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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-fullreport.pdf
May 01, 2018 - Unlike adults, the diagnosis of septic shock in
children does not require the presence of low blood pressure … (hypotension), as children often
maintain normal blood pressure until the advanced stages of shock … A limited window of opportunity exists for treating underlying injury once shock is present. … Because children often maintain their blood pressure
until they are severely ill, systemic hypotension … For severe sepsis, one abstractor indicated that there was a low systolic blood pressure despite the
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www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.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 … The event review focuses on uncovering latent hazards or contributing factors that increase pressure
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www.talkingquality.ahrq.gov/ncepcr/research-transform-primary-care/transform/tpcbib/index.html
May 01, 2015 - Hemoglobin A1c and blood pressure values in patients with diabetes were not significantly different between … The number of hospitalizations for unintentional injury and asthma also decreased after implementation … PMID: 23690385
The authors compared emergency care usage for any reason, asthma, and unintentional injury … As a comparison, emergency care use for unintentional injury had been increasing before and during implementation … Among patients with hypertension, frequent in-person visits were associated with better blood pressure
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www.talkingquality.ahrq.gov/ncepcr/reports/grants-transform/bibliography/index.html
February 01, 2017 - Hemoglobin A1c and blood pressure values in patients with diabetes were not significantly different between … The number of hospitalizations for unintentional injury and asthma also decreased after implementation … PMID: 23690385
The authors compared emergency care usage for any reason, asthma, and unintentional injury … As a comparison, emergency care use for unintentional injury had been increasing before and during implementation … Among patients with hypertension, frequent in-person visits were associated with better blood pressure
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
February 01, 2018 - Unlike adults, the diagnosis of septic shock in children does not
require the presence of low blood pressure … (hypotension), as children often maintain normal
6
blood pressure until the advanced stages of … A limited
window of opportunity exists for treating underlying injury once shock is present. … Because children often
maintain their blood pressure until they are severely ill, systemic hypotension … requirement
for diagnosis of septic shock in children; in fact, shock may occur long before blood pressure
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www.talkingquality.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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www.talkingquality.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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www.talkingquality.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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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-fullreport.pdf
November 01, 2019 - These complications
include compromised airway, hypoxia leading to central nervous system injury, and … moderate and deep sedation
carry risk of airway compromise, hypoxia resulting in central nervous system injury … These risks include dental trauma;
airway edema (swelling of the windpipe); vocal cord spasm or injury … ; regurgitation of stomach
contents with subsequent aspiration (inhalation) pneumonia; injury to arteries … , veins, or nerves;
alterations in blood pressure; and/or irregular heart rhythms (Society for Pediatric
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
January 01, 2023 - 1,000 elective-surgery admissions, age
18 and over
HCUP 2020
Reclosure of postoperative abdominal wound … 2020
Home health care patients whose management of oral
medications improved
OASIS 2021
Birth trauma … stages 2-4
pressure ulcer or unstageable pressure ulcer
MDS 2021
Low-risk, long-stay nursing home … 2020
Home health care patients whose management of oral
medications improved
OASIS 2021
Birth trauma … stages 2-4
pressure ulcer or unstageable pressure ulcer
MDS 2021
Low-risk, long-stay nursing home
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0082-fullreport.pdf
March 01, 2016 - delivery are at much higher risk for rehospitalization for uterine infection
and obstetrical surgical wound … nonmedical
factors such as provider density, the capacity of the local health care system, and malpractice
pressure … o Have a physical abnormality or injury to their brain or spinal cord. … For example, there may be fewer surgical injuries and fewer infections. … vaginally is more likely to have a nerve injury that affects the shoulder, arm, or
hand.
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www.talkingquality.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
February 01, 2018 - Preliminary data on the use of the training materials showed significant decreases in falls with injury … AHRQ also released training materials for preventing pressure ulcers in hospitals. … Preliminary data on use of the materials showed significant decreases in pressure ulcers during a 1-year
-
www.talkingquality.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
September 01, 2012 - Adverse event*:
Any injury caused by medical care. … include pneumothorax from central venous catheter
placement, anaphylaxis to penicillin, postoperative wound … Similarly,
postoperative wound infections count as adverse events even if the operation proceeded with … Teamwork training improves the clinical care of trauma patients. … About 30 minutes later, he begins to develop some chest pressure, which he had not noticed before.
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www.talkingquality.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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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
January 01, 2020 - peripheral vascular
complication [including pseudoaneurysm,
hematoma at catheter insertion site, vascular
injury
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www.talkingquality.ahrq.gov/health-literacy/professional-training/lepguide/exec-summary.html
September 01, 2020 - not be harmed by the care that is intended to help them, and they should remain free from accidental injury … admissions and/or discharge. 68
Greater risk of line infections, surgical infections, falls, and pressure
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
December 01, 2020 - state-specific data on preventive health practices
and risk behaviors linked to chronic diseases, injuries … The
examination includes physical measurements, such as blood pressure and dental examinations,
and … from each family in the house and collects data on
topics including health status and limitations, injuries … infections; seven types of adverse events associated with surgery;
patient falls; and hospital-acquired pressure … events associated with the hospital stay and not present on hospital admission
(inpatient falls and pressure
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-14-attach-1.pdf
January 01, 2011 - culminate in
significant costs attributable to greater health-care needs, more frequent unintentional injury … culminate
in significant costs attributable to greater health-care needs, more frequent unintentional injury … with or without
behavior therapy):
At least 2 follow-up visits with:
Height, weight, and blood pressure
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-14-attachment-1.pdf
January 01, 2011 - culminate in
significant costs attributable to greater health-care needs, more frequent unintentional injury … culminate
in significant costs attributable to greater health-care needs, more frequent unintentional injury … (with or without behavior therapy):
At least 2 follow-up visits with:
Height, weight, and blood pressure
-
www.talkingquality.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