-
www.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
May 01, 2016 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … sequential pilots of the audit tool should help answer:
How much time is acceptable in perioperative or trauma … for asymptomatic VTE in the hospital, the practice remains common for high-risk populations (e.g., trauma
-
www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6.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/perinatal/chipra-0082-fullreport.pdf
March 01, 2016 - delivery are at much higher risk for rehospitalization for uterine infection
and obstetrical surgical wound … nonmedical
factors such as provider density, the capacity of the local health care system, and malpractice
pressure … o Have a physical abnormality or injury to their brain or spinal cord. … For example, there may be fewer surgical injuries and fewer infections. … vaginally is more likely to have a nerve injury that affects the shoulder, arm, or
hand.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_fall-prevention.docx
August 24, 2017 - applied to other quality improvement efforts in a hospital, such as preventing:
Hospital-acquired pressure … injuries.
-
www.qualitymeasures.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
February 01, 2018 - Preliminary data on the use of the training materials showed significant decreases in falls with injury … AHRQ also released training materials for preventing pressure ulcers in hospitals. … Preliminary data on use of the materials showed significant decreases in pressure ulcers during a 1-year
-
www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm4.html
October 01, 2014 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries … information on diet (e.g., eating in restaurants, foods high in sodium), medication adherence, blood pressure … Monitor their health (e.g., reminders to take medication, measure blood pressure).
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - per 1,000 instrument-assisted deliveries
• Birth trauma - injury to neonate per 1,000 selected live … 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … Adverse Drug Events
• An adverse drug event (ADE) is an injury—including physical harm, mental harm, … The home health team should regularly change wound dressing and teach the patient about
wound care.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_tools.docx
November 16, 2011 - Monthly falls analysis by:
location and time of fall
shift and day of week
type of injury … consequences of falls
High-risk medications, sleep hygiene measures for management of anxiety
Low blood pressure
-
www.qualitymeasures.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
September 01, 2012 - 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 … Teamwork training improves the clinical care of trauma patients. … About 30 minutes later, he begins to develop some chest pressure, which he had not noticed before.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
January 01, 2020 - peripheral vascular
complication [including pseudoaneurysm,
hematoma at catheter insertion site, vascular
injury
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-14-attach-1.pdf
January 01, 2011 - culminate in
significant costs attributable to greater health-care needs, more frequent unintentional injury … culminate
in significant costs attributable to greater health-care needs, more frequent unintentional injury … with or without
behavior therapy):
At least 2 follow-up visits with:
Height, weight, and blood pressure
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-14-attachment-1.pdf
January 01, 2011 - culminate in
significant costs attributable to greater health-care needs, more frequent unintentional injury … culminate
in significant costs attributable to greater health-care needs, more frequent unintentional injury … (with or without behavior therapy):
At least 2 follow-up visits with:
Height, weight, and blood pressure
-
www.qualitymeasures.ahrq.gov/health-literacy/professional-training/lepguide/exec-summary.html
September 01, 2020 - not be harmed by the care that is intended to help them, and they should remain free from accidental injury … admissions and/or discharge. 68
Greater risk of line infections, surgical infections, falls, and pressure
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
December 01, 2020 - state-specific data on preventive health practices
and risk behaviors linked to chronic diseases, injuries … The
examination includes physical measurements, such as blood pressure and dental examinations,
and … from each family in the house and collects data on
topics including health status and limitations, injuries … infections; seven types of adverse events associated with surgery;
patient falls; and hospital-acquired pressure … events associated with the hospital stay and not present on hospital admission
(inpatient falls and pressure
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/f1-returnoninvestment.pdf
January 01, 2009 - For example, improvement actions might reduce
hospital-associated infections, rates of pressure ulcers … Excess length of stay, charges, and mortality attributable to medical injuries
during hospitalization
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
January 01, 2013 - For example, improvement actions might reduce
hospital-associated infections, rates of pressure ulcers … Excess length of stay, charges, and mortality attributable to medical injuries
during hospitalization
-
www.qualitymeasures.ahrq.gov/patient-safety/reports/liability/crane.html
August 01, 2017 - 59 percent
Information exchange with other settings
49 percent
53 percent
54 percent
Work pressure … Patients’ and doctors’ attitudes to amount of information given after unintended injury during treatment