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281. CHIPRA 194: Section 1, Tables 1-5 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-1-tables-1-5.pdf
     April 01, 2019 - thunderclap 339.43 Other complicated 339.44 Other Post-traumatic headache 339.2x Acute pain due to trauma … seizure 780.33 Other convulsions 780.39 4 Table 4 [=IMG9]: ICD-9-CM Codes to Identify Head Trauma … 852.x Other/unspecified intracranial hemorrhage following injury 853.x Intracranial injury of other … 61106 Twist drill hole for subdural or ventricular puncture; for implanting ventricular catheter or pressure … excision of foreign body from brain 61570 Craniectomy or craniotomy; with treatment of penetrating wound

282. Preventing Device-Associated Infections | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
     October 01, 2015 - Assistance with healing of perineal and sacral wounds in incontinent patients. … Required immobilization for trauma or surgery. … Examples include an unstable thoracic or lumbar spine, multiple traumatic injuries such as pelvic fractures … associated with many infectious and noninfectious complications including immobility (with potential pressure … The decision to intubate and mechanically ventilate the patient is made if noninvasive positive pressure

283. Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017.html
     November 01, 2017 - Comparison to 2010 AHRQ estimates Summary Despite advancements in infection control and injury prevention … can stem from diagnostic or treatment errors (e.g., failure to follow antibiotic protocols); medical injuries … Beginning in 2008, CMS identified the HACs (e.g., CAUTI, falls and trauma, surgical site infection) for … Falls Fall during an inpatient admission, with or without injury, whether or not fall was assisted. … Pressure Ulcers A new pressure ulcer developed during a stay, or Stage 1 or 2 pressure ulcer(s) present

284. Appendix 3-A. Suggested Slides for Module 3 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3a.html
     October 01, 2014 - Nursing staff must have the knowledge and skills to prevent injury from falls. … Things about the equipment or care plan (e.g., monitor blood pressure frequently).

285. Data Infographics | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/infographics/index.html
     February 01, 2025 - Antidepressant Prescriptions Potentially Preventable Pediatric Hospital Stays Most Common Cause of Injuries … 2017 People Who Spent the Most for Healthcare in 2017 Causes of Hospital Stays for Traumatic Brain Injury … in 2017 High Healthcare Spending in 2017 Sports-Related Traumatic Brain Injuries Among Children Inpatient … Anemia in Hemodialysis Patients Worse Among Blacks HRSA's Health Center Program Making Progress on Blood Pressure

286. CMS Uses AHRQ's Quality Indicators to Evaluate Care for Medicare Beneficiaries | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cdom0603.html
     October 01, 2014 - safety in the hospital, MedPAC used AHRQ's Patient Safety Indicators to identify adverse events, such as pressure … ulcers, postoperative complications, and iatrogenic injuries.

287. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2013.html
     January 01, 2018 - 2 In 2010 an HHS Office of the Inspector General (OIG) team identified the rate of harm—that is, injuries … The estimate for deaths associated with pressure ulcers was based primarily on the paper by Zhan and … Zhan and Miller estimated that excess mortality due to pressure ulcers was 72 deaths per 1,000 pressure … This estimate is based on analysis of data from HCUP identifying injuries in 7.45 million hospital discharge … For example, pressure ulcers had a high baseline prevalence, and excess mortality attributed to pressure

288. B3A Combo Chartsforpresentations (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
     January 01, 2006 - 0.1493487343 PSI 12 Statistically Lower 0 PSI 13 Postoperative sepsis 17.433 0 PSI 14 Postoperative wound … 0.0683602771 PSI 15 Statistically Lower 0 PSI 16 Transfusion reaction 0.000004 0 PSI 17 Birth trauma … - injury to neonate 2.188 0 PSI 18 Obstetric trauma - vaginal with instrument 0.139241 0.062898 … 0.215583 133.928 -99.8960329431 0.0570030165 0.0570022699 PSI 18 Statistically Lower 0 PSI 19 Obstetric trauma … 0.01989 -100 -100 117.3881347411 PDI 10 No Statistically Significant Difference 0 PDI 11 Postoperative Wound

289. Documentation and Coding for the AHRQ Pediatric Quality Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
     March 15, 2016 - J Trauma 2007;63(5):1132-37. Iezzoni LI, Foley SM, Daley J, et al. 1992. … PDI 02 Pressure Ulcer Rate (stage III, IV, Unstageable) Diagnosis and site of pressure ulcer must … Document and code any associated pleural effusion or chest trauma. … Lack of Coding Specificity Measure Includes Only Elective Admissions PDI 11 Postoperative Wound … Dehiscence Rate X Depth of the wound dehiscence: external/superficial vs. internal/deep should

290. Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/hai/pfp/haccost2017.html
     November 01, 2017 - Comparison to 2010 AHRQ estimates Summary Despite advancements in infection control and injury prevention … can stem from diagnostic or treatment errors (e.g., failure to follow antibiotic protocols); medical injuries … Beginning in 2008, CMS identified the HACs (e.g., CAUTI, falls and trauma, surgical site infection) for … Falls Fall during an inpatient admission, with or without injury, whether or not fall was assisted. … Pressure Ulcers A new pressure ulcer developed during a stay, or Stage 1 or 2 pressure ulcer(s) present

291. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=136
     January 01, 2024 - This study included trauma patients who were admitted to trauma centers participating in the National … Trauma Data Bank. … Keywords: Elderly, Injuries and Wounds, Intensive Care Unit (ICU), Hospitals, Patient-Centered Outcomes … Keywords: Falls, Injuries and Wounds, Prevention, Tools & Toolkits, Patient and Family Engagement, Patient-Centered … Elderly, Racial and Ethnic Minorities, Disparities, Health Status, Health Insurance, Diabetes, Blood Pressure

292. Clinical Informatics and Its Usefulness for Assessing Risk and Preventing Falls and Pressure Ulcers in Nursing Home Environments (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Teigland.pdf
     March 01, 2004 - observed, “Medicare is spending billions to treat preventable (fall) injuries…at an average cost of … Medicare could realize substantial savings if these injuries could be prevented.”15 Prevention of pressure … billion.17 Falls and pressure ulcers are often avoidable. … average cost of $1,272 per injury14 and assuming conservatively that one out of ten falls results in injury … Preventing Falls and Pressure Ulcers 85 12. Dyck MJ.

293. From Quality Measures to Quality Care: Examples of Quality Improvement at Work | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
     June 01, 2018 - Reducing the Incidence of Pressure Ulcers For the hospitalized and home care patient, pressure ulcers … Patients in critical care, with hip fractures or with spinal injuries, are at particular risk. … The VA viewed pressure ulcer development as an ideal indicator because they are common, required the … The rate of pressure ulcer development dropped from 11.5 percent to zero. … voluntarily report unexpected events or errors that lead to death, or serious physical or psychological injury

294. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=436
     January 01, 2024 - Taylor v Intuitive, the first of at least 26 lawsuits against Intuitive, went to trial alleging injuries … factors associated with the development of this injury. … Burn injury associated with home oxygen use in patients with chronic obstructive pulmonary disease. … Keywords: Injuries and Wounds, Adverse Events, Risk, Respiratory Conditions, Elderly Conti RM … Body mass index percentage was documented on 73 percent of charts and blood pressure percentage on 30.5

295. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=277
     January 01, 2024 - Of signal and noise: overcoming challenges in blood pressure measurement to optimize hypertension care … Keywords: Blood Pressure, Diagnostic Safety and Quality, Adverse Events, Medical Errors, Electronic … significantly and consistently altered compared with age- and gender-matched controls with isolated extremity injuries … No study showed benefit to spine immobilization with regard to mortality and neurologic injury, even … for patients with direct neck injuries.

296. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
     January 01, 2024 - Scope Trauma-related injuries are the leading cause of death in Americans ages 1-44 and are responsible … Incidence Trauma-related injuries are the leading cause of death in Americans ages 1-44 and are responsible … consecutive readings) in the pre-hospital setting Stab wound, impalement, or gunshot wound to the neck … The injury severity score: a method for describing patients with multiple injuries and evaluating emergency … One day spent doing this training drastically changed my performance during traumas and medics codes

297. Fact Sheet on Patient Safety Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1b_combo_psifactsheet.pdf
     October 01, 2015 - Year PSI 02 Death Rate in Low-Mortality Diagnosis- Related Groups (DRGs) 0.32 0347 2012 PSI 03 Pressure … Thrombosis Rate 4.99 0450 2012 PSI 13 Postoperative Sepsis Rate 9.61 PSI 14 Postoperative Wound … Laceration Rate X 1.89 0345 2012 PSI 16 Transfusion Reaction Count X N/A* 0349 2012 PSI 17 Birth Trauma … Rate – Injury to Neonate 1.89 PSI 18 Obstetric Trauma Rate – vaginal delivery with instrument … 133.19 PSI 19 Obstetric Trauma Rate – vaginal delivery without instrument 20.97 PSI 90

298. IQI, PSI, AND PDI RATES GENERATED BY THE AHRQ WINDOWS QI SOFTWARE (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2b_combo_ratesgenbywin.pdf
     March 01, 2016 - Rate 0 0 - 0.0006572 PDI1 PDI #1 Accidental Puncture or Laceration Rate 0 0 - 0.00053522 PDI2 PDI #2 Pressure … Count 0 - - - PSI2 PSI #2 Death Rate in Low-Mortality DRGs 8 132 0.06060606 0.00028197 PSI3 PSI #3 Pressure … Rate – Injury to Neonate 0 0 - 0.00210694 PSI18 PSI #18 Obstetric Trauma Rate – Vaginal Delivery With … Diagnosis Related Groups (DRGs) 8 132 0.060606 0.001046 57.95983 0.000282 0.016343 0.007641 PSI #3 Pressure … Rate - Injury to Neonate 0.002107 PSI #18 Obstetric Trauma Rate - Vaginal Delivery With

299. Table A: Indicator Rates for the HCBS and Full Medicaid Populations (Rates of Admission per 100,000 Persons) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/oirtab.html
     December 01, 2012 - Composite: ACSC Acute Conditions 6,913 2,846 Composite: ACSC Overall 17,971 7,139 Pressure

300. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=302
     January 01, 2024 - the diagnosis and receipt of treatment for neuropsychiatric disturbances (NPDs) after traumatic brain injury … Keywords: Brain Injury, Caregiving, Diagnostic Safety and Quality, Behavioral Health, Trauma … The development of hospital-acquired pressure ulcers signals low quality of care. … Potential of decision support in preventing pressure ulcers in hospitals. … Keywords: Clinical Decision Support (CDS), Shared Decision Making, Hospitals, Patient Safety, Pressure