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cahps.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … Pulmonary Embolism or Deep Vein Thrombosis Rate *
PSI 13: Postoperative Sepsis *
PSI 14: Postoperative … Wound Dehiscence *
PSI 15: Unrecognized Abdominopelvic Accidental Puncture or Laceration *
PSI 18 … -‐19: Obstetric Trauma Rate – Vaginal Delivery With/Without Instrument
IQIs: Mortality Review for … Respiratory Failure
PDI 10: Postoperative Sepsis
PDI 11: Postoperative Wound Dehiscence
PDI 12
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ahrqpubs.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … Pulmonary Embolism or Deep Vein Thrombosis Rate *
PSI 13: Postoperative Sepsis *
PSI 14: Postoperative … Wound Dehiscence *
PSI 15: Unrecognized Abdominopelvic Accidental Puncture or Laceration *
PSI 18 … -‐19: Obstetric Trauma Rate – Vaginal Delivery With/Without Instrument
IQIs: Mortality Review for … Respiratory Failure
PDI 10: Postoperative Sepsis
PDI 11: Postoperative Wound Dehiscence
PDI 12
-
monahrq.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … Pulmonary Embolism or Deep Vein Thrombosis Rate *
PSI 13: Postoperative Sepsis *
PSI 14: Postoperative … Wound Dehiscence *
PSI 15: Unrecognized Abdominopelvic Accidental Puncture or Laceration *
PSI 18 … -‐19: Obstetric Trauma Rate – Vaginal Delivery With/Without Instrument
IQIs: Mortality Review for … Respiratory Failure
PDI 10: Postoperative Sepsis
PDI 11: Postoperative Wound Dehiscence
PDI 12
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talkingquality.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … Pulmonary Embolism or Deep Vein Thrombosis Rate *
PSI 13: Postoperative Sepsis *
PSI 14: Postoperative … Wound Dehiscence *
PSI 15: Unrecognized Abdominopelvic Accidental Puncture or Laceration *
PSI 18 … -‐19: Obstetric Trauma Rate – Vaginal Delivery With/Without Instrument
IQIs: Mortality Review for … Respiratory Failure
PDI 10: Postoperative Sepsis
PDI 11: Postoperative Wound Dehiscence
PDI 12
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … Pulmonary Embolism or Deep Vein Thrombosis Rate *
PSI 13: Postoperative Sepsis *
PSI 14: Postoperative … Wound Dehiscence *
PSI 15: Unrecognized Abdominopelvic Accidental Puncture or Laceration *
PSI 18 … -‐19: Obstetric Trauma Rate – Vaginal Delivery With/Without Instrument
IQIs: Mortality Review for … Respiratory Failure
PDI 10: Postoperative Sepsis
PDI 11: Postoperative Wound Dehiscence
PDI 12
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nhqrnet.ahrq.gov/inhqrdr/National/trend/table/Priority_Populations/Hispanic
February 19, 2021 - whose need for help with daily activities increased -3.3
Home health care patients whose surgical wound … for lower extremity amputations per 1,000 population, adults age 18 and over with diabetes
Birth trauma … ages 18-39
Hospital admissions for asthma per 100,000 population, children ages 2-17
Obstetric trauma … injury requiring dialysis per 1,000 elective-surgery admissions, age 18 and over
Postoperative hip … abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults
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effectivehealthcare-admin.ahrq.gov/products/breast-reconstruction-mastectomy/protocol
July 01, 2021 - the setting of postmastectomy radiation therapy, immediate reconstruction may be associated with more postoperative … However, ADMs might lead to more postoperative complications, such as infection and seroma. 20 - 24 … may lead to long-term sequelae in the area of flap harvest and to more major complications, such as wound … dehiscence and delayed healing. 25 , 27
Purpose of Review
This systematic review will assess the … dehiscence*
Delayed healing*
Seroma*
Chronic conditions (e.g., rheumatologic diseases)
Touch
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b3a_pdi_chartsforpresentations.pdf
January 01, 2006 - Pediatric Heart Surgery Volume 0
PDI 08 Perioperative Hemorrhage or Hematoma Rate 0.00248 0
PDI 09 Postoperative … Respiratory Failure Rate 0.01132 0
PDI 10 Postoperative Sepsis Rate 0 0 0.0432385 0.01989 -100 -100 … 117.388135 PDI 10 No Statistically Significant Difference 0
PDI 11 Postoperative Wound Dehiscence Rate
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hcup-us.ahrq.gov/reports/methods/2004-05.pdf
January 01, 2004 - complications of care or to
6
exclude cases (e.g., poisonings, self-inflicted injury, trauma) … malignancy, and self-inflicted injury. … disruption of abdominal wall (postoperative abdominal wound dehiscence) per
1000 abdominopelvic-surgery … dehiscence, such as cases from earlier admissions
or from other hospitals. … PSI 17 Birth trauma - injury to neonate per 1000 live births (excluding preterm and osteogenesis imperfecta
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/Introduction_to_AHRQ_Quality_Indicators.pdf
January 01, 2015 - avoidable complications and errors
that occur during a hospital inpatient stay
Pressure ulcers
Postoperative … Rate 25.20
IQI 14 Hip Replacement Mortality Rate 0.66
PSI 03 Pressure Ulcer Rate 0.50
PSI 13 Postoperative … Sepsis Rate 9.61
PDI 09 Postoperative Respiratory Failure Rate (pediatric) 14.52
PQI15 Asthma … QIs such as pressure ulcer
(PSI03), periop hemorrhage or hematoma (PSI09), DVT/PE
(PSI12), postop wound … dehiscence (PSI14)
► Clinical and financial leaders received monthly reports showing
