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61. Healthcare Cost and Utilization Project (HCUP) NRD Notes
    hcup-us.ahrq.gov/db/vars/i10_multinjury/nrdnote.jsp
    August 10, 2015 - categories align with the 2020 ICD-10-CM Injury Diagnosis Framework for Categorizing Injuries by Body … T07-T34 series: Injuries involving multiple body regions; injury of unspecified body region; effects … Data Year 2015 ICD-10-CM Diagnosis Codes Used to Identify Injury Discharges Records with injuries are … injury of thorax, abdomen, and pelvis; open wound of the head, neck, trunk, upper limb, and lower limb … ; injury to nerves and spinal cord; traumatic complications and unspecified injuries, initial or subsequent

62. Impact of AHRQ’s Patient Safety Tools: Challenge Competition | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/about/challenge-competition.html
    February 01, 2024 - Toolkit for Improving Quality of Care to decrease Patient Safety Indicator 03 (PSI-03) (reportable pressure … injuries) by 92% and save an estimated $350,000 in avoidable costs. … Implementation focused on MU Health Care’s 390-bed University Hospital, the only level I trauma center … injury rates and PSI-03 among Vizient peers to the top decile over the course of 2 years. … Injuries by 92%."

63. Surgeon commitment to trauma care decreases missed injuries. | PSNet
    psnet.ahrq.gov/issue/surgeon-commitment-trauma-care-decreases-missed-injuries
    June 15, 2012 - Study Surgeon commitment to trauma care decreases missed injuries. … Surgeon commitment to trauma care decreases missed injuries. … Surgeon commitment to trauma care decreases missed injuries. … March 9, 2009 Interactive effects of nurse-experienced time pressure and burnout on patient … June 25, 2009 Missed injuries in trauma patients: a literature review.

64. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture | PSNet
    psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
    March 15, 2023 - The patient subsequently underwent surgical repair of the tracheal injury. … obstruction (e.g., obstructive sleep apnea; stridor and air hunger due to vocal cord paralysis or neck trauma … intubate, ventilatory support for neuromuscular disease, and as an adjunct to head/neck surgery or trauma … preventable through careful procedural and post-placement care. 6 Patient-related risk factors that affect wound … injuries can occur due to local tissue damage caused by tissue ischemia at high cuff pressures. 15

65. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery | PSNet
    psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
    January 29, 2021 - However, it is associated with several positioning injuries. … In rare circumstances, significant hypoperfusion with ischemic injury to the calf muscles may result … Pressures above 30 mm Hg are worrisome, but the diagnosis can be easily missed if the pressure is measured … Early evaluation and fasciotomy by an orthopedic or trauma surgeon are key to preventing permanent injury … Int Wound J . 2008;5(2):315-328. [ Free full text ] Matsen FA 3rd.

66. On-Time Pressure Ulcer Healing: Introduction | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/intro.html
    December 01, 2017 - , and other clinical details known to affect wound healing, such as nutrition, temperature, and ulcer … For example, during wound rounds, the wound nurse may prefer having treatment details for each ulcer … Healing Report ), and the entire team may attend wound rounds with a copy of the Weekly Wound Rounds … Pressure Ulcers At Risk for Delayed Healing Weekly Wound Rounds Report Weekly Pressure … Advisory Panel and Pan Pacific Pressure Injury Alliance.

67. Describe How a Plan or Provider Can Influence a Quality Measure | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/translate/labels/describe.html
    January 01, 2023 - Massachusetts General Hospital (MGH) URL: https://www.massgeneral.org/quality-and-safety/patient-safety/pressure-injury-prevalence … (To view complete information, go to https://www.massgeneral.org/quality-and-safety/patient-safety/pressure-injury-prevalence … Overall, the rate of patients who have pressure ulcers at MGH is low. … that nurses have the necessary knowledge for skin assessment and intervention they attend a Phase I Wound … Bed surface is a key factor in preventing pressure ulcers.

68. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - • Patient safety concerns such as falls, pressure injuries, and adverse medication events were reported … Pressure Injury Among the pressure injury events (n = 10; 3.3%), several records identified the development … of pressure injuries due to the interaction between patient pronation and poor patient mobility. … Four records identified the development of multiple pressure injuries to the lips, tongue, ears, and … The remaining pressure injuries were identified across multiple other contact points such as the coccyx

69. Self-Assessment Worksheet for Pressure Ulcer Healing | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/saworksheet.html
    December 01, 2017 - the On-Time electronic reports into current workflow to help inform pressure ulcer wound interventions … , and Pan Pacific Pressure Injury Alliance’s Prevention and Treatment of Pressure Ulcers Guidelines … ___ Wound, Ostomy, and Continence Nurses Society (WOCN) Pressure Ulcer Guidelines ___ Other (specify … ___ ___   Selection of dressings based on wound characteristics? … ___ ___   Appropriate use of topical wound agents?

