-
hcup-us.ahrq.gov/reports/statbriefs/sb3.jsp
April 01, 2006 - burden of hospitalizations related to pressure sores (figure 1). … The mean charge for hospital stays principally for pressures sores was $37,800, but charges varied by … paralysis, spinal cord injury, substance abuse, malnutrition, multiple sclerosis, stroke, and senility … percent), paralysis (27.4 percent), senility (22.7 percent), malnutrition (17.8 percent), spinal cord injury … Paralysis, spinal cord injury, and substance abuse were prominent among younger patients, while malnutrition
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.pdf
June 02, 2025 - The On-Time Pressure Ulcer Assessment incorporates elements from the Bates-Jensen Wound Assessment … In partial thickness wounds it can occur throughout the wound bed as well as from the wound
edges. … In full thickness wounds it occurs from the edges only. … to <50% wound covered
5= <25% wound covered
Pain
Pressure Ulcer Site Pain
Select … Stage 1
Stage 2
Stage 3
Stage 4
Unstageable
Suspected Deep Tissue Injury
-
www.ahrq.gov/topics/healthcare-costs.html
Patient Falls by 21 Percent
Chartbook on Care Affordability
Connecticut Hospital Reduces Pressure … Injuries Using AHRQ Toolkit
Estimating the Costs of Primary Care Transformation: A Practical Guide
-
digital.ahrq.gov/sites/default/files/docs/resource/C3_Patient_Enrollment_Form_Blue.pdf
June 16, 2021 - Currently _ High Cholesterol Yes_ No_ Currently _
Asthma Yes _ No _ Currently _ High Blood Pressure … How long has this wound been present? (circle one) 3. … Cause of wound (circle one)
a) 1 month or less a) Injury from bump or fall
b) Between 1 and … (approx. date)____________ f) Infection
g) Pressure ulcer from laying or sitting
2. … Yes_No _
SITE WHERE PATIENT RECEIVES WOUND CARE
PATIENT’S HOME Yes_No _ WOUND CLINIC Yes_No
-
psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury-detection
August 04, 2021 - From research to practice: factors affecting implementation of prospective targeted injury-detection … From research to practice: factors affecting implementation of prospective targeted injury-detection … five hospitals faced in implementing new systems for prospective detection of adverse drug events and pressure … From research to practice: factors affecting implementation of prospective targeted injury-detection
-
digital.ahrq.gov/2020-year-review/research-summary/supporting-clinicians-improve-decision-making-and-patients-care-emerging-research
January 01, 2020 - patient care in hazardous decision-making environments fraught with excessive cognitive loading and time pressure … Hopkins University are investigating the use of AI to provide CDS in the detection of acute kidney injury … development and implementation of this AI-driven CDS system for detection and treatment of acute kidney injury … developed EHR-linked CDS tool, Peds & TeenBP, on screening and treatment of hypertension and high blood pressure … The research team aims to advance the standard practice of blood pressure measurement, increase hypertension
-
psnet.ahrq.gov/issue/core-elements-hospital-diagnostic-excellence-dxex
April 26, 2023 - March 7, 2018
Pressure Injury Prevention in Hospitals Training Program. … October 18, 2017
Preventing Falls With Injury.
-
hcup-us.ahrq.gov/reports/statbriefs/sb64.pdf
December 01, 2008 - In
contrast, 56.5 percent of adult
patients with a principal
diagnosis of pressures ulcers
were 65 … Paralysis and spinal cord
injury were common co-
existing conditions among
younger adults hospitalized … In-hospital death occurred in 11.6 percent
of stays with pressures ulcers noted as a secondary diagnosis … Patients 65 and older accounted for 56.5 percent of adult patients with a principal diagnosis of pressures … Paralysis and spinal cord injury were prominent among younger
patients, while fluid and electrolyte
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-factsheet.docx
January 01, 2017 - Emerging evidence links protective tidal ventilation to decreased incidence of acute lung injury (ALI … Use at least 5 cm H2O positive end expiratory pressure (PEEP).
