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41. Pressure Ulcer Dashboard | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/npsd/data/dashboard/pressure-ulcer.html
    October 01, 2023 - of Patient Safety Databases (NPSD) Data Reporting Tools NPSD Dashboards Pressure … SHARE: Go to NPSD Dashboards Pressure … This dashboard details the documentation of increased risk for pressure ulcer following a risk assessment … ; and the timing of the first risk assessment for reported pressure ulcers or sDTIs. … https://www.ahrq.gov/npsd/data/dashboard/pressure-ulcer.html   Back to

42. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/index.html
    May 01, 2016 - Effectiveness Reviews Facilities Home and Community Resources Findings Report Injuries … Pressure ulcers remain a serious problem in nursing homes despite regulatory and market approaches to … Pressure ulcers cause pain, disfigurement, and increased infection risk and are associated with longer … Median annual nursing home pressure ulcer prevalence was 7.5 percent in 2009, with associated costs of … Materials Self-Assessment Worksheet for Pressure Ulcer Prevention .

43. Tool 0A: Introduction and Overview for Stakeholders | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/introduction-overview.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 … Falls with serious injury occurring during acute care stays represent a significant threat to patient … of inpatient stays by 6.9 days and hospital charges by$13,806. xi In addition, falls with serious trauma … The cost of serious fall-related injuries at three Midwestern hospitals.

44. Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-fullreport.pdf
    December 17, 2019 - , seizure associated with trauma, loss of consciousness associated with trauma, repeated vomiting, documented … These risks include dental trauma; airway edema (swelling of the windpipe); vocal cord spasm or injury … Was there documentation of increased intracranial pressure? … The sensitivity of claims for identification of indicators of increased intracranial pressure was 8.1 … in a non-trauma center.

45. Table 14B: Outcome Indicators by State Supply of Health Care Providers | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14b.html
    February 01, 2023 - Effectiveness Reviews Facilities Home and Community Resources Findings Report Injuries … Conditions 8,183 6,565 8,085 6,602 Composite: ACSC Overall 21,956 16,765 21,455 17,068 Pressure … Conditions 9,399 7,435 9,300 7,477 Composite: ACSC Overall 24,337 18,495 23,801 18,856 Pressure … Conditions 4,604 4,083 4,637 4,018 Composite: ACSC Overall 14,949 11,832 14,796 11,790 Pressure … Conditions 3,512 3,245 3,653 3,037 Composite: ACSC Overall 5,797 5,112 5,808 5,048 Pressure

46. Table 15B: Outcome Indicators by State Demographics | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15b.html
    February 01, 2023 - Effectiveness Reviews Facilities Home and Community Resources Findings Report Injuries … Conditions 8,040 6,786 7,702 6,976 Composite: ACSC Overall 21,669 17,341 20,812 17,696 Pressure … Conditions 9,170 7,724 8,821 7,929 Composite: ACSC Overall 23,918 19,140 23,031 19,550 Pressure … Conditions 4,402 4,279 4,338 4,320 Composite: ACSC Overall 14,429 12,531 14,135 12,525 Pressure … Conditions 3,398 3,382 3,385 3,397 Composite: ACSC Overall 5,517 5,450 5,449 5,532 Pressure

47. Table 16B: Outcome Indicators by State Socioeconomic Status | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16b.html
    February 01, 2023 - Effectiveness Reviews Facilities Home and Community Resources Findings Report Injuries … Conditions 6,179 9,131 7,304 7,421 Composite: ACSC Overall 16,590 23,347 19,328 18,994 Pressure … Conditions 3,968 4,959 4,286 4,448 Composite: ACSC Overall 12,312 15,022 13,443 12,894 Pressure … Conditions 3,146 3,780 3,577 3,068 Composite: ACSC Overall 5,039 6,194 5,874 4,811 Pressure … 8,609 13,732 10,164 12,022 Composite: ACSC Overall 22,116 33,392 25,404 30,079 Pressure

48. Overview | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/overview.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 … Fall and injury prevention. In: Patient safety and quality. an evidence-based handbook for nurses . … No.: CD005465. iv As of October 2012, CMS' list of codes for falls and trauma includes fractures, dislocations … , intracranial injuries, crushing injuries, burns, and other injuries (such as hypothermia).

49. Module 5: How To Measure Fall Rates and Fall Prevention Practices—Training Guide | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/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 … injuries (no signs or symptoms) resulting from the fall. … treating with ice, cleaning the wound, limb elevation, topical medication, or a bruise or abrasion. … Interventions to prevent falls and fall injuries are tracked.

