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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/057-nursing-protocol-bathing-liquid.docx
October 01, 2024 - CHG is also safe for superficial wounds, including stage 1 and stage 2 pressure injuries.
12.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/050-dec-implementation-notes.docx
October 01, 2024 - , and stage 1 and 2 pressure injuries. … For patients with recent nasal surgery or trauma—if unable to conduct decolonization, do not apply to … skin, or pressure injuries. … injuries (stage 1 and 2), superficial wounds, and sutured or stapled wounds. … CHG is approved as a wound cleanser.
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psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - improved functional independence at 4 and 12 months.( 12-14 ) Hip fracture is a common and serious injury … , which in turn increases the risk of delirium, thromboembolism, pneumonia, pressure ulcers, and significant … Injury. 2018;49:1458-1460. [go to PubMed] 2. Cummings SR, Black DM, Rubin SM. … J Orthop Trauma. 2006;20:172-180. [go to PubMed] 12. … J Orthop Trauma. 2014;28:e49-e55.
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psnet.ahrq.gov/issue/adverse-effects-medicare-psi-90-hospital-penalty-system-revenue-neutral-hospital-acquired
October 30, 2024 - Overall, HAC rates declined over the 2 years following implementation of the program, with only rates of pressure … Are evidence-based practices associated with effective prevention of hospital-acquired pressure … December 21, 2017
Complexity bias in the prevention of iatrogenic injury: why specific
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digital.ahrq.gov/2020-year-review/research-summary/anesthesiology-control-tower-air-traffic-control-operating-rooms
January 01, 2020 - How can we leverage all the data that are collected during surgery—vital signs, heart rate, blood pressure … If you've got a long period with low blood pressure, your risk will go up.”
–Dr. Avidan
Dr. … rooms improves care
Machine learning algorithms for predicting postoperative death, acute kidney injury … compliance with standards of care, as well as with surrogate measures of patient outcome, such as blood pressure
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psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
April 24, 2024 - Multiple services were contacted to assist with management of this complicated wound. … After conservative treatment for nearly three weeks, the wound did not show any appreciable healing, … To prevent iatrogenic injuries of this type, physicians, nurses, and pharmacists must work together to … When the infusion exceeds this maximum rate, it may cause lowering of blood pressure. 1
Calcium chloride … Management of severe calcium chloride extravasation injury: a case report.
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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
October 01, 2015 - ulcers or similarly severe wounds that cannot be kept clear of urinary incontinence despite wound care … require strict prolonged immobilization following specific types of trauma or surgery. … Examples include instability in the thoracic or lumbar spine, multiple traumatic injuries such as pelvic … Intermittent catheterization is most often used in patients with neurogenic bladder or spinal cord injury … despite wound care and other urinary management strategies, if ISC is adequate to manage the type of
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1b_combo_psifactsheet.pdf
October 01, 2015 - Year
PSI 02 Death Rate in Low-Mortality Diagnosis-
Related Groups (DRGs)
0.32 0347 2012
PSI 03 Pressure … Thrombosis Rate
4.99 0450 2012
PSI 13 Postoperative Sepsis Rate 9.61
PSI 14 Postoperative Wound … Laceration Rate X 1.89 0345 2012
PSI 16 Transfusion Reaction Count X N/A* 0349 2012
PSI 17 Birth Trauma … Rate – Injury to Neonate 1.89
PSI 18 Obstetric Trauma Rate – vaginal delivery
with instrument … 133.19
PSI 19 Obstetric Trauma Rate – vaginal delivery
without instrument
20.97
PSI 90
-
hcup-us.ahrq.gov/reports/race/50StateScan04_26forweb.pdf
December 01, 2010 - and Illnesses, Census of
Fetal Occupational Injuries,
Current Population Survey), DPH
Infectious … (2008)
http://tinyurl.com/
46tflsy
Physical Activity, Mental
Health, Tobacco Use, High
Blood Pressure … Cancer,
Cardiovascular Disease,
Diabetes, Obesity, HIV/AIDS,
Infant Mortality, Unintentional
Injuries … Deaths, Deaths
of Children 1-17, Deaths of
teens 15-17, Tobacco Use,
General Nutrition, Blood
Pressure … Diabetes, Stroke, Homicide,
Motor Vehicle Deaths, Suicide
Deaths, Obesity, Tobacco Use,
Blood Pressure
-
www.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
-
www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac_rates_2019.pdf
January 01, 2019 - Conditions
National efforts to reduce hospital-acquired conditions such
as adverse drug events and injuries … Clostridioides
difficile
Infections
-37%
Falls
-5%
Obstetric
Adverse
Events
-5%
Pressure
-
www.ahrq.gov/hai/pfp/haccost2017-results.html
November 01, 2017 - literature on excess mortality may be due to the difficulty in finding reliable sources of data on injuries … One study used national representative data (HCUP-NIS) for obstetrical trauma (defined based on AHRQ … only. 54 Further, this study found no increase in mortality for obstetrical trauma. … studies included amniotic fluid embolisms and anesthesia complications; two studies included intracranial injuries … and internal injuries of thorax, abdomen, and pelvis; one study included iatrogenic events.
