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81. Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/studies/index.html?page=474
    January 01, 2024 - (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 … and Wounds, Ambulatory Care and Surgery, Surgery, Hospitalization, Patient Safety, Adverse Events

82. Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-fullreport.pdf
    December 17, 2019 - , seizure associated with trauma, loss of consciousness associated with trauma, repeated vomiting, documented … These risks include dental trauma; airway edema (swelling of the windpipe); vocal cord spasm or injury … Was there documentation of increased intracranial pressure? … The sensitivity of claims for identification of indicators of increased intracranial pressure was 8.1 … in a non-trauma center.

83. Tool 0A: Introduction and Overview for Stakeholders | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/introduction-overview.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 … Falls with serious injury occurring during acute care stays represent a significant threat to patient … of inpatient stays by 6.9 days and hospital charges by$13,806. xi In addition, falls with serious trauma … The cost of serious fall-related injuries at three Midwestern hospitals.

84. Presentation: Program Overview
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-slides.pptx
    January 01, 2017 - Patients Adverse Events4 9 patients had 14 adverse events (<1% of activities) Falls to knees without injury … (5) Systolic blood pressure <90 mmHg (4) Oxygen saturation <80% (3) Nasal feeding tube removal (1) … Systolic blood pressure >200 mmHg (1) No extubations No patients required added therapy or increased … sessions (i.e., 6 per 1,000 PT treatment) 80% of events were transient physiological (heart rate, blood pressure … Safety Program for Mechanically Ventilated Patients 5-Year Sustainability of Time to PT Postacute Lung Injury

85. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/index.html
    May 01, 2016 - Effectiveness Reviews Facilities Home and Community Resources Findings Report Injuries … Pressure ulcers remain a serious problem in nursing homes despite regulatory and market approaches to … Pressure ulcers cause pain, disfigurement, and increased infection risk and are associated with longer … Median annual nursing home pressure ulcer prevalence was 7.5 percent in 2009, with associated costs of … Materials Self-Assessment Worksheet for Pressure Ulcer Prevention .

86. Section 7. Tools and Resources (continued) | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7c.html
    October 01, 2014 - Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … Consult to wound team     b. Skin inspected daily     c. … Consult to wound team     c. Skin inspected daily     d. … Provider order for wound care on the chart within 24 hours of notification     j. … Wound care implemented as ordered     k.

87. Indwelling Urinary Catheter Indications
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications.pptx
    April 01, 2022 - Knight is a 25-year-old man who was admitted with acute urinary retention, due to spinal injury. … when no or little urine is seen in bladder Consider urology consultation for prostatitis and urethral trauma … Closed pressure ulcers: stage I, deep tissue injury No No, unless has chronic ISC needs Yes, if the patient … require an indwelling urinary catheter if the wound can be kept clean by other methods Use alternatives … J Wound Ostomy Continence Nurs. 2020;47(6):601-18. PMID: 33201147.

88. Module 5: How To Measure Fall Rates and Fall Prevention Practices—Training Guide | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.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 … injuries (no signs or symptoms) resulting from the fall. … treating with ice, cleaning the wound, limb elevation, topical medication, or a bruise or abrasion. … Interventions to prevent falls and fall injuries are tracked.

89. Overview | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/overview.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 … Fall and injury prevention. In: Patient safety and quality. an evidence-based handbook for nurses . … No.: CD005465. iv As of October 2012, CMS' list of codes for falls and trauma includes fractures, dislocations … , intracranial injuries, crushing injuries, burns, and other injuries (such as hypothermia).

90. Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/studies/index.html?page=483
    January 01, 2024 - (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: Healthcare Costs, Injuries and Wounds, Social Determinants of Health Mohanan M … Keywords: Healthcare Costs, Injuries and Wounds, Social Determinants of Health Boland MR ,

91. Tool 5A: Information To Include in Incident Reports | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/incident-reports.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 … Type of injury Be specific, e.g., "fractured tibia," not "broken leg." … If a fall from bed, whether bedrails were in use Help assess how bedrail use is affecting falls or injury

92. Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Aydin_2.pdf
    January 01, 2021 - Patient outcome variables Patient falls and injury falls • Patient falls/1,000 patient days. … • Injury falls/1,000 patient days. … • Percent of patients with suspected deep tissue injury. 3 Table 1. … • Percent of patients with hospital-acquired suspected deep tissue injury. … ulcers stages III and IV, as well as fall and injury fall incidence and rates.

93. C1 Prioritization Worksheet (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.pdf
    June 29, 2016 - purchasing • Sentinel event • Publicly reported • Public perception • Marketing • Competitive pressure … Rate on scale of 10 (agree/high) to 0 (disagree/low) PSI 14 Postoperative Wound … Dehiscence PSI 15 Accidental Puncture or Laceration PSI 17 Birth Trauma- Injury to Neonate PSI … 18 Obstetric Trauma- Vaginal Delivery With Instrument PSI 19 Obstetric Trauma- Vaginal Delivery … 09 Postoperative Respiratory Failure Rate PDI 10 Postoperative Sepsis Rate PDI 11 Postoperative Wound

94. Overview | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/overview.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 … Assessment Tools in Care Planning Post-Fall Huddles: Reducing Preventable Falls and Fall-Related Injuries … Organization Staff Roles and Training for Your Fall Prevention Program Critical Thinking for Fall Injury … Module 5 : How To Measure Fall Rates and Fall Prevention Practices Measuring Fall and Fall-Related Injury

95. Table 1: Critical Thinking Process to Identify and Clarify Discrepancies | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/table-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 … Pre-admission doses of patient's blood pressure medications were changed due to hypotensive episodes. … The patient takes her blood pressure medication twice daily at home but it's ordere only once daily in … No indication for frequency change and patient's current blood pressure slightly elevated.

96. Table 3: Critical Thinking Process to Identify and Clarify Discrepancies | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/table-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 … Pre-admission doses of patient's blood pressure medications were changed due to hypotensive episodes. … The patient takes her blood pressure medication twice daily at home but it's ordered only once daily … No indication for frequency change and patient's current blood pressure slightly elevated.

97. Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hook_25.pdf
    February 26, 2008 - , impaired physical mobility, accidental injuries, patient safety, safety management, injury control … Minor: Resulted in application of a dressing, ice, cleaning of a wound, limb elevation, or topical … Blood pressure changes on upright tilting predict falls in older people. … Complications of preinjury warfarin use in the trauma patient. J Trauma 2003; 54: 842-847. 36. … Minor head trauma in anticoagulated patients. Acad Emerg Med 1999; 6: 121-124. 38.

98. Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Technical Specifications (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0206-technicalspecs.pdf
    May 01, 2016 - Exclusions • Denominator/Numerator Exclusions o Trauma-related headache or pain (Table … IMG3) on the day of or within 7 days prior to imaging o Head trauma or suspected abuse/neglect (Table … 339.43 Other complicated 339.44 OTHER Post- traumatic headache 339.2x Acute pain due to trauma … excision of foreign body from brain 61570 Craniectomy or craniotomy; with treatment of penetrating wound … 852.x Other/unspecified intracranial hemorrhage following injury 853.x Intracranial injury of other

99. Tool 5C: Measuring Progress Checklist | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/measure-progress-checklist.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 … stakeholders and staff   Root cause analysis is conducted for each fall with at least moderate level of injury

100. Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/studies/index.html?page=482
     January 01, 2024 - and Wounds (207) Inpatient Care (221) Intensive Care Unit (ICU) (267) Kidney Disease and … in intoxicated patients with minor head trauma. … of 225 intoxicated patients with minor head injury had clinically important injuries requiring either … Traumatic intracranial injury in intoxicated patients with minor head trauma. … Keywords: Emergency Department, Trauma, Brain Injury, Decision Making Pohl JM , Nath R ,