-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/hypertensive-disorders-pregnancy-screening
September 02, 2021 - What is the effectiveness of blood pressure self-monitoring and its potential utility in telehealth prenatal … after delivery), including studies comparing screening with different protocols in terms of:
Blood pressure … Maternal
Eclamptic seizure
Stroke
Cardiomyopathy, myocardial infarction
Renal or hepatic injury
-
psnet.ahrq.gov/issue/objective-framework-evaluating-unrecognized-bias-medical-ai-models-predicting-covid-19
July 22, 2020 - June 16, 2021
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.
-
psnet.ahrq.gov/issue/adverse-patient-safety-events-during-covid-epidemic
May 03, 2023 - June 9, 2021
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-appendixes.pdf
December 01, 2021 - 1,000 elective-surgery admissions of length 4 or HCUP 2018
Reclosure of postoperative abdominal wound … dehiscence per 1,000
2 or more days, adults
HCUP 2018
Home health care patients whose surgical wound … 2018
Home health
improved
care patients whose management of oral medications OASIS 2018
Birth trauma … with pressure ulcer MDS 2018
Low-risk,
and left in
long-stay nursing
the bladder
home residents … QUALITY MAP
Measure Title Data Source Data Year
Home health care patients whose surgical wound
-
psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
August 01, 2012 - circumstances combine to place the elderly nursing home resident at special risk for preventable drug-related injuries … all of medicine and place older persons residing in nursing homes at substantial risk of iatrogenic injury … We looked at the outcomes on falls, pressure ulcers, and restraint use. … We didn't find it for pressure ulcers. … that many of our readers don't know much about the organizational structure of nursing homes and the pressures
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a2_pdi_boardpresentation.pdf
October 01, 2015 - October 2015:
– Addition of information relevant to ambulatory and managed
care encounters
– Expanded injury … /TechSpecs/PDI%2002%20Pressure%20Ulcer
%20Rate.pdf
• Numerator: Discharges with ICD-10-CM code of
pressure … • Several exclusions (e.g., length of stay <5 days,
principal diagnosis of pressure ulcer). … An Example: Pressure Ulcer (PDI 02)
http://www.qualityindicators.ahrq.gov/Downloads/Modules/PDI/V45/ … An Example: Pressure Ulcer (PDI 02)�
How can the AHRQ PDIs be used in�quality assessment?
-
psnet.ahrq.gov/issue/sources-nurse-sensitive-inpatient-safety-improvement
July 07, 2021 - Increased spending on both improved outcomes in catheter-related blood stream infections, pressure ulcers … September 24, 2016
Assessment of nursing home reporting of major injury falls for quality
-
psnet.ahrq.gov/issue/learning-design-development-and-implementation-medication-safety-thermometer
November 02, 2016 - October 30, 2024
Towards international consensus on patient harm: perspectives on pressure … injury policy.
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/behavioral-counseling-interventions-promote-healthy-diet-physical-activity-weight-loss-prevent-cardiovascular-disease-adults
November 02, 2023 - Abbreviations: BP=blood pressure … physical activity, and/or weight loss improve intermediate outcomes associated with CVD (g., blood pressure … KQ 2: Intermediate outcomes, including continuous measures and incidence of conditions:
Blood pressure … and elevated blood pressure/hypertension
Total, low-density lipoprotein, and high-density lipoprotein … intervention (e.g., nutritional deficiencies, disordered eating, symptoms of anxiety, musculoskeletal injuries
-
psnet.ahrq.gov/issue/cost-benefit-analysis-support-program-nursing-staff
October 26, 2016 - September 8, 2021
A randomized trial of a multifactorial strategy to prevent serious fall injuries … Are evidence-based practices associated with effective prevention of hospital-acquired pressure … September 28, 2016
Do nurse and patient injuries share common antecedents?
