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201. Appendix C. Case Study and Program Examples | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.html
     December 01, 2017 - She was assessed to have no injuries resulting from the fall. … Physical restraint—increases risk of serious injury. … Full side rails—increase risk of serious injury. … . ___ provide frequent reminders about call bell. ___ conduct trial use of a change in position/pressure … Use of pressure, position alarm. Use of hip protectors. No physical restraint use.

202. Archived: Physical Activity Promotion: Behavioral Counseling, 1996 | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/recommendation/physical-activity-promotion-behavioral-counseling-1996
     January 01, 1996 - Data remain scarce on the incidence of injury during most noncompetitive physical activity. 102 One … women was also associated with an increased risk of orthopedic problems. 104 Most exercise-induced injuries … National High Blood Pressure Education Program Working Group. … Risks of exercising: musculoskeletal injuries. In: Bouchard C, Shepard RJ, Stephens T, eds. … Injuries and adherence to walk/jog and resistance training programs in the elderly.

203. HCUPnet Methodology – HCUPnet Data Tools
     datatools.ahrq.gov/hcupnet/methodology/
     January 01, 2023 - throat ERCP, Endoscopic retrograde cholangiopancreatography GI, Gastrointestinal ICP, Intracranial pressure … ; internal injury of thorax, abdomen, and pelvis; open wound of the head, neck, trunk, upper limb, and … ICD-10-CM Codes for injuries are identified with the following Clinical Classification Software Refined … – Internal organ injury, initial encounter INJ011 – Open wounds of head and neck, initial encounter … INJ012 – Open wounds to limbs, initial encounter INJ013 – Open wounds of trunk, initial encounter

204. The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England. | PSNet
     psnet.ahrq.gov/issue/effect-providing-staff-training-and-enhanced-support-care-homes-care-processes-safety-climate
     September 15, 2021 - Hospital admissions and preventable adverse events, such as falls and pressure ulcers, are common in … After 24 months, the safety climate had improved, and both falls and pressure ulcers were reduced. … Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries. … See More About The Topic Long-Term Care Quality and Safety Professionals Geriatrics Pressure

205. Preventing Pressure Ulcers in Hospitals: A Toolkit - Section 7, Tools and Resources (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.pdf
     January 01, 2004 - Pressure ulcers are sterile wounds. 36. … Pressure ulcers are sterile wounds. False 36. …  If a skin disruption is found, the type of skin injury will need to be identified. … For example is it a skin tear, a pressure ulcer, or moisture-associated skin damage or injury? … medical staff, wound team, and unit staff for pressure ulcer practice Certified Wound Care Nurse

206. IQI, PSI, AND PDI RATES GENERATED BY THE AHRQ WINDOWS QI SOFTWARE (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2b_combo_ratesgenbywin.pdf
     March 01, 2016 - Rate 0 0 - 0.0006572 PDI1 PDI #1 Accidental Puncture or Laceration Rate 0 0 - 0.00053522 PDI2 PDI #2 Pressure … Count 0 - - - PSI2 PSI #2 Death Rate in Low-Mortality DRGs 8 132 0.06060606 0.00028197 PSI3 PSI #3 Pressure … Rate – Injury to Neonate 0 0 - 0.00210694 PSI18 PSI #18 Obstetric Trauma Rate – Vaginal Delivery With … Diagnosis Related Groups (DRGs) 8 132 0.060606 0.001046 57.95983 0.000282 0.016343 0.007641 PSI #3 Pressure … Rate - Injury to Neonate 0.002107 PSI #18 Obstetric Trauma Rate - Vaginal Delivery With

207. Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. | PSNet
     psnet.ahrq.gov/issue/barriers-and-facilitators-bedside-nursing-handover-systematic-review-and-meta-synthesis
     August 25, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review. … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

208. On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/handouts.html
     December 01, 2017 - We record onset day, stage, and surface area of each pressure ulcer during wound rounds. … ulcer healing and you will be able to identify wounds suspected of infection. … Pressure Injury Alliance's Prevention and Treatment of Pressure Ulcers Guidelines |___| Wound, Ostomy … Ulcer Report Pressure Ulcers At Risk for Delayed Healing Weekly Wound Rounds Report Weekly Pressure … Pressure Ulcers at Risk for Delayed Healing with wound rounds.

209. Long-term Care Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
     November 01, 2021 - Nursing Homes: On-Time Prevention End of Life Care Home and Community-based Services Falls and Injury … Long-Term Care Facilities Multiple Chronic Conditions Omissions of Care in Nursing Homes Pressure

210. Early Mobility in the Intensive Care Unit: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-fac-guide.html
     February 01, 2017 - These included: five falls to knees without injury, four with systolic blood pressure less than  90 mmHg … pressure less than 55 mmHg, and four cases of oxygen desaturation. … Slide 17: Early Mobility in a Trauma and Burns ICU Say: Clark et al. performed a retrospective … before and after cohort study, based on chart review, at an academic medical center in a trauma and burns … Slide 23: 5-Year Sustainability of Time to PT Postacute Lung Injury Diagnosis Say: In this chart

