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www.ahrq.gov/research/findings/studies/index.html?page=356
January 01, 2024 - ulcer development following traumatic spinal cord injury using inflammatory mediators. … changes in concentrations of inflammatory mediators in plasma and urine after traumatic spinal cord injury … and before the occurrence of a first pressure ulcer. … Early detection of pressure ulcer development following traumatic spinal cord injury using inflammatory … Keywords: Pressure Ulcers, Healthcare-Associated Infections (HAIs), Injuries and Wounds
Bailey
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www.ahrq.gov/research/findings/studies/index.html?page=282
January 01, 2024 - It is unclear whether this extends to patients with spinal cord injury (SCI). … study was designed to evaluate factors for readmission after index hospitalization for spinal cord injury … Population-based approaches to treatment and readmission after spinal cord injury. … Keywords: Healthcare Cost and Utilization Project (HCUP), Hospital Readmissions, Outcomes, Injuries … and Wounds
McHugh M , Brown T , Liss DT Practice facilitators' and leaders' perspectives
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
March 04, 2016 - Achievable
Benchmark: 2.2%
Importance: Nursing home residents who experience falls resulting in major injuries … are at
higher risk of death and disability, as well as emotional trauma that can affect functional … The home health team should regularly change wound dressing and teach the patient about
wound care … Only
Insignificant
Injury
Temporary
Injury
Permanent,
Minor Injury
Permanent,
Significant Injury … Only
Insignificant
Injury
Temporary
Injury
Permanent,
Minor Injury
Permanent,
Significant Injury
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
November 30, 2013 - Major injury
Minor injury
Non-Fall-Related Injury
Major injury
Minor injury
Musculoskeletal
Joint pain … & Skin
Cellulitis
Edema
Infected wound or decubitus
Jaundice
Rash
Treatment Unavailable at Transferring … & Skin Injury: Fall Related Injury : Non-Fall Related Musculoskeletal Abnormal Labs or Anemia Fever/ … or Skin Fall-Related Injury Non-Fall-Related Injury Abnormal Lab Results Fever /
Possible Infection … Disease Asthma Circulatory Problems Hypertension or Renal Failure Gastroenteritis Angina Pectoris Falls /Trauma
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.pdf
December 15, 2016 - The On-Time Pressure Ulcer Assessment incorporates elements from the Bates-Jensen Wound Assessment … In partial thickness wounds it can occur throughout the wound bed as well as from the wound
edges. … In full thickness wounds it occurs from the edges only. … to <50% wound covered
5= <25% wound covered
Pain
Pressure Ulcer Site Pain
Select … Stage 1
Stage 2
Stage 3
Stage 4
Unstageable
Suspected Deep Tissue Injury
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www.ahrq.gov/research/findings/studies/index.html?page=386
January 01, 2024 - Its findings suggest the possibility of higher prevalence of high blood pressure in obese Puerto Rican … Keywords: Racial and Ethnic Minorities, Obesity, Children/Adolescents, Risk, Blood Pressure … Pre-existing chronic liver disease increased risk of azole-induced liver injury. … This case study involves a 55-year-old black man who presents for a blood pressure evaluation. … Screening for high blood pressure in adults.
Am Fam Physician 2016 Mar 15;93(6):511-2.
.
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www.ahrq.gov/hai/pfp/haccost2017-appendix.html
November 01, 2017 - , Closed"[Mesh] OR "Craniocerebral Trauma"[Mesh] OR "Cerebrovascular Trauma"[Mesh] OR "Cerebrovascular … ] OR "Decubitus Ulcer" [tiab] OR "Pressure Sore" [MeSH] OR "Pressure Sore" [tiab] OR "Suspected Deep … Tissue Injury" [tiab] OR "Pressure Ulcer" [MeSH] OR "Pressure Ulcer" [tiab] OR "osteomyelitis" [MeSH] … Ostomy/wound Mgmt . 2016 Nov;62(11):30.
d Weiser TG, Semel ME, Simon AE, et al. … The cost of serious fall-related injuries at three Midwestern hospitals.
