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patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.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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patientregistry.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
January 01, 2021 - HAC events amount to more than $28 billion in excess healthcare costs, including pressure ulcers ($9.9 … nurses and other healthcare professionals remains a significant and troubling issue, as do workplace injuries
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patientregistry.ahrq.gov/ncepcr/research-transform-primary-care/transform/tpcbib/index.html
May 01, 2015 - Hemoglobin A1c and blood pressure values in patients with diabetes were not significantly different between … The number of hospitalizations for unintentional injury and asthma also decreased after implementation … PMID: 23690385
The authors compared emergency care usage for any reason, asthma, and unintentional injury … As a comparison, emergency care use for unintentional injury had been increasing before and during implementation … Among patients with hypertension, frequent in-person visits were associated with better blood pressure
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patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.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 … The event review focuses on uncovering latent hazards or contributing factors that increase pressure
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
May 01, 2017 - fetal criteria for procedures that increase risk for cord prolapse47
such as—
amniotomy
intrauterine pressure … Effects of shoulder dystocia training on the incidence of brachial plexus injury. … Shoulder dystocia and injuries: prevention and management.
-
patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-synthesis-report.pdf
July 22, 2015 - post-implementation period.33 The trend applied to
emergency care use overall and to asthma and unintentional injury … Specifically, the percent of PCMH patients hospitalized per
month (overall and for asthma and unintentional injury … Donahue, MD,
MPH
Diabetes • HbA1c <9%
• LDL cholesterol <100
mg/dL
• Blood pressure
<130/80 … ≤130/80 mm Hg
• LDL cholesterol ≤100
mg/dL
Cardiovascular
disease:
• Blood pressure
≤130/80 … Gabbay, MD,
PhD
Diabetes • HbA1c <7%
• Blood pressure
<130/80 mm Hg
• LDL cholesterol <100
-
patientregistry.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - Intrauterine pressure catheter or fetal scalp electrode placement.
Manual rotation. … Effects of shoulder dystocia training on the incidence of brachial plexus injury. … Shoulder dystocia and injuries: prevention and management.
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - The term safety refers to reducing
risk from harm and injury, whereas the term quality
suggests striving … Information Form, and Summary of Initial Report Form)
and then applying Common Formats for falls, pressure
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
January 01, 2014 - For example, only
half of people with high blood pressure have it controlled. … High blood pressure costs the Nation $46 billion each year. … mostly attributable to sudden unexpected
infant death (SUID), congenital anomalies, infection, and injury … Web-based Injury Statistics Query and Reporting System (WISQARS)
[Online]. (2013). http://www.cdc.gov … /injury/wisqars/index.html .
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_fall-prevention.docx
August 24, 2017 - applied to other quality improvement efforts in a hospital, such as preventing:
Hospital-acquired pressure … injuries.
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - per 1,000 instrument-assisted deliveries
• Birth trauma - injury to neonate per 1,000 selected live … 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … Adverse Drug Events
• An adverse drug event (ADE) is an injury—including physical harm, mental harm, … The home health team should regularly change wound dressing and teach the patient about
wound care.
-
patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_tools.docx
November 16, 2011 - Monthly falls analysis by:
location and time of fall
shift and day of week
type of injury … consequences of falls
High-risk medications, sleep hygiene measures for management of anxiety
Low blood pressure
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
January 01, 2020 - peripheral vascular
complication [including pseudoaneurysm,
hematoma at catheter insertion site, vascular
injury
-
patientregistry.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
December 01, 2020 - state-specific data on preventive health practices
and risk behaviors linked to chronic diseases, injuries … The
examination includes physical measurements, such as blood pressure and dental examinations,
and … from each family in the house and collects data on
topics including health status and limitations, injuries … infections; seven types of adverse events associated with surgery;
patient falls; and hospital-acquired pressure … events associated with the hospital stay and not present on hospital admission
(inpatient falls and pressure
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
January 01, 2013 - For example, improvement actions might reduce hospital-associated infections, rates of pressure ulcers … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
January 01, 2013 - For example, improvement actions might reduce
hospital-associated infections, rates of pressure ulcers … Excess length of stay, charges, and mortality attributable to medical injuries
during hospitalization
-
patientregistry.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
December 01, 2023 - state-specific data on preventive health
practices and risk behaviors that are linked to chronic diseases, injuries … from each family in the house and collects data on
topics including health status and limitations, injuries … patient’s age, gender, race,
and ethnicity; patient’s expressed reason for visit; intentionality of injury … include mode of arrival, waiting time,
duration of time in the ED, initial vital signs, and cause of injury … ulcer adverse events Pressure Ulcer
Venous thromboembolism/pulmonary embolism
(VTE/PE) not related
-
patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - Root cause analyses of adverse
events and near-misses (events that did not produce
patient injury) … The AHRQ Patient Safety Indicator
18 (Obstetric Trauma–Vaginal Delivery with Instrument)
decreased … in-house
neonatal death, uterine rupture during labor, unplanned maternal admission
to ICU, birth trauma … processes at the
point of care to include specific maternal parameters,
including blood loss, blood pressure … They established a standard process
for blood pressure measurement upon admission and
during labor
-
patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - Root cause analyses of adverse
events and near-misses (events that did not produce
patient injury) … The AHRQ Patient Safety Indicator
18 (Obstetric Trauma–Vaginal Delivery with Instrument)
decreased … in-house
neonatal death, uterine rupture during labor, unplanned maternal admission
to ICU, birth trauma … processes at the
point of care to include specific maternal parameters,
including blood loss, blood pressure … They established a standard process
for blood pressure measurement upon admission and
during labor
-
patientregistry.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
January 01, 2024 - to using the ASIPS reporting system
included time, understanding what to report, and the constant pressures … Participants were recruited from a statewide post-
injury program run by an ASIPS collaborator (COPIC … Two types of trauma (physical and emotional) were expected and found. … collaboratively helped both patients and providers with patients’ emotional, physical,
and financial trauma