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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
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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.
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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.
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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
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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 .
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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.
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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.
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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.
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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).
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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 ,
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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
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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.
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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
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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
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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.
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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.
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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.
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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
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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
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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 ,