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www.ahrq.gov/patient-safety/reports/engage/appc.html
March 01, 2017 - ti])) OR iatrogenesis [ti] OR iatrogenic [ti] OR ((medical [ti] OR treatment [ti] OR care [ti]) AND (injury … [ti] OR injuries [ti])) OR mishap* [ti] OR (root [ti] AND cause* [ti]) OR (failure* [ti] AND mode* [ … reducing [ab] OR reduction [ab] OR aged [mh] OR elderly OR geriatric)) OR Decubitus Ulcer [mh] OR ((pressure
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www.ahrq.gov/data/infographics/hac-rates_2019.html
July 01, 2020 - Description: National efforts to reduce hospital-acquired conditions such as adverse drug events and injuries … Pressure ulcers: 6% increase. Surgical site infections: 8% increase.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/erepguide.html
December 01, 2016 - Pressure Ulcers at Risk for Delayed Healing.
Weekly Wound Rounds Report. … home chains, and wound centers. … Injury Alliance. … The wound nurse, wound physician, and other disciplines attending wound rounds can see quickly which … If the pressure ulcer shows signs of delayed healing, as recorded on the wound assessment based on the
-
www.ahrq.gov/downloads/monahrq/xls/MONAHRQ_60_Measures_List.xlsx
March 06, 2015 - a blood transfusion and have a problem or reaction to the blood they get Yes 0349 2.0
PSI 17 Birth Trauma … - 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 … ) How many residents, out of 100, with a long nursing home stay, had a fall leading to a major injury
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www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
October 27, 2014 - MPSMS
(2013)
In-Hospital Patient
Falls
240,000 7.2
Obstetric
Adverse
Events
PSI (2012) OB Trauma … Fall and injury prevention (Chapter 10). In: Hughes RG, ed. … Preventing falls and eliminating injury at Ascension Health. … The road to zero preventable birth injuries. … Eliminating birth trauma at Ascencion Health.
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www.ahrq.gov/news/newsletters/e-newsletter/750.html
February 01, 2021 - February 9, 2021
AHRQ Stats: Emergency Care of Injuries Following a Hurricane
Among people who lived … direct path of a hurricane between 2005 and 2016, people age 65 years and older had the highest rate of injury-related … Source: AHRQ, Healthcare Cost and Utilization Project Statistical Brief #267: Impact of Hurricanes on Injury-Related … resource that shows recent gains in safety include declining rates of urinary tract infections and pressure … example, high-risk Black patients in long-stay nursing homes were more likely than Whites to have a pressure
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pptx
October 01, 2015 - in October 2015:
Addition of information relevant to ambulatory and managed care encounters
Expanded injury … Postoperative pulmonary embolism or deep vein thrombosis
PSI 13 Postoperative sepsis
PSI 14 Postoperative wound … dehiscence
PSI 15 Accidental puncture or laceration
PSI 16 Transfusion reaction
PSI 17 Birth trauma-injury … to neonate
PSI 18 Obstetric trauma-vaginal delivery with instrument
PSI 19 Obstetric trauma-vaginal … PDI 09 Postoperative Respiratory Failure Rate
PDI 10 Postoperative Sepsis Rate
PDI 11 Postoperative Wound
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
August 01, 2017 - Ulcer
Vendor determined
or Wound
Assessment
Pressure ulcer Stage II,
III, IV, or unstageable. … IF wound assessment date ≤7 days of
report date AND at least one pressure
ulcer with ulcer stage = … then display X in Wound
• Infected wound or decubitus ulcer
• Jaundice
• Rash
10 Injury: Fall … X in Injury:
11 Injury: Non-
Fall Related
Transfer
Note
•
•
Major injury
Minor injury
IF … Chest pain/angina
Dizzy/lightheaded
Non-Fall-Related Injury
Major injury
Minor injury
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-electronic-reports.pdf
February 10, 2014 - 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 … For example,
the Pressure Ulcers At Risk for Delayed Healing Report; Weekly Wound Rounds Report; … DON or ADON, Nurse Manager, Wound Nurse, QI
Director
Root Cause Analysis for New Pressure Ulcers … Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, and Pan Pacific Pressure Injury
Alliance
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.html
March 01, 2017 - Assistance in healing of open pressure ulcers, skin grafts, and stage III or IV perineal and sacral wounds … After having contact with body fluids or excretions, mucous membranes, nonintact skin and wound dressings … or trauma. … Bowel perforation and intra-abdominal injuries are possible during the insertion. … Management of the neurogenic bladder for adults with spinal cord injuries.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.docx
March 01, 2017 - .
