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81. AHRQ Quality Indicators Toolkit Facilitates Process Improvement Work at Cedars-Sinai Medical Center | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.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 … problem, such as higher than expected cases of accidental punctures or lacerations during procedures or pressure … The Healthcare-Acquired Pressure Ulcers and Falls Prevention task forces have achieved similar successes

82. Fall Prevention Toolkit (doc file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
    March 01, 2013 - bodies have definitions (e.g., the NQF defines a fall as “an unplanned descent to the floor without injury … study by van Gaal and colleagues evaluated a program that targeted three patient safety practices (pressure … and found an overall positive effect on the development of any adverse event, a composite measure of pressure … out specific fall assessments or interventions, and investigations such as lying and standing blood pressure … Violence and Injury Prevention: Falls. 2012.

83. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
    September 01, 2022 - events, including certain hospital-acquired conditions (HACs), such as postsurgical complications and pressure … events, e.g., not just fall rates over a given time, but also the percentage of falls that resulted in injury … and the rates of each specific type of injury.

84. Event Investigation and Analysis Guide: Appendix A | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apa.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

85. NPSD Dashboards | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/npsd/data/dashboard/index.html
    October 01, 2023 - to falls, the presence of fall assistance, presence of fall assistance by patient harm, type of fall injury … Pressure Ulcer Dashboard Details the documentation of increased risk for pressure ulcer following a … risk assessment; and the timing of the first risk assessment for reported pressure ulcers or sDTIs.

86. Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/research/findings/studies/index.html?page=480
    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 … 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 … Keywords: Elderly, Medication, Medication: Safety, Nursing Homes, Long-Term Care, Injuries and Wounds

87. Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/research/findings/studies/index.html?page=481
    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 … 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: Elderly, Medication, Medication: Safety, Nursing Homes, Long-Term Care, Injuries and Wounds

88. Data Infographics | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/data/infographics/index.html
    March 01, 2024 - Antidepressant Prescriptions Potentially Preventable Pediatric Hospital Stays Most Common Cause of Injuries … People Who Spent the Most for Healthcare in 2017 Causes of Hospital Stays for Traumatic Brain Injury … in 2017 High Healthcare Spending in 2017 Sports-Related Traumatic Brain Injuries Among Children … Hemodialysis Patients Worse Among Blacks HRSA's Health Center Program Making Progress on Blood Pressure

89. Board and Senior Leadership PowerPoint Presentations on the AHRQ Quality Indicators (pdf file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pdf
    October 01, 2015 - October 2015: – Addition of information relevant to ambulatory and managed care encounters – Expanded injury … • Several exclusions (e.g., length of stay <5 days, principal diagnosis of pressure ulcer). … • Several exclusions (e.g., length of stay <5 days, principal diagnosis of pressure ulcer). … A PSI Example: Pressure Ulcer (PSI 03)� What are the Inpatient Quality Indicators (IQIs)? … An Example: Pressure Ulcer (PDI 02)� How can the AHRQ QIs be used in quality assessment?

90. Acknowledgments | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/acknowledgements.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 … Sources include: George Mason University Harvard School of Public Health Medically Induced Trauma

91. Disclosure Checklist | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.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

92. PS Grantee Report | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/research/findings/final-reports/index.html?page=2
    September 01, 2018 - Human and Environmental Factors (3) Patient and Family Engagement (3) Pain Management (2) Pressure … Adults Publication Date: July 2018 Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury … Publication Date: April 2015 Using an Electronic Health Record To Examine Nurse Continuity and Pressure … Grant Number: R36 HS 023072 Topic(s): Health Information Technology, Pressure Ulcers Publication Date

93. Module 1: Preventing Falls in Hospitals—Slide Presentation | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.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 … Medicare won’t pay for increased costs due to injury from inpatient falls. … Falls harm patients. 30% to 51% of falls result in injury. Many falls are preventable.

94. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
    December 01, 2017 - Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … Pulmonary Embolism or Deep Vein Thrombosis Rate * PSI 13: Postoperative Sepsis * PSI 14: Postoperative Wound … PSI 15: Unrecognized Abdominopelvic Accidental Puncture or Laceration * PSI 18-­‐19: Obstetric Trauma … PDI 09: Postoperative Respiratory Failure PDI 10: Postoperative Sepsis PDI 11: Postoperative Wound … Pressure Ulcer Risk Assessment at Admission and Daily: Evaluate all patients for pressure ulcers and

95. AHRQ Stats | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/news/newsroom/ahrq-stats.html
    November 01, 2023 - , by Cause of Injury, 2017 .) … Trauma During Childbirth The rate of obstetric trauma during childbirth involving instruments such as … Decreasing Pressure Ulcers Among Hospital Patients The average rate of hospital-associated pressure … Pressure Ulcer Rates of Hospital Patients About 1.2 million cases of hospital-acquired pressure ulcers … highest average expenses per person were for the treatment of heart conditions ($3,794 per person), trauma-related

96. Human Factors in Surgery: Shifting the Paradigm on Patient Safety | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/funding/grantee-profiles/grtprofile-catchpole.html
    December 01, 2022 - From scrub techs failing to perform point-of-use reprocessing due to time pressures to limited space … and low lighting that resulted in fatigue and injuries, Dr. … Medication Delivery  , focuses on reducing the 200,000 to 20 million anesthesia-related medication injuries … approaches, and perspectives across simulated and real environments to address these types of medication injuries

97. Home Mechanical Ventilators: Protocol Appendix A (pdf file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol-appendixa.pdf
    October 11, 2017 - or NPPV or "Positive Airway Pressure*" or "positive end- expiratory pressure*").ti. 25411 3 1 or … 5811 14 *Obesity/ 256788 15 *Respiratory Insufficiency/ 25610 16 *Scoliosis/ 20526 17 *Spinal Cord Injuries … ventilation" or "non-invasive positive pressure ventilation" or NPPV or "Positive Airway Pressure*" … ventilation" or "non-invasive positive pressure ventilation" or NPPV or "Positive Airway Pressure*" … ventilation" or "non-invasive positive pressure ventilation" or NPPV or "Positive Airway Pressure*"

98. AHRQ's Quality & Patient Safety Programs by Setting: Long-Term Care | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/patient-safety/settings/long-term-care/index.html
    September 01, 2021 - Effectiveness Reviews Facilities Home and Community Resources Findings Report Injuries … Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention is a team training curriculum to … help nursing homes with electronic medical records reduce the occurrence of pressure ulcers.

99. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/hai/pfp/methods.html
    December 01, 2017 - Venous Catheters Falls MPSMS In-Hospital Patient Falls Obstetric Adverse Events PSI OB Trauma … Pressure Ulcers Surgical Site Infections NHSN SSIs combined for 17 procedures based on CDC NHSN … The national number of adverse events captured by PSIs 18 and 19 on obstetric injury , and the national … MPSMS In-Hospital Patient Falls 262,317 32,750,000 8.010 Obstetric Adverse Events PSI OB Trauma … Ulcer MPSMS Hospital-Acquired Pressure Ulcers 1,317,211 32,750,000 40.220 Surgical Site

100. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
     January 01, 2016 - patient safety events, including many types of hospital-acquired infections, adverse drug events, and injuries … Ulcers/Pressure Injuries Surgical Site Infections Ventilator-Associated Pneumonias (Post-op) Venous … Central Venous Catheters Falls MPSMS In-Hospital Patient Falls Obstetric Adverse Events PSI OB Trauma … National number of adverse events captured by PSIs 18 and 19 on obstetric injury and national number … 8,513 0.29 Falls MPSMS In-Hospital Patient Falls 238,965 8.03 Obstetric Adverse Events PSI OB Trauma