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301. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/22458-Rosenman-report.pdf
     October 01, 2018 - 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

302. AHRQ Patient Safety Tools and Resources (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/pstools/patient-safety-tools-flyer.pdf
     March 01, 2019 - approaches to design that target six areas of safety: infections, falls, medication errors, security, injuries … Web: ahrq.gov/vtguide Preventing Pressure Ulcers: A Toolkit for Improving Quality of Care in Hospitals … Web: ahrq.gov/pressureulcertoolkit ■ Pressure Injury Prevention in Hospitals Training Progam supports … the training of hospital staff on how to implement AHRQ’s Preventing Pressure Ulcers in Hospitals … injury prevention.

303. Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhacrate2013.html
     November 01, 2015 - 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

304. Improving Patient Safety in Long-Term Care Facilities, Module 3 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
     June 01, 2012 - He has moderate dementia, and his blood pressure falls when he stands up too fast, making him dizzy. … However, what we can do is eliminate needless falls and limit the injuries from falls that do occur. … Relationship between physical restraint removal and falls and injuries among nursing home residents. … Things about equipment or the care plan, including: › More frequent blood pressure monitoring. › More … resident (e.g., review medications). › Things about the equipment or care plan (e.g., monitor blood pressure

305. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=220
     January 01, 2024 - In these selected studies, positive airway pressure was the most common treatment modality, but oral … injuries (CIs). … The most common mechanism for CI with a burn injury was motor vehicle injury, followed by falls, fire … Cervical spine injury in burned trauma patients: incidence, predictors, and outcomes. … Keywords: Trauma, Injuries and Wounds Pagination « first « First ‹ previous

306. Prevehosp-Reports-Ig (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
     November 30, 2013 -  Major injury  Minor injury Non-Fall-Related Injury  Major injury  Minor injury Musculoskeletal … o Rash  Fall-Related Injury:. … , an “X” will display in this column: o Major injury o Minor injury  Non-Fall-Related Injury. …  Asthma  Circulatory problems  Hypertension  Gastroenteritis  Angina pectoris  Fall/trauma … cellulitis, dehydration, COPD, asthma, circulatory problems, hypertension, gastroenteritis, angina, falls/trauma

307. Fallpxtool2D (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2d.docx
     January 28, 2013 - Monthly falls analysis by: location and time of fall shift and day of week type of injury … consequences of falls High-risk medications, sleep hygiene measures for management of anxiety Low blood pressure

308. Chartbook on Hispanic Health Care: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides.html
     March 01, 2020 - Slide 61 Birth trauma—injury to neonate per 1,000 live births, by race/ethnicity, 2004-2012 Image … : Graph shows birth trauma—injury to neonate per 1,000 live births: Year Total White Black … Note: Trends: Birth trauma-neonatal injury rates fell from 2.6 per 1,000 live births in 2004 … Between 2004 and 2012, birth trauma-neonatal injury rates fell for all racial/ethnic groups. … Injuries: Any external cause of injury code indicating motor vehicle accident and unintentional injuries

309. MONAHRQ Measures List (xls file)
     www.ahrq.gov/downloads/monahrq/xls/MONAHRQ_50_Measure_List.xlsx
     August 05, 2014 - in the hospital while getting care for a condition that rarely results in death Y 0347 1.0 PSI 03 Pressure … 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

310. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-results.html
     November 01, 2017 - literature on excess mortality may be due to the difficulty in finding reliable sources of data on injuries … One study used national representative data (HCUP-NIS) for obstetrical trauma (defined based on AHRQ … only. 54 Further, this study found no increase in mortality for obstetrical trauma. … studies included amniotic fluid embolisms and anesthesia complications; two studies included intracranial injuries … and internal injuries of thorax, abdomen, and pelvis; one study included iatrogenic events.

311. Risk-Based Patient Safety Metrics (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
     March 25, 2008 - human error,” and people make such attributions with all of their biases and under different kinds of pressures … an injury occurs. … Ideally, a patient safety program would use injury-based metrics to calculate an injury rate that could … That rate would be: Identified injuries Potential opportunities for those injuries to occur As … Identified injuries also become a source of risk identification, regardless of whether or not the injury

312. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/hai/pfp/haccost2017-results.html
     November 01, 2017 - literature on excess mortality may be due to the difficulty in finding reliable sources of data on injuries … One study used national representative data (HCUP-NIS) for obstetrical trauma (defined based on AHRQ … only. 54 Further, this study found no increase in mortality for obstetrical trauma. … studies included amniotic fluid embolisms and anesthesia complications; two studies included intracranial injuries … and internal injuries of thorax, abdomen, and pelvis; one study included iatrogenic events.

313. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=142
     January 01, 2024 - The investigators found that surgical site infection and wound complications were the most common diagnoses … wound therapy in pediatric patients. … Negative pressure wound therapy (NPWT) is commonly used to manage complex wounds in the pediatric population … Inpatient versus outpatient management of negative pressure wound therapy in pediatric patients. … Keywords: Children/Adolescents, Injuries and Wounds, Treatments, Care Management, Ambulatory Care and

314. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=402
     January 01, 2024 - in this adult with minor head trauma? … in order to identify those with severe intracranial injuries. … at low risk of severe intracranial injuries. … Will neuroimaging reveal a severe intracranial injury in this adult with minor head trauma? … Keywords: Falls, Brain Injury, Imaging, Trauma, Diagnostic Safety and Quality Cristea AI ,

315. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/methods.html
     December 01, 2017 - Catheters Falls MPSMS In-Hospital Patient Falls Obstetric Adverse Events PSI OB Trauma … Pressure Ulcers Surgical Site Infections NHSN SSIs combined for 17 procedures based on CDC … The national number of adverse events captured by PSIs 18 and 19 on obstetric injury , and the national … Ulcers Hospital-Acquired Pressure Ulcers 53.03 62.45 0.85 VAP Ventilator-Associated … In-Hospital Patient Falls 262,317 32,750,000 8.010 Obstetric Adverse Events PSI OB Trauma

316. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=284
     January 01, 2024 - Keywords: Brain Injury, Neurological Disorders, Outcomes, Patient-Centered Outcomes Research, Quality … Tung EL , Wroblewski KE , Boyd K Police-recorded crime and disparities in obesity and blood pressure … Police-recorded crime and disparities in obesity and blood pressure status in Chicago. … Keywords: Blood Pressure, Disparities, Risk, Social Determinants of Health, Urban Health Henrikson … Keywords: Elderly, Injuries and Wounds, Long-Term Care, Nursing Homes, Patient Safety Ruck JM

317. TeamSTEPPS Specialty Scenarios: OR (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/operroom.pdf
     March 19, 2014 - At 2200, two emergency trauma cases arrive. … Comments  This scenario demonstrates how managing resources can prevent inefficiency or potential injury … chronic pain patient jumps from the hospital roof and sustains severe and multiple life-threatening injuries … The trauma surgeons request access to the Operating Room (OR) for immediate laparotomy and other repairs …  This scenario demonstrates how cross-monitoring team members can help prevent error, damage, or injury

318. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/instructor/scenarios/operroom.html
     March 01, 2014 - At 2200, two emergency trauma cases arrive. … Comments This scenario demonstrates how managing resources can prevent inefficiency or potential injury … chronic pain patient jumps from the hospital roof and sustains severe and multiple life-threatening injuries … The trauma surgeons request access to the Operating Room (OR) for immediate laparotomy and other repairs … Comments This scenario demonstrates how cross-monitoring team members can help prevent error, damage, or injury

319. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=479
     January 01, 2024 - Events, Communication, Medical Liability, Patient Safety Cochran G , Field C , Caetano R Injury-related … This study identifies latent classes of intervention recipients based on injury-related consequences … multiple alcohol-related risks and those characterized by a history of alcohol-related accidents and injuries … Injury-related consequences of alcohol misuse among injured patients who received screening and brief … Keywords: Blood Pressure, Racial and Ethnic Minorities, Medication, Patient Adherence/Compliance

320. Overuse of Imaging (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-section-2.pdf
     January 01, 2016 - seizure or convulsions associated with trauma  History of loss of consciousness associated with trauma … neurologic examination or signs or symptoms of intracranial hemorrhage or increased intracranial pressure … Documentation of trauma ☐Yes ☐No 2b. … Mark “Yes” for mechanisms of injury such as penetrating trauma, fall from more than 5 feet, pedestrian … abnormal neurologic examination, signs and symptoms of intracranial hemorrhage or increased intracranial pressure