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101. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=359
     January 01, 2024 - Since the published brachial plexus injuries (BPI) experience is largely from individual centers, the … They found that nearly one third of patients underwent BPI surgery more than 1 year after the injury, … Keywords: Healthcare Delivery, Quality of Care, Injuries and Wounds, Neurological Disorders, Patient-Centered … Keywords: Surgery, Provider Performance, Injuries and Wounds, Orthopedics Mueller SK , Yoon … Systolic Blood Pressure Intervention Trial (SPRINT).

102. Monahrq Measure List 20 (xls file)
     www.ahrq.gov/downloads/monahrq/xls/MONAHRQ_Measure_List_20.xls
     December 09, 2011 - PSI13 Post-operative sepsis Severe bloodstream infection after surgery 1.0 PSI14 Post-operative wound … dehiscence Surgical wound splits open surgery on stomach or pelvis * 1.0 PSI15 Accidental puncture … Accidental cut or tear * 1.0 PSI16 Transfusion reaction Blood transfusion reaction * 2.0 PSI17 Birth trauma … - Injury to Neonate Newborns with a birth injury or infection * 1.0 PSI18 Obstetric trauma - vaginal … trauma - vaginal without instrument Obstetric injury after a vaginal delivery without medical instruments

103. 25.12 Exercise for Diabetics | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/curriculum/diabnotebk/diabnotebk2512.html
     October 01, 2014 - Pressure Titration Protocol for the Diabetes Planned Visit 2.13 Blood Pressure Titration Protocol Flow … Sheet 2.14 Blood Pressure Control Medication 2.20 Glycemic Control at the Diabetes Planned Visit … Injury Free: Walking is gentle on the body. Be sure to follow the rules of good foot care. … Proper stretching will increase your performance and reduce the chance of injury. … To care for your injuries, stop exercising for a few days.

104. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
     January 01, 2022 - Injuries or Complications of Pressure Injuries Present on Admission (POA) (4.9%), and Hypoglycemic … Injuries or Complications of Pressure Injuries POA (13.4% vs. 4.7%) and Catheter- associated Urinary … Injuries or Complications of Pressure Injuries POA is significantly higher (8.4% vs. 4.4%) for the … injuries or complications of pressure injuries present on admission (POA) was significantly higher … injuries or complications of pressure injuries present on admission (13.4% vs. 4.7%) and catheter-associated

105. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
     July 01, 2020 - due to procedures, as well as pressure ulcers/pressure injuries and falls. … ulcers/pressure injuries increased from 2014 to 2015 and then decreased somewhat from 2015 to 2016 … Ulcers/Pressure Injuries Obstetric Adverse Events Falls Clostridioides difficile Infections Central … Ulcers/ Pressure Injuries 21.7 23.5 22.7 23.0 6% Surgical Site Infections 2.5 2.5 2.5 2.7 8% … Pressure Ulcers/Pressure Injuries Surgical Site Infection NHSN SSIs for 17 procedures w/CDC SCIP

106. Staff Roles and Training forYour Pressure Ulcer Prevention Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar3_pu_staffroles.pdf
     January 01, 2014 - Program. 8 Wound Care Team: Roles and Duties • Serve as your hospital’s content experts on pressure … ulcer injury prevention … Nursing 2014 survey results: Wound care and prevention. … Advances in Skin and Wound Care. 2010; 23(3):120-31. • Levine J, et al. … Advances in Skin and Wound Care. 2007; 20(1):34-38. 37 Staff Roles and Training forYour Pressure

107. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=326
     January 01, 2024 - A national comparison of rural/urban pressure ulcer and fall rates. … Keywords: Injuries and Wounds, Nursing, Patient Safety, Pressure Ulcers, Quality of Care, Quality Improvement … Anxiety and posttraumatic stress disorder among Medicare beneficiaries after traumatic brain injury. … J Head Trauma Rehabil 2017 May/Jun;32(3):178-84. doi: 10.1097/htr.0000000000000266. . … Keywords: Anxiety, Brain Injury, Medicare, Behavioral Health, Trauma Carlson AE , Aronson BD

108. Conducting a Comprehensive Skin Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar4_pu_skinassesst_final.pdf
     April 01, 2011 - deep tissue injury – Preulceration in the diabetic foot – Inflammation or infection 15 Parameter … – Skin tears (especially forearm of older adults) – Trauma • Make sure to get the etiology right … For each patient, record— • Whether he/she has pressure ulcers • How many pressure ulcers he/she has … • Highest stage of his/her deepest ulcer • Treatment for any existing wounds 32 Reporting Results … Wound care essentials: practice principles. 3rd ed.

109. Low Tidal Volume Ventilation Facts | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-fact-sheet.html
     January 01, 2017 - Emerging evidence links protective tidal ventilation to decreased incidence of acute lung injury (ALI … Use at least 5 cm H2O positive end expiratory pressure (PEEP). Why wait? … not yet have ARDS and particularly those with risk factors to prevent progressive development of lung injury … Ventilator-associated lung injury in patients without acute lung injury at the onset of mechanical ventilation … What tidal volumes should be used in patients without acute lung injury?