cost of cases
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www.ahrq.gov/research/findings/nhqrdr/nhqdr16/appendixb2_qualitytrends.html
June 01, 2018 - abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, age … age 18 and over
-11.09
0.03
0.02
6
(2009-2014)
Home health care patients whose surgical wound … who get better at taking their medication correctly
-3.40
0.00
0.01
4
(2010-2013)
Birth trauma-injury … to neonate per 1,000 live births
-5.82
0.01
0.00
14
(2001-2014)
Obstetric trauma per 1,000 … vaginal deliveries without instrument assistance
-4.90
0.00
0.00
15
(2000-2014)
Obstetric trauma
-
nhqrnet.ahrq.gov/inhqrdr/National/benchmark/table/Income/Poor
Achieved Benchmark or Better
Measure
Estimate
Benchmark
Distance to Benchmark
Obstetric trauma … least 12 lymph nodes pathologically examined
93.1
95.5
Achieved within: 2.5%
Obstetric trauma … abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults … - injury to neonate per 1,000 selected live births
4.5
2.8
59.0%
Hospital admissions for … acute kidney injury requiring dialysis per 1,000 elective-surgery admissions, age 18 and over
1.0
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nhqrnet.ahrq.gov/inhqrdr/National/benchmark/table/Income/Middle_Income
abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults … Deaths per 1,000 hospital admissions with expected low-mortality
0.6
0.4
41.0%
Obstetric trauma … Hospital admissions for heart failure per 100,000 population
371.9
220.9
68.4%
Birth trauma … - injury to neonate per 1,000 selected live births
4.8
2.8
68.6%
Hospital admissions for … acute kidney injury requiring dialysis per 1,000 elective-surgery admissions, age 18 and over
0.8
-
nhqrnet.ahrq.gov/inhqrdr/National/benchmark/table/Income/Low_Income
received 4 or more doses of diphtheria-tetanus-pertussis vaccine
80.3
90.6
11.4%
Obstetric trauma … with percutaneous coronary intervention (PCI), age 40 and over
27.5
23.2
18.4%
Obstetric trauma … abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults … - injury to neonate per 1,000 selected live births
4.8
2.8
71.0%
Hospital admissions for … acute kidney injury requiring dialysis per 1,000 elective-surgery admissions, age 18 and over
0.9
-
nhqrnet.ahrq.gov/inhqrdr/National/benchmark/table/Income/High_Income
abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults … long-term complications of diabetes per 100,000 population, adults
61.9
39.9
55.1%
Birth trauma … - injury to neonate per 1,000 selected live births
4.5
2.8
59.7%
Obstetric trauma per 1,000 … vaginal deliveries without instrument assistance
23.1
14.3
61.8%
Obstetric trauma per 1,000 … acute kidney injury requiring dialysis per 1,000 elective-surgery admissions, age 18 and over
0.8
-
ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-slides.html
December 01, 2017 - Slide 4: SSI Definitions 2
Superficial
Purulent drainage from wound. … Positive wound culture.
Pain, redness, swelling.
Diagnosis by surgeon. … Deep
Purulent drainage from deep aspect of the wound.
Dehiscence. … Postoperative surgical site infection (superficial incisional SSI, deep incisional SSI, organ space SSI … Postoperative hyperglycemia is associated with an increased risk of SSI in general surgery patients.
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nhqrnet.ahrq.gov/inhqrdr/National/benchmark/table/Priority_Populations/Middle_Income
with abdominal aortic aneurysm (AAA) repair
Third quartile
35.7
27.1
31.6%
Obstetric trauma … abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults … hospital admissions with expected low-mortality
Third quartile
0.6
0.4
41.0%
Obstetric trauma … - injury to neonate per 1,000 selected live births
Third quartile
4.8
2.8
68.6%
Hospital … acute kidney injury requiring dialysis per 1,000 elective-surgery admissions, age 18 and over
Third
-
nhqrnet.ahrq.gov/inhqrdr/National/benchmark/table/Priority_Populations/Elderly_Adults
season
85 and over
95.8
94.1
Achieved: 2% better
Home health care patients whose surgical wound … abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults … 117.9
65.2
80.7%
Long-stay nursing home patients experiencing one or more falls with major injury … acute kidney injury requiring dialysis per 1,000 elective-surgery admissions, age 18 and over
65 and … they could understand
65 and over
6.9
Adults who needed care right away for an illness, injury
-
hcup-us.ahrq.gov/datainnovations/CaseStudy_QDRanalysis04072017.pdf
April 07, 2017 - For example, the CY national estimate for
PSI 18 Obstetric trauma in instrument-assisted deliveries … For example, the true 2014 estimate for PSI 14 Postoperative abdominal wound dehiscence
is 1.61 per … discharges of 4 or more days
PSI 14 Postoperative abdominal wound dehiscence per 1,000 discharges … PSI 15 Accidental laceration or puncture during procedure per 1,000 discharges
PSI 17 Birth trauma … injury to neonate per 1,000 selected live births
PSI 18 Obstetric trauma per 1,000 instrument-assisted
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a2_pdi_boardpresentation.pptx
October 01, 2015 - PDI 07 RACHS-1 Pediatric Heart Surgery Volume
PDI 08 Perioperative Hemorrhage or Hematoma Rate
PDI 09 Postoperative … Respiratory Failure Rate
PDI 10 Postoperative Sepsis Rate
PDI 11 Postoperative Wound Dehiscence Rate … in October 2015:
Addition of information relevant to ambulatory and managed care encounters
Expanded injury