-
www.cpsi.ahrq.gov/hai/hac/tools.html
March 01, 2024 - Non-ICU Patients With Devices
Obstetrical adverse events: Toolkit for Improving Perinatal Safety
Pressure … ulcers: Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving Quality of Care
Surgical
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/assessment-quiz.docx
March 01, 2024 - Hypertension OR High Blood Pressure
c. Blood Glucose OR Blood Sugar
d. You have the flu. … Option 2 – High Blood Pressure
c. Option 2 – Blood Sugar
d. Option 1 – You have the flu.
e.
-
www.cpsi.ahrq.gov/health-literacy/patient-education/pemat8.html
November 01, 2020 - uviguide.pdf
CHOOSE "DISAGREE"–Incomplete or unclear row and column headings
Categories for Blood Pressure … Normal
Less than 120
And
Less than 80
Prehypertension
120-139
Or
80-89
High blood pressure … 159
Or
90-99
Stage 2
160 or higher
Or
100 or higher
Taken from NIH, Explore High Blood Pressure
-
www.cpsi.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - About 42 percent of this reduction is from adverse drug events, about 23 percent from pressure ulcers … Ulcers
MPSMS (2015)
Hospital-Acquired Pressure Ulcers
1,190,000
36.3
Surgical Site Infections … 17.4%
1,040,500
NA
NA
$9,141,150,000
35,647
* Additional costs per HAC for Falls and Pressure … been wrongly based on the full cost of a hospital stay that included a fall or a hospital-acquired pressure … [7] The AHRQ-developed pressure ulcer toolkit and falls toolkit are online.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a2_pdi_boardpresentation.pdf
October 01, 2015 - admission type)
• Numerator = number of cases with the outcome of
interest (e.g., pediatric cases with pressure … /TechSpecs/PDI%2002%20Pressure%20Ulcer
%20Rate.pdf
• Numerator: Discharges with ICD-10-CM code of
pressure … • Several exclusions (e.g., length of stay <5 days,
principal diagnosis of pressure ulcer). … An Example: Pressure Ulcer (PDI 02)
http://www.qualityindicators.ahrq.gov/Downloads/Modules/PDI/V45/ … An Example: Pressure Ulcer (PDI 02)�
How can the AHRQ PDIs be used in�quality assessment?
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-trache.pdf
December 13, 2013 - – Bivona
■ Cuffed: Indicated to prevent chronic aspiration, or when ventilating with high pressures … – Set suction pressure between 80-100 mmHg. … – Suction, and give positive pressure breaths with the self-inflating bag. … ■ Suprastomal collapse
– Pressure on tracheal cartilage just superior to the stoma may cause chondritis
-
www.cpsi.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - Adverse Events
PSI
OB Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19)
Pressure … Ulcers
MPSMS
Hospital-Acquired Pressure Ulcers
Surgical Site Infections
NHSN
SSIs combined … Tract Infections
18.80
25.58
0.73
Falls
In-Hospital Patient Falls
12.25
14.56
0.84
Pressure … Ulcers
Hospital-Acquired Pressure Ulcers
53.03
62.45
0.85
VAP
Ventilator-Associated Pneumonia … Ulcer
MPSMS
Hospital-Acquired Pressure Ulcers
1,317,211
32,750,000
40.220
Surgical Site
-
www.cpsi.ahrq.gov/prevention/clinician/ahrq-works/burnout/index.html
November 01, 2023 - The health care environment—with its packed work days, demanding pace, time pressures … HS11955), found that more than half of primary care physicians report feeling stressed because of time pressures … More than half of the physicians reported experiencing time pressures when conducting physical examinations … Work conditions, such as time pressure, chaotic environments, low control over work pace, and unfavorable … depression screening quality improvement projects to engage office staff, enhance team work, and reduce the pressure
-
www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/table-2.html
July 01, 2022 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI
-
www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/table-4.html
July 01, 2022 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI
-
www.cpsi.ahrq.gov/npsd/data/dashboard/index.html
October 01, 2023 - Pressure Ulcer Dashboard
Details the documentation of increased risk for pressure ulcer following a … risk assessment; and the timing of the first risk assessment for reported pressure ulcers or sDTIs.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/overview-ptsoffventilator-facguide.docx
January 01, 2017 - weight for patients without ARDS and 4-6cc/kg predicted body weight for patients with ARDS, plateau pressure … of less than or equal to 30 cm H2O, and the use of positive end-expiratory pressure instead of zero … end-expiratory pressure—can prevent further pulmonary complications. … To do so, use positive end-expiratory pressure greater than or equal to 5cm H20, not zero end-expiratory … pressure (ZEEP), maintain plateau pressure at less than or equal to 30cm H20, and use tidal volume of
-
www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-5.html
July 01, 2022 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … for each of the patient's current medications documented (i.e., documenting plan to continue blood pressure
-
www.cpsi.ahrq.gov/hai/tools/ambulatory-care/cap-ed-setting-slides.html
January 01, 2018 - disorientation to person, place, or time
U remia
BUN >20 mg/dL
R espiratory rate
≥30
Low B lood Pressure … ICU
5
57%
ICU
Slide 11: CURB-65 CDS Tool
Automatically extracts data from EHR (age, blood pressure … sheet
BUN
Last in 24 hours
Respiratory rate
Last respiratory rate in vitals section
Blood pressure … Last blood pressure in vitals section
Age
As recorded in chart, based on DOB listed
Image: Sample
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - types of hospital-acquired infections, adverse drug events, and injuries due to procedures,
as well as pressure … For example,
measured adverse drug events continued to drop from 2014 to 2016, while measured pressure … Ulcers/Pressure Injuries
Surgical Site Infections
Ventilator-Associated
Pneumonias
(Post-op) Venous … Ulcer MPSMS Hospital-Acquired Pressure Ulcers
Surgical Site
Infection
NHSN SSIs for 17 procedures … Ulcer
MPSMS Hospital-Acquired Pressure Ulcers 643,230 21.62
Surgical
Site
Infection
NHSN SSIs
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c2_pdi_prioritizationworksheetexample.pdf
June 05, 2016 - purchasing
• Sentinel
event
• Publicly
reported
• Public
perception
• Marketing
• Competitive
pressure … N
PDI 01 Accidental
Puncture
0.3 0.6 1 $41,204 $ 41,204 N 9 9 9 Y Y Y Y Y
PDI 02 Pressure
-
www.cpsi.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
February 01, 2017 - weight for patients without ARDS and 4-6cc/kg predicted body weight for patients with ARDS, plateau pressure … of less than or equal to 30 cm H 2 O, and the use of positive end-expiratory pressure instead of zero … end-expiratory pressure—can prevent further pulmonary complications. … To do so, use positive end-expiratory pressure greater than or equal to 5cm H 2 0, not zero end-expiratory … pressure (ZEEP), maintain plateau pressure at less than or equal to 30cm H 2 0, and use tidal volume
-
www.cpsi.ahrq.gov/patient-safety/settings/hospital/fall-prevention/index.html
September 01, 2018 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Network Webinars
Related AHRQ Resources
Preventing Falls in Hospitals Toolkit
Pressure
-
www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-3.html
July 01, 2022 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI
-
www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-10.html
July 01, 2022 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI