-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15.html
February 01, 2023 - 8,997
6,894
8,597
6,888
Composite: ACSC Overall
22,706
18,412
21,951
18,376
Pressure … 10,186
7,869
9,760
7,859
Composite: ACSC Overall
24,978
20,372
24,196
20,327
Pressure … 4,856
4,215
4,625
4,246
Composite: ACSC Overall
14,792
13,022
14,282
13,066
Pressure … 3,483
3,293
3,410
3,308
Composite: ACSC Overall
5,671
5,408
5,482
5,469
Pressure … 7,968
6,752
7,567
6,782
Composite: ACSC Overall
20,938
18,196
19,552
18,470
Pressure
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psnet.ahrq.gov/continuing-education
February 26, 2025 - in a motorcycle crash, including head trauma, chest injuries, and spinal fractures. … A man in his mid-50s presented to the hospital with a persistent headache after a sledding injury … A head CT scan was read as normal and he was diagnosed with a minor head injury and discharged without … The commentary highlights the importance of evaluating patient risk of wound infection and poor wound … healing, the role of imaging modalities to help identify foreign material in wounds, and diligent follow-up
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www.ahrq.gov/hai/pfp/haccost2017-appendix.html
November 01, 2017 - , Closed"[Mesh] OR "Craniocerebral Trauma"[Mesh] OR "Cerebrovascular Trauma"[Mesh] OR "Cerebrovascular … ] OR "Decubitus Ulcer" [tiab] OR "Pressure Sore" [MeSH] OR "Pressure Sore" [tiab] OR "Suspected Deep … Tissue Injury" [tiab] OR "Pressure Ulcer" [MeSH] OR "Pressure Ulcer" [tiab] OR "osteomyelitis" [MeSH] … Ostomy/wound Mgmt . 2016 Nov;62(11):30.
d Weiser TG, Semel ME, Simon AE, et al. … The cost of serious fall-related injuries at three Midwestern hospitals.
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psnet.ahrq.gov/node/867035/psn-pdf
October 30, 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 … case or contributed to a worse injury.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications.pptx
April 01, 2022 - Knight is a 25-year-old man who was admitted with acute urinary retention, due to spinal injury. … when no or little urine is seen in bladder
Consider urology consultation for prostatitis and urethral trauma … Closed pressure ulcers: stage I, deep tissue injury No No, unless has chronic ISC needs Yes, if the patient … require an indwelling urinary catheter if the wound can be kept clean by other methods
Use alternatives … J Wound Ostomy Continence Nurs. 2020;47(6):601-18. PMID: 33201147.
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psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
January 01, 2024 - wound care and intravenous antibiotics. … Despite animal studies suggesting sealant alone can withstand high hydrostatic pressures,52–54 some remain … Suture Choice in Lumbar Dural Closure Contributes to Variation in Leak Pressures: Experimental Model. … Quantification of leakage pressures after durotomy repairs in the canine. … Occult spinal pseudomeningocele following a trivial injury successfully treated with a lumboperitoneal
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hcup-us.ahrq.gov/reports/statbriefs/sb237-Patient-Safety-Adverse-Events-2011-2014.pdf
January 01, 2014 - The PSIs focus on adverse events during the
hospital stay (such as pressure ulcers), complications associated … Ulcer Rate Wounds caused by unrelieved pressure on the skin usually
around bony prominences
PSI … to the body’s tissues and organs following an elective
surgery
PSI 14 Postoperative Wound
Dehiscence … requiring dialysis (70.8 percent), postoperative wound dehiscence (70.3 percent), pressure ulcers … The 10 risk-adjusted rates contributing to PSI 90 are as follows:
Pressure Ulcer Rate (PSI 03)
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psnet.ahrq.gov/node/44845/psn-pdf
July 01, 2016 - room hospital accommodation associated with
differences in healthcare-associated infection, falls,
pressure … room hospital accommodation associated with differences in
healthcare-associated infection, falls, pressure … Falls,
pressure ulcers, and Clostridium difficile infections increased in the older patients' ward after … one-size-fits-all-mixed-methods-evaluation-impact-100-single-room-accommodation-staff-and
https://psnet.ahrq.gov/issue/preventing-falls-injury
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psnet.ahrq.gov/web-mm/blind-spot
July 30, 2020 - The surgery was uncomplicated—her blood pressures intraoperatively were within 20% of her baseline, and … other signs of periorbital trauma. … Eye injuries after nonocular surgery. A study of 60,965 anesthetics from 1988 to 1992. … Injuries to the visual system and other sense organs. In: Benumof J, Saidman L, eds. … COVID-19: Team and Human Factors to Improve Safety
July 30, 2020
Injury
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hcup-us.ahrq.gov/reports/statbriefs/sb207-Sports-Hospital-Emergency-Department-2013.jsp
July 01, 2016 - wound: 12; other diagnosis: 6; intracranial injury: 5. … Other common, specific types of injuries included open wounds (12 percent) and intracranial injuries … Bicycle riding: sprain: 11; fracture: 22; superficial injury: 26; open wound: 19; intracranial injury … Basketball: sprain: 40; fracture: 16; superficial injury: 11; open wound: 10; intracranial injury: 3; … Soccer: sprain: 31; other injury: 21; superficial injury: 15; open wound: 6; intracranial injury: 6;
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
October 01, 2014 - Remember, pressure ulcers are areas of soft tissue damage caused by pressure or pressure and shear. … If unsure whether it is a pressure ulcer, get help from the wound care nurse or another experienced clinician … Typically, this comprehensive evaluation is performed by an "outside" expert such as a wound nurse or … Therefore, consider performing a comprehensive skin assessment every 3 months with a wound care nurse … Pressure ulcers may take several days to develop after a severe pressure injury.
