMWH or UFH.