211. Preventing Device-Associated Infections | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
     October 01, 2015 - Assistance with healing of perineal and sacral wounds in incontinent patients. … Required immobilization for trauma or surgery. … Examples include an unstable thoracic or lumbar spine, multiple traumatic injuries such as pelvic fractures … associated with many infectious and noninfectious complications including immobility (with potential pressure … The decision to intubate and mechanically ventilate the patient is made if noninvasive positive pressure

212. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-facguide.docx
     January 01, 2017 - These included: five falls to knees without injury, four with systolic blood pressure less than 90 mmHg … pressure less than 55 mmHg, and four cases of oxygen desaturation. … Slide 16 Early Mobility in a Trauma and Burns ICU SAY: Clark et al. performed a retrospective before … and after cohort study, based on chart review, at an academic medical center in a trauma and burns ICU … Slide 22 5-Year Sustainability of Time to PT Postacute Lung Injury Diagnosis SAY: In this chart you

213. Nurse burnout syndrome and work environment impact patient safety grade. | PSNet
     psnet.ahrq.gov/issue/nurse-burnout-syndrome-and-work-environment-impact-patient-safety-grade
     August 04, 2021 - August 19, 2020 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence. … Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury

214. Statistical Brief #130
     hcup-us.ahrq.gov/reports/statbriefs/sb130.jsp
     May 01, 2012 - Introduction All-terrain vehicles (ATVs) are small open motorized vehicles designed with large low-pressure … ED visits for ATV injuries were more likely to occur on a weekend than the total of other injury-related … Compared with all injury related visits, those for ATV injuries were more likely to be covered by private … Case definition The External Cause of Injury codes (E-codes) used to define ATV-related injuries were … Journal of Trauma-Injury Infection and Critical Care 69(6): 1344-1349. 5 Aitken, M. E., C. J.

215. Evaluation of AHRQ's On-time Pressure Ulcer Program | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program
     January 01, 2023 - Evaluation of AHRQ's On-time Pressure Ulcer Program Project Description … In response to this need, AHRQ funded a rigorous evaluation of the On-Time Pressure Ulcer program.   … The objects of the project were to: Evaluate the effect of the On-Time Pressure Ulcer program by … A training curriculum for the On-Time Pressure Ulcer program was developed and tested. … Evaluation of AHRQ’s On-Time Pressure Ulcer Program - 2012 Evaluation of AHRQ's On-time Pressure

216. Intentional rounding—an integrative literature review. | PSNet
     psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review
     October 08, 2016 - The authors explore areas of impact, including patient satisfaction, falls , and hospital-acquired pressure … From the Same Author(s) Towards international consensus on patient harm: perspectives on pressure … injury policy.

217. Chartbook on Hispanic Health Care: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides.html
     March 01, 2020 - Slide 61 Birth trauma—injury to neonate per 1,000 live births, by race/ethnicity, 2004-2012 Image … : Graph shows birth trauma—injury to neonate per 1,000 live births: Year Total White Black … Note: Trends: Birth trauma-neonatal injury rates fell from 2.6 per 1,000 live births in 2004 … Between 2004 and 2012, birth trauma-neonatal injury rates fell for all racial/ethnic groups. … Injuries: Any external cause of injury code indicating motor vehicle accident and unintentional injuries

218. An Example of Using Present on Admission Data: CMS-Defined Hospital-Acquired Conditions in All-Payer Data
     hcup-us.ahrq.gov/datainnovations/clinicaldata/ExampleofUsingPOA-CMSHACsusingall-payerdata.jsp
     August 01, 2011 - Falls and trauma: private insurance: 0.37; Medicaid: 0.41. … Stage 3 and 4 pressure ulcers: private insurance: 0.32; Medicaid: 1.25. … Falls and trauma: 45-64 year olds: 2.12; 65-84 year olds: 4.35; 85 years and older: 5.80. … Ulcers are: 707.23, pressure ulcer, stage III 707.24, pressure ulcer, stage IV The ICD-9- … 830-839.99, dislocation 850-854.99, intracranial injury 925-929.99, crushing injury 940-949.99

219. Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm. | PSNet
     psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
     January 29, 2021 - chest wall muscles can create much higher negative intrathoracic pressures than those of elderly patients … Succinylcholine is contraindicated in patients with stroke, spinal cord injury, burns, or myotonic dystrophy … inadequate resources such as the broken drug refrigerator otherwise could have led to irreversible injury … Risk of respiratory complications and wound infection in patients undergoing ambulatory surgery: smokers … Negative-pressure pulmonary edema.

220. Evaluation of AHRQ’s On-Time Pressure Ulcer Program - 2012 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2012
     January 01, 2012 - Evaluation of AHRQ’s On-Time Pressure Ulcer Program - 2012 Project Name Evaluation … of AHRQ's On-time Pressure Ulcer Program Principal Investigator Hurd, Donna Organization … Although substantial research has documented that preventing pressure ulcers and falls is possible, these … In response, AHRQ funded a rigorous evaluation of the On-Time Pressure Ulcer program. … A training curriculum for the On-Time Pressure Ulcer program was developed and tested.