70. DXCCSR-ChangeLog-v20191-v20201 (xls file)
    hcup-us.ahrq.gov/toolssoftware/ccsr/DXCCSR-ChangeLog-v20191-v20201.xlsx
    October 01, 2019 - Pressure-induced deep tissue damage of left elbow SKN003 Pressure ulcer of skin L89106 Pressure-induced … Pressure ulcer of skin L89216 Pressure-induced deep tissue damage of right hip SKN003 Pressure ulcer … Pressure-induced deep tissue damage of unspecified buttock SKN003 Pressure ulcer of skin L89316 Pressure-induced … Pressure ulcer of skin L89606 Pressure-induced deep tissue damage of unspecified heel SKN003 Pressure … L89626 Pressure-induced deep tissue damage of left heel SKN003 Pressure ulcer of skin L89816 Pressure-induced

71. Data Submission Dashboard (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Pressure_Ulcer_Dashboard_Data_2024.xlsx
    January 01, 2024 - Documented within 24 hours of admission 0.9% 35 Stage/Category IV Unknown * * Suspected Deep Tissue Injury … Documented within 24 hours of admission 71.0% 2,897 Suspected Deep Tissue Injury No risk assessment … documented * * Suspected Deep Tissue Injury Not on admission, but documented after discovery or advancement … of pressure ulcer 78.6% 11 Suspected Deep Tissue Injury Not on admission, but documented before discovery … or advancement of pressure ulcer * * Suspected Deep Tissue Injury Unknown 69.4% 1,111 Unstageable

72. Appendix B. Prioritize Opportunities for Improvement | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apb.html
    October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Appendix B. … Injury Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program … Firm up your Implementation Team Leader, Core Team, Pressure Injury Team, and pressure injury champions … They might include ideas such as universal pressure injury precautions, pressure injury risk screening … Alternatively, you might decide to group ideas under the major categories in the pressure injury clinical

73. Hospital Resources | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/about.html
    December 01, 2017 - Process Millions of patients visit hospital emergency departments (EDs) each year for a variety of injuries … Pressure Injury Prevention in Hospitals Training Program AHRQ developed the Pressure Injury Prevention … injury prevention program. … Preventing Pressure Ulcers in Hospitals Each year, more than 2.5 million people in the United States … develop pressure ulcers.

74. Statistical Brief #96: Potentially Preventable Hospitalizations among Medicare-Medicaid Dual Eligibles, 2008 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb96.pdf
    September 01, 2010 - eligibles accounted for about one-third of all Medicare hospital stays with a principal diagnosis of pressure … ■ Among the nine selected potentially preventable hospitalizations, stays for pressure ulcers had … Pressure ulcers are a condition that typically results from prolonged periods of uninterrupted pressure … Injurious falls are a common cause of fatal injuries among elderly adults ages 65 years and older. … Common fall-related injuries include fractures, open wounds, and head traumas, and are serious enough

75. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
    January 01, 2021 - pertaining to nine patient safety event types that represent the majority of reported preventable injuries … Injuries were divided into three groups: No Injury where the incident did not result in harm, Injury … that they represent minor injuries such as soreness, bumps, and minor abrasions. … Injuries were divided into two groups: Fall considered unassisted and Fall known to be assisted. … the most advanced stage of the pressure ulcer or suspected Deep Tissue Injury being reported?”

76. 065-Dec-Staff-Faqs-Decolonization (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/065-dec-staff-faqs-decolonization.docx
    October 01, 2024 - Be especially thorough if there are any nearby wounds, pressure injuries, or breaks in the skin. … Use the CHG on superficial wounds and stage 1 and 2 pressure injuries. … Wound Cleaning For what types of wounds is CHG safe? … CHG can be applied to any superficial wounds, including stage 1 and 2 pressure injuries, friable skin … and stage 1 and 2 pressure injuries.

77. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic | PSNet
    psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
    January 12, 2022 - Injuries The risk of pressure injuries of the skin and soft tissue has increased during the pandemic … Injury Advisory Panel, and recommendations developed by researchers on the prevention of pressure injuries … Medical device-related pressure injuries during the COVID-19 pandemic. … The other thing that we saw related to pressure injuries was a type of skin lesion the National Pressure … COVID skin looks very much like deep tissue injury, or other types of pressure injury, but is actually

78. COVID-19 Pandemic Impact on Healthcare Associated Conditions | PSNet
    psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions
    April 17, 2025 - Study Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence. … injuries. … injuries between March and July 2020. … The authors discuss how prior organizational efforts to reduce hospital-acquired pressure injuries allowed

79. Dx Pr Grps Formats
    hcup-us.ahrq.gov/db/tools/Dx_Pr_Grps_Formats.TXT
    December 28, 2023 - , subsequent encounter' 'INJ064 ' = 'INJ064 : Other unspecified injuries, subsequent … 'MBD006 : Obsessive-compulsive