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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides3.html
October 01, 2017 - literature and expert opinion—that represent the best ways we currently know of preventing pressure injuries … for prevention of medical device-related pressure ulcers." … Determining correct etiology of wounds.
Using inadequate documentation forms. … Slide 15: Best Practice
Pressure Injury Risk Assessment
Slide 16: Pressure Injury Risk Assessment … Care planning guides what will be done to prevent pressure injuries.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides4.html
October 01, 2017 - Implementation Planning Goals
Determine the roles and responsibilities of staff in preventing pressure injuries … Slide 13: Wound Care Team Role
Serves as this hospital’s content experts on pressure injury prevention … Bimonthly Unit Champion pressure injury prevention/ wound care lunch and learn sessions. … Braden risk assessment and patient comorbidity review.
5 in 5 Visual Assessment Tool for pressure injuries … Wound Care Team, and Implementation Team in preventing pressure injuries.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/traumatic-brain-injury-rehabilitation_executive.pdf
June 01, 2012 - Severity Scale 1–2 3 4–6
Moderate to severe injuries more often require intensive
medical care, and … injury and the amount of
tissue lost.7 Deficits resulting from penetrating head
injuries may be similar … Journal of Head Trauma Rehabilitation. 2010
Mar-Apr;25(2):72-80. PMID 20234226.
6. … Journal of Head Trauma Rehabilitation. 2004 Nov-
Dec;19(6):494-501. PMID 15602311.
16. … The Journal of
Head Trauma Rehabilitation. 1994 Mar;9(1):91-102.
33. Thomas M.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar6_pu_woundassesst.pdf
April 01, 2011 - However—
• Not all wounds are clear cut. … of sDTI
• Falls
• Long OR/ER or transportation times
• Splints
• Accidents
24
Medical Device-Related … this is skin failure at life’s
end
36
Selecting Dressings and Treatment
Based on—
• Overall medical … A Little About Myself…
Today We Will Talk About
Assessing and Measuring Wounds
Types of Wounds
Mixed … Causes of sDTI
Medical Device-Related Pressure Ulcers
Remember the Bariatric Patient
Assess the
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hcup-us.ahrq.gov/reports/statbriefs/sb19.jsp
May 19, 2016 - Other common injury hospitalizations resulted from intracranial (brain) injuries (9.8 percent of injury … Other causes of injury (such as firearms, burns, adverse effects of medical drugs or care, environment … , such as the American College of Surgeons’ National Trauma Data Bank ( http://www.facs.org/trauma/ntdb … 10
Superficial injury, bruise
58,100
3.1%
$4,300
3.0
0.5%
11
Open wounds of … than medicine
24,900
1.3%
$5,700
2.8
1.2%
17
Joint disorders and dislocations due to trauma
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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-Layde_34.pdf
March 14, 2008 - Overall medical injury rates for drug-associated
injuries increased significantly during the study period … injuries based on hospital discharge data, the Wisconsin
Medical Injury Prevention Program (WMIPP) … injury rates would
increase patient safety efforts and reduce medical injuries. … Medical Injury Surveillance Criteria
The methods we used for identifying medical injuries using hospital … Post P-valuea
Patient records with at least one
medical injury code (%)
All injuries, 2001 vs.
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hcup-us.ahrq.gov/reports/statbriefs/sb80.pdf
October 01, 2009 - in this
population.2 The direct medical cost for fall-related injuries
among the elderly is about $20 … , such as
fractures, open wounds, or head traumas, are serious enough
to result in emergency department … Any Open Wounds Any Sprains and
Strains
Any Internal Organ
Injury
Any Dislocation Any Other Injury … Any Open Wounds Any Sprains and
Strains
Any Internal Organ
Injury
Any Dislocation Any Other Injury … Open Wounds Sprains and Strains Internal Organ Injury Dislocation Other Injury**
Figure 5.
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psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
January 19, 2016 - The patient had no significant past medical history and did not take any home medications. … The injury could be a result of direct injury during laparoscopic port insertion (access injury) or during … One advantage of laparoscopic surgery is that repeat laparoscopy can be performed without much trauma … Communication, teams, and medical mistakes. Ann Surg. 2007;245:173-175. [go to PubMed] 10. … Association between implementation of a medical team training program and surgical mortality.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides5.html
October 01, 2017 - Image: Photograph shows a medical provider writing and using laptop. … Slide 9: Stage 2
Shallow open injury with a red-pink wound bed.
No slough. … If not sure, ask the Wound Care Team or Nurse. … Location of injuries.
Stage of the deepest injury. … Image: Photograph shows medical providers looking at papers.
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psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
January 01, 2024 - billion in healthcare expenditures.2
• Extensor and flexor tendons may be injured due to penetrating trauma … – In a study of 165 patients undergoing wound exploration after hand laceration, 32% of tendon
injuries … with the hand in the same position as it was during the injury.