· Assistance in healing of open pressure ulcers, skin grafts, and stage III or IV perineal and sacral … wounds for selected residents with urinary incontinence.
· To improve comfort for end-of-life care, … Management of the neurogenic bladder for adults with spinal cord injuries. … resident)
· After having contact with body fluids or excretions, mucous membranes, nonintact skin and wound … Examples when a suprapubic catheter is used include—
· Urethral injuries or trauma
· Urethral obstruction
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
February 16, 2011 - Pressure ulcers are sterile wounds.
36. … Pressure ulcers are sterile wounds.
False
36. … If a skin disruption is found, the type of skin injury will need to be identified. … For example is it a skin tear, a pressure ulcer, or moisture-associated skin damage or injury? … unit staff for pressure ulcer practice
Certified Wound Care Nurse
· Assesses wounds, does complex
-
www.ahrq.gov/research/findings/studies/index.html?page=99
January 01, 2024 - Home blood pressure measurements have equal or even greater predictive value than clinic blood pressure … Association of clinical guidelines and decision support with CT use in pediatric mild traumatic brain injury … Association of clinical guidelines and decision support with CT use in pediatric mild traumatic brain injury … Clinical Decision Support (CDS), Shared Decision Making, Health Information Technology (HIT), Brain Injury … Further, their results indicated that surgeons do feel peer and social pressures related to identity
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14.html
February 01, 2023 - 7,561
7,177
Composite: ACSC Overall
19,494
19,068
22,370
17,903
19,831
18,937
Pressure … 8,666
8,172
Composite: ACSC Overall
21,480
21,331
24,806
19,795
22,008
20,929
Pressure … 4,449
4,235
Composite: ACSC Overall
13,871
12,234
15,225
12,474
13,703
13,045
Pressure … 3,525
3,189
Composite: ACSC Overall
5,684
5,096
5,763
5,286
5,764
5,235
Pressure … 10,552
Composite: ACSC Overall
25,931
27,847
34,209
23,478
26,582
26,462
Pressure
-
www.ahrq.gov/research/findings/studies/index.html?page=29
January 01, 2024 - falls and pressure ulcers. … Hospital admission claims for major injury falls and pressure ulcers were linked with facility-reported … or pressure ulcer hospitalizations. … pressure ulcer hospitalizations, 67.7% were reported. … fall and pressure ulcer hospitalizations, respectively.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
May 01, 2017 - 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) ____:____:____ … The ideal approach is for the clinician to put pressure in the antecubital fossa of the posterior arm … This procedure is considered a heroic measure due to the significant risk of brachial plexus injury associated
-
www.ahrq.gov/research/findings/studies/index.html?page=195
January 01, 2024 - There was no sex-related differences found for nadir hematocrit or rates of acute kidney injury. … Effect of sex on nadir hematocrit and rates of acute kidney injury in coronary artery bypass. … Keywords: Injuries and Wounds, Sex Factors, Kidney Disease and Health, Adverse Events, Surgery, Heart … Overall, the highest quartile of hypervigilance was associated with higher systolic blood pressure. … The largest gains were in wound closure re-gowning/re-gloving, use of clean closing instruments, and
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-ostomy.pdf
December 13, 2013 - anchoring elements to bond the epidermis to the
underlying dermis, so skin is more susceptible to friction injury … ■ Peristomal skin must be protected from mechanical trauma due to use of aggressive adhesives,
improper … ■ Vent frequently to prevent gas pressure from compromising the seal.
-
www.ahrq.gov/research/findings/studies/index.html?page=425
January 01, 2024 - RA Redefining overuse to include costs: a decision analysis for computed tomography in minor head injury … was conducted to (1) determine the testing threshold for head computed tomography (CT) in minor head injury … Redefining overuse to include costs: a decision analysis for computed tomography in minor head injury … Most payment decreases occurred by removal of comorbidity payments for present-on-admission pressure … of pressure ulcer development and payment.
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - event type; and, detailed information about specific event types,
such as the distribution of various injuries … pertaining to nine patient safety event
types that represent the majority of reported preventable injuries … Event-Specific Formats pertain to nine patient safety events that represent the great majority of
preventable injuries … that they represent minor injuries such as soreness, bumps, and
minor abrasions. … unstageable
A lesion that, on admission, was a suspected Deep Tissue Injury
A pressure ulcer at stage