-
psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - later, he was seen by the urologist and was found to be tachycardic and febrile, with acute kidney injury … Rectal perforation is an uncommon process, most often related to traumatic injury or associated with … The affected tissue demonstrates markedly compromised integrity and impaired wound healing, which dramatically … increases the risk for complications including leak, inadvertent injury, and failure of surgical repair … Limitations
In the past decade, surgical patients have grown increasingly complex, 3 and there is growing pressure
-
psnet.ahrq.gov/issue/correlates-missed-or-late-versus-timely-diagnosis-dementia-healthcare-settings
March 09, 2022 - July 1, 2017
Towards international consensus on patient harm: perspectives on pressure … injury policy.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pdf
October 01, 2015 - October 2015:
– Addition of information relevant to ambulatory and managed
care encounters
– Expanded injury … • Several exclusions (e.g., length of stay <5 days,
principal diagnosis of pressure ulcer). … • Several exclusions (e.g., length of stay <5 days,
principal diagnosis of pressure ulcer). … A PSI Example: Pressure Ulcer (PSI 03)�
What are the Inpatient Quality Indicators (IQIs)? … An Example: Pressure Ulcer (PDI 02)�
How can the AHRQ QIs be used in quality assessment?
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pdf
January 01, 2020 - , and
■ Birth trauma not elsewhere classified.
24
Many of these injuries to neonates may be preventable … .
25
Birth trauma—injury to neonate per 1,000 live births, 2004-2013
0.0
0.5
1.0
1.5
2.0
2.5 … Trends:
■ Birth trauma-neonatal injury rates fell from 2.6 per 1,000 live births in 2004 to … ■ Between 2004 and 2013, birth trauma-neonatal injury rates fell for all racial/ethnic
groups, … Birth Trauma Rate—Injury to Neonate: Technical Specifications.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a2_pdi_boardpresentation.pptx
October 01, 2015 - Rate
NQI 03 Neonatal Blood Stream Infection Rate
PDI 01 Accidental Puncture or Laceration Rate
PDI 02 Pressure … PDI 09 Postoperative Respiratory Failure Rate
PDI 10 Postoperative Sepsis Rate
PDI 11 Postoperative Wound … in October 2015:
Addition of information relevant to ambulatory and managed care encounters
Expanded injury … Several exclusions (e.g., length of stay <5 days, principal diagnosis of pressure ulcer). … An Example: Pressure Ulcer (PDI 02)
Tool A.2 Slide ‹#›
Pediatric Toolkit for Using the AHRQ Quality
-
hcup-us.ahrq.gov/reports/methods/2018-01.pdf
January 01, 2018 - Severity of injuries was determined using the ICD Programs for Injury
Categorization (ICDPIC).8 The … two injuries had an AIS score of 3 (serious). … ED utilization for
severe injuries was reported by trauma level (trauma level I and II combined, trauma … PSI 17 Birth trauma - injury to neonate per
1,000 live birthsa
a Consistent with the AHRQ PSI software … The AHRQ PSI for
pressure ulcers is excluded.
-
hcup-us.ahrq.gov/reports/methods/2017-03.pdf
January 01, 2017 - Severity of injuries was determined using the ICD Programs for Injury
Categorization (ICDPIC).6 The … two injuries had an AIS score of 3 (serious). … ED utilization for
severe injuries was reported by trauma level (trauma level I and II combined, trauma … PSI 17 Birth trauma - injury to neonate per
1,000 live birthsa
a Consistent with the AHRQ PSI software … The AHRQ PSI for
pressure ulcers is excluded.
-
hcup-us.ahrq.gov/reports/methods/2016-01.pdf
January 01, 2016 - Severity of injuries was determined using the ICD Programs for Injury
Categorization (ICDPIC).10 The … two injuries had an AIS score of 3 (serious). … ED utilization for
severe injuries was reported by trauma level (trauma level I and II combined, trauma … PSI 17 Birth trauma - injury to neonate per
1,000 live birthsa
a Consistent with the AHRQ PSI software … The AHRQ PSI for
pressure ulcers is excluded.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - patient safety events, including
many types of hospital-acquired infections, adverse drug events, and injuries … Ulcers/Pressure Injuries
Surgical Site Infections
Ventilator-Associated
Pneumonias
(Post-op) Venous … Central Venous Catheters
Falls MPSMS In-Hospital Patient Falls
Obstetric
Adverse
Events
PSI OB Trauma … National number of adverse events captured by PSIs 18 and 19 on obstetric
injury and national number … 8,513 0.29
Falls MPSMS In-Hospital Patient Falls 238,965 8.03
Obstetric
Adverse
Events
PSI OB Trauma
-
psnet.ahrq.gov/issue/nursing-management-medication-errors
November 02, 2022 - September 19, 2018
System approach to prevent common bile duct injury and enhance performance … January 12, 2011
Interactive effects of nurse-experienced time pressure and burnout on