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161. AHRQ Views Blog: We Must Not Underestimate the Impacts of Gun Violence on Healthcare Workers | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/842.html
     December 01, 2022 - Older Opioid Patients Experience More Adverse Events After Injury . … tragedies; too often we may assume healthcare workers are hardened to such events, given the daily trauma … It has included application of the Collaboration-Oriented Approach for Controlling High Blood Pressure … patients with new opioid prescriptions who experience an injury—such as a fall or traumatic brain injury—have … The findings indicated that identifying injuries that emerge after opioid initiation may assist in the

162. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2013-refs.html
     October 01, 2015 - Injury From Falls Barrett JA, Bradshaw M, Hutchinson K, et al. … Fall and injury prevention (Chapter 10). In: Hughes RG, ed. … Preventing falls and eliminating injury at Ascension Health. … Eliminating birth trauma at Ascencion Health. Jt Comm J Qual Patient Saf 2007;33:15-24. … Pressure Ulcers Agency for Healthcare Research and Quality.

163. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2013-ref.html
     December 01, 2014 - Fall and injury prevention (Chapter 10). In: Hughes RG, ed. … Preventing falls and eliminating injury at Ascension Health. … Eliminating birth trauma at Ascencion Health. Jt Comm J Qual Patient Saf 2007;33:15-24. … Pressure Ulcers Agency for Healthcare Research and Quality. … Eliminating facility-acquired pressure ulcers at Ascension Health .

164. MONAHRQ Measures List (xls file)
     www.ahrq.gov/downloads/monahrq/documentation/MONAHRQ_7_Measures_List.xlsx
     January 18, 2023 - - Injury to Neonate How often newborns babies have an injury or get an infection during delivery No … — 1.0 PSI 18 Obstetric Trauma Rate - Vaginal Delivery With Instrument How often women who give birth … vaginally with forceps or vacuum have a serious vaginal tear No — 1.0 PSI 19 Obstetric Trauma Rate … prevention Spoke with someone at this provider's office about ways to prevent injuries Yes 0005 7 CD-Q19 … Provider gave information on injury prevention Received information about preventing injuries Yes 0005

165. MONAHRQ Measures List (xls file)
     www.ahrq.gov/downloads/monahrq/documentation/monahrq_7build2_measures_list.xlsx
     January 18, 2023 - - Injury to Neonate How often newborns babies have an injury or get an infection during delivery No … — 1.0 PSI 18 Obstetric Trauma Rate - Vaginal Delivery With Instrument How often women who give birth … vaginally with forceps or vacuum have a serious vaginal tear No — 1.0 PSI 19 Obstetric Trauma Rate … prevention Spoke with someone at this provider's office about ways to prevent injuries Yes 0005 7 CD-Q19 … Provider gave information on injury prevention Received information about preventing injuries Yes 0005

166. Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard (pdf file)
     www.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.

167. Indwelling Urinary Catheter Indications
     www.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.

168. Session 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess2.html
     October 01, 2014 - Additional Tools and Resources Limiting Falls that Cause Injury Residents in long-term … However, what we can do is eliminate needless falls and limit the injuries from falls that do occur. … Things about the equipment or care plan (e.g., monitor blood pressure frequently). … Things about equipment or the care plan, including: More frequent blood pressure monitoring. … Relationship between physical restraint removal and falls and injuries among nursing home residents.

169. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=214
     January 01, 2024 - Keywords: Blood Pressure, Health Literacy, Patient Adherence/Compliance, Medication, Racial and Ethnic … Keywords: Injuries and Wounds, Healthcare Costs, Healthcare Utilization, Hospitalization, Medicare, … The authors investigated the role of injury characteristics and access to trauma care as mediators of … on injury mortality and appear to contribute to disparities in injury mortality. … Keywords: Access to Care, Disparities, Injuries and Wounds, Mortality, Racial and Ethnic Minorities,

170. C1 Prioritization Worksheet (pdf file)
     www.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

171. Appendix C. Case Study and Program Examples | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.html
     December 01, 2017 - She was assessed to have no injuries resulting from the fall. … Physical restraint—increases risk of serious injury. … Full side rails—increase risk of serious injury. … . ___ provide frequent reminders about call bell. ___ conduct trial use of a change in position/pressure … Use of pressure, position alarm. Use of hip protectors. No physical restraint use.

172. Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care (pdf file)
     www.ahrq.gov/downloads/pub/advances2/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.

173. Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care (pdf file)
     www.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.

174. Fallpxtool3F (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3f.docx
     January 29, 2013 - Have possible spinal injuries. Have lower extremity or pelvic fractures. … Equipment Noninvasive blood pressure measurement device. … Blood pressure cuff of correct size for the patient. Procedure 1. … Check sitting blood pressure and pulse. … Support the forearm at heart level when taking the blood pressures to prevent inaccurate measurement.

175. Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Technical Specifications (pdf file)
     www.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

176. AHRQ Patient Safety Tools and Resources (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-tools-2024.pdf
     January 01, 2024 - Web: ahrq.gov/goinghomeguide/ Pressure Ulcers Preventing Pressure Ulcers: A Toolkit for Improving … Web: ahrq.gov/pressureulcertoolkit The Pressure Injury Prevention in Hospitals Training Program supports … the training of hospital staff on how to implement AHRQ’s Preventing Pressure Ulcers in Hospitals … injury prevention. … approaches to design that target six areas of safety: infections, falls, medication errors, security, injuries

177. Examples of Patient Harm Related to Invasive Devices | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/phys-championsgd/section3.html
     October 01, 2015 - Teamwork and Communication Definitions and Tools Several examples of severe patient injury … Paraplegia (inability to walk) Ultimately, the patient underwent back surgery to decompress the pressure … The virulent organism caused a severe infection and irreversible injury to the patient. … She was found to have a fever of 102 °F, and her blood pressure dropped to 90 systolic.

178. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=166
     January 01, 2024 - Impact of a "chart closure" hard stop alert on prescribing for elevated blood pressures among patients … Keywords: Blood Pressure, Medication, Diabetes, Clinical Decision Support (CDS), Shared Decision Making … limited but growing literature on the health of undocumented Latinx immigrations and how exposure to trauma … Nursing Homes, Quality Measures, Quality Indicators (QIs), Quality of Care, Elderly, Public Reporting, Injuries … and Wounds Hoffman GJ , Yakusheva O Association between financial incentives in Medicare's

179. Table 15B: Outcome Indicators by State Demographics | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15b.html
     February 01, 2023 - 8,040 6,786 7,702 6,976 Composite: ACSC Overall 21,669 17,341 20,812 17,696 Pressure … 9,170 7,724 8,821 7,929 Composite: ACSC Overall 23,918 19,140 23,031 19,550 Pressure … 4,402 4,279 4,338 4,320 Composite: ACSC Overall 14,429 12,531 14,135 12,525 Pressure … 3,398 3,382 3,385 3,397 Composite: ACSC Overall 5,517 5,450 5,449 5,532 Pressure … 7,202 6,782 7,004 6,990 Composite: ACSC Overall 19,879 17,354 19,092 18,022 Pressure

180. Table 16B: Outcome Indicators by State Socioeconomic Status | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16b.html
     February 01, 2023 - 6,179 9,131 7,304 7,421 Composite: ACSC Overall 16,590 23,347 19,328 18,994 Pressure … 6,990 10,438 8,363 8,406 Composite: ACSC Overall 18,160 25,955 21,393 21,016 Pressure … 3,968 4,959 4,286 4,448 Composite: ACSC Overall 12,312 15,022 13,443 12,894 Pressure … 3,146 3,780 3,577 3,068 Composite: ACSC Overall 5,039 6,194 5,874 4,811 Pressure … 13,732 10,164 12,022 Composite: ACSC Overall 22,116 33,392 25,404 30,079 Pressure