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www.innovations.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/slides.html
September 01, 2017 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … number of medications that could cause sedation, confusion, impaired balance, or orthostatic blood pressure … Carefully assess patients for any injuries in a systematic way.
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www.innovations.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.html
September 01, 2017 - Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Post-Fall Huddles: Reducing Preventable Falls and Fall-Related Injuries —AHRQ Fall Prevention Program … The patient should be carefully and systematically assessed for injuries. … The post-fall clinical review focuses on immediate risk of injury or complications. … RCA is often used for a fall with injury.
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www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.html
August 01, 2022 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI
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www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
August 01, 2022 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … An adverse event is "any injury caused by medical care" and doesn't imply "error," "negligence," or poor
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www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3.html
August 01, 2022 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI
-
www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
August 01, 2022 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … For additional support in the planning process, Medically Induced Trauma Support Services (MITSS) resources
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-fullreport.pdf
February 01, 2020 - percentile
(2) documentation of diastolic blood pressure percentile, (3) classification of blood pressure … Markers of vascular injury can be detected in very young children, demonstrating that the path to
cardiovascular … , systolic
blood pressure value, diastolic blood pressure value, and both height and weight (necessary … blood pressure, diastolic blood pressure, height, and weight)
was 100 percent, with a Kappa statistic … Systolic or diastolic blood pressure values.
30
7.
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-fullreport.pdf
April 01, 2019 - These
complications include compromised airway, hypoxia leading to central nervous system injury,
and … • Signs or symptoms of increased intracranial pressure. … • Trauma.
o Suspected child abuse.
o Concussion. … 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
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/obesity_topic-refinement.pdf
May 22, 2014 - Adverse effects of interventions
● Activity-related injury
● Adverse effects of medication ( diarrhea … Respiratory disease (i.e., asthma, COPD)
● Sleep apnea
o BMI
o Adverse effects
● Activity-related injuries … Question
1b
CMS Intermediate
outcomes
We are excluding all intermediate
outcomes (adherence, blood pressure … outcomes
CMS Intermediate
outcomes
We are excluding all intermediate
outcomes (adherence, blood pressure … skinfold thickness and waist
circumference; excluding all intermediate outcomes (adherence, blood pressure
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www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
August 01, 2022 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI
-
www.innovations.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/slides.html
September 01, 2017 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-fullreport.pdf
January 01, 2020 - children with secondary headaches accompanied by neurological signs or symptoms of
increased intracranial pressure … in blood pressure; and/or irregular heart rhythms (Society for Pediatric Anesthesia, 2014). … headache in the
absence of documented neurologic signs or symptoms that suggest increased intracranial
pressure … , new
neurologic deficits, or signs and symptoms of increased intracranial pressure may require timely … Incidental findings in children with blunt head trauma
evaluated with cranial CT scans.
-
www.innovations.ahrq.gov/patient-safety/resources/learning-lab/index.html
February 01, 2024 - as pressure injury) from exposure to intense and/or prolonged pressure, moisture, friction, and shear … ’s achievements include the creation of a digital bedside display that shows patients’ catheter and wound … injuries (formerly called ‘pressure ulcers’). … injury) and rhythmic motion (for detection of seizure). … caregivers in the design of health information technology (IT) tools to prevent patient falls and related injuries
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-fullreport.pdf
November 01, 2019 - These
complications include compromised airway, hypoxia leading to central nervous system (CNS)
injury … • Neurologic signs of increased intracranial pressure. … sedation, moderate and deep sedation carry a greater risk
of airway compromise, hypoxia resulting in CNS 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
-
www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
August 01, 2022 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Medicine (IOM) report, To Err Is Human: Building a Safer Health System , the problems associated with injury
-
www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
August 01, 2022 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI
-
www.innovations.ahrq.gov/news/newsletters/e-newsletter/893.html
December 01, 2023 - The 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
-
www.innovations.ahrq.gov/health-literacy/professional-training/lepguide/chapter1.html
September 01, 2020 - Adverse event*:
Any injury caused by medical care. … include pneumothorax from central venous catheter placement, anaphylaxis to penicillin, postoperative wound … Similarly, postoperative wound infections count as adverse events even if the operation proceeded with … Near miss/close call * :
An event or situation that did not produce patient injury, but only because … LEP patients are at greater risk of line infections, surgical infections, falls, and pressure ulcers
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www.innovations.ahrq.gov/research/findings/studies/index.html
January 01, 2024 - Autism
(31)
Back Health and Pain
(58)
Behavioral Health
(699)
Blood Clots
(62)
Blood Pressure … (132)
Blood Thinners
(79)
Brain Injury
(64)
Breast Feeding
(18)
Burnout
(64)
Cancer … (255)
Imaging
(245)
Implementation
(191)
Infectious Diseases
(260)
Influenza
(41)
Injuries … and Wounds
(207)
Inpatient Care
(221)
Intensive Care Unit (ICU)
(267)
Kidney Disease and … Tools & Toolkits
(49)
Training
(143)
Transitions of Care
(192)
Transplantation
(141)
Trauma
-
www.innovations.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/guide.html
September 01, 2017 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … applied to other quality improvement efforts in a hospital, such as preventing:
Hospital-acquired pressure … injuries.