-
www.talkingquality.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
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www.talkingquality.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.talkingquality.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
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www.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/intramuscular-injections.pdf
June 01, 2021 - Apply gentle pressure to
the injection site for several seconds or longer to minimize bleeding using … For residents who take anticoagulation medications, gentle
pressure may need to be applied longer to … pre-filled autoinjector (at least three doses)
• H1 antihistamine (e.g., diphenhydramine/Benadryl)
• Blood pressure
-
www.talkingquality.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.talkingquality.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.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
January 01, 2012 - Proceed to:
· Check vital signs (blood pressure, heart rate, respiratory rate, oxygen saturation, and … For adults, the scores follow:
Activity Score
Eye opening
None
1 = Even to supraorbital pressure … To pain
2 = Pain from sternum/limb/supraorbital pressure
To speech
3 = Nonspecific response, … Orthostatic blood pressure
Blood Pressure (mm Hg)
Heart Rate (beats per minute)
Systolic blood pressure … blood pressure (standing)
Need for orthostatic
Systolic blood pressure (sitting)*
Heart rate
-
www.talkingquality.ahrq.gov/practiceimprovement/delivery-initiative/rodriguez/index.html
December 01, 2020 - Blood pressure.
Patients’ Experiences of Care:
CG-CAHPS Communication (k=6). … Slide 22
Blood Pressure Control (≤140/90 mmHg) Over Time
Image: Bar graph compares blood pressure … Improved blood pressure control for CHW arm (6.1% points). … Slide 28
Key Conclusions
Diabetic patients improved intermediate outcomes (Blood pressure for
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-6-table-12.pdf
April 17, 2019 - Section 6, Table 12
Table 12: ICD-9-CM Codes to Identify Signs and Symptoms of Increased Intracranial Pressure
-
www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apc.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/modules/guide4/apg.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/evidencenow/projects/heart-health/about/cooperatives/oklahoma.html
March 01, 2021 - adopt the ABCS of cardiovascular disease prevention: A spirin in high-risk individuals, B lood pressure … management of patients at risk for CVD events, especially methods such as smoking cessation, blood pressure … Community-level interventions, such as smoking quit line referral and blood pressure medication assistance … A second randomization assigns practices to work first on either smoking cessation and blood pressure
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-section-5-appendix-1-tables-1-5.pdf
October 22, 2013 - careful and frequent monitoring of side effects should be performed…Ideally, monitoring of BMI,
blood pressure … This includes baseline BMI, waist circumference, blood
pressure, fasting glucose, and a fasting lipid … Blood pressure, fasting glucose and lipids should be followed up after 3 months then yearly.” … recommendations for monitoring physical examination
maneuvers (height, weight, BMI, waist circumference, blood pressure
-
www.talkingquality.ahrq.gov/news/newsroom/case-studies/index.html?page=7
January 01, 2016 - Preventing Falls in Hospitals Toolkit
(4)
Preventing Hospital-Related VTE Guide
(1)
Preventing Pressure … Labs
(1)
Patient Safety Organizations
(3)
Patient Self-Management
(29)
Policy
(61)
Pressure … University of Texas Southwestern Date: January 2016
AHRQ Research Findings Support Effort to Reduce Pressure … Impact Case Study Identifier: 2015-32 AHRQ Product(s): Research Topic(s): Prevention, Long-Term Care, Pressure
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/labordel.pdf
March 18, 2014 - He asks the registered nurse (RN) to provide fundal pressure. … The RN states, “Don’t you mean
suprapubic pressure?” The OB replies, “I said fundal pressure!” … The RN says, “Once again,
don’t you mean suprapubic pressure? … Fundal pressure could trap the shoulders even more.”
The OB replies, “Oh, you are right. … I meant to say, suprapubic pressure.”