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401. 2021 National Healthcare Quality and Disparities Report Appendixes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-appendixes.pdf
     December 01, 2021 - 1,000 elective-surgery admissions of length 4 or HCUP 2018 Reclosure of postoperative abdominal wound … dehiscence per 1,000 2 or more days, adults HCUP 2018 Home health care patients whose surgical wound … 2018 Home health improved care patients whose management of oral medications OASIS 2018 Birth trauma … with pressure ulcer MDS 2018 Low-risk, and left in long-stay nursing the bladder home residents … QUALITY MAP Measure Title Data Source Data Year Home health care patients whose surgical wound

402. Project Summaries for ACTION III Projects Awarded in 2015 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/translating/action3/2015_action_projects.pdf
     January 01, 2015 - Pressure ulcers: avoidable or unavoidable? … Ostomy Wound Manage 2011;57(2):24-37. … in a specific hospital over a given time period, but also the percentage of falls that resulted in injury … and the mailto:Tahleah.Chappel@ahrq.hhs.gov 19 percentage of each specific type of injury). … events that tend to occur or exclusively occur in these patient populations (for example, obstetric injuries

403. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=111
     January 01, 2024 - The effect of time pressures on primary care productivity. … Investigators examined how time pressure, an important constraint faced by medical care providers, affects … They found that greater time pressure reduced the number of diagnoses recorded during a visit and increased … The effect of time pressures on primary care productivity. … J Head Trauma Rehabil 2021 May-Jun;36(3):E147-e54. doi: 10.1097/htr.0000000000000625..

404. Data Provide Insights Into How COVID-19 Vaccination Prioritization May Affect Eligibility by Poverty Level and Race and Ethnicity | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/754.html
     March 01, 2021 - Conditions Wearable consumer devices and mobile apps that collect health data such as heart rate and blood pressure … Evidence also indicated the devices shortened cardiac arrhythmia detection time and improved blood pressure … characteristics and costs of potentially preventable hospital stays, the impacts and causes of traumatic brain injuries

405. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=171
     January 01, 2024 - and further need confidence that what is being recommended is not influenced by economic or political pressures … Hospital-level intensive care unit admission for patients with isolated blunt abdominal solid organ injury … A retrospective cohort study was conducted using the 2015 and 2016 National Trauma Data Bank. … J Trauma Acute Care Surg 2020 Mar;88(3):408-15. doi: 10.1097/ta.0000000000002581. . … Keywords: Injuries and Wounds, Intensive Care Unit (ICU), Critical Care, Patient-Centered Outcomes Research

406. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-ref.html
     May 01, 2023 - Costs of venous thromboembolism, catheter-associated urinary tract infection, and pressure ulcer. … The costs of medical falls by component of cost, timing, and injury severity. … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization … Ostomy Wound Manage . 2016 Nov;62(11):30-8. 65. Mendizabal A, Thibault DP, Willis AW. … Marginal hospital cost of surgery-related hospital-acquired pressure ulcers.

407. CHIPRA 225: Section 5, Table 4 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-225-section-5-table-4.pdf
     January 01, 2011 - These lesions are evidence of brain injury and should prompt evaluation of the child for learning and … includes anticonvulsants, if necessary; other supportive care for seizure or increased intracranial pressure … • Ischemic central nervous system injury can also present with nonfocal or soft signs, such as developmental

408. TeamSTEPPS® Diagnosis Improvement: Module 5 Situation Monitoring To Improve Diagnosis - Facilitator’s Notes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module5-presenters-notes.pdf
     January 10, 2022 - It also ensures staff are supported in times of stress or production pressures or when the day is just … or unfolding error An opportunity to interrupt or correct an action or event before harm or injury …  and  teams  to  take  steps  to  interrupt  or  correct  an  action  or  event  before  harm  or  injury … Are the blood pressure cuffs, otoscope, ophthalmoscopes, and other equipment working properly? … Are things being left undone because of time pressure?

409. Module 5: Situation Monitoring
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module5-situation-monitoring.pptx
     January 10, 2022 - It also ensures staff are supported in times of stress or production pressures or when the day is just … allows individuals and teams to take steps to interrupt or correct an action or event before harm or injury … risk or unfolding error An opportunity to interrupt or correct an action or event before harm or injury … Are the blood pressure cuffs, otoscope, ophthalmoscopes, and other equipment working properly? … Are things being left undone because of time pressure?

410. TeamSTEPPS® Diagnosis Improvement: Module 5 Situation Monitoring To Improve Diagnosis - Facilitator’s Notes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-presenters-notes.pdf
     January 10, 2022 - It also ensures staff are supported in times of stress or production pressures or when the day is just … or unfolding error An opportunity to interrupt or correct an action or event before harm or injury …  and  teams  to  take  steps  to  interrupt  or  correct  an  action  or  event  before  harm  or  injury … Are the blood pressure cuffs, otoscope, ophthalmoscopes, and other equipment working properly? … Are things being left undone because of time pressure?

