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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
July 01, 2004 - This urgency is, in part, precipitated
by the confluence of market pressures to demonstrate value in … DVT/PE*
Hospital acquired UTI**
Ventilator associated
pneumonia**
Adverse drug events **
Pressure … care postoperative stays has shifted the diagnostic location for a large percentage
of postoperative wound … reliable proxies for this event in the administrative claims, our ability to
identify postoperative wound … A study of
medical injury and medical malpractice: an overview.
-
ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/866.html
May 01, 2023 - disorders, bipolar and related disorders, suicidal ideation or attempt or intentional self-harm, and trauma … include:
Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure … injuries.
-
ce.effectivehealthcare.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/coaching.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/patient-safety/settings/hospital/resource/nicu/packet/apa2.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=0
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
(63)
Cancer … (253)
Imaging
(245)
Implementation
(191)
Infectious Diseases
(260)
Influenza
(41)
Injuries … and Wounds
(207)
Inpatient Care
(220)
Intensive Care Unit (ICU)
(264)
Kidney Disease and … Tools & Toolkits
(49)
Training
(143)
Transitions of Care
(192)
Transplantation
(141)
Trauma
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
March 01, 2004 - In this research, we examined State legislative responses to pressure from
constituents and policymakers … or disability or the immediate danger of serious
injury or disability”); and Class C (an adverse event … Nevada defines a sentinel event as “an unexpected occurrence” involving death or
serious injury or the … According to JCAHO,
the classification of an AE that was avoided or did not result in injury is drawn … In recent years, State legislatures have deflected pressure to regulate health
care away from the Federal
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/guide.html
October 01, 2017 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Critical Thinking for Fall Injury Prevention —AHRQ Fall Prevention Program Implementation Sharing Webinar
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
November 15, 2019 - · “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
-
ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - Evidence
(Not reviewed)
(Not reviewed)
Interventions To Prevent Contrast-Induced Acute Kidney Injury … Summary of Evidence
Update
(all patients)
(Not reviewed)
Preventing Patient Death or Serious Injury … Institutionalized Older People
Summary of Evidence
Update
(all patients)
(Not reviewed)
Prevention of Pressure
-
ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/861.html
April 01, 2023 - The COVID-19 pandemic has intensified these pressures. … J Trauma Acute Care Surg 2023 Apr;94(5):592-8. Epub 2023 Nov 18. … Renal outcomes following intravenous contrast administration in patients with acute kidney injury: a
-
ce.effectivehealthcare.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - The Preventing Pressure Ulcers in Hospitals Toolkit assists hospital staff in implementing effective … pressure ulcer prevention practices through an interdisciplinary approach to care. … The toolkit draws on literature on best practices in pressure ulcer prevention and includes both validated … patients can suffer adverse outcomes and even fatal complications, and clinicians can be exposed to injury
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-transcript.doc
April 08, 2014 - The fourth indication is the healing of open wounds that are close to the groin area. … , such as a motor vehicle accident where they have an injury to the spinal cord. … Assisting healing with a perineal or sacral wound in certain patients. … or multiple traumatic injuries, such as multiple fractures, and you worry that, again, movement will … Wound care nurses, we talked about, the pressure associated with the Foley catheter is helping.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
January 01, 2005 - 519, mandates
that all manufacturers of medical devices must report device-related deaths,
serious injuries … facilities” must report medical device
related deaths to FDA and to the manufacturer and report serious injuries … of medical devices so it
could become more proactive in addressing device issues before a death or injury … the various types and sizes of facilities that are obligated to make
reports of deaths and serious injuries … systems are really at the root of the problem, and c) clinicians
report they are just too busy with the pressures
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apviia.html
June 01, 2010 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries … of State Directors of Developmental Disabilities Services, the National Associations of State Brain Injury … agencies, units on aging, agencies serving individuals with physical disabilities, traumatic brain injury … Medicaid-eligible individuals who are frail and elderly, have intellectual and developmental disabilities, head injuries … future and the "Never Events," I did not see any use of the never events, including:
Stage 3 or 4 pressure
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.pdf
November 18, 2019 - • “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
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/ccqmpc/cati-script.pdf
July 01, 2016 - able to walk a flight of stairs without losing your breath, or target rates —for
example, a blood pressure … In the last 12 months, if you had an illness or injury, how often did your primary care
provider or … professionals in this office ask whether you had enough
services to help you take care of this illness or injury … NEEDED]
1 Never
2 Sometimes
3 Usually
4 Always, or
5 I did not have an illness or injury … High blood pressure or hypertension?
66e. Congestive heart failure?
66f.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_slides_fallprev.pptx
August 24, 2017 - Process
Change process strategies can be applied to other quality improvement efforts:
Hospital-acquired pressure … injuries
Catheter-associated urinary tract infections
Deep vein thrombosis or pulmonary embolism following
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
June 09, 2016 - · “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
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm7.html
October 01, 2014 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries … self-reporting is an invalid and unreliable way to collect data on clinical indicator values, such as blood pressure … Blood pressure test at every continuing care visit. … A State interested in tracking pressure ulcers in its Supplemental Security Income (SSI) population, … contains hybrid specifications for measures such as cholesterol management, controlling high blood pressure
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
April 01, 2004 - Not
surprisingly, health care errors and consequent adverse events are a leading cause
of death and injury … Introduction
Health care errors and consequent adverse events are a leading cause of death
and injury … Evaluate each patient upon admission, and regularly thereafter, for his or her risk of
developing pressure … contrast media-induced renal
failure, and use a clinically appropriate method for reducing risk of renal injury … Use of specialized hospital flooring to reduce injury from patient falls.
3.