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181. Table 14B: Outcome Indicators by State Supply of Health Care Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14b.html
     February 01, 2023 - 8,183 6,565 8,085 6,602 Composite: ACSC Overall 21,956 16,765 21,455 17,068 Pressure … 9,399 7,435 9,300 7,477 Composite: ACSC Overall 24,337 18,495 23,801 18,856 Pressure … 4,604 4,083 4,637 4,018 Composite: ACSC Overall 14,949 11,832 14,796 11,790 Pressure … 3,512 3,245 3,653 3,037 Composite: ACSC Overall 5,797 5,112 5,808 5,048 Pressure … 7,096 6,863 7,055 6,912 Composite: ACSC Overall 19,429 17,580 19,054 18,048 Pressure

182. Final Progress Report: Effects of Patient Turnover on Nursing Care and Patient Outcomes in Acute Care Hospital Settings (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/park-report.pdf
     January 01, 2024 - • Hypothesis 4: Higher unit patient turnover will be associated with more pressure injuries and falls … NDNQI Unit-acquired pressure injury Unit Number of patients who acquired a pressure ulcer after arrival … , Poisson regression modeling for falls and injury falls and logistic regression modeling for pressure … falls, and pressure injuries, as reported by NDNQI. … Unit-level patient outcomes of falls, injury falls, and pressure injuries were not statistically significant

183. Declines in Hospital Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-decline.pdf
     June 04, 2018 - Conditions National efforts to reduce hospital-acquired conditions such as adverse drug events and injuries … Infections +CLABSI - Central Line-Associated Bloodstream Infection Falls Obstetric Adverse Events Pressure

184. Tool 3F: Orthostatic Vital Sign Measurement | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/orthostatic-vital-sign.html
     January 01, 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. … Check sitting blood pressure and pulse. … Support the forearm at heart level when taking the blood pressures to prevent inaccurate measurement.

185. Intramuscular Injections – Best Practices for Safe Vaccine Administration in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/intramuscular-injections.pdf
     June 01, 2021 - intramuscular (IM) administration is important to make sure the vaccine does its job and to avoid shoulder injury … and Health Administration (OSHA) regulations do not require you to wear gloves unless you have open wounds … Apply gentle pressure to the injection site for several seconds or longer to minimize bleeding using … For residents who take anticoagulation medications, gentle pressure may need to be applied longer to … pre-filled autoinjector (at least three doses) • H1 antihistamine (e.g., diphenhydramine/Benadryl) • Blood pressure

186. Electronic Reports | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/ereports.html
     December 01, 2017 - This report is helpful for nursing home staff and wound nurses to promote early identification of pressure … These details are available at the time the pressure ulcer is being assessed during wound rounds or during … Information that displays on the Weekly Pressure Ulcer Treatment Summary Report, the Weekly Wound Rounds … Uses DON or ADON, Nurse Manager, Wound Nurse, QI Director Root Cause Analysis for New Pressure … Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, and Pan Pacific Pressure Injury Alliance

187. Fallpxtools (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtools.docx
     January 01, 2013 - · Identify all visible injuries and initiate first aid; for example, cover wounds. · Assist patient … hydration). · Clean and dress any wounds … · Identify all visible injuries and initiate first aid; for example, cover wounds. … · Clean and dress any wounds. · Arrange medical review. … Describe injuries; check all that apply Injury Yes No Site of Injury Abrasion/bruise/laceration

188. The Emergency Department & Catheter Insertions | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-slides.html
     December 01, 2017 - Few days later, he develops fever and his blood pressure drops. … Keeps patients from having to get up to urinate, protecting them from injury. … Trauma) Admitting service (e.g. … Is the patient incontinent with open sacral or perineal wounds? … Protocolized care for trauma Incontinence without open sacral or perineal wounds Pre-operative

189. Documentation and Coding for Patient Safety Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
     March 15, 2016 - PDI 02 Pressure Ulcer Rate (stage III, IV, Unstageable) Diagnosis and site of pressure ulcer must … PSI 18, PSI 19 OB Trauma – Vaginal Delivery With Instrument OB Trauma – Vaginal Delivery Without … X PDI 11 Postoperative Wound Dehiscence Rate X Depth of the wound dehiscence: external/superficial … X PSI 14 Postoperative Wound Dehiscence X Depth of the wound dehiscence: external/superficial vs … PSI 18 PSI 19 OB Trauma – Vaginal Delivery With Instrument OB Trauma – Vaginal Delivery Without

190. Declines in Hospital-Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac_rates_2019-updated.pdf
     January 01, 2019 - Conditions National efforts to reduce hospital-acquired conditions such as adverse drug events and injuries … CLABSI+ -6% Clostridioides difficile Infections -37% Falls -5% Obstetric Adverse Events -3% Pressure

