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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
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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 .
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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.
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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.
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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
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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
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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
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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).
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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.
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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
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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.
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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.
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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.
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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.
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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
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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
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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
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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.
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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
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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