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
October 01, 2014 - Remember, pressure ulcers are areas of soft tissue damage caused by pressure or pressure and shear. … If unsure whether it is a pressure ulcer, get help from the wound care nurse or another experienced clinician … Typically, this comprehensive evaluation is performed by an "outside" expert such as a wound nurse or … Therefore, consider performing a comprehensive skin assessment every 3 months with a wound care nurse … Pressure ulcers may take several days to develop after a severe pressure injury.
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psnet.ahrq.gov/issue/integrative-review-exploring-perceptions-patients-and-healthcare-professionals-towards
March 06, 2019 - Citation
Related Resources From the Same Author(s)
Medical device-related pressure … March 6, 2019
A randomized trial of a multifactorial strategy to prevent serious fall injuries … September 27, 2016
Towards international consensus on patient harm: perspectives on pressure … injury policy.
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psnet.ahrq.gov/node/48085/psn-pdf
June 19, 2019 - The health system sought to prevent
pressure ulcers, adverse drug events, falls with injury, health … psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals
https://psnet.ahrq.gov/issue/success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
April 01, 2025 - Preventing Falls and Reducing Injury from Falls
https://rnao.ca/bpg/guidelines/prevention-falls-and-fall-injuries … Pressure Ulcer Reduction
1. … Pressure Injury Training Modules
https://npiap.com/page/TrainingModules
The NPIAP Pressure Injury … injuries.
3. … Ulcer Data Collection Tool Instructions
Preventing Falls and Reducing Injury from Falls
Quality Assurance
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/depression-brain-injury_research-protocol.pdf
December 09, 2009 - Trauma[mh] OR TBI[tiab] OR head injuries[tiab] OR head
injury[tiab] OR traumatic brain injury[tiab] … brain injury" or "traumatic
brain injuries" OR "craniocerebral trauma" or neurotrauma or "brain trauma … brain injury" or
"traumatic head injury" or "traumatic brain injuries" or "traumatic head
injuries … injuries" OR "head injury" OR
"head trauma" OR "brain trauma"
http://www.effectivehealthcare.ahrq.gov … brain injuries" OR "head
trauma" OR "craniocerebral trauma" OR "brain injury" OR "brain injuries" )
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psnet.ahrq.gov/issue/barriers-and-facilitators-reporting-medical-device-related-pressure-ulcers-qualitative
April 07, 2019 - Study
Barriers and facilitators to reporting medical device-related pressure ulcers … Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration … Hospital-acquired pressure ulcers, categorized as a never event, are underreported , particularly when … Interviews with experts in hospital-acquired pressure ulcers revealed four domains related to reporting … injuries.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-slides.pptx
January 01, 2017 - Patients
Adverse Events4
9 patients had 14 adverse events (<1% of activities)
Falls to knees without injury … (5)
Systolic blood pressure <90 mmHg (4)
Oxygen saturation <80% (3)
Nasal feeding tube removal (1) … Systolic blood pressure >200 mmHg (1)
No extubations
No patients required added therapy or increased … sessions (i.e., 6 per 1,000 PT treatment)
80% of events were transient physiological (heart rate, blood pressure … Safety Program for Mechanically Ventilated Patients
5-Year Sustainability of Time to PT
Postacute Lung Injury
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-fullreport.pdf
December 17, 2019 - , seizure associated with trauma, loss of consciousness associated
with trauma, repeated vomiting, documented … These risks include dental trauma;
airway edema (swelling of the windpipe); vocal cord spasm or injury … Was there documentation of increased intracranial pressure? … The sensitivity of claims for identification of indicators of
increased intracranial pressure was 8.1 … in a
non-trauma center.
-
psnet.ahrq.gov/node/60856/psn-pdf
August 26, 2020 - His initial systolic blood
pressure after transfer was 60 mmHg. … One of the most
insidious iatrogenic insults affecting older patients with serious injuries is the inability … 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. … Injury. 2020;S0020-1383(20)30424-
1. doi:10.1016/j.injury.2020.05.017
10.