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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-decline.pdf
June 02, 2025 - Conditions
National efforts to reduce hospital-acquired conditions such
as adverse drug events and injuries … Infections
+CLABSI - Central Line-Associated Bloodstream Infection
Falls
Obstetric
Adverse
Events
Pressure
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt6.html
December 01, 2017 - ( ) Postural hypotension
≥20 mm Hg drop in systolic pressure with position change
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psnet.ahrq.gov/issue/impact-dedicated-medication-nurses-medication-administration-error-rate-randomized-controlled
September 24, 2010 - July 17, 2024
Early identification and evaluation of severe pressure injuries. … March 19, 2019
Detection of missed injuries in a pediatric trauma center with the addition
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psnet.ahrq.gov/issue/effect-providing-staff-training-and-enhanced-support-care-homes-care-processes-safety-climate
September 15, 2021 - Hospital admissions and preventable adverse events, such as falls and pressure ulcers, are common in … After 24 months, the safety climate had improved, and both falls and pressure ulcers were reduced. … Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries. … See More About The Topic
Long-Term Care
Quality and Safety Professionals
Geriatrics
Pressure
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-litreview.docx
January 01, 2017 - trial with 20 patients without lung disease, requiring mechanical ventilation admitted to either a trauma … regression analysis adjusted for baseline characteristics and underlying ARDS risk factors (sepsis, trauma … concentrations of TNF-alpha and of slCAM-1; Reductions of Vt, with subsequently decreased peak airway pressures … The plateau airway pressures of group PV were lower than those groups of CV+PEEP (p=0.02) and CV+ZEEP … , such as multiple transfusions, trauma, sepsis, or high-risk surgery.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
3. … After surgery or injury, the favorite may not be possible. … Pressure ulcer prevention and treatment following spinal cord injury: a clinical practice guideline for … National Pressure Ulcer Advisory Panel (NPUAP) and European Pressure Ulcer Advisory Panel (EPUAP). … Wound, Ostomy and Continence Nurses Society.
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
3. … After surgery or injury, the favorite may not be possible. … Pressure ulcer prevention and treatment following spinal cord injury: a clinical practice guideline for … National Pressure Ulcer Advisory Panel (NPUAP) and European Pressure Ulcer Advisory Panel (EPUAP). … Wound, Ostomy and Continence Nurses Society.
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psnet.ahrq.gov/node/866693/psn-pdf
September 11, 2024 - Common incidents included pressure injuries, medication errors, and premature
discharge.
-
psnet.ahrq.gov/node/866344/psn-pdf
January 01, 2025 - Rates of three
nurse sensitive indicators - falls, healthcare associated pressure injuries, and healthcare
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psnet.ahrq.gov/primer/never-events
June 15, 2024 - , while being cared for in a healthcare setting Care management events Patient death or serious injury … associated with a fall while being cared for in a healthcare setting Any stage 3, stage 4, and unstageable pressure … Because Never Events are devastating and preventable, health care organizations are under increasing pressure … Surgery
December 15, 2024
Identifying resilience: a system safety review of trauma … See More About The Topic
Sentinel Event
Never Events
Hospitals
Operating Room
Pressure
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2023-adverse-event-data-report.pdf
January 01, 2023 - For all 3 years, medication events,
pressure injuries/ulcers, and hospital-acquired infections (HAIs … Medication events, pressure injuries/ulcers, and hospital-acquired infections accounted for
approximately … The
proportion of pressure injuries/ulcers observed in 2021 (30.0%), 2022 (31.8%), and 2023 (34.2%) … were
both considerably higher than the prevalence of pressure injuries observed in the OIG report, but … the
OIG report only considered severe pressure injuries (Stage 3, Stage 4, and unstageable) and used
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psnet.ahrq.gov/node/837675/psn-pdf
July 13, 2022 - management combining the risks of multiple
conditions (catheter-associated urinary tract infections, pressure … injuries, and falls).
-
psnet.ahrq.gov/node/852449/psn-pdf
August 16, 2023 - include overcrowding and patients with complex care
needs, which may result in medication errors, pressure … injuries, or patient deterioration.
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www.ahrq.gov/hai/pfp/interimhac2013-ref.html
December 01, 2014 - Fall and injury prevention (Chapter 10). In: Hughes RG, ed. … Preventing falls and eliminating injury at Ascension Health. … Eliminating birth trauma at Ascencion Health. Jt Comm J Qual Patient Saf 2007;33:15-24. … Pressure Ulcers
Agency for Healthcare Research and Quality. … Eliminating facility-acquired pressure ulcers at Ascension Health .
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www.ahrq.gov/hai/pfp/hacrate2013-refs.html
October 01, 2015 - Injury From Falls
Barrett JA, Bradshaw M, Hutchinson K, et al. … Fall and injury prevention (Chapter 10). In: Hughes RG, ed. … Preventing falls and eliminating injury at Ascension Health. … Eliminating birth trauma at Ascencion Health. Jt Comm J Qual Patient Saf 2007;33:15-24. … Pressure Ulcers
Agency for Healthcare Research and Quality.
-
psnet.ahrq.gov/node/861288/psn-pdf
January 24, 2024 - care) adversely impacts patient safety, contributing to higher incidence of falls,
medication errors, pressure … injuries, and healthcare-associated infections.
-
psnet.ahrq.gov/issue/mr-safety-week
November 17, 2016 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries. … August 8, 2018
Preventing accidents and injuries in the MRI suite.
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psnet.ahrq.gov/issue/impact-use-employee-functional-flexibility-patient-safety
January 12, 2022 - examined the effect of unit-level nursing functional flexibility on the incidence of hospital-acquired pressure … Results indicate that higher use of functionally flexible nurses was associated with a higher number of pressure … Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure … injuries.
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hcup-us.ahrq.gov/db/tools/Dx_Pr_Grps_Formats.TXT
December 28, 2023 - , subsequent encounter'
'INJ064 ' = 'INJ064 : Other unspecified injuries, subsequent … 'MBD006 : Obsessive-compulsive and related disorders'
'MBD007 ' = 'MBD007 : Trauma … PNL007 : Hemolytic jaundice and perinatal jaundice'
'PNL008 ' = 'PNL008 : Birth trauma … : Anesthesia complications during pregnancy'
'PRG026 ' = 'PRG026 : OB-related trauma … ulcer of skin'
'SKN004 ' = 'SKN004 : Non-pressure ulcer of skin'
'SKN005
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
April 01, 2025 - Preventing Falls and Reducing Injury from Falls
https://rnao.ca/bpg/guidelines/prevention-falls-and-fall-injuries … Pressure Ulcer Reduction
1. … Pressure Injury Training Modules
https://npiap.com/page/TrainingModules
The NPIAP Pressure Injury … injuries.
3. … Ulcer Data Collection Tool Instructions
Preventing Falls and Reducing Injury from Falls
Quality Assurance