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preventiveservices.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2.html
March 01, 2013 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-synthesis-report.pdf
July 22, 2015 - post-implementation period.33 The trend applied to
emergency care use overall and to asthma and unintentional injury … Specifically, the percent of PCMH patients hospitalized per
month (overall and for asthma and unintentional injury … Donahue, MD,
MPH
Diabetes • HbA1c <9%
• LDL cholesterol <100
mg/dL
• Blood pressure
<130/80 … ≤130/80 mm Hg
• LDL cholesterol ≤100
mg/dL
Cardiovascular
disease:
• Blood pressure
≤130/80 … Gabbay, MD,
PhD
Diabetes • HbA1c <7%
• Blood pressure
<130/80 mm Hg
• LDL cholesterol <100
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/implementation.html
January 01, 2013 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Or as implementation advances and the new practices become the norm, peer pressure may spur resisters … Hospitals will not be reimbursed by Medicare for hospital-acquired falls with trauma.
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preventiveservices.ahrq.gov/patient-safety/reports/advancing/index.html
July 01, 2022 - private-public partnerships to: (1) identify the causes of preventable health care errors and patient injury … By using hospital administrative data, PSIs can identify pressure ulcers, postoperative pulmonary emboli … Education in 2003 and that the long shifts medical interns worked led to 61 percent more needlestick injuries
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_fall-prevention.docx
August 24, 2017 - applied to other quality improvement efforts in a hospital, such as preventing:
Hospital-acquired pressure … injuries.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
September 01, 2023 - status, extremes of age, delirium, or poor
information exchange between health systems;
■ Time pressures … Identification of children at very low risk of clinically-
important brain injuries after head trauma … Cluster Randomized Trial Reducing Missed Elevated Blood
Pressure in Pediatric Primary Care: Project … Disparities in the evaluation and
diagnosis of abuse among infants with traumatic brain injury. … The use of telemedicine in the care of the pediatric trauma patient. Semin
Pediatr Surg.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-appendix-combined.pdf
October 25, 2022 - HCUP 2019
Home health care patients whose management of oral medications
improved OASIS 2020
Birth trauma … pressure ulcer MDS 2019
Low-risk, long-stay nursing home residents with a catheter inserted
and left … MDS 2019
Short-stay nursing home patients with pressure ulcers that are new
or worsened MDS 2018 … HCUP 2019
Home health care patients whose management of oral medications
improved OASIS 2020
Birth trauma … MDS 2019
Short-stay nursing home patients with pressure ulcers that are new or
worsened MDS 2018
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preventiveservices.ahrq.gov/workingforquality/events/webinar-federal-agency-alignment-to-the-six-priorities.html
November 01, 2016 - We work to prevent the leading cause of illness, injury, disability, and death. … We've displayed performance on the ABCs, which are appropriate aspirin use, blood pressure control, control … tobacco and got preventive care, we still have to address modifiable risk factors, including blood pressure … their profit according to the extent to which they're able to assist their members in controlling blood pressure
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_tools.docx
November 16, 2011 - Monthly falls analysis by:
location and time of fall
shift and day of week
type of injury … consequences of falls
High-risk medications, sleep hygiene measures for management of anxiety
Low blood pressure
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
January 01, 2013 - For example, improvement actions might reduce
hospital-associated infections, rates of pressure ulcers … Excess length of stay, charges, and mortality attributable to medical injuries
during hospitalization
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
January 01, 2024 - that patients with diagnosis-related claims were 2.33 times more likely to die than to have a minor injury … and have been associated with
increased medical errors and stress, anxiety, and burnout.113,114 Time pressure … diagnostic safety found the need to prioritize research on system factors, such as
workload, time pressure … Preventable diagnostic
errors in fatal cervical spine injuries: a nationwide register-based study from … Adv Wound Care (New
Rochelle). 2013 Dec;2(10):588-592. http://www.ncbi.nlm.nih.gov/pmc/articles/pmc3865615
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - Root cause analyses of adverse
events and near-misses (events that did not produce
patient injury) … The AHRQ Patient Safety Indicator
18 (Obstetric Trauma–Vaginal Delivery with Instrument)
decreased … in-house
neonatal death, uterine rupture during labor, unplanned maternal admission
to ICU, birth trauma … processes at the
point of care to include specific maternal parameters,
including blood loss, blood pressure … They established a standard process
for blood pressure measurement upon admission and
during labor
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - Root cause analyses of adverse
events and near-misses (events that did not produce
patient injury) … The AHRQ Patient Safety Indicator
18 (Obstetric Trauma–Vaginal Delivery with Instrument)
decreased … in-house
neonatal death, uterine rupture during labor, unplanned maternal admission
to ICU, birth trauma … processes at the
point of care to include specific maternal parameters,
including blood loss, blood pressure … They established a standard process
for blood pressure measurement upon admission and
during labor
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-mental-health-bmjqs.pdf
April 15, 2024 - Despite the importance of
effective data gathering and synthesis,
time pressures, competing priorities … J Trauma Dissociation 2017;18:233–47.
31 Sheehan DV, Lecrubier Y, Sheehan KH, et al. … procedures: are
diagnosticians influenced by the narrative fallacy when
assessing the psychological injuries … of trauma victims Psychol
Inj Law 2016;9:265–71.
54 Jenkins MM, Youngstrom EA.
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preventiveservices.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script.html
September 01, 2020 - The final challenge is the time pressure we all face. … Some goals may be long-term, such as reducing the risk of future injury or illness, or living as long … Mom: I don't think I could forgive myself if he wound up dying of meningitis because we didn't finish … Non-invasive routine care, such as taking blood pressure, is usually covered by the blanket consent form
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/audio-script-healthcare-professionals-training.pdf
January 18, 2017 - The final challenge is the time pressure we all face. … Some goals may be long-term, such as reducing the risk of future injury or
illness, or living as long … Mom: I don’t think I could forgive myself if he wound up dying of meningitis because we didn’t
finish … Non-invasive routine care, such as taking blood pressure, is usually covered by the blanket
consent
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
July 01, 2018 - “Patient safety” is defined as the avoidance and prevention of patient injuries
or adverse events … Whenever pressure builds up, my supervisor/manager wants us to
work faster, even if it means taking shortcuts … Whenever pressure builds up, my supervisor/manager wants us to work faster, even if it
means taking