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www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.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.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.pdf
November 18, 2019 - • “Patient safety” is defined as the avoidance and prevention of patient injuries or
adverse events … Whenever pressure builds up, my supervisor/manager wants us to
work faster, even if it means taking
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_slides_fallprev.pptx
August 24, 2017 - Process
Change process strategies can be applied to other quality improvement efforts:
Hospital-acquired pressure … injuries
Catheter-associated urinary tract infections
Deep vein thrombosis or pulmonary embolism following
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
June 09, 2016 - · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … Whenever pressure builds up, my supervisor/manager wants us to work faster, even if it means taking shortcuts
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/ascwebcast0715_transcript.pdf
September 01, 2015 - our overall efforts in patient safety, and as part of the National Action Plan for health-associated
injuries … Smith, Slide 23
And the area with the most room for improvement was Staffing, Work Pressure and Pace … Smith, Slide 25
The two bottom-performing items were from Staff Training and the Staffing, Work Pressure … And you can see that for Staffing, Work Pressure and Pace it was a 94 percent positive compared to a … Brown, Slide 44
Our second area of focus was Staffing, Work Pressure and Pace, and our result was 55
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
April 01, 2016 - Eventually, they are able to re-establish a normal heart rate, blood pressure, and adequate blood
oxygen … During her procedure, her heart rate, blood pressure, and oxygen level were monitored. … During a part of
the procedure, we became aware that her heart rate, blood pressure, and oxygen level … First off, right now Mary
is stable; her heart rate, blood pressure, and oxygen level are all in normal … We also don’t know right now if she has
suffered any injury from what happened, but we will check her
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
December 22, 2017 - • “Patient safety” is defined as the avoidance and prevention of patient injuries
or adverse events … Whenever pressure builds up, my supervisor/manager wants us to
work faster, even if it means taking
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospscanform.pdf
March 22, 2017 - • “Patient safety” is defined as the avoidance and prevention of patient injuries
or adverse events … Whenever pressure builds up, my supervisor/manager wants us to
work faster, even if it means taking
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www.talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
July 01, 2023 - Slide 6: Root Causes of Maternal and Perinatal Deaths and Injuries 2004-2012
Say:
Human factors … 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.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-192-fullreport.pdf
November 01, 2019 - These complications include
compromised airway, hypoxia leading to central nervous system injury, and … • Signs or symptoms of increased intracranial pressure (Table 10 [=IMG11]; see Supporting
Documents … • Signs or symptoms of increased intracranial pressure.
• Abnormal neurologic exam. … These risks include dental trauma;
airway edema (swelling of the windpipe); vocal cord spasm or injury … Incidental findings in children with blunt head trauma
evaluated with cranial CT scans.
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www.talkingquality.ahrq.gov/health-literacy/professional-training/lepguide/app-b.html
September 01, 2020 - About 30 minutes later, he begins to develop some chest pressure, which he had not noticed before. … prevented the severe allergic reaction and allowed him to receive the angioplasty that could have prevented injury
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.docx
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,
Information … Example:
The nurse says to the doctor, “Doctor, the patient’s blood pressure is dropping; it is 60/40
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_slides_best-practices.pptx
June 16, 2017 - 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.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-fullreport.pdf
June 01, 2018 - (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. … , central venous pressure, urine output, metabolic status, and
peripheral perfusion (Rooney, Nadel, … 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
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-31-facilitating-panel-management.pdf
September 01, 2015 - acute care centers—services rendered to
patients needing urgent medical attention (e.g., infection, injuries … The registry can also identify patients not in control of HbA1c, LDL, or blood
pressure, patients who … Other information may need to be input by someone
in the clinic, for example, blood pressure, weight … The Panel Manager may also have the job to enter
data into the registry (like blood pressures) and to … Which of these patients would you call to schedule a group blood pressure clinic
appointment?
b.
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www.talkingquality.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
January 01, 2021 - HAC events amount to more than $28 billion in excess healthcare costs, including pressure ulcers ($9.9 … nurses and other healthcare professionals remains a significant and troubling issue, as do workplace injuries
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www.talkingquality.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
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www.talkingquality.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.talkingquality.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
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www.talkingquality.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