411. Module 5: Situation Monitoring
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-situation-monitoring.pptx
     January 10, 2022 - It also ensures staff are supported in times of stress or production pressures or when the day is just … allows individuals and teams to take steps to interrupt or correct an action or event before harm or injury … risk or unfolding error An opportunity to interrupt or correct an action or event before harm or injury … Are the blood pressure cuffs, otoscope, ophthalmoscopes, and other equipment working properly? … Are things being left undone because of time pressure?

412. Module 1: Preventing Falls in Hospitals—Training Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
     September 01, 2017 - In one study, a fall with serious injury added 6.3 days to the hospital stay. … The average operational cost for a fall with injury is about $14,000. … Between 30 and 51 percent of falls in hospitals result in an injury ranging from bruises to severe wounds … The cost of serious fall-related injuries at three Midwestern hospitals. … Thus, the CAUTI, SSI, and Pressure Injury committees used the AHRQ assessment tools, and a speak-up campaign

413. Module 1: Preventing Falls in Hospitals (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_fall-prevention.docx
     March 01, 2013 - In one study, a fall with serious injury added 6.3 days to the hospital stay. … The average operational cost for a fall with injury is about $14,000. … Between 30 and 51 percent of falls in hospitals result in an injury ranging from bruises to severe wounds … The cost of serious fall-related injuries at three Midwestern hospitals. … Thus, the CAUTI, SSI, and Pressure Injury committees used the AHRQ assessment tools, and a speak-up campaign

414. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=247
     January 01, 2024 - mindfulness subscale had a lower standard deviation pulse pressure and spent less time stressed. … hospital variation in SDD; (3) the association between SDD and readmissions for bleeding, acute kidney injury … monitoring, home blood pressure monitoring, or both? … ) and home blood pressure monitoring (HBPM) for the detection of masked hypertension (MHT). … Diagnosing masked hypertension using ambulatory blood pressure monitoring, home blood pressure monitoring

415. Table 13C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13c.html
     December 01, 2012 - Composite: ACSC Overall 16,190 13,777 11,837 15,406 12,890 12,089 11,728 15,849 Pressure

416. Table 13F: HCBS Population Ages 18-64 Without I/DD or SMI | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13f.html
     December 01, 2012 - Composite: ACSC Overall 25,088 21,726 18,033 23,910 21,388 17,059 17,977 25,619 Pressure

417. The National Action Alliance to Advance Patient Safety Summer Webinar Series - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/public-action-alliance-slides-040323.pptx
     April 25, 2023 - human factors focus areas Workplace Change Collaborative – National Framework on Burnout and Moral Injury … Where it should say 'medical care harm/injuries', it's blank. … with the Action Plan Recommendations Be agile Integrate ‹#› 39 Surgical never events Falls Pressure … thing as surge … our new normal *Healthcare Acquired Infections, Early Elective Deliveries, Falls with Injury … , Healthcare Acquired Pressure Injuries, NTSV C-Section patients to get to WHO Goal, Sepsis Mortality

418. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=397
     January 01, 2024 - organ failure score to predict post-injury multiple organ failure. … The objective of the study was to externally validate the Denver Emergency Department (ED) Trauma Organ … Failure (TOF) Score, a 6-item instrument that includes age, intubation, hematocrit, systolic blood pressure … Validation of the Denver emergency department trauma organ failure score to predict post-injury multiple … Keywords: Emergency Department, Trauma, Shared Decision Making, Risk, Injuries and Wounds Scally

419. Mod01-Grand-Rounds-Slides (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
     April 01, 2016 - Say: Today’s Presentation Goals are to: ■ Highlight the gap between optimal response to medical injury … the CANDOR process and how this toolkit will help organizations improve their response to medical injury … nursing staff in the room had Michelle connected to a monitor and monitored her heart rate, blood pressure … of ergonomics; as we work more at desks and computers, these areas are redesigned to help prevent injuries … Slide 35 Say: In addition to the organization Medically Induced Trauma Support Services (or MITSS)

420. Grand Rounds Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
     August 01, 2022 - Say: Today's Presentation Goals are to: Highlight the gap between optimal response to medical injury … The nursing staff in the room had Michelle connected to a monitor and monitored her heart rate, blood pressure … Slide 12 Say: The response to medical injury involves more than just what to do and what … field of ergonomics; as we work more at desks and computers, these areas are redesigned to help prevent injuries … Slide 35 Say: In addition to the organization Medically Induced Trauma Support Services