– Wounds should be evaluated for active … ● If a tendon injury cannot be ruled out after wound exploration and functional testing, assume an … Medico-legal risks associated to hand and wrist trauma. World J Crit Care Med. 2022;11(1):40-
47.
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hcup-us.ahrq.gov/reports/statbriefs/sb74.pdf
June 01, 2009 - and
traumas that occur during childbirth-related hospitalizations.2
These complications include injury … forceps or
other medical instruments). … As indicated in this table, injury to the newborn was more common in newborn
males, who had 1.7 injuries … hospitalizations, 2006
Birth trauma—injury
to newborn
Obstetric trauma
for mothers—
vaginal … there are no
obstetrical traumas among males because they occur in mothers only (obstetrical trauma
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
October 01, 2017 - Additional Related Training Resources
Wound Classification —AHRQ Pressure Injury Prevention Program … The wound may evolve rapidly to reveal the actual extent of tissue injury or may resolve without tissue … If you are not sure a skin lesion is a pressure injury, ask the Wound Care Team or Wound Care Nurse. … Number of injuries.
Location of injuries.
Stage of the deepest injury. … The shadowing intervention included requiring two RNs to sign off on skin assessments and staging of wounds
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psnet.ahrq.gov/node/861738/psn-pdf
January 31, 2024 - In a study of 165 patients undergoing wound exploration after hand laceration, 32% of tendon injuries … Explore wounds for evidence of arterial bleeding, foreign body,
tendon injury, and arthrotomy. … If a tendon injury cannot be ruled out after wound exploration and functional testing, assume an
occult … injury exists. … Medico-legal risks associated to hand and wrist
trauma. World J Crit Care Med. 2022;11(1):40-47.
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psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
September 27, 2023 - Both the past medical history and the history of the injury itself are important to ascertain. … Past medical history identifies patient-level risk factors that affect wound healing. … causing neurovascular injuries, fractures, or, for the torso, hemopneumothorax or intra-abdominal injury … The wound examination and discussion with the patient should be clearly documented in the medical record … Primary closure versus delayed closure for non bite traumatic wounds within 24 hours post injury.
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - cases, have a 15% mortality rate, and account for 81% of trocar injury-related deaths. 3,4 Bowel injuries … Conclusion
The patient in this case had a complicated medical history and anatomy. … wound closure. … Unintended retention of drain material in contaminated wounds is a known problem, but studies documenting … J Trauma . 2007;62(4):1051-1052. [ Available at ]
Anagnostakos K, Thiery A, Sahan I.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.html
October 01, 2017 - reducing pressure injuries. … Module 3: Best Practices in Pressure Injury Prevention
Hospital: 200–400 beds
Pilot Units: Medical … Show photos of pressure injury prevention staff (such as wound care nurses, skin champions, and Skin … Simulation with a mannequin to educate on wounds, proper head-to-toe skin assessment, and appropriate … and deep tissue injuries.
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hcup-us.ahrq.gov/reports/statbriefs/sb136.pdf
March 01, 2012 - ED visits associated with firearm injury and assault were more likely to take place in a trauma center … Open wounds of head, neck, and trunk
were seen in 22.0 percent of other/undetermined firearm-related … of extremities
Open wounds of head, neck, and trunk
Crushing injury or internal injury
Fracture … include obstetrics and
gynecology, otolaryngology, orthopedic, cancer, pediatric, public, and academic medical … intermediate care, and another type of facility such as a nursing home);
home health care; against medical
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psnet.ahrq.gov/issue/patient-risk-factors-medical-injury-case-control-study
April 12, 2011 - Study
Patient risk factors for medical injury: a case–control study. … Patient risk factors for medical injury: a case-control study. … This study observed an increased risk for medical injuries in patients with higher severity of illness … Patient risk factors for medical injury: a case-control study. … November 16, 2022
Medical injuries among hospitalized children.
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psnet.ahrq.gov/issue/medical-injuries-among-hospitalized-children
February 15, 2017 - Study
Medical injuries among hospitalized children. … Medical injuries among hospitalized children. Qual Saf Health Care. 2006;15(3):202-7. … Investigators used the Wisconsin Medical Injury Prevention Program (WMIPP) screening method to analyze … The overall rate of medical injuries was 3.4%, with the most frequent areas for improvement around medications … Medical injuries among hospitalized children. Qual Saf Health Care. 2006;15(3):202-7.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/depression-brain-injury_executive.pdf
April 01, 2011 - Program
was initiated in 2005 to provide valid
evidence about the comparative
effectiveness of different medical … after TBI modified by
individual characteristics, such as age, preexisting
mental health status or medical … the United States13,57,59,91,96,98,110,125 and one in
Australia.117 One was conducted at an academic medical … Definition of
mild traumatic brain injury. J Head Trauma Rehabil
1993;8:86–88.
4. Okie S. … Psychiatric disorders
and functional disability in outpatients with traumatic brain
injuries.