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/healthyliving-slides.html
April 01, 2018 - Patient Safety:
Birth trauma—injury to neonates. … Birth trauma not elsewhere classified. 24
Many of these injuries to neonates may be preventable … . 25
Slide 42
Birth trauma—injury to neonate per 1,000 live births, 2004-2013
Image: Chart … Overall Rate: In 2013, the birth trauma-neonatal injury rate was 1.9 per 1,000 live births. … Birth Trauma Rate—Injury to Neonate: Technical Specifications.
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digital.ahrq.gov/location/usa-mn-minneapolis
January 01, 2023 - decision support (CDS) tool for prevention of venous thromboembolism (VTE) to those with traumatic brain injury … and evidence-based treatment recommendations regarding the recognition and management of high blood pressure … Description
This study evaluated Heart360, a mobile health management tool to improve blood pressure
-
psnet.ahrq.gov/primer/long-term-care-and-patient-safety
February 24, 2022 - care hospitals, including the ability to care for patients requiring mechanical ventilation, complex wound … Inpatient rehabilitation facilities (IRFs) care for patients recovering from surgery, trauma, or an … daily evaluation by a physician but do require services such as intensive nursing, physical therapy, or wound … injuries) during their stay, half of which were preventable. … injuries, and falls).
-
digital.ahrq.gov/sites/default/files/docs/citation/appendix-e-cdspain-sample-clinical-practice-guidelines.docx
October 16, 2020 - Pain persisting or recurring for more than 3 to 6 months and can be caused by a disease or condition, injury … an unknown reason.1,2
Acute Pain – Pain that usually starts suddenly and has a known cause, like an injury … tachycardia, myoclonus)
First line
· Clonidine 0.1-0.2 mg oral every 6-8 hours; hold dose if blood pressure … check 1 hour post dose; obtain daily blood pressure checks; increasing dose requirements additional … blood pressure checks
· Re-evaluate in 3-7 days; taper to stop; average duration 15 days
Alternatives
-
www.ahrq.gov/data/infographics/hac-rates_2019.html
July 01, 2020 - Description: National efforts to reduce hospital-acquired conditions such as adverse drug events and injuries … Pressure ulcers: 6% increase. Surgical site infections: 8% increase.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17.html
February 01, 2023 - 9,215
6,184
Composite: ACSC Overall
22,374
14,832
21,534
17,751
23,720
16,492
Pressure … 316
271
324
280
375
250
Outcome Indicator
Prevalence of
High Blood Pressure … 7,298
7,429
9,114
6,570
Composite: ACSC Overall
19,447
18,724
23,221
17,538
Pressure
-
www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
June 01, 2018 - Reducing the Incidence of Pressure Ulcers
For the hospitalized and home care patient, pressure ulcers … Patients in critical care, with hip fractures or with spinal injuries, are at particular risk. … The VA viewed pressure ulcer development as an ideal indicator because they are common, required the … The rate of pressure ulcer development dropped from 11.5 percent to zero. … voluntarily report unexpected events or errors that lead to death, or serious physical or psychological injury
-
psnet.ahrq.gov/web-mm/bloody-bp-cuff
June 21, 2016 - Patient #1 was in the trauma bay with massive injuries and profuse bleeding. … The blood pressure cuff (which was partly fabric and partly nylon) was saturated with so much blood that … General factors influencing compliance with barrier precautions include time pressures and concerns about … Until the cost-effectiveness of disposable blood pressure cuffs has been established, we can at least … Situations Blood Pressure Cuffs EKG Leads Pulse Oximetry Defibrillators