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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
December 01, 2013 - Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … BPD, even in the absence of overt brain injury, is a risk factor for neurodevelopmental delay. … Vent frequently to prevent gas pressure from compromising the seal. … Cuffed: Indicated to prevent chronic aspiration, or when ventilating with high pressures. … Set suction pressure between 80-100 mmHg.
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ce.effectivehealthcare.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
December 01, 2013 - Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … BPD, even in the absence of overt brain injury, is a risk factor for neurodevelopmental delay. … Vent frequently to prevent gas pressure from compromising the seal. … Cuffed: Indicated to prevent chronic aspiration, or when ventilating with high pressures. … Set suction pressure between 80-100 mmHg.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.html
September 01, 2017 - Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Post-Fall Huddles: Reducing Preventable Falls and Fall-Related Injuries —AHRQ Fall Prevention Program … The patient should be carefully and systematically assessed for injuries. … The post-fall clinical review focuses on immediate risk of injury or complications. … RCA is often used for a fall with injury.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - Video: Do Less Harm
2
Presentation Goals
Highlight the gap between optimal response to medical injury … Resolution) process and how this toolkit will help organizations improve their response to medical injury … The nursing staff in the room had Michelle connected to a monitor and monitored her heart rate, blood pressure … field of ergonomics; as we work more at desks and computers, these areas are redesigned to help prevent injuries … helps them care for their patients.
36
Module 1
In addition to the organization Medically Induced Trauma
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pdf
January 01, 2020 - , and
■ Birth trauma not elsewhere classified.24
Many of these injuries to neonates may be preventable … .25
Birth trauma—injury to neonate per 1,000 live births, 2004-2013
0.0
0.5
1.0
1.5
2.0
2.5 … Birth trauma—injury to neonate per 1,000 live births, 2004-2013
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5 … Trends:
■ Birth trauma-neonatal injury rates fell from 2.6 per 1,000 live births in 2004 to … Birth Trauma Rate—Injury to Neonate: Technical Specifications.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/chapter-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
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mccchartbook.pdf
April 01, 2014 - -4 NO YES
861 HEART & LUNG INJURY -5 NO -4 NO
863 GI TRACT INJURY -4 NO -3 NO
864 LIVER INJURY - … 3 NO -3 NO
869 INTERNAL INJURY NOS -3 NO -3 NO
871 EYEBALL OPEN WOUND -3 NO -4 NO
872 OPEN WOUND OF … OPEN WOUND OF LOWER ARM -5 NO -5 NO
882 OPEN WOUND OF HAND -5 NO -5 NO
883 OPEN WOUND OF FINGER -5 … 893 OPEN WOUND OF TOE -5 NO -5 NO
904 BLOOD VESSEL INJURY NEC -5 NO -4 NO
908 LATE EFF INJURY NEC … TO NERVE NEC/NOS -4 NO -4 NO
958 EARLY COMPLIC OF TRAUMA -4 NO -3 NO
959 INJURY NEC/NOS -4 NO -3 NO
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/appendix-b.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
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/delirium-evaluation.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/red/toolkit/postdischarge-doc.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/candor/modules/worksheet2.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
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apa.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
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.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/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives-notes.docx
April 01, 2022 - They are as follows:
· Stage III or stage IV or unstageable pressure ulcers
· Moderate to severe incontinence-associated … Intermittent catheterization is often used in patients with neurogenic bladder or spinal cord injury, … urinary retention with or without bladder outlet obstruction
· Stage III or stage IV or unstageable pressure … ulcer, or similarly severe wounds of other types, that cannot be kept clear of urinary incontinence … despite wound care and other urinary management strategies, if the ISC is adequate to manage the type
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ce.effectivehealthcare.ahrq.gov/topics/outcomes.html
Hospital Reduces Emergency Wait Time, Adverse Events Using AHRQ Tools
Connecticut Hospital Reduces Pressure … Injuries Using AHRQ Toolkit
Georgetown University Family Nurse Practitioner Program Trains Hundreds
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/52-regional-analgesia-arthroplasty-facilitator.docx
June 01, 2023 - Neuraxial blocks can lead to decreased blood pressure and profound motor nerve block, which may not be … of regional analgesia in the setting of anticoagulation to avoid the potential risk of neurological injury
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Furmaga.pdf
January 01, 2005 - initiated efforts to decrease the common but unapproved use of that agent for
treating high blood pressure … Further concern was raised regarding the use of short-acting nifedipine for rapid
reduction of blood pressure … nifedipine that, while
allowing for some uses (e.g., autonomic dysreflexia secondary to spinal cord
injury … were continued (158 [9.5 percent] for treatment of autonomic dysreflexia in
patients with spinal cord injury … acting nifedipine for hypertension, 84 (15 percent) for autonomic dysreflexia
secondary to spinal cord injury
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/bibliography.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
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/interdisciplinary-team.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
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/CombatCare.pdf
March 18, 2014 - The right leg is continuing to bleed and now has pressure dressings
applied. … They seem overwhelmed by the extent of the patient’s injuries. … Seeing the blood pressure, the nurse asks, “Do you want a code cart in here?” … has an actively
hemorrhaging 6-inch laceration on his right lower leg but no other obvious signs of injury … While the physician
is reviewing wound care instructions with the mother, the child complains of nausea