-
cahps.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
-
cahps.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.
-
cahps.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
September 01, 2013 - Wound Care
1. For what types of wounds is chlorhexidine (CHG) application safe? … to avoid causing additional soft tissue
damage or extension of the wound due to pressure against the … #2: Nasal Trauma
Do NOT use mupirocin if nostril(s) are packed. … CHG will not harm occlusive dressing (e.g., wound vacs).
Do NOT use on large or deep wounds … CHG can cause
permanent injury if it comes in direct contact with nerves and is allowed to remain there
-
cahps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - per 1,000 instrument-assisted deliveries
• Birth trauma - injury to neonate per 1,000 selected live … 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … Adverse Drug Events
• An adverse drug event (ADE) is an injury—including physical harm, mental harm, … The home health team should regularly change wound dressing and teach the patient about
wound care.
-
cahps.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
-
cahps.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
-
cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/lepguide/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.
-
cahps.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
-
cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
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
-
cahps.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
-
cahps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
December 01, 2023 - state-specific data on preventive health
practices and risk behaviors that are linked to chronic diseases, injuries … from each family in the house and collects data on
topics including health status and limitations, injuries … patient’s age, gender, race,
and ethnicity; patient’s expressed reason for visit; intentionality of injury … include mode of arrival, waiting time,
duration of time in the ED, initial vital signs, and cause of injury … ulcer adverse events Pressure Ulcer
Venous thromboembolism/pulmonary embolism
(VTE/PE) not related
-
cahps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
December 01, 2022 - 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 … patient’s age, gender, race,
and ethnicity; patient’s expressed reason for visit; intentionality of injury … ulcer adverse events Pressure Ulcer
Venous thromboembolism/pulmonary embolism (VTE/PE)
not related
-
cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - Root cause analyses of adverse
events and near-misses (events that did not produce
patient injury) … The AHRQ Patient Safety Indicator
18 (Obstetric Trauma–Vaginal Delivery with Instrument)
decreased … in-house
neonatal death, uterine rupture during labor, unplanned maternal admission
to ICU, birth trauma … processes at the
point of care to include specific maternal parameters,
including blood loss, blood pressure … They established a standard process
for blood pressure measurement upon admission and
during labor
-
cahps.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
January 01, 2024 - to using the ASIPS reporting system
included time, understanding what to report, and the constant pressures … Participants were recruited from a statewide post-
injury program run by an ASIPS collaborator (COPIC … Two types of trauma (physical and emotional) were expected and found. … collaboratively helped both patients and providers with patients’ emotional, physical,
and financial trauma
-
cahps.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script.html
September 01, 2020 - The final challenge is the time pressure we all face. … Some goals may be long-term, such as reducing the risk of future injury or illness, or living as long … Mom: I don't think I could forgive myself if he wound up dying of meningitis because we didn't finish … Non-invasive routine care, such as taking blood pressure, is usually covered by the blanket consent form
-
cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/audio-script-healthcare-professionals-training.pdf
January 18, 2017 - The final challenge is the time pressure we all face. … Some goals may be long-term, such as reducing the risk of future injury or
illness, or living as long … Mom: I don’t think I could forgive myself if he wound up dying of meningitis because we didn’t
finish … Non-invasive routine care, such as taking blood pressure, is usually covered by the blanket
consent
-
cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
July 01, 2018 - “Patient safety” is defined as the avoidance and prevention of patient injuries
or adverse events … Whenever pressure builds up, my supervisor/manager wants us to
work faster, even if it means taking shortcuts … Whenever pressure builds up, my supervisor/manager wants us to work faster, even if it
means taking