50. Tool 5A: Information To Include in Incident Reports | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/incident-reports.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 … Type of injury Be specific, e.g., "fractured tibia," not "broken leg." … If a fall from bed, whether bedrails were in use Help assess how bedrail use is affecting falls or injury

51. Indwelling Urinary Catheter Indications
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications.pptx
    April 01, 2022 - Knight is a 25-year-old man who was admitted with acute urinary retention, due to spinal injury. … when no or little urine is seen in bladder Consider urology consultation for prostatitis and urethral trauma … Closed pressure ulcers: stage I, deep tissue injury No No, unless has chronic ISC needs Yes, if the patient … require an indwelling urinary catheter if the wound can be kept clean by other methods Use alternatives … J Wound Ostomy Continence Nurs. 2020;47(6):601-18. PMID: 33201147.

52. Table 3: Critical Thinking Process to Identify and Clarify Discrepancies | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/table-3.html
    July 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … Pre-admission doses of patient's blood pressure medications were changed due to hypotensive episodes. … The patient takes her blood pressure medication twice daily at home but it's ordered only once daily … No indication for frequency change and patient's current blood pressure slightly elevated.

53. Table 1: Critical Thinking Process to Identify and Clarify Discrepancies | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/table-1.html
    July 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … Pre-admission doses of patient's blood pressure medications were changed due to hypotensive episodes. … The patient takes her blood pressure medication twice daily at home but it's ordere only once daily in … No indication for frequency change and patient's current blood pressure slightly elevated.

54. Fallpxtool3F (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3f.docx
    January 29, 2013 - Have possible spinal injuries. Have lower extremity or pelvic fractures. … Equipment Noninvasive blood pressure measurement device. … Blood pressure cuff of correct size for the patient. Procedure 1. … Check sitting blood pressure and pulse. … Support the forearm at heart level when taking the blood pressures to prevent inaccurate measurement.

55. Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Technical Specifications (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0206-technicalspecs.pdf
    May 01, 2016 - Exclusions • Denominator/Numerator Exclusions o Trauma-related headache or pain (Table … IMG3) on the day of or within 7 days prior to imaging o Head trauma or suspected abuse/neglect (Table … 339.43 Other complicated 339.44 OTHER Post- traumatic headache 339.2x Acute pain due to trauma … excision of foreign body from brain 61570 Craniectomy or craniotomy; with treatment of penetrating wound … 852.x Other/unspecified intracranial hemorrhage following injury 853.x Intracranial injury of other

56. Table 14A: Outcome Indicators by County Supply of Health Care Providers | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14.html
    February 01, 2023 - Effectiveness Reviews Facilities Home and Community Resources Findings Report Injuries … 6,776 7,561 7,177 Composite: ACSC Overall 19,494 19,068 22,370 17,903 19,831 18,937 Pressure … 7,727 8,666 8,172 Composite: ACSC Overall 21,480 21,331 24,806 19,795 22,008 20,929 Pressure … 3,164 3,525 3,189 Composite: ACSC Overall 5,684 5,096 5,763 5,286 5,764 5,235 Pressure … 10,630 10,552 Composite: ACSC Overall 25,931 27,847 34,209 23,478 26,582 26,462 Pressure

57. Intramuscular Injections – Best Practices for Safe Vaccine Administration in Nursing Homes (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/intramuscular-injections.pdf
    June 01, 2021 - intramuscular (IM) administration is important to make sure the vaccine does its job and to avoid shoulder injury … and Health Administration (OSHA) regulations do not require you to wear gloves unless you have open wounds … Apply gentle pressure to the injection site for several seconds or longer to minimize bleeding using … For residents who take anticoagulation medications, gentle pressure may need to be applied longer to … pre-filled autoinjector (at least three doses) • H1 antihistamine (e.g., diphenhydramine/Benadryl) • Blood pressure

58. Tool 2D: Assessing Current Fall Prevention Policies and Practices | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/assessing-current-policies.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 … analysis by: Location and time of fall       Shift and day of week       Type of injury … Low blood pressure precautions. Low vision precautions.

59. Hospitals and Health Systems | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/resource/index.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 … Patients with Limited English Proficiency NICU Toolkit Preventing Falls in Hospitals Preventing Pressure

60. Declines in Hospital-Acquired Conditions (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
    January 01, 2019 - Conditions National efforts to reduce hospital-acquired conditions such as adverse drug events and injuries … CLABSI+ -6% Clostridioides difficile Infections -37% Falls -5% Obstetric Adverse Events -3% Pressure