191. Declines in Hospital-Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
     January 01, 2019 - Conditions National efforts to reduce hospital-acquired conditions such as adverse drug events and injuries … CLABSI+ -6% Clostridioides difficile Infections -37% Falls -5% Obstetric Adverse Events -3% Pressure

192. Declines in Hospital-Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac_rates_2019.pdf
     January 01, 2019 - Conditions National efforts to reduce hospital-acquired conditions such as adverse drug events and injuries … Clostridioides difficile Infections -37% Falls -5% Obstetric Adverse Events -5% Pressure

193. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=148
     January 01, 2024 - on Access to Lethal Means-Emergency Department (CALM-ED): a quality improvement program for firearm injury … on Access to Lethal Means-Emergency Department (CALM-ED): a quality improvement program for firearm injury … Keywords: Emergency Department, Injuries and Wounds, Prevention, Quality Improvement, Quality of Care … A multidisciplinary team used iterative user-centered design to create a blood pressure visualization … EHR prototype that included patient-generated blood pressure data.

194. C1 Prioritization Matrix (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
     July 01, 2016 - Patient Safety PSI 03 Pressure Ulcer   1.2 1.3 7 $109,870 $ 769,087 N 6 7 7 Y Y Y Y Y PSI 06 Iatrogenic … 13 Postoperative Sepsis 12.7 11.7 15 $49,215 $ 738,225 N 9 7 3 Y Y Y Y Y PSI 14 Postoperative Wound … Accidental Puncture or Laceration 3.2 3.3 1 $22,629 $ 22,629 Y 4 3 7 Y N Y Y Y Obstetric PSI 17 Birth Trauma-Injury … to Neonate   0.0 0.1 0 $88,000 $ - 0 N 2 3 9 Y Y Y Y Y PSI 18 Obstetric Trauma-Vaginal Delivery … Postoperative Sepsis Rate 0.0 16.2 0 $117,815 $ - 0 N 9 10 10 Y Y Y Y Y PDI 11 Postoperative Wound

195. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/062-protocol-training-decolonization-with-chg.pptx
     October 01, 2024 - Superficial pressure injuries (stages 1 and 2) CHG should also be applied over sutured or stapled wounds … Clean wound carefully with CHG. … Apply CHG with firm pressure, unless the wound is over a bony prominence. … Using the CHG on superficial wounds, and stage 1 and 2 pressure injuries. … Refer to the slides on Wound Care.

196. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=429
     January 01, 2024 - This suggests that governmental policy was a significant driver of change in clinical practice for wound … Mutter RL AHRQ Author: Spector WD, Mutter RL, Owens P Inpatient admissions from the ED for adults with injuries … We found higher inpatient admission rates by level of trauma center designation and hospital size, but … findings differed by age and type of injury. … Inpatient admissions from the ED for adults with injuries: the role of clinical and nonclinical factors

197. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4g_pdi09-postoprespfailure-bestpractices.pdf
     May 17, 2016 - o Decreased central nervous system input (head injury, ingestion of central nervous system depressant … o Peripheral nerve/neuromuscular junction (spinal cord injury, organophosphate/carbamate poisoning, … expansion exercises with children, such as incentive spirometry, deep breathing, intermittent positive-pressure … breathing, and continuous positive airway pressure. … Noninvasive positive pressure ventilation for acute respiratory failure in children: a concise review

198. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
     May 17, 2016 - o Decreased central nervous system input (head injury, ingestion of central nervous system depressant … o Peripheral nerve/neuromuscular junction (spinal cord injury, organophosphate/carbamate poisoning, … expansion exercises with children, such as incentive spirometry, deep breathing, intermittent positive-pressure … breathing, and continuous positive airway pressure. … Noninvasive positive pressure ventilation for acute respiratory failure in children: a concise review

199. Labor and Delivery Unit Safety: Shoulder Dystocia | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-shoulder-dystocia.html
     July 01, 2023 - Effects of shoulder dystocia training on the incidence of brachial plexus injury. … Shoulder dystocia and injuries: prevention and management. … McRoberts maneuver used concurrently with suprapubic pressure [Call time] hh:mm:ss)  ___ : ___ : __ … Suprapubic pressure: Using a closed fist over pubic bone, push in an inward and downward motion. … This procedure is considered a heroic measure due to the significant risk of brachial plexus injury associated

200. Outcome Indicators for the HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
     December 01, 2012 - All but two of the indicators (Pressure Ulcer and Injurious Falls) build on existing AHRQ Prevention … Pressure Ulcer. Injurious Falls.