-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/about/evidencenow-factsheet.pdf
April 01, 2021 - This included the “ABCS” of heart
health: Aspirin use by high-risk individuals, Blood pressure
control … Such pressures
worsen a fundamental problem: it takes many years for
new evidence to make its way into … aspirin for eligible patients
n A 6.3% increase in cholesterol management
n A 2.8% increase in blood pressure … control – an important finding,
given decreasing national rates of blood pressure control.
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/funaro-0914slides.pdf
January 01, 2014 - see if new process is
working – will use abstracted data for validation
purposes
56
56
Work Pressure … 80%
100%
2011 2013
Pe
rc
en
t P
os
iti
ve
R
es
po
ns
e
Year Administered
57
57
Work Pressure … Navigator EHR Template
Example of the “Pink Sheet”
Organizational Learning
PCMH Meetings
Work Pressure
-
www.talkingquality.ahrq.gov/evidencenow/projects/heart-health/about/stories/achievements.html
March 01, 2021 - Health Center Holly Clinic (Holy, CO)
Helping primary care practices use evidence to improve blood pressure … selected Million Hearts® Hypertension Control Champions have worked with their patients to achieve blood pressure
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
July 01, 2016 - Value-based purchasing
• Sentinel event
• Publicly reported
• Public perception
• Marketing
• Competitive pressure … Patient Safety PSI 03 Pressure Ulcer
PSI 06 Iatrogenic Pneumothorax
PSI 07 Central Venous Catheter-Related … Neonatal Blood Stream Infection Rate
Pediatric PDI 01 Accidental Puncture or Laceration Rate
PDI 02 Pressure
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - About 40 percent of the overall reduction is from adverse
drug events, about 28 percent from pressure … Tract
Infections
Central Line-Associated Bloodstream
Infections
Falls
Obstetric Adverse Events
Pressure … Most of the deaths averted
occurred as a result of reductions in the rates of pressure ulcers and adverse … 2014) OB Trauma in
Vaginal Delivery With
(PSI 18) and Without
Instrument (PSI 19)
74,000 2.3
Pressure … Ulcers
MPSMS
(2014)
Hospital-Acquired
Pressure Ulcers
1,010,000 30.9
Surgical Site
Infections
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
June 29, 2016 - purchasing
• Sentinel
event
• Publicly
reported
• Public
perception
• Marketing
• Competitive
pressure … PSI 03 Pressure
Ulcer
1.2 1.3 7 $109,870 $ 769,087 N 6 7 7 Y Y Y Y Y
PSI 06 Iatrogenic … purchasing
• Sentinel
event
• Publicly
reported
• Public
perception
• Marketing
• Competitive
pressure … purchasing
• Sentinel
event
• Publicly
reported
• Public
perception
• Marketing
• Competitive
pressure … Y 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.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap5.doc
December 11, 2012 - lumen (to avoid air embolism and ensure intravascular placement)
Transduce central venous pressure … or estimate central venous pressure by fluid column (to avoid arterial placement)
After the
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/ahrq-works/impact-burnout.pdf
July 01, 2017 - Physician Burnout
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 … screening quality improvement
projects to engage office staff, enhance team
work, and reduce the pressure
-
www.talkingquality.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/north-carolina.html
March 01, 2021 - patients adopt the ABCS of cardiovascular disease prevention: Aspirin in high-risk individuals, Blood pressure … physical activity targets. 3 Only half of patients treated for hypertension currently have their blood pressure … Blood pressure control among patients has increased close to an absolute of 5 percentage points. … Recent trends in the prevalence of high blood pressure and its treatment and control, 1999-2008.
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c1_pdi_prioritizationworksheet.pdf
June 05, 2016 - purchasing
• Sentinel
event
• Publicly
reported
• Public
perception
• Marketing
• Competitive
pressure … Neonatal Blood
Stream Infection Rate
Pediatric PDI 01 Accidental
Puncture or Laceration
Rate
PDI 02 Pressure
-
www.talkingquality.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - About 40 percent of the overall reduction is from adverse drug events, about 28 percent from pressure … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … 2014)
OB Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19)
74,000
2.3
Pressure … Ulcers
MPSMS (2014)
Hospital-Acquired Pressure Ulcers
1,010,000
30.9
Surgical Site Infections … been wrongly based on the full cost of a hospital stay that included a fall or a hospital-acquired pressure
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/cholesterol-pcor.pdf
November 01, 2016 - The initiative is focusing on the ABCS of heart health—Aspirin use by high-risk individuals,
Blood pressure … www.nhlbi.nih.gov/files/cholesterol-in-adults.pdf
http://www.ahrq.gov/evidencenow
http://www.ahrq.gov
Blood Pressure … Control
Rationale for Blood Pressure Control
Evaluating and Measuring Use ofPCOR-supported Recommendations
-
www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/videos/app-disclosure.html
August 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.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/videos/accountability.html
August 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.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/videos/grpresentation.html
August 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.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/videos/meeting.html
August 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.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-nc.pdf
November 01, 2017 - patients adopt the
ABCS of cardiovascular disease prevention: Aspirin in high-risk individuals, Blood pressure … physical activity targets.3
Only half of patients treated for hypertension currently have their blood pressure … • Blood pressure control among patients has increased
close to an absolute of 5 percentage points … Recent trends in the prevalence of high blood pressure and its
treatment and control, 1999-2008.
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-technicalspecs.pdf
October 16, 2019 - days before the
simple febrile seizure (Table IMG2)
o Signs or symptoms of increased intracranial pressure … or delayed
milestones
o Family history of seizures
o Signs or symptoms of increased intracranial pressure
-
www.talkingquality.ahrq.gov/evidencenow/projects/heart-health/evidence/index.html
March 01, 2021 - Health
Evidence for Advancing Heart Health
Aspirin Use Evidence and Resources
Blood Pressure … adopt the ABCS of cardiovascular disease prevention:
Aspirin use by high-risk individuals
Blood pressure
-
www.talkingquality.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