Results

Total Results: 595 records

Showing results for "pressure injury".
Users also searched for: pressure injuries

461. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
     March 27, 2008 - identification, orientation/training, use of available information, site marking, “time out,” and time pressures … Although a minority of these events result in significant harm to patients,1 major injuries and death … • Production/time pressures, including case urgency.

462. Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
     March 10, 2008 - 10 specifies certain conditions in more detail than ICD-9-CM by adding anatomical sites and type of injury … Major diagnosis category (MDC) exclusion Procedure codes requirement PSI 14: Postoperative wound … – injury to neonate Yes All liveborn births (newborns) No No PSI 18: Obstetric trauma – vaginal … the ulcer, while M70 codes describe unspecified “soft tissue disorders related to use, overuse, and pressure … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization

463. Urine Culturing Stewardship in the ICU Setting Facilitator Notes
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing.pptx
     April 01, 2022 - Abbreviations: BP = blood pressure; GI = gastrointestinal; Hgb = hemoglobin; HR = heart rate; ICU = intensive … without evidence of another source on history, physical examination, or laboratory testing In spinal cord injury … Has the patient had recent urologic manipulation such as trauma to the GU tract or surgery? … Effectiveness of a bundled approach to reduce urinary catheters and infection rates in trauma patients

464. QDR 2014: Chartbook for Hispanic Health Care, Part 1 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt1.pdf
     October 01, 2015 - For example, only half of people with high blood pressure have it controlled. …  Leading causes of morbidity and mortality include heart disease, cancer, unintentional injuries,

465. Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-synthesis-report.pdf
     July 22, 2015 - post-implementation period.33 The trend applied to emergency care use overall and to asthma and unintentional injury … Specifically, the percent of PCMH patients hospitalized per month (overall and for asthma and unintentional injury … Donahue, MD, MPH Diabetes • HbA1c <9% • LDL cholesterol <100 mg/dL • Blood pressure <130/80 … ≤130/80 mm Hg • LDL cholesterol ≤100 mg/dL Cardiovascular disease: • Blood pressure ≤130/80 … Gabbay, MD, PhD Diabetes • HbA1c <7% • Blood pressure <130/80 mm Hg • LDL cholesterol <100

466. Protocol for Identifying and Treating Children With Sepsis Syndrome in the Emergency Department (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
     February 01, 2018 - Unlike adults, the diagnosis of septic shock in children does not require the presence of low blood pressure … (hypotension), as children often maintain normal 6 blood pressure until the advanced stages of … A limited window of opportunity exists for treating underlying injury once shock is present. … Because children often maintain their blood pressure until they are severely ill, systemic hypotension … requirement for diagnosis of septic shock in children; in fact, shock may occur long before blood pressure

467. Imp-Handouts (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
     June 02, 2025 - Report data help identify residents with new ADL decline, fall risk, or fall injury, therefore at risk … Rehab Managers Weekly huddle to review residents at risk for ADL decline or fall or with fall injury … 2 or above pressure ulcers at risk for infection who potentially require hospitalization/ED visit … Reports provide information about current and changing risks for pressure ulcer healing and can aid … Discharge diagnoses were dehydration, fall with injury, cellulitis, and angina.

468. The Nature, Characteristics and Patterns of Perinatal Critical Events Teams (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Riley_58.pdf
     April 02, 2008 - remains high at 6.3 birth traumas per 1,000 live deliveries.13 • Team and leadership communication … Discussion Critical event teams in health care face significant complexity and time pressures, which … Preventing infant death and injury during delivery. Sentinel Event Alert; Issue 30. … An evaluation of trauma team leader performance by video recording. … Video techniques and data compared with observation in emergency trauma care.

469. Learning from Errors in Ambulatory Pediatrics (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
     February 01, 2004 - Because of the age of pediatric patients, when an error leads to injury it may have an impact on the … No complete loss of consciousness -- mom caught him with no head injury sustained. … post-term newborn infant with mild respiratory distress syndrome requiring continuous positive airway pressure … The occurrence of an error did not imply harm or injury to the patient.

470. Slide 1 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-051413.ppt
     January 01, 2013 - Reduce antibiotic use Reduce potential of increased resistance and Clostridium difficile disease Reduce trauma … (mechanical complications): Metal and urethral injury Hematuria Hospitalists Geriatricians Infectious … Inappropriate urinary catheter use may negatively affect the surgeon’s profile Risk of infection and trauma … They may lead to urinary tract infections and cause mechanical trauma to the urethra and bladder. … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient

471. Case 2. Central Hospital | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
     November 01, 2014 - Participation is required in the following priority areas: falls and fall injuries, pressure ulcers, … For example, in 2008 the national system launched a campaign to have zero preventable injuries or deaths … , the department was working toward certification as an American College of Surgeons (ACS) Level II Trauma … The ED successfully launched a trauma center and identified a new director in early 2010. … Staff perceived a shift of work to other staff because of the pressures of Lean process.

