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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/patient-safety-tools-flyer-June2022.pdf
May 01, 2023 - 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.
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www.ahrq.gov/news/newsletters/e-newsletter/893.html
December 01, 2023 - winners of the competition are:
University of Missouri Health Care utilized AHRQ’s Preventing Pressure … Ulcers in Hospitals: A Toolkit for Improving Quality of Care to decrease reportable pressure injuries
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www.ahrq.gov/teamstepps/instructor/scenarios/combatcare.html
March 01, 2014 - The right leg is continuing to bleed and now has pressure dressings applied. … They seem overwhelmed by the extent of the patient's injuries. … Seeing the blood pressure, the nurse asks, "Do you want a code cart in here?" … has an actively hemorrhaging 6-inch laceration on his right lower leg but no other obvious signs of injury … While the physician is reviewing wound care instructions with the mother, the child complains of nausea
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www.ahrq.gov/news/newsroom/ahrq-stats.html
January 01, 2025 - , by Cause of Injury, 2017 .) … Trauma During Childbirth The rate of obstetric trauma during childbirth involving instruments such as … Decreasing Pressure Ulcers Among Hospital Patients The average rate of hospital-associated pressure ulcers … Pressure Ulcer Rates of Hospital Patients About 1.2 million cases of hospital-acquired pressure ulcers … highest average expenses per person were for the treatment of heart conditions ($3,794 per person), trauma-related
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www.ahrq.gov/research/findings/studies/index.html?page=51
January 01, 2024 - An evidence-based approach for prioritizing trauma program improvement. … Improvement Program Participant Use Data Files with 5 days or longer of hospitalization and had an Injury … Which hospital-acquired conditions matter the most in trauma? … An evidence-based approach for prioritizing trauma program improvement. … documenting how likely they feel the patient is to experience 30-day in-hospital death or acute kidney injury
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www.ahrq.gov/news/newsroom/case-studies/201411.html
August 01, 2014 - Mercy also replaced patient beds to reduce incidents of pressure ulcers and to promote patient and staff … Implementing the "Minimal Lift Program," which is designed to reduce injuries resulting from repositioning
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www.ahrq.gov/research/findings/studies/index.html?page=255
January 01, 2024 - Keywords: Children/Adolescents, Blood Pressure, Diagnostic Safety and Quality, Electronic Health Records … Graham LA , Morris MS Association between preoperative proteinuria and postoperative acute kidney injury … preoperative proteinuria is associated with surgical outcomes including postoperative acute kidney injury … Association between preoperative proteinuria and postoperative acute kidney injury and readmission. … Keywords: Kidney Disease and Health, Injuries and Wounds, Adverse Events, Surgery, Risk, Hospital Readmissions
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www.ahrq.gov/research/findings/studies/index.html?page=428
January 01, 2024 - The effect size analysis identified five effective interventions that each reduced pressure ulcer rates … : leadership initiatives, visual tools, pressure ulcer staging, skin care, and patient nutrition. … Services (EMS), Policy, Substance Abuse
Murray DJ , Freeman BD , Boulet JR Decision making in trauma … well as analytic diagnostic skills to effectively recognize and treat potentially life-threatening injuries … Decision making in trauma settings: simulation to improve diagnostic skills.
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www.ahrq.gov/research/findings/studies/index.html?page=228
January 01, 2024 - This study used US and European trauma database statistics, including the National Trauma Databank, to … examine sex disparities in trauma care. … patient; outcomes after general trauma and specifically traumatic brain injury show mixed results. … Keywords: Access to Care, Disparities, Injuries and Wounds, Outcomes, Patient-Centered Outcomes Research … pulmonary disease (COPD) and coexisting obstructive sleep apnea (OSA) who had begun positive airway pressure
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives-notes.docx
April 01, 2022 - They are as follows:
· Stage III or stage IV or unstageable pressure ulcers
· Moderate to severe incontinence-associated … Intermittent catheterization is often used in patients with neurogenic bladder or spinal cord injury, … urinary retention with or without bladder outlet obstruction
· Stage III or stage IV or unstageable pressure … ulcer, or similarly severe wounds of other types, that cannot be kept clear of urinary incontinence … despite wound care and other urinary management strategies, if the ISC is adequate to manage the type
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/qdr-blackhealth-slides.html
November 01, 2020 - Infant mortality per 1,000 live births (more than 2,499 grams)
Worse
No Change
Birth trauma—injury … Slide 75
Birth trauma—injury to neonate per 1,000 live births, by race/ethnicity, 2004-2013
Image … : Chart shows birth trauma—injury to neonate per 1,000 live births, by race/ethnicity, 2004-2013: … Trends:
From 2004 to 2013, birth trauma-neonatal injury rates fell from 2.6 per 1,000 live births … Between 2004 and 2012, birth trauma-neonatal injury rates fell for all racial/ethnic groups.
