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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/chapter-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
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/chapter-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
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.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 … An adverse event is "any injury caused by medical care" and doesn't imply "error," "negligence," or poor
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-slides.pptx
June 01, 2021 - Case 1: Diagnostic Evaluation
Temp 99.2° Fahrenheit
Heart rate 98 beats per minute
Blood pressure … antibiotic therapy
Clinical instability
Unable to maintain oxygen saturation
Hypotension (systolic blood pressure … Pneumonia Versus Pneumonitis8
21
Aspiration Pneumonitis Aspiration Pneumonia
Pathophysiology Acute lung injury
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
November 30, 2013 - • Current clinical conditions contributing to transfer risk: use of oxygen, catheter or
ostomy, any pressure … and skin, injury (fall
related or not fall related), musculoskeletal, abnormal labs or anemia, fever … or skin issues
• Fall-related injury
• Non-fall-related injury
• Abnormal labs
• Fever/possible infection … disease
• Asthma
• Circulatory problems
• Hypertension
• Gastroenteritis
• Angina pectoris
• Falls/trauma … obstructive
pulmonary disease, asthma, circulatory problems, hypertension, gastroenteritis, angina,
falls/trauma
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-fullreport.pdf
February 01, 2020 - percentile
(2) documentation of diastolic blood pressure percentile, (3) classification of blood pressure … Markers of vascular injury can be detected in very young children, demonstrating that the path to
cardiovascular … , systolic
blood pressure value, diastolic blood pressure value, and both height and weight (necessary … blood pressure, diastolic blood pressure, height, and weight)
was 100 percent, with a Kappa statistic … Systolic or diastolic blood pressure values.
30
7.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3.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/resource/nicu/packet/apd.html
December 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/research/findings/studies/index.html?page=475
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 … (255)
Imaging
(245)
Implementation
(191)
Infectious Diseases
(260)
Influenza
(41)
Injuries … 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
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/guide/web1.html
December 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/hospital/red/toolkit/redtool-other.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/red/toolkit/ptoutcome-mail.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/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
November 01, 2019 - associated with biliary duct obstruction from a gallstone
Temperature of 101° F, pulse of 100, and blood pressure … Acute kidney injury and unnecessary lab tests and imaging could have been avoided 3
Piperacillin/tazobactam … Care
Learning From Antibiotic-Associated Adverse Events
Adverse event: Patient develops acute kidney injury
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
September 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 … For example, wound care nurses
and physical therapists would discourage UC use to reduce the risk for … Many clinical sites (sputum, urine, wounds, or ulcers) are not sterile.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
September 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 … For example, wound care nurses
and physical therapists would discourage UC use to reduce the risk for … Many clinical sites (sputum, urine, wounds, or ulcers) are not sterile.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
January 01, 2004 - mandatory error reporting programs gather data
on errors associated with fatal outcomes or serious injuries … of administration
were trapped prior to completion.10
The population above age 65 sustained more injuries … The most significant potential for injury occurred in the
transition of a patient across and between … Inaccurate or
incomplete data about medication regimens, when undetected, caused patient
injuries. … Time pressures—due to limited CT scanner availability; the critical
nature of the patient’s condition
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-fullreport.pdf
April 01, 2019 - These
complications include compromised airway, hypoxia leading to central nervous system injury,
and … • Signs or symptoms of increased intracranial pressure. … • Trauma.
o Suspected child abuse.
o Concussion. … These risks include dental trauma;
airway edema (swelling of the windpipe); vocal cord spasm or injury … ; regurgitation of stomach
contents with subsequent aspiration (inhalation) pneumonia; injury to arteries
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.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 … For additional support in the planning process, Medically Induced Trauma Support Services (MITSS) resources
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
April 23, 2008 - Patient Falls Project aimed to reduce the incidence of patient falls and the severity of fall-related
injury … Throughout this phase, coaches sought to understand site priorities (goals/
strategic plans) and pressures … • Implement individualized interventions to prevent falls/reduce injury. … improvements
Monitor organizational change over
time; analyze falls risk assessment,
incidence, and injury … Changes may be explained by the “pressure” of the intervention (continuous reminders; ongoing
scheduled
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/hycr-tools-resources-guide.pdf
April 28, 2023 - (aerobic and strength) and that all accidental injuries
would be virtually assessed by the physiologist … Alert staff if you have any:
Chest pain, pressure, aching, or indigestion. … (aerobic and strength) and that all
accidental injuries would be virtually assessed by
the physiologist … Try to place the majority of the pressure on your foot, on your big toe.
2. … Assess the patient, instruct patient to check blood pressure and heartrate on home blood
pressure device