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81. Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Tables 1-9 (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-tables1-9.pdf
    October 16, 2019 - seizure 780.32 Post-traumatic seizure 780.33 Other convulsions 780.39 Table 3 [=IMG9]: Head Trauma … 852.x Other/unspecified intracranial hemorrhage following injury 853.x Intracranial injury of other … 61106 Twist drill hole for subdural or ventricular puncture; for implanting ventricular catheter or pressure … intracerebral 61156 Burr hole(s); for implanting ventricular catheter, reservoir, eeg electrode(s), pressure … excision of foreign body from brain 61570 Craniectomy or craniotomy; with treatment of penetrating wound

82. First-of-Its-Kind Study Examines Disparities in Healthcare Costs and Outcomes of Cigarette Smoking in the United States | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/893.html
    December 01, 2023 - The winners of the competition are: University of Missouri Health Care utilized AHRQ’s Preventing Pressure … Ulcers in Hospitals: A Toolkit for Improving Quality of Care to decrease reportable pressure injuries

83. FileNewTemplate
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module5.pptx
    January 01, 1995 - or unfolding error An opportunity to interrupt or correct an action or event before there is harm or injury … It allows for one to take steps to interrupt or correct an action or event before there is harm or injury … Are the blood pressure cuffs, otoscope, and ophthalmoscopes working properly? … Are things being left undone because of time pressure?

84. Event Investigation and Analysis Guide: Appendix A | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apa.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

85. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
    December 01, 2017 - Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … Pulmonary Embolism or Deep Vein Thrombosis Rate * PSI 13: Postoperative Sepsis * PSI 14: Postoperative Wound … PSI 15: Unrecognized Abdominopelvic Accidental Puncture or Laceration * PSI 18-­‐19: Obstetric Trauma … PDI 09: Postoperative Respiratory Failure PDI 10: Postoperative Sepsis PDI 11: Postoperative Wound … Pressure Ulcer Risk Assessment at Admission and Daily: Evaluate all patients for pressure ulcers and

86. Module 1: Preventing Falls in Hospitals (doc file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_fall-prevention.docx
    March 01, 2013 - In one study, a fall with serious injury added 6.3 days to the hospital stay. … The average operational cost for a fall with injury is about $14,000. … 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

87. Module 3: Best Practices in Fall Prevention—Training Guide | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.html
    September 01, 2017 - Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … Post-Fall Huddles: Reducing Preventable Falls and Fall-Related Injuries —AHRQ Fall Prevention Program … The patient should be carefully and systematically assessed for injuries. … The post-fall clinical review focuses on immediate risk of injury or complications. … RCA is often used for a fall with injury.

88. Module 7: Resolution | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.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 … Potential future injuries that may result from the adverse event.

89. Module 3: Best Practices in Fall Prevention—Slide Presentation | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/slides.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 … number of medications that could cause sedation, confusion, impaired balance, or orthostatic blood pressure … Carefully assess patients for any injuries in a systematic way.

90. Module 1: Preventing Falls in Hospitals—Slide Presentation | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.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 … Medicare won’t pay for increased costs due to injury from inpatient falls. … Falls harm patients. 30% to 51% of falls result in injury. Many falls are preventable.

91. Gap Analysis Facilitator's Guide: Appendix B | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/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

92. Event Investigation and Analysis Guide: Appendix D | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.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

93. New Interactive Data Map Shows Extent of Leading Mental Disorders in the United States | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/866.html
    May 01, 2023 - disorders, bipolar and related disorders, suicidal ideation or attempt or intentional self-harm, and trauma … include: Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure … injuries.

94. Acknowledgments | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/acknowledgements.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 … Sources include: George Mason University Harvard School of Public Health Medically Induced Trauma

95. Gap Analysis Facilitator's Guide: Appendix C | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/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

96. CHIPRA 194: Overuse of Imaging for the Evaluation of Children With Primary Headache Report (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-fullreport.pdf
    April 01, 2019 - These complications include compromised airway, hypoxia leading to central nervous system injury, and … • Signs or symptoms of increased intracranial pressure. … • Trauma. o Suspected child abuse. o Concussion. … 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

97. Communication Assessment Guide | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.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

98. New Toolkit Can Improve Post-Surgery Complications and Enhance Patient Recovery | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/870.html
    June 01, 2023 - for an estimated 4 million patients who might benefit from “ABCS” interventions ( a spirin, b lood pressure … Walsh has identified factors that contribute to medication errors and injuries in children with chronic … Trauma Case Rep . 2023 Apr;44:100800. Epub 2022 Feb 18.

99. How To Manage Change
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_slides_fallprev.pptx
    August 24, 2017 - Process Change process strategies can be applied to other quality improvement efforts: Hospital-acquired pressure … injuries Catheter-associated urinary tract infections Deep vein thrombosis or pulmonary embolism following

100. Hypertension Screening for Children Who Are Overweight or Obese: Report (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-fullreport.pdf
     February 01, 2020 - percentile (2) documentation of diastolic blood pressure percentile, (3) classification of blood pressure … Markers of vascular injury can be detected in very young children, demonstrating that the path to cardiovascular … , systolic blood pressure value, diastolic blood pressure value, and both height and weight (necessary … blood pressure, diastolic blood pressure, height, and weight) was 100 percent, with a Kappa statistic … Systolic or diastolic blood pressure values. 30 7.