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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
January 01, 2006 - 0.1493487343 PSI 12 Statistically Lower 0
PSI 13 Postoperative sepsis 17.433 0
PSI 14 Postoperative wound … 0.0683602771 PSI 15 Statistically Lower 0
PSI 16 Transfusion reaction 0.000004 0
PSI 17 Birth trauma … - injury to neonate 2.188 0
PSI 18 Obstetric trauma - vaginal with instrument 0.139241 0.062898 … 0.215583 133.928 -99.8960329431 0.0570030165 0.0570022699 PSI 18 Statistically Lower 0
PSI 19 Obstetric trauma … 0.01989 -100 -100 117.3881347411 PDI 10 No Statistically Significant Difference 0
PDI 11 Postoperative Wound
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pptx
July 01, 2015 - chemical dependency (measured by deaths due to cirrhosis); diabetes; homicide and accidents (unintentional injuries … - injury to newborn per 1,000 live births Better No Change
Obstetric trauma per 1,000 vaginal deliveries … 4.5 4.4000000000000004 4.4000000000000004 4.0999999999999996 4.3
Rate per 1,000 Live Births
Birth trauma—injury … Trends:
Birth trauma-neonatal injury rates fell from 2.6 per 1,000 live births in 2004 to 1.9 per 1,000 … Between 2004 and 2012, birth trauma-neonatal injury rates fell for all racial/ethnic groups.
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psnet.ahrq.gov/issue/patient-safety-indicators-during-initial-covid-19-pandemic-surge-united-states
August 03, 2022 - September 1, 2021
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence. … About The Topic
Hospitals
Public Health
Infectious Diseases
Medical Complications
Pressure
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
December 01, 2012 - All but two of the indicators (Pressure Ulcer and Injurious Falls) build on existing AHRQ Prevention … Pressure Ulcer.
Injurious Falls.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
November 30, 2013 - Major injury
Minor injury
Non-Fall-Related Injury
Major injury
Minor injury
Musculoskeletal … o Rash
Fall-Related Injury:. … , an “X” will display in this column:
o Major injury
o Minor injury
Non-Fall-Related Injury. … Asthma
Circulatory problems
Hypertension
Gastroenteritis
Angina pectoris
Fall/trauma … cellulitis, dehydration, COPD, asthma, circulatory
problems, hypertension, gastroenteritis, angina,
falls/trauma
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www.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - Comparison to 2010 AHRQ estimates
Summary
Despite advancements in infection control and injury prevention … can stem from diagnostic or treatment errors (e.g., failure to follow antibiotic protocols); medical injuries … Beginning in 2008, CMS identified the HACs (e.g., CAUTI, falls and trauma, surgical site infection) for … Falls
Fall during an inpatient admission, with or without injury, whether or not fall was assisted. … Pressure Ulcers
A new pressure ulcer developed during a stay, or Stage 1 or 2 pressure ulcer(s) present
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-ostomy.pdf
April 02, 2025 - anchoring elements to bond the epidermis to the
underlying dermis, so skin is more susceptible to friction injury … ■ Peristomal skin must be protected from mechanical trauma due to use of aggressive adhesives,
improper … ■ Vent frequently to prevent gas pressure from compromising the seal.
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hcup-us.ahrq.gov/reports/race/50_state_r_e_rpt.jsp
July 01, 2016 - and Illnesses, Census of Fetal Occupational Injuries, Current Population Survey), DPH Infectious Diseases … Physical Activity, Mental Health, Tobacco Use, High Blood Pressure, Obesity, Stroke, Heart Disease … Asthma, Cancer, Cardiovascular Disease, Diabetes, Obesity, HIV/AIDS, Infant Mortality, Unintentional Injuries … Vehicle Deaths, Deaths of Children 1-17, Deaths of teens 15-17, Tobacco Use, General Nutrition, Blood Pressure … include "ABC's of Heart Attack", "Heart Disease Prevention", "Preventing and Controlling High Blood Pressure
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.html
September 01, 2017 - Presence of stage II or greater pressure ulcer.
Fall risk or previous fall in last 90 days. … and skin, injury (fall related or not fall related), musculoskeletal, abnormal labs or anemia, fever … or skin issues
Fall-related injury
Non-fall-related injury
Abnormal labs
Fever/possible infection … disease
Asthma
Circulatory problems
Hypertension
Gastroenteritis
Angina pectoris
Falls/trauma … obstructive pulmonary disease, asthma, circulatory problems, hypertension, gastroenteritis, angina, falls/trauma
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www.ahrq.gov/npsd/data/dashboard/index.html
September 01, 2024 - to falls, the presence of fall assistance, presence of fall assistance by patient harm, type of fall injury … Pressure Ulcer 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.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/gW6MHsqzJ7Nn4a7S6S_9UN
June 04, 2024 - IMPORTANCE Falls are the leading cause of injury-related morbidity and mortality among
older adults in … (170 fall-related injuries per 1000 older adults). … disease events, cardiovascular disease mortality, and all-
cause mortality, as well as lower blood pressure … assessment using a com-
bination of various components, such as balance, gait, vision, pos-
tural blood pressure … initial assessment of modifiable risk factors for falls (eg, balance, gait, vision, postural
blood pressure
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psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - respiratory monitoring for 24 hours after intrathecal morphine injection, and potential neurological injury … ; this change was associated with decreased risk of motor vehicle crash involvement and needlestick injury … Work schedule, needle use, and needlestick injuries among registered nurses. … Can workplace rest breaks prevent work-related injuries related to long working hours? … Effects of coffee on ambulatory blood pressure in older men and women: a randomized controlled trial.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - Falls Management Program
http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries … Provider Fax Report and Orders
http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries … professionals/onthejob/falls.asp
http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries … /fallspx/index.html
http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries/fallspx … /fallspx/fallspxmanapb10pcp.html
http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries
-
www.ahrq.gov/patient-safety/reports/engage/appc.html
March 01, 2017 - ti])) OR iatrogenesis [ti] OR iatrogenic [ti] OR ((medical [ti] OR treatment [ti] OR care [ti]) AND (injury … [ti] OR injuries [ti])) OR mishap* [ti] OR (root [ti] AND cause* [ti]) OR (failure* [ti] AND mode* [ … reducing [ab] OR reduction [ab] OR aged [mh] OR elderly OR geriatric)) OR Decubitus Ulcer [mh] OR ((pressure
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-decline.pdf
April 02, 2025 - Conditions
National efforts to reduce hospital-acquired conditions such
as adverse drug events and injuries … Infections
+CLABSI - Central Line-Associated Bloodstream Infection
Falls
Obstetric
Adverse
Events
Pressure
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/falls-prevention-community-dwelling-older-adults-interventions
June 04, 2024 - initial assessment of modifiable risk factors for falls (eg, balance, gait, vision, postural blood pressure … Falls are the leading cause of injury-related morbidity and mortality among older adults in the US. … adults 65 years or older reported at least 1 fall in the past year and 10.2% reported a fall-related injury … (170 fall-related injuries per 1000 older adults). … assessment using a combination of various components, such as balance, gait, vision, postural blood pressure
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psnet.ahrq.gov/issue/delays-diagnosis-treatment-and-surgery-root-causes-actions-taken-and-recommendations
March 25, 2020 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries. … March 18, 2020
Applying modern error theory to the problem of missed injuries in trauma
-
psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - which Brennan
and colleagues defined in the Harvard Medical Practice Study in New York State as “an injury … Thoracic Surgeons offers patient safety
indicators for adult cardiac surgery, such as deep sternal wound … injuries) and hospital acquired infections (CLABSI, CAUTI). … dehiscence, and obstetric trauma. … deaths due to health care-associated venous
thromboembolism, sepsis, or patient falls; in-hospital pressure
-
hcup-us.ahrq.gov/toolssoftware/ccsr/DXCCSR-User-Guide-v2025-1.pdf
November 01, 2024 - Injuries are described in two ways:
• The Injury Mortality Diagnosis Matrix classifies ICD injury codes … framework for categorizing injuries by body region and nature of injury. … CCSR Category Description
Open wound INJ011 Open wounds of head and neck, initial encounter
INJ012 … wounds of head and neck, subsequent encounter
INJ049 Open wounds to limbs, subsequent encounter … INJ050 Open wounds of trunk, subsequent encounter
INJ073 Injury, sequela
Other effects of
external
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/056-nursing-protocol-bathing-cloths.docx
October 01, 2024 - CHG is also safe for superficial wounds, including stage 1 and stage 2 pressure injuries.
7.