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201. NICU Family Information Packet, Appendix B, Ostomy Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-ostomy.pdf
     June 02, 2025 - anchoring elements to bond the epidermis to the underlying dermis, so skin is more susceptible to friction injury … ■ Peristomal skin must be protected from mechanical trauma due to use of aggressive adhesives, improper … ■ Vent frequently to prevent gas pressure from compromising the seal.

202. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4g_pdi09-postoprespfailure-bestpractices.pdf
     May 17, 2016 - o Decreased central nervous system input (head injury, ingestion of central nervous system depressant … o Peripheral nerve/neuromuscular junction (spinal cord injury, organophosphate/carbamate poisoning, … expansion exercises with children, such as incentive spirometry, deep breathing, intermittent positive-pressure … breathing, and continuous positive airway pressure. … Noninvasive positive pressure ventilation for acute respiratory failure in children: a concise review

203. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
     May 17, 2016 - o Decreased central nervous system input (head injury, ingestion of central nervous system depressant … o Peripheral nerve/neuromuscular junction (spinal cord injury, organophosphate/carbamate poisoning, … expansion exercises with children, such as incentive spirometry, deep breathing, intermittent positive-pressure … breathing, and continuous positive airway pressure. … Noninvasive positive pressure ventilation for acute respiratory failure in children: a concise review

204. Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017.html
     November 01, 2017 - Comparison to 2010 AHRQ estimates Summary Despite advancements in infection control and injury prevention … can stem from diagnostic or treatment errors (e.g., failure to follow antibiotic protocols); medical injuries … Beginning in 2008, CMS identified the HACs (e.g., CAUTI, falls and trauma, surgical site infection) for … Falls Fall during an inpatient admission, with or without injury, whether or not fall was assisted. … Pressure Ulcers A new pressure ulcer developed during a stay, or Stage 1 or 2 pressure ulcer(s) present

205. Table 12: Outcome Indicators by Use of Selected Home and Community-Based Services 1915(c) Waiver Services, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab12.html
     February 01, 2023 - Composite: ACSC Overall Yes 26,515 17,685 7,028 No 18,855 19,300 20,127 Pressure … 7,404 Composite: ACSC Overall 6,233 33,102 8,819 20,714 16,992 19,479 Pressure

206. Early Mobility in the Intensive Care Unit: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-fac-guide.html
     February 01, 2017 - These included: five falls to knees without injury, four with systolic blood pressure less than  90 mmHg … pressure less than 55 mmHg, and four cases of oxygen desaturation. … Slide 17: Early Mobility in a Trauma and Burns ICU Say: Clark et al. performed a retrospective … before and after cohort study, based on chart review, at an academic medical center in a trauma and burns … Slide 23: 5-Year Sustainability of Time to PT Postacute Lung Injury Diagnosis Say: In this chart

207. Documentation and Coding for the AHRQ Pediatric Quality Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
     March 15, 2016 - J Trauma 2007;63(5):1132-37. Iezzoni LI, Foley SM, Daley J, et al. 1992. … PDI 02 Pressure Ulcer Rate (stage III, IV, Unstageable) Diagnosis and site of pressure ulcer must … Document and code any associated pleural effusion or chest trauma. … Lack of Coding Specificity Measure Includes Only Elective Admissions PDI 11 Postoperative Wound … Dehiscence Rate X Depth of the wound dehiscence: external/superficial vs. internal/deep should

208. QDR 2014: Chartbook for Hispanic Health Care, Part 2 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pdf
     July 01, 2015 - - injury to newborn per 1,000 live births Better No Change Obstetric trauma per 1,000 vaginal deliveries …  Trends: ■ Birth trauma-neonatal injury rates fell from 2.6 per 1,000 live births in 2004 to 1.9 … ■ Between 2004 and 2012, birth trauma-neonatal injury rates fell for all racial/ethnic groups. … Birth trauma—injury to neonate per 1,000 live births, by race/ethnicity, 2004-2012 Key: API = Asian … 2011 2012 R at e p e r 1 ,0 0 0 L iv e B ir th s Total White Black API Hispanic Birth trauma—injury

209. Final Progress Report: Brief, Risky, High-Benefit Procedures: Best Practice Model (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
     January 01, 2024 - No operator injuries occurred with a redesigned instrument tray. … In addition, the presence of shock (systolic blood pressure less than 90 mmHg prior to or on admission … The outcomes from patients admitted, as measured by the Trauma and Injury Severity Score (TRISS) methodology … The practices at STC for CTI may not reflect other trauma centers practices, and the severity of injury … Of the 38 patients, 13 (34%) died within 24 hours due to the severity of their injuries and not

210. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
     January 01, 2024 - Scope Trauma-related injuries are the leading cause of death in Americans ages 1-44 and are responsible … Incidence Trauma-related injuries are the leading cause of death in Americans ages 1-44 and are responsible … consecutive readings) in the pre-hospital setting Stab wound, impalement, or gunshot wound to the neck … The injury severity score: a method for describing patients with multiple injuries and evaluating emergency … One day spent doing this training drastically changed my performance during traumas and medics codes

211. Puh-Implementation-Handouts (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.docx
     July 01, 2016 - We record onset day, stage, and surface area of each pressure ulcer during wound rounds. … ulcer healing and you will be able to identify wounds suspected of infection. … Injury Alliance’s Prevention and Treatment of Pressure Ulcers Guidelines c. … Wound, Ostomy, and Continence Nurses Society (WOCN) Pressure Ulcer Guidelines d. … Ulcer Report Pressure Ulcers At Risk for Delayed Healing Weekly Wound Rounds Report Weekly Pressure

212. Puh-Erepguide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide.docx
     February 10, 2014 - Weekly Wound Rounds Report Weekly Pressure Ulcer Treatment Summary Report Pressure Ulcer Counts by Month … Injury Alliance. … Pressure Ulcer Healing Reports Slide 31–32: Weekly Wound Rounds Report The Weekly Wound Rounds Report … The wound nurse, wound physician, and other disciplines attending wound rounds can see quickly which … Treatments Wound Cleanser.

213. Table 9: Outcome Indicators by Selected Home and Community-Based Services Medicaid State Plan Services Offered, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab9.html
     February 01, 2023 - Overall Yes 18,922 20,115 18,052 19,228 No 28,131 18,583 22,752 19,363 Pressure … Composite: ACSC Overall 19,083 19,110 16,427 19,636 23,560 27,103 21,664 20,810 Pressure

214. Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Vane.pdf
     February 01, 2005 - With this environment, it was necessary to extend the length of sterilization times, adapt pressure … Surgeries included multiple traumas and burns. … Patient Safety During Military Deployments 471 Combat missions involved trauma and burn surgeries … Humanitarian missions included trauma surgery along with a broad-based OR capability, which included … a number of surgical site wound infections.

215. Puh-Implementation-Handouts (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.pdf
     July 01, 2016 - We record onset day, stage, and surface area of each pressure ulcer during wound rounds. … ulcer healing and you will be able to identify wounds suspected of infection. … Pressure Injury Alliance’s Prevention and Treatment of Pressure Ulcers Guidelines c.  Wound, Ostomy … X X X X Wound rounds Multidisciplinary team weekly review of residents with pressure ulcers. … Rounds Report and Pressure Ulcers at Risk for Delayed Healing with wound rounds.

216. From Quality Measures to Quality Care: Examples of Quality Improvement at Work | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
     June 01, 2018 - Reducing the Incidence of Pressure Ulcers For the hospitalized and home care patient, pressure ulcers … Patients in critical care, with hip fractures or with spinal injuries, are at particular risk. … The VA viewed pressure ulcer development as an ideal indicator because they are common, required the … The rate of pressure ulcer development dropped from 11.5 percent to zero. … voluntarily report unexpected events or errors that lead to death, or serious physical or psychological injury

217. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-facguide.docx
     January 01, 2017 - These included: five falls to knees without injury, four with systolic blood pressure less than 90 mmHg … pressure less than 55 mmHg, and four cases of oxygen desaturation. … Slide 16 Early Mobility in a Trauma and Burns ICU SAY: Clark et al. performed a retrospective before … and after cohort study, based on chart review, at an academic medical center in a trauma and burns ICU … Slide 22 5-Year Sustainability of Time to PT Postacute Lung Injury Diagnosis SAY: In this chart you

218. Table 19F: HCBS Population Ages 18-64 Without I/DD or SMI | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19f.html
     March 01, 2023 - 5,990 6,632 Composite: ACSC Overall 23,094 19,763 20,681 21,282 21,204 19,420 Pressure … 5,861 6,673 6,037 6,455 Composite: ACSC Overall 20,343 22,153 21,427 18,076 Pressure

219. Table 19G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19g.html
     March 01, 2023 - 12,136 Composite: ACSC Overall 32,463 23,973 25,306 28,599 25,757 29,466 Pressure … 12,380 10,227 12,540 Composite: ACSC Overall 24,470 31,390 25,983 29,126 Pressure

220. Table 19E: SMI Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19e.html
     March 01, 2023 - 6,924 7,208 Composite: ACSC Overall 20,218 17,976 20,084 17,046 19,215 17,075 Pressure … 6,471 8,020 7,037 6,881 Composite: ACSC Overall 17,757 20,393 19,476 16,171 Pressure