-
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.
-
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.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
June 28, 2017 - 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.
-
www.ahrq.gov/research/findings/studies/index.html?page=165
January 01, 2024 - Keywords: Blood Pressure, Heart Disease and Health, Cardiovascular Conditions, Racial and Ethnic Minorities … This study used data on mass shootings to examine the proximity of adult trauma centers, pediatric trauma … centers (TCs), and non–trauma center hospitals to such events. … Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. … systems or e-cigarettes) among children and adolescents may help decrease tobacco-related illness and injury
-
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
-
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
-
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
-
www.ahrq.gov/research/findings/studies/index.html?page=70
January 01, 2024 - Keywords: Blood Pressure, Prevention, Evidence-Based Practice, Cardiovascular Conditions
Barreto … describe the development and feasibility of a multidisciplinary approach to caring for acute kidney injury … This study investigated whether pre-dialysis systolic blood pressure (preSBP) and interdialytic weight
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
January 01, 2004 - Unfortunately, a small portion of errors do result in an
“adverse event”—an injury caused by medical … For example, a 1991 Harvard Medical Practice Study reported that 69
percent of injuries suffered by … hospitalized patients in New York State in 1984
were the result of errors, and nearly 14 percent of these injuries … It may
elevate blood pressure, increase pain, alter quality of sleep, and reduce overall
perceived
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2018qdr-patsaf-chartbook.pptx
October 01, 2019 - events include postoperative infection (acute or early deep), dehiscence, necrosis, hematoma, nerve injury … events include postoperative infection (acute or early deep), dehiscence, necrosis, hematoma, nerve injury … from the date of the index admission; or mechanical complications, periprosthetic joint infection, or wound … from the date of the index admission; or mechanical complications, periprosthetic joint infection, or wound … treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-fullreport.pdf
November 01, 2019 - These complications
include compromised airway, hypoxia leading to central nervous system injury, and … moderate and deep sedation
carry risk of airway compromise, hypoxia resulting in central nervous system injury … These risks include dental trauma;
airway edema (swelling of the windpipe); vocal cord spasm or injury … ; regurgitation of stomach
contents with subsequent aspiration (inhalation) pneumonia; injury to arteries … , veins, or nerves;
alterations in blood pressure; and/or irregular heart rhythms (Society for Pediatric
-
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
-
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
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/health-literacy-education-presentation-tool-3a.pdf
January 01, 2019 - Afra wound up with chlamydia, which damaged her fallopian tubes and resulted in her not being able to … • Ed wound up in the hospital from taking both
medicines.
16
Presenter Notes
Presentation Notes … Ed wound up in the hospital from taking both medicines. … Technical Terms
Say Not
Pain killer Analgesic
Swelling Inflammation
Feverish Febrile
High blood
pressure … Hypertension
Wound Lesion
Injury Insult
Presenter Notes
Presentation Notes
We’ve been trained in
-
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.
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - The term safety refers to reducing
risk from harm and injury, whereas the term quality
suggests striving … Information Form, and Summary of Initial Report Form)
and then applying Common Formats for falls, pressure
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-facilitator-guide.docx
June 01, 2021 - unanticipated event in a health care setting resulting in death or serious physical or psychological injury … Half of the respondents in that study reported feeling pressure to give a medication for which they questioned
-
www.ahrq.gov/sites/default/files/2024-07/congdon-magilvy-report.pdf
January 01, 2024 - homes include indicators of physical care, such as rate of restraint
use (physical and chemical), pressure … sore prevalence, urinary tract infections, pain,
injuries, hospitalizations, functional decline; staffing … follows: .626 for urinary tract infections, .528 for weight
loss, .853 for tube feeding, .570 for pressure … indicated
that NHs with higher total hours of care had higher rates of urinary tract infections and
pressure