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ce.effectivehealthcare.ahrq.gov/research/findings/studies/index.html?page=481
January 01, 2024 - Autism
(31)
Back Health and Pain
(58)
Behavioral Health
(699)
Blood Clots
(62)
Blood Pressure … (132)
Blood Thinners
(79)
Brain Injury
(64)
Breast Feeding
(18)
Burnout
(64)
Cancer … and Wounds
(207)
Inpatient Care
(221)
Intensive Care Unit (ICU)
(267)
Kidney Disease and … Tools & Toolkits
(49)
Training
(143)
Transitions of Care
(192)
Transplantation
(141)
Trauma … Keywords: Elderly, Medication, Medication: Safety, Nursing Homes, Long-Term Care, Injuries and Wounds
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/staff-roles.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
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/medication-risk-score.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
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/quality-improvement.html
January 01, 2016 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2ref.html
March 01, 2013 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/appendix-d.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
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html
December 01, 2017 - Patient Safety
Patient Safety Resources by Setting
Long Term Care
Resources
Injuries … Postural blood pressure and apical heart rate.
Finger stick glucose (for diabetics). … The presence or absence of a resultant injury is not a factor in the definition of a fall. … A fall without injury is still a fall. … https://www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201702.html
March 01, 2017 - Injuries from falls and immobility.
Obstetrical adverse events.
Pressure ulcers. … Improvements in 2014 resulted in an estimated 45 percent reduction in pressure ulcers, 24 percent reduction
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-6a.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
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.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
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-12.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
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ce.effectivehealthcare.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
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/appb.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 … prophylaxis with sequential compression device OR
|___| Contraindicated (peripheral vascular disease or wounds … prophylaxis with sequential compression device OR
Contraindicated (peripheral vascular disease or wounds … Multiple Trauma.
Surgical Patients
LMWH or UFH.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol-appendixa.pdf
October 11, 2017 - or NPPV or "Positive Airway Pressure*" or "positive end-
expiratory pressure*").ti.
25411
3 1 or … 5811
14 *Obesity/ 256788
15 *Respiratory Insufficiency/ 25610
16 *Scoliosis/ 20526
17 *Spinal Cord Injuries … ventilation" or "non-invasive positive pressure ventilation" or NPPV or "Positive Airway
Pressure*" … ventilation" or "non-invasive positive pressure ventilation" or NPPV or "Positive Airway
Pressure*" … ventilation" or "non-invasive positive pressure
ventilation" or NPPV or "Positive Airway Pressure*"
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
July 01, 2023 - interruption to a doctor who is with a patient's family members.
2
Maternal and Perinatal Deaths and Injuries … communication breakdowns are identified as the primary root cause of maternal and perinatal deaths and injuries … Other root causes for maternal and perinatal deaths and injuries are—
Assessment (i.e., the adequacy, … Smith so you can treat her severe blood pressure and draw labs. … Smith, you do not have severe-range blood pressure at this time.
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ce.effectivehealthcare.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
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
October 01, 2015 - Assistance with healing of perineal and sacral wounds in incontinent patients. … Required immobilization for trauma or surgery. … Examples include an unstable thoracic or lumbar spine, multiple traumatic injuries such as pelvic fractures … associated with many infectious and noninfectious complications including immobility (with potential pressure … The decision to intubate and mechanically ventilate the patient is made if noninvasive positive pressure
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ce.effectivehealthcare.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.
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ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-catchpole.html
December 01, 2022 - From scrub techs failing to perform point-of-use reprocessing due to time pressures to limited space … and low lighting that resulted in fatigue and injuries, Dr. … Medication Delivery , focuses on reducing the 200,000 to 20 million anesthesia-related medication injuries … approaches, and perspectives across simulated and real environments to address these types of medication injuries
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ce.effectivehealthcare.ahrq.gov/news/newsroom/ahrq-stats.html
November 01, 2023 - , by Cause of Injury, 2017 .) … Trauma During Childbirth
The rate of obstetric trauma during childbirth involving instruments such as … Decreasing Pressure Ulcers Among Hospital Patients
The average rate of hospital-associated pressure … Pressure Ulcer Rates of Hospital Patients
About 1.2 million cases of hospital-acquired pressure ulcers … highest average expenses per person were for the treatment of heart conditions ($3,794 per person), trauma-related