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www.ahrq.gov/research/findings/studies/index.html?page=362
January 01, 2024 - Keywords: Blood Pressure, Medication, Medicare, Patient Adherence/Compliance
Jarlenski M , … Keywords: Children/Adolescents, Surgery, Healthcare-Associated Infections (HAIs), Injuries and Wounds … Keywords: Clinical Decision Support (CDS), Elderly, Injuries and Wounds, Human Immunodeficiency Virus
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Furmaga.pdf
January 01, 2005 - initiated efforts to decrease the common but unapproved use of that agent for
treating high blood pressure … Further concern was raised regarding the use of short-acting nifedipine for rapid
reduction of blood pressure … nifedipine that, while
allowing for some uses (e.g., autonomic dysreflexia secondary to spinal cord
injury … were continued (158 [9.5 percent] for treatment of autonomic dysreflexia in
patients with spinal cord injury … acting nifedipine for hypertension, 84 (15 percent) for autonomic dysreflexia
secondary to spinal cord injury
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/52-regional-analgesia-arthroplasty-facilitator.docx
June 01, 2023 - Neuraxial blocks can lead to decreased blood pressure and profound motor nerve block, which may not be … of regional analgesia in the setting of anticoagulation to avoid the potential risk of neurological injury
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess2.html
October 01, 2014 - Reddened or darkened skin near a pressure point, or skin breakdown in those areas, can lead to a full … pressure ulcer (bed sore) if not responded to promptly. … whether it is an observed and assisted transition to the floor or an unwitnessed event that results in an injury … Vital Signs
Vital signs include temperature, respiratory rate, blood pressure, and pulse rate. … Residents are safest—protected from harm or injury—when everyone expects to openly report anything that
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www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
January 01, 2024 - high-injury-severity incidents
conformed to the 2006 NQF standard. … Stage 3 or 4 pressure ulcers acquired after admission to a healthcare facility 0.0
G. … Ninety-eight percent of hospitals’ policies recommend disclosure in case of serious injuries believed … , organ injury, pneumonia, pneumothorax, pressure sore,
sepsis, shock, urinary tract infection, postoperative … wound infection, and other.
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www.ahrq.gov/prevention/guidelines/guide/section2c.html
June 01, 2014 - disorders in children and screening for carotid artery stenosis, coronary heart disease, high blood pressure … such as medications for cardiovascular disease and screening for coronary heart disease, high blood pressure … evidence of the effectiveness of selected population-based interventions to reduce motor vehicle occupant injuries … weight-loss interventions include decreased bone mineral density and increased fracture risk, serious injuries … It is calculated as the systolic blood pressure obtained at the ankle divided by the systolic blood pressure
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www.ahrq.gov/research/findings/studies/index.html?page=371
January 01, 2024 - Common Format for nursing homes (NHs) accommodates voluntary reporting for 4 adverse events: falls with injury … , pressure ulcers, medication errors, and infections. … to clinical practice guidelines (CPGs) and time to return to work (RTW) for patients with workplace injuries … Keywords: Guidelines, Injuries and Wounds, Patient-Centered Outcomes Research
Aschbrenner KA
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/CombatCare.pdf
March 18, 2014 - The right leg is continuing to bleed and now has pressure dressings
applied. … They seem overwhelmed by the extent of the patient’s injuries. … Seeing the blood pressure, the nurse asks, “Do you want a code cart in here?” … has an actively
hemorrhaging 6-inch laceration on his right lower leg but no other obvious signs of injury … While the physician
is reviewing wound care instructions with the mother, the child complains of nausea
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www.ahrq.gov/research/findings/nhqrdr/nhqdr16/appendixb2_qualitytrends.html
June 01, 2018 - , age 18 and over
-2.67
0.01
0.00
15
(2000-2014)
Reclosure of postoperative abdominal wound … age 18 and over
-11.09
0.03
0.02
6
(2009-2014)
Home health care patients whose surgical wound … who get better at taking their medication correctly
-3.40
0.00
0.01
4
(2010-2013)
Birth trauma-injury … to neonate per 1,000 live births
-5.82
0.01
0.00
14
(2001-2014)
Obstetric trauma per 1,000 … vaginal deliveries without instrument assistance
-4.90
0.00
0.00
15
(2000-2014)
Obstetric trauma