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Showing results for "pressure injuries".
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  1. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)

    www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
    October 27, 2014 - MPSMS (2013) In-Hospital Patient Falls 240,000 7.2 Obstetric Adverse Events PSI (2012) OB Trauma … Fall and injury prevention (Chapter 10). In: Hughes RG, ed. … Preventing falls and eliminating injury at Ascension Health. … The road to zero preventable birth injuries. … Eliminating birth trauma at Ascencion Health.

  2. Spotlight

    psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
    January 01, 2024 - wound care and intravenous antibiotics. … Despite animal studies suggesting sealant alone can withstand high hydrostatic pressures,52–54 some remain … Suture Choice in Lumbar Dural Closure Contributes to Variation in Leak Pressures: Experimental Model. … Quantification of leakage pressures after durotomy repairs in the canine. … Occult spinal pseudomeningocele following a trivial injury successfully treated with a lumboperitoneal

  3. WebM&M: Case Studies | PSNet

    psnet.ahrq.gov/webmm-case-studies
    March 25, 2025 - On arrival at the emergency department, she had severely elevated blood pressure and hypoxemia. … in a motorcycle crash, including head trauma, chest injuries, and spinal fractures. … A head CT scan was read as normal and he was diagnosed with a minor head injury and discharged without … The commentary highlights the importance of evaluating patient risk of wound infection and poor wound … healing, the role of imaging modalities to help identify foreign material in wounds, and diligent follow-up

  4. Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013. | PSNet

    psnet.ahrq.gov/issue/improvement-patient-safety-may-precede-policy-changes-trends-patient-safety-indicators-united
    November 01, 2017 - The authors discuss major CMS payment policy changes and their intersection with the PSI; except for pressure … injuries, the implementation of payment policy reforms did not precede the decline trends in PSI rates … August 10, 2022 Complexity bias in the prevention of iatrogenic injury: why specific … May 13, 2020 Assessment of nursing home reporting of major injury falls for quality measurement

  5. Resource List - AHRQ Nursing Home Survey (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
    April 01, 2023 - Falls Management Program http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries … Provider Fax Report and Orders http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries … professionals/onthejob/falls.asp http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries … /fallspx/index.html http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries/fallspx … /fallspx/fallspxmanapb10pcp.html http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries

  6. Too Many Cooks Spotlight Pdf (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
    January 01, 2020 - in one hour (versus six hours in this case) • Prolonged operative time is a surrogate for tissue injury … Deviation in the face of production pressure is a recipe for disaster. … Injury. 2018;49(1):130‐134. doi:10.1016/j.injury.2017.09.002 7. … Pressure Ulcer Prevention in the Hospital Setting Using Silicone Foam Dressings. … Injury. 2020;S0020-1383(20)30424-1. doi:10.1016/j.injury.2020.05.017 10.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60856/psn-pdf
    August 26, 2020 - His initial systolic blood pressure after transfer was 60 mmHg.  … One of the most insidious iatrogenic insults affecting older patients with serious injuries is the inability … Deviation in the face of production pressure is a recipe for disaster.  … Injury. 2018;49(1):130?134. doi:10.1016/j.injury.2017.09.002  7. … Injury. 2020;S0020-1383(20)30424- 1. doi:10.1016/j.injury.2020.05.017  10.

  8. Medication Safety Dashboard. | PSNet

    psnet.ahrq.gov/issue/medication-safety-dashboard
    April 15, 2020 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

  9. Sign up to Safety. | PSNet

    psnet.ahrq.gov/issue/sign-safety
    April 15, 2020 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

  10. Patient Safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-1
    April 15, 2020 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

  11. Early Mobility in the Intensive Care Unit: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-slides.html
    February 01, 2017 - Systolic blood pressure <90 mmHg (4). Oxygen saturation <80% (3). … Systolic blood pressure >200 mmHg (1). No extubations. … (i.e., 6 per 1,000 PT treatment): 80% of events were transient physiological (heart rate, blood pressure … Subjects: 2,176 trauma and burn ICU patients, Pre (n=1044) and post (n=1132) EM program. … Slide 23: 5-Year Sustainability of Time to PT Postacute Lung Injury Diagnosis 8 Post-QI → earlier

  12. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
    October 01, 2014 - Remember, pressure ulcers are areas of soft tissue damage caused by pressure or pressure and shear. … If unsure whether it is a pressure ulcer, get help from the wound care nurse or another experienced clinician … Typically, this comprehensive evaluation is performed by an "outside" expert such as a wound nurse or … Therefore, consider performing a comprehensive skin assessment every 3 months with a wound care nurse … Pressure ulcers may take several days to develop after a severe pressure injury.

