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141. AHRQ Views Blog: We Must Not Underestimate the Impacts of Gun Violence on Healthcare Workers | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/842.html
     December 01, 2022 - Older Opioid Patients Experience More Adverse Events After Injury . … tragedies; too often we may assume healthcare workers are hardened to such events, given the daily trauma … It has included application of the Collaboration-Oriented Approach for Controlling High Blood Pressure … patients with new opioid prescriptions who experience an injury—such as a fall or traumatic brain injury—have … The findings indicated that identifying injuries that emerge after opioid initiation may assist in the

142. 7. Tools and Resources | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
     October 01, 2014 - Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … 2G: Pieper Pressure Ulcer Knowledge Test 2H: Pressure Ulcer Baseline Assessment 2I: Action Plan 3A: … Pressure Ulcer Identification Notepad 3D: The Braden Scale for Predicting Pressure Sore Risk 3E: Norton … area >Area of expertise Senior manager     Quality improvement/Safety/risk manager     Wound … staff     Wound nurse     Wound physician     Staff nurse     Nursing assistants

143. Table 6: Categories of Medication Error Classification | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/table-6.html
     August 01, 2012 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … for patient instead of extended-release E Error that could have caused temporary harm Blood pressure

144. Preventing Falls in Hospitals (Slide Presentation) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinar/slides.html
     June 01, 2018 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … Healthcare Research & Quality Toolkit: https://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries … Slide 28 Challenge Unable to sustain falls prevention Graph with on falls and falls with injury … Falls and falls with injury decreased from 2008 to 2009 but increased in 2010 and 2011.

145. Figure 4: Medication Reconciliation Upon Discharge: High Level Process Map After Redesign | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/figure-4.html
     July 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

146. Figure 6: Screenshot 2: Nursing—Medication Reconciliation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/figure-6.html
     July 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

147. Figure 5: Screenshot 1: Medication Management Essentials | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/figure-5.html
     July 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

148. Figure 1: Medication Reconciliation Upon Admission: High Level Process Map Before Redesign | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/figure-1.html
     July 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

149. Figure 3: Medication Reconciliation Upon Admission: High Level Process Map After Redesign | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/figure-3.html
     July 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

150. Figure 2: Medication Reconciliation Upon Discharge High Level Process Map Before Redesign | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/figure-2.html
     July 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

151. Table 5: Identifying Challenges and Addressing Barriers | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/table-5.html
     July 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

152. Figure 7: Screenshot 3: Pharmacy—Medication Reconciliation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/figure-7.html
     July 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

153. 1. Are you ready for this change? | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/ready-change.html
     January 01, 2013 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … , b varying from bruises to severe wounds or bone fractures. … Preventing falls and fall-related injuries in hospitals. … The cost of serious fall-related injuries at three Midwestern hospitals.

154. Chartbook on Patient Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
     January 01, 2020 - pertaining to nine patient safety event types that represent the majority of reported preventable injuries … captures the specific type of physical injury sustained in the fall as TYPE OF INJURY AS RESULT OF … that they represent minor injuries such as soreness, bumps, and minor abrasions. … and the type of the injury. … unstageable A lesion that, on admission, was a suspected Deep Tissue Injury A pressure ulcer at stage

155. Event Investigation and Analysis Guide: Appendix B | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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

156. Overview | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/intro.html
     October 01, 2014 - Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … people in the United States develop pressure ulcers. … The Challenges of Pressure Ulcer Prevention Pressure ulcer prevention requires an interdisciplinary … How do we measure our pressure ulcer rates and practices? … 4.2 What pressure ulcer practices go beyond the unit?    

157. Tool 3 Continued | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/red/toolkit/ahcp-sample.html
     October 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

158. QDR 2014: Chartbook for Hispanic Health Care, Part 2 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pdf
     July 01, 2015 - - injury to newborn per 1,000 live births Better No Change Obstetric trauma per 1,000 vaginal deliveries …  Trends: ■ Birth trauma-neonatal injury rates fell from 2.6 per 1,000 live births in 2004 to 1.9 … ■ Between 2004 and 2012, birth trauma-neonatal injury rates fell for all racial/ethnic groups. … Birth trauma—injury to neonate per 1,000 live births, by race/ethnicity, 2004-2012 Key: API = Asian … 2011 2012 R at e p e r 1 ,0 0 0 L iv e B ir th s Total White Black API Hispanic Birth trauma—injury

159. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
     November 01, 2017 - Pressure Ulcers A new pressure ulcer developed during a stay, or Stage 1 or 2 pressure ulcer(s) present … , Closed"[Mesh] OR "Craniocerebral Trauma"[Mesh] OR "Cerebrovascular Trauma"[Mesh] OR "Cerebrovascular … Tissue Injury” [tiab] OR “Pressure Ulcer” [MeSH] OR “Pressure Ulcer” [tiab] OR “osteomyelitis” [MeSH … Ostomy/wound Mgmt. 2016 Nov;62(11):30. d Weiser TG, Semel ME, Simon AE, et al. … Ostomy Wound Manage. 2016 Nov;62(11):30-8. 65 Mendizabal A, Thibault DP, Willis AW.

160. Get Ready | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/get-ready.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 … learn more about measurement, see the supplementary training webinar Measuring Fall and Fall-Related Injury