110. Monahrq V3 Measurelist (xls file)
     www.ahrq.gov/downloads/monahrq/xls/MONAHRQ_v3_MeasureList.xls
     June 16, 2012 - DRGs Dying in the hospital while getting care for a condition that rarely results in death Y 1.0 PSI3 Pressure … Accidental cut or tear Y 1.0 PSI16 Transfusion reaction Blood transfusion reaction Y 2.0 PSI17 Birth trauma … - Injury to Neonate Newborns with a birth injury or infection Y 1.0 PSI18 Obstetric trauma - vaginal … Obstetric trauma - vaginal delivery without instrument Obstetric injury after vaginal delivery without … Kept on the Beta Blockers During the Period Before and After Their Surgery Medicine to lower blood pressure

111. Healthcare Costs | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/healthcare-costs.html
     Patient Falls by 21 Percent Chartbook on Care Affordability Connecticut Hospital Reduces Pressure … Injuries Using AHRQ Toolkit Estimating the Costs of Primary Care Transformation: A Practical Guide

112. Early Mobility in the Intensive Care Unit: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-slides.html
     February 01, 2017 - Systolic blood pressure <90 mmHg (4). Oxygen saturation <80% (3). … Systolic blood pressure >200 mmHg (1). No extubations. … (i.e., 6 per 1,000 PT treatment): 80% of events were transient physiological (heart rate, blood pressure … Subjects: 2,176 trauma and burn ICU patients, Pre (n=1044) and post (n=1132) EM program. … Slide 23: 5-Year Sustainability of Time to PT Postacute Lung Injury Diagnosis 8 Post-QI → earlier

113. 4 Tk2 T1-Medical Care Referral Form Word Doc For Html Only (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form_Word_doc_for_html_only.doc
     June 17, 2014 - including recent fever pattern and change in recent/current health status: CURRENT VITAL SIGNS Blood pressure … Suspected minor injury Yes No ? Suspected serious injury Yes No ? … New or increasing pus draining from wound Y N ? New breakdown Y N ? … New or expanding redness around wound Y N ? Pain / tenderness Y N ? Warmth Y N ?

114. Measuring Fall and Fall-Related Injury Rates and Prevention Practices (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar5_falls_measuringratespractices.pdf
     January 01, 2013 - • Level of injury for each fall. … rates such as— – Falls related to toileting needs – Falls related to risk factors (medicines, blood pressure … — • Collects data after a patient falls • Seeks to find out if the patient has immediate risk of injuries … Injury Rates Data Needed for Fall and Fall-Related Injury Rates How Often To Calculate Fall and Fall-Related … Injury Rates How To Calculate Fall and Fall-Related Injury Rates Improving Data for Fall and Fall-Related

115. Final Progress Report: Analysis of Factors Associated With Clinical Checklist Compliance (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/sarcevic-report.pdf
     January 01, 2024 - , and (4) patients with external injuries. … 1(0-3) 0(1-3) Injury 0(0-2) 0(0-1) External 0.014 0.053 <.001* <.001* 0.92 0.13 No injury 1(0-1.5) … with penetrating injuries and those with a blunt injury. … Of 187 patients, 111 (59.4%) had external injuries. … without external injuries (p<.001, Table 1).

116. AHRQ's Quality & Patient Safety Programs by Setting: Hospital | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/index.html
     February 01, 2025 - Preventing Pressure Ulcers in Hospitals is a toolkit that assists hospital staff in implementing effective … pressure ulcer prevention practices through an interdisciplinary approach to care. … Pressure Injury Prevention in Hospitals Training Program supports the training of hospital staff on … how to implement AHRQ's Preventing Pressure Ulcers in Hospitals Toolkit. … injury prevention.

117. 4 Tk2 T1-Medical Care Referral Form (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form.pdf
     May 01, 2014 - Positive culture If yes, positive for:_______________________________ CURRENT VITAL SIGNS Blood pressure … New or increasing pus draining from wound Y N ? New breakdown Y N ? … New or expanding redness around wound Y N ? Pain / tenderness Y N ? Warmth Y N ? … Suspected minor injury Yes No ? Suspected serious injury Yes No ?

118. Table 15A: Outcome Indicators by County Demographics | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15.html
     February 01, 2023 - 8,997 6,894 8,597 6,888 Composite: ACSC Overall 22,706 18,412 21,951 18,376 Pressure … 10,186 7,869 9,760 7,859 Composite: ACSC Overall 24,978 20,372 24,196 20,327 Pressure … 4,856 4,215 4,625 4,246 Composite: ACSC Overall 14,792 13,022 14,282 13,066 Pressure … 3,483 3,293 3,410 3,308 Composite: ACSC Overall 5,671 5,408 5,482 5,469 Pressure … 7,968 6,752 7,567 6,782 Composite: ACSC Overall 20,938 18,196 19,552 18,470 Pressure

119. PMCoE PICU Expert Work Group and Leadership Team Roster (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-6-b-workgroup.pdf
     September 18, 2014 - providers dedicated to skin care and HAPU prevention, e.g., an institution-wide skin-care council led by wound … stakeholders including CCM, ENT, General Surgery, Plastic Surgery, Dermatology, Transplant Surgery, Trauma … • Staging of Pressure ulcers would need to be done by a wound care expert vs. the PICU staff nurse … • Evaluation of potential pressure injury is labor intensive and subjective; data cannot be obtained … • Given the severity of illness/injury in PICU patients, 48 or 72 hours seems more reasonable to

120. Section 6-B, PMCoE PICU Expert Workgroup and Leadership Team Roster (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-6-b-pmcoe-picu-expert-workgroup.pdf
     September 18, 2014 - providers dedicated to skin care and HAPU prevention, e.g., an institution-wide skin-care council led by wound … stakeholders including CCM, ENT, General Surgery, Plastic Surgery, Dermatology, Transplant Surgery, Trauma … • Staging of Pressure ulcers would need to be done by a wound care expert vs. the PICU staff nurse … • Evaluation of potential pressure injury is labor intensive and subjective; data cannot be obtained … • Given the severity of illness/injury in PICU patients, 48 or 72 hours seems more reasonable to