  13. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
    October 01, 2014 - Remember, pressure ulcers are areas of soft tissue damage caused by pressure or pressure and shear. … If unsure whether it is a pressure ulcer, get help from the wound care nurse or another experienced clinician … Typically, this comprehensive evaluation is performed by an "outside" expert such as a wound nurse or … Therefore, consider performing a comprehensive skin assessment every 3 months with a wound care nurse … Pressure ulcers may take several days to develop after a severe pressure injury.

  14. 4 Tk2 T1-Medical Care Referral Form (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form.pdf
    May 01, 2014 - Positive culture If yes, positive for:_______________________________ CURRENT VITAL SIGNS Blood pressure … New or increasing pus draining from wound Y N ? New breakdown Y N ? … New or expanding redness around wound Y N ? Pain / tenderness Y N ? Warmth Y N ? … Suspected minor injury Yes No ? Suspected serious injury Yes No ?

  15. Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-fullreport.pdf
    December 17, 2019 - , seizure associated with trauma, loss of consciousness associated with trauma, repeated vomiting, documented … These risks include dental trauma; airway edema (swelling of the windpipe); vocal cord spasm or injury … Was there documentation of increased intracranial pressure? … The sensitivity of claims for identification of indicators of increased intracranial pressure was 8.1 … in a non-trauma center.

  16. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis | PSNet

    psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
    March 09, 2022 - wound care and intravenous antibiotics. … Despite animal studies suggesting sealant alone can withstand high hydrostatic pressures, 52–54 some … Suture Choice in Lumbar Dural Closure Contributes to Variation in Leak Pressures: Experimental Model. … Quantification of leakage pressures after durotomy repairs in the canine. … January 23, 2019 Classifying errors in preventable and potentially preventable trauma

  17. Statistical Brief #64: Hospitalizations Related to Pressure Ulcers among Adults 18 Years and Older, 2006 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb64.pdf
    December 01, 2008 - In contrast, 56.5 percent of adult patients with a principal diagnosis of pressures ulcers were 65 … Paralysis and spinal cord injury were common co- existing conditions among younger adults hospitalized … In-hospital death occurred in 11.6 percent of stays with pressures ulcers noted as a secondary diagnosis … Patients 65 and older accounted for 56.5 percent of adult patients with a principal diagnosis of pressures … Paralysis and spinal cord injury were prominent among younger patients, while fluid and electrolyte

  18. A systemwide strategy to embed equity into patient safety event analysis. | PSNet

    psnet.ahrq.gov/issue/systemwide-strategy-embed-equity-patient-safety-event-analysis
    November 16, 2022 - Summary February 26, 2025 Identifying resilience: a system safety review of trauma … Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

  19. Cost–benefit analysis of a support program for nursing staff. | PSNet

    psnet.ahrq.gov/issue/cost-benefit-analysis-support-program-nursing-staff
    October 26, 2016 - September 8, 2021 A randomized trial of a multifactorial strategy to prevent serious fall injuries … Are evidence-based practices associated with effective prevention of hospital-acquired pressure … September 28, 2016 Do nurse and patient injuries share common antecedents?

  20. Evaluation of AHRQ's On-time Pressure Ulcer Program - 2011 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2011
    January 01, 2011 - Evaluation of AHRQ's On-time Pressure Ulcer Program - 2011 Project Name Evaluation … of AHRQ's On-time Pressure Ulcer Program Principal Investigator Hurd, Donna Organization … Project Period June 2009 - January 2012 AHRQ Funding Amount $1,699,797 Summary: Pressure … Although substantial research has documented that preventing pressure ulcers and falls is possible, these … Information on pressure ulcer incidence provided by the facilities for a 12-month period and adjusted
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