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www.ahrq.gov/research/findings/studies/index.html?page=187
January 01, 2024 - ZP , Wheeler KK , Brink F Trends in US physician diagnosis of child physical abuse and neglect injuries … The purpose of this study was to determine if US child physical abuse and neglect injury rates changed … Trends in US physician diagnosis of child physical abuse and neglect injuries, 2006-2014. … and Wounds, Emergency Department, Hospitalization
Wang S , Lai S , von Itzstein MS Type … postoperative outcomes including 30-day mortality, delirium, respiratory failure, and acute kidney injury
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www.ahrq.gov/research/findings/studies/index.html?page=149
January 01, 2024 - Keywords: Blood Pressure, Telehealth, Health Information Technology (HIT), Outcomes
Bolstad … A vision for using simulation & virtual coaching to improve the community practice of orthopedic trauma … Prehospital and posthospital fall injuries in older US adults. … Keywords: Elderly, Falls, Injuries and Wounds, Risk, Hospitalization, Medicare
Rhee TG , Olfson … Keywords: Shared Decision Making, Clinical Decision Support (CDS), Injuries and Wounds, Evidence-Based
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pptx
March 04, 2016 - 18 and over
Home health care patients who get better at taking their medication correctly
Obstetric trauma … Achievable Benchmark: 2.2%
Importance: Nursing home residents who experience falls resulting in major injuries … The home health team should regularly change wound dressing and teach the patient about wound care. … = Minor temporary injury and Major temporary injury; Permanent, significant injury = Significant Permanent … Injury,
Major Permanent Injury, Quadriplegia, Brain Damage, Lifelong care.
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www.ahrq.gov/es/hai/pfp/haccost2017-appendix.html
November 01, 2017 - , Closed"[Mesh] OR "Craniocerebral Trauma"[Mesh] OR "Cerebrovascular Trauma"[Mesh] OR "Cerebrovascular … ] OR "Decubitus Ulcer" [tiab] OR "Pressure Sore" [MeSH] OR "Pressure Sore" [tiab] OR "Suspected Deep … Tissue Injury" [tiab] OR "Pressure Ulcer" [MeSH] OR "Pressure Ulcer" [tiab] OR "osteomyelitis" [MeSH] … Ostomy/wound Mgmt . 2016 Nov;62(11):30.
d Weiser TG, Semel ME, Simon AE, et al. … The cost of serious fall-related injuries at three Midwestern hospitals.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16.html
December 01, 2012 - 9,257
6,892
Composite: ACSC Overall
17,570
24,934
20,620
17,662
23,518
18,337
Pressure … 10,435
7,884
Composite: ACSC Overall
19,406
27,524
22,656
19,821
25,958
20,278
Pressure … 5,382
4,110
Composite: ACSC Overall
12,450
16,541
14,919
11,150
15,491
12,897
Pressure … 3,777
3,248
Composite: ACSC Overall
5,094
6,963
6,484
4,695
6,310
5,297
Pressure … 8,215
6,780
Composite: ACSC Overall
17,579
23,121
20,378
17,055
21,295
18,297
Pressure
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb6.html
February 01, 2023 - Orthostatic Hypotension
Risk Factor: Unsafe Behavior
Selected Interventions
__ Low blood pressure … __ Behavior management strategies
__ Increase assistance and surveillance
__ Position or pressure … _ Increase activities involvement
__ Other ___________________________
__ Reduce risk of injury
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www.ahrq.gov/news/newsletters/e-newsletter/769.html
June 01, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review . … The tool shows that falls vastly outnumber other types of injuries causing ED visits for almost every … The only group for whom falls were not the most common injury was adults ages 18–29. … The visualization is based on Overview of Emergency Department Visits Related to Injuries, by Cause
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www.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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www.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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www.ahrq.gov/research/findings/studies/index.html?page=150
January 01, 2024 - Utilization, Risk
Otto L , Wang A , Wheeler K Comparison of manual and computer assigned injury … Comparison of manual and computer assigned injury severity scores. … Keywords: Health Information Technology (HIT), Injuries and Wounds, Trauma, Hospitals
Furukawa … J Trauma Stress 2020 Aug;33(4):410-19. doi: 10.1002/jts.22520.. … borderline personality disorder (BPD) symptoms on patterns of pain experience and types of child and adult traumas
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
November 01, 2021 - Nursing Homes: On-Time Prevention
End of Life Care
Home and Community-based Services
Falls and Injury … Long-Term Care Facilities
Multiple Chronic Conditions
Omissions of Care in Nursing Homes
Pressure
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt8.html
December 01, 2017 - Orthostatic Hypotension
Risk Factor: Unsafe Behavior
Selected Interventions
___ Low blood pressure … Behavior management strategies
_X_ Increase assistance and surveillance
_X_ Position or pressure … Increase activities involvement
___ Other ___________________________
_X_ Reduce risk of injury
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www.ahrq.gov/topics/outcomes.html
Hospital Reduces Emergency Wait Time, Adverse Events Using AHRQ Tools
Connecticut Hospital Reduces Pressure … Injuries Using AHRQ Toolkit
Georgetown University Family Nurse Practitioner Program Trains Hundreds