-
www.talkingquality.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
-
www.talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
September 01, 2017 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Between 30 and 51 percent of falls in hospitals result in an injury ranging from bruises to severe wounds … The cost of serious fall-related injuries at three Midwestern hospitals. … Thus, the CAUTI, SSI, and Pressure Injury committees used the AHRQ assessment tools, and a speak-up campaign
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
March 01, 2013 - bodies have definitions (e.g., the NQF defines a fall as “an unplanned descent to the floor without injury … study by van Gaal and colleagues evaluated a program that targeted three patient safety practices (pressure … and found an overall positive effect on the development of any adverse event, a composite measure of pressure … out specific fall assessments or interventions, and investigations such as lying and standing blood pressure … Violence and Injury Prevention: Falls. 2012.
-
www.talkingquality.ahrq.gov/patient-safety/settings/hospital/resource/index.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 … Patients with Limited English Proficiency
NICU Toolkit
Preventing Falls in Hospitals
Preventing Pressure
-
www.talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-tips/index.html
February 01, 2021 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Background
Falls are the most common cause of preventable injury.
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
June 29, 2016 - Postoperative
Sepsis 12.7 11.7 15 $49,215 $ 738,225 N 9 7 3 Y Y Y Y Y
PSI 14 Postoperative
Wound … -
Injury to Neonate 0.0 0.1 0 $88,000 $ - N 2 3 9 Y Y Y Y Y
PSI 18 Obstetric … Trauma-Vaginal
Delivery With
Instrument
134.8 135.1 17 $90,000 $ 1,530,000 N 2 3 8 Y Y … Y Y Y
PSI 19 Obstetric
Trauma-Vaginal
Delivery Without
Instrument
17.0 17.9 5 $96,000 $ … Rate
0.0 16.2 0 $117,815 $ - N 9 10 10 Y Y Y Y Y
PDI 11
Postoperative
Wound
-
www.talkingquality.ahrq.gov/data/infographics/index.html
March 01, 2024 - Antidepressant Prescriptions
Potentially Preventable Pediatric Hospital Stays
Most Common Cause of Injuries … People Who Spent the Most for Healthcare in 2017
Causes of Hospital Stays for Traumatic Brain Injury … in 2017
High Healthcare Spending in 2017
Sports-Related Traumatic Brain Injuries Among Children … Hemodialysis Patients Worse Among Blacks
HRSA's Health Center Program Making Progress on Blood Pressure
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
January 01, 2006 - Hospitals
►Moving, Transferring, or Lifting Residents
►Medication errors
►Falls
►Pressure ulcers
►Sanitation … Patient Safety Culture in Nursing Homes
• Safety culture influences staff as well as residents
► Overall injury
-
www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.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 … Eventually the team is able to re-establish Mary's normal heart rate, blood pressure, and adequate blood … During the resuscitation efforts, information obtained from the devices monitoring Mary's EKG, blood pressure … Over the next few days, it is clear that he has suffered a significant brain injury due to the lack of
-
www.talkingquality.ahrq.gov/research/findings/studies/index.html?page=484
January 01, 2024 - (132)
Blood Thinners
(79)
Brain Injury
(64)
Breast Feeding
(18)
Burnout
(64)
Cancer … (255)
Imaging
(245)
Implementation
(191)
Infectious Diseases
(260)
Influenza
(41)
Injuries … and Wounds
(207)
Inpatient Care
(221)
Intensive Care Unit (ICU)
(267)
Kidney Disease and … Tools & Toolkits
(49)
Training
(143)
Transitions of Care
(192)
Transplantation
(141)
Trauma … Adv Skin Wound Care 2013 Feb;26(2):83-92; quiz p.93-4. doi: 10.1097/01.ASW.0000426718.59326.bb.
.
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
January 01, 2006 - 0.1493487343 PSI 12 Statistically Lower 0
PSI 13 Postoperative sepsis 17.433 0
PSI 14 Postoperative wound … 0.0683602771 PSI 15 Statistically Lower 0
PSI 16 Transfusion reaction 0.000004 0
PSI 17 Birth trauma … - injury to neonate 2.188 0
PSI 18 Obstetric trauma - vaginal with instrument 0.139241 0.062898 … 0.215583 133.928 -99.8960329431 0.0570030165 0.0570022699 PSI 18 Statistically Lower 0
PSI 19 Obstetric trauma … 0.01989 -100 -100 117.3881347411 PDI 10 No Statistically Significant Difference 0
PDI 11 Postoperative Wound
-
www.talkingquality.ahrq.gov/research/findings/studies/index.html?page=485
January 01, 2024 - Autism
(31)
Back Health and Pain
(58)
Behavioral Health
(699)
Blood Clots
(62)
Blood Pressure … (132)
Blood Thinners
(79)
Brain Injury
(64)
Breast Feeding
(18)
Burnout
(64)
Cancer … (255)
Imaging
(245)
Implementation
(191)
Infectious Diseases
(260)
Influenza
(41)
Injuries … and Wounds
(207)
Inpatient Care
(221)
Intensive Care Unit (ICU)
(267)
Kidney Disease and … Tools & Toolkits
(49)
Training
(143)
Transitions of Care
(192)
Transplantation
(141)
Trauma
-
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/patient-safety/settings/hospital/candor/modules/guide4/apb.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 … However, she felt pressure from senior leaders to comply with the request and did not speak up. … 0945) The CNA reports back to RN#1 the following: "Your new patient’s blood sugar was 149, the blood pressure … 0947) The CNA reports back to RN#2 the following: "Your new patient’s blood sugar was 525, the blood pressure
-
www.talkingquality.ahrq.gov/research/findings/studies/index.html?page=480
January 01, 2024 - Autism
(31)
Back Health and Pain
(58)
Behavioral Health
(699)
Blood Clots
(62)
Blood Pressure … (132)
Blood Thinners
(79)
Brain Injury
(64)
Breast Feeding
(18)
Burnout
(63)
Cancer … and Wounds
(207)
Inpatient Care
(220)
Intensive Care Unit (ICU)
(264)
Kidney Disease and … Tools & Toolkits
(49)
Training
(143)
Transitions of Care
(192)
Transplantation
(141)
Trauma … Keywords: Elderly, Medication, Medication: Safety, Nursing Homes, Long-Term Care, Injuries and Wounds
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol-appendixa.pdf
October 11, 2017 - or NPPV or "Positive Airway Pressure*" or "positive end-
expiratory pressure*").ti.
25411
3 1 or … 5811
14 *Obesity/ 256788
15 *Respiratory Insufficiency/ 25610
16 *Scoliosis/ 20526
17 *Spinal Cord Injuries … ventilation" or "non-invasive positive pressure ventilation" or NPPV or "Positive Airway
Pressure*" … ventilation" or "non-invasive positive pressure ventilation" or NPPV or "Positive Airway
Pressure*" … ventilation" or "non-invasive positive pressure
ventilation" or NPPV or "Positive Airway Pressure*"
-
www.talkingquality.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
March 01, 2017 - Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … detailed information on best practices for selected indicators
Introduction PDF [248.26 KB] PSI03 Pressure … Pulmonary Embolism or DVT PDF [136.84 KB] PSI13 Postoperative Sepsis PDF [78.65 KB] PSI14 Postoperative Wound … Dehiscence PDF [137.17 KB] PSI15 Accidental Puncture or Laceration PDF [115.46 KB] PSI18-19 Obstetric Trauma … Respiratory Failure PDF [270.5 KB] PDI10 Postoperative Sepsis PDF [286.81 KB] PDI11 Postoperative Wound