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www.qualitymeasures.ahrq.gov/ncepcr/research-transform-primary-care/transform/tpcbib/index.html
May 01, 2015 - Hemoglobin A1c and blood pressure values in patients with diabetes were not significantly different between … The number of hospitalizations for unintentional injury and asthma also decreased after implementation … PMID: 23690385
The authors compared emergency care usage for any reason, asthma, and unintentional injury … As a comparison, emergency care use for unintentional injury had been increasing before and during implementation … Among patients with hypertension, frequent in-person visits were associated with better blood pressure
-
www.qualitymeasures.ahrq.gov/ncepcr/reports/grants-transform/bibliography/index.html
February 01, 2017 - Hemoglobin A1c and blood pressure values in patients with diabetes were not significantly different between … The number of hospitalizations for unintentional injury and asthma also decreased after implementation … PMID: 23690385
The authors compared emergency care usage for any reason, asthma, and unintentional injury … As a comparison, emergency care use for unintentional injury had been increasing before and during implementation … Among patients with hypertension, frequent in-person visits were associated with better blood pressure
-
www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
March 01, 2013 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
April 01, 2018 - This measure calculates the rate of adverse events (patient harm)—defined as unintended
physical injury … Black and Hispanic newborns are at higher risk of birth trauma
(Miller, et al., 2003). … Although AEs most
often result in transient harms, some lead to permanent injury and death. … : "Naloxone administration," “Health care-
associated infections: positive C. difficile test,” and "Pressure … Internal pressures, such as a punitive culture
that leads to underreporting of medical errors, may influence
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.pdf
May 01, 2017 - communication
breakdowns are identified as the primary root
cause of maternal and perinatal deaths and
injuries … Other root causes for maternal and perinatal
deaths and injuries are—
• Assessment,
• Leadership, … Example:
The nurse says to the doctor, “Doctor, the
patient’s blood pressure is dropping; it is
60
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
March 01, 2016 - Staffing, Work Pressure, and Pace ................................ 4
Composite 4. … Effective Crisis Management
Living a Culture of Patient Safety Policy and Brochure
Medically Induced Trauma … Staffing, Work Pressure, and Pace
1. … portfolio aims to
identify risks and hazards that lead to medical errors and find ways to prevent patient injury … Staffing, Work Pressure, and Pace
Composite 4. Teamwork
Composite 5. Staff Training
Composite 6.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-fullreport.pdf
May 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 blood pressure until the advanced stages of shock … 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 … For severe sepsis, one abstractor indicated that there was a low systolic blood pressure despite the
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-fullreport.pdf
April 02, 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 blood pressure
until the advanced stages of shock … A limited window of opportunity exists for therapy of the underlying injury once shock is present. … Because children often maintain their blood pressure
until they are severely ill, systemic hypotension … For severe sepsis, one abstractor indicated that there was a low systolic blood pressure despite the
-
www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.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 … The event review focuses on uncovering latent hazards or contributing factors that increase pressure
-
www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/vtguide/guide1.html
February 01, 2016 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Orthopedics, surgery, and trauma leaders.
Patient safety committee.
-
www.qualitymeasures.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
-
www.qualitymeasures.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
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/womenhealth/2014nhqdr-womenhealth.pptx
January 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 .
-
www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/vtguide/appa.html
July 01, 2018 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Regulatory measures and fiscal penalties are other pressures for optimizing VTE prevention. … The strongest work may be in high-DVT-risk trauma patients. … J Trauma Acute Care Surg 2013;74(1):128-35.)
Q8.
-
www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2.html
March 01, 2013 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI
-
www.qualitymeasures.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
-
www.qualitymeasures.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.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/implementation.html
January 01, 2013 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Or as implementation advances and the new practices become the norm, peer pressure may spur resisters … Hospitals will not be reimbursed by Medicare for hospital-acquired falls with trauma.
-
www.qualitymeasures.ahrq.gov/patient-safety/reports/advancing/index.html
July 01, 2022 - private-public partnerships to: (1) identify the causes of preventable health care errors and patient injury … By using hospital administrative data, PSIs can identify pressure ulcers, postoperative pulmonary emboli … Education in 2003 and that the long shifts medical interns worked led to 61 percent more needlestick injuries
-
www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm2.html
October 01, 2014 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries … management unit work with patients having a wide range of conditions (e.g., hemophilia, burns, spinal cord injury … However, local physicians' support of the program created enough pressure to reverse the decision to