472. Technology for Improving Medication Monitoring in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
     March 09, 2005 - Activities Falls* Nutritional status Dehydration Dental care Feeding tubes† Physical restraints† Pressure … Factors associated with serious injury during falls by ambulatory nursing home residents. … Fall injuries in the elderly. Clin Geriatr Med 1985;1(3):501–12. 28. Monane M, Avorn J.

473. Webinar Transcript - The National Quality Strategy and the Public Sector: Federal Agency Alignment to the Six Priorities | Agency for Healthcare Research and Quality
     www.ahrq.gov/workingforquality/events/webinar-federal-agency-alignment-to-the-six-priorities.html
     November 01, 2016 - We work to prevent the leading cause of illness, injury, disability, and death. … We've displayed performance on the ABCs, which are appropriate aspirin use, blood pressure control, control … tobacco and got preventive care, we still have to address modifiable risk factors, including blood pressure … their profit according to the extent to which they're able to assist their members in controlling blood pressure

474. Final Progress Report: Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS) (pdf file)
     www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
     January 01, 2025 - model of the mechanisms by which small seemingly innocuous events escalate to create serious surgical injuries … verbal communication which is already the most frequently cited cause of procedural error and surgical injury … separation among members of the OR team, new anesthesia strategies, coordination and communication pressures … verbal communication which is already the most frequently cited cause of procedural error and surgical injury … primarily applied in surgery, comparable research has been successfully conducted in other venues such as trauma

475. Chartbook on Hispanic Health Care: Slide Presentation—Part 3 | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt3.html
     May 01, 2018 - Slide 10 Adults who needed care right away for an illness, injury, or condition in the last 12 months … ) among Hispanics, 2002-2012 Image: Graphs show adults who needed care right away for an illness, injury … Slide 11 Children who needed care right away for an illness, injury, or condition in the last 12 … restrained daily can become weak, lose their ability to go to the bathroom by themselves, and develop pressure … Importance: Many patients who receive home health care are recovering from an injury or illness and

476. 2023 National Healthcare Quality and Disparities Report Appendixes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE.pdf
     January 01, 2023 - 1,000 elective-surgery admissions, age 18 and over HCUP 2020 Reclosure of postoperative abdominal wound … 2020 Home health care patients whose management of oral medications improved OASIS 2021 Birth trauma … stages 2-4 pressure ulcer or unstageable pressure ulcer MDS 2021 Low-risk, long-stay nursing home … 2020 Home health care patients whose management of oral medications improved OASIS 2021 Birth trauma … stages 2-4 pressure ulcer or unstageable pressure ulcer MDS 2021 Low-risk, long-stay nursing home

477. 2022 National Healthcare Quality and Disparities Report Appendixes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-appendix-combined.pdf
     October 25, 2022 - HCUP 2019 Home health care patients whose management of oral medications improved OASIS 2020 Birth trauma … pressure ulcer MDS 2019 Low-risk, long-stay nursing home residents with a catheter inserted and left … MDS 2019 Short-stay nursing home patients with pressure ulcers that are new or worsened MDS 2018 … HCUP 2019 Home health care patients whose management of oral medications improved OASIS 2020 Birth trauma … MDS 2019 Short-stay nursing home patients with pressure ulcers that are new or worsened MDS 2018

478. 2023 National Healthcare Quality and Disparities Report Appendixes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
     January 01, 2023 - 1,000 elective-surgery admissions, age 18 and over HCUP 2020 Reclosure of postoperative abdominal wound … 2020 Home health care patients whose management of oral medications improved OASIS 2021 Birth trauma … stages 2-4 pressure ulcer or unstageable pressure ulcer MDS 2021 Low-risk, long-stay nursing home … 2020 Home health care patients whose management of oral medications improved OASIS 2021 Birth trauma … stages 2-4 pressure ulcer or unstageable pressure ulcer MDS 2021 Low-risk, long-stay nursing home

479. Chartbook on Women's Health Care: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/womenh-slides.html
     March 01, 2020 - Importance: About 70 million American adults (29%) have high blood pressure ( Nwankwo, et al., 2013 … High blood pressure costs the Nation $46 billion each year. … mostly attributable to sudden unexpected infant death (SUID), congenital anomalies, infection, and injury … Web-based Injury Statistics Query and Reporting System (WISQARS) [Online] (2013). … http://www.cdc.gov/injury/wisqars/index.html . Accessed September 1, 2015.

480. Research on the Integration of Behavioral Health in Primary Care webinar
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/behavioral-health-primary-care-webinar.pptx
     March 07, 2024 - I would’ve never thought to refer him to it because of the level of his brain injury” Tack, E., Lakhtakia … There are key SSDOH in driving blood pressure disparities for example, like lack of access to healthy