Why wait? … not yet have ARDS and particularly those with risk factors to prevent progressive development of lung injury … Ventilator-associated lung injury in patients without acute lung injury at the onset of mechanical ventilation … What tidal volumes should be used in patients without acute lung injury?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
November 30, 2013 - Major injury
Minor injury
Non-Fall-Related Injury
Major injury
Minor injury
Musculoskeletal
Joint pain … & Skin
Cellulitis
Edema
Infected wound or decubitus
Jaundice
Rash
Treatment Unavailable at Transferring … & Skin Injury: Fall Related Injury : Non-Fall Related Musculoskeletal Abnormal Labs or Anemia Fever/ … or Skin Fall-Related Injury Non-Fall-Related Injury Abnormal Lab Results Fever /
Possible Infection … Disease Asthma Circulatory Problems Hypertension or Renal Failure Gastroenteritis Angina Pectoris Falls /Trauma
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
January 01, 2022 - injuries or complications of pressure injuries present on admission (POA)
was significantly higher … injuries or complications of pressure injuries
present on admission (13.4% vs. 4.7%) and catheter-associated … When the individual AE rates were analyzed by sex, the AE rate for advancing
pressure injuries or complications … of pressure injuries POA was significantly higher for males than
females (7.2% vs. 4.9%). … Pressure Injury/Ulcer
(PI)
Advancing PI or Secondary Comorbidity in PI Present
on Admission
New
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
January 01, 2022 - injuries or complications of pressure injuries present on admission (POA)
was significantly higher … injuries or complications of pressure injuries
present on admission (13.4% vs. 4.7%) and catheter-associated … When the individual AE rates were analyzed by sex, the AE rate for advancing
pressure injuries or complications … of pressure injuries POA was significantly higher for males than
females (7.2% vs. 4.9%). … Pressure Injury/Ulcer
(PI)
Advancing PI or Secondary Comorbidity in PI Present
on Admission
New
-
psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - in one
hour (versus six hours in this case)
• Prolonged operative time is a surrogate for tissue injury … Deviation in the face of production
pressure is a recipe for disaster. … Injury. 2018;49(1):130‐134.
doi:10.1016/j.injury.2017.09.002
7. … Pressure Ulcer Prevention in the Hospital Setting Using Silicone Foam Dressings. … Injury. 2020;S0020-1383(20)30424-1.
doi:10.1016/j.injury.2020.05.017
10.
-
hcup-us.ahrq.gov/reports/statbriefs/sb267-Hurricanes-Injuries-ED-Visits-2005-2016.pdf
January 01, 2016 - , excluding those with
skull fracture; internal injury of chest, abdomen, and pelvis; open wound of … ; burns; injury to nerves and spinal cord;
certain traumatic complications and unspecified injuries; … unspecified; effects of
heat and light; hypothermia; other effects of reduced temperature; effects of air
pressure … and water pressure; asphyxiation; effects of other deprivation; adult
and child abuse, neglect and … initial encounters, subsequent encounters, and sequela
T79 series • Certain early complications of trauma
-
psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_mismanagement_of_acute_decompensated_heart_failure_slides_final.pptx
January 01, 2024 - hypervolemia, leading to mismanagement of her hypertensive emergency, irreversible progression of cardiac injury … to the ED.1
12
12
Background (4)
The presence of pulmonary edema with hypoxemia and acute kidney injury … with an especially elevated diastolic pressure. … nitroglycerin (given that nitroprusside is relatively contraindicated in the setting of acute kidney injury … treating hypertensive emergencies, choosing appropriate antihypertensives for patients with end-organ injury
-
psnet.ahrq.gov/web-mm/secured-not-always-safe
October 01, 2015 - use have been reported.( 6 ) The most common complications include aspiration and unintended local trauma … with LMAs and high peak inspiratory pressures, allowing for inspired gases to insufflate the stomach … LMA use can also lead to injuries secondary to high cuff pressure and volume during prolonged procedures … These increased intra-cuff pressures can cause a significant damage to surrounding tissues. … the pyriform sinus, which is where the recurrent laryngeal nerve enters, rendering it vulnerable to injury
-
psnet.ahrq.gov/node/73604/psn-pdf
August 18, 2021 - effect-providing-staff-training-and-enhanced-support-care-homes-care-
processes-safety-climate
Hospital admissions and preventable adverse events, such as falls and pressure … After 24
months, the safety climate had improved, and both falls and pressure ulcers were reduced. … effect-providing-staff-training-and-enhanced-support-care-homes-care-processes-safety-climate
https://psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing-resident
-
psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - treated with albuterol without improvement, which prompted the initiation of bilevel positive airway pressure … She sustained head trauma, blunt trauma of the cervical spine, right rib fractures, and a right femur … initial ED presentation, she was alert and oriented, and her vital signs were stable, with a blood pressure … We do not know if the patient’s fall at home resulted in head trauma, which may have predisposed her … second case or contributed to a worse injury.
-
psnet.ahrq.gov/node/49862/psn-pdf
May 01, 2019 - She was admitted to the stroke unit and
received aggressive treatment to control her blood pressure. … This powerful attractive force can result in injury
to a patient or health care worker from any of various … Direct trauma from the accelerating ferromagnetic object striking the patient or health care worker … To this day, injuries
continue to occur in MRI scanners around the globe from ferromagnetic objects … modality—at times with
serious, and even fatal, consequences.(6-10)
The only way to avoid such events and injuries
-
psnet.ahrq.gov/node/39545/psn-pdf
May 19, 2010 - Surgical robot examined in injuries.
May 19, 2010
Carreyrou J. … https://psnet.ahrq.gov/issue/surgical-robot-examined-injuries
This newspaper article discusses complications … explains that such
errors may have been exacerbated by inadequate clinician training and production pressures … https://psnet.ahrq.gov/issue/surgical-robot-examined-injuries
https://psnet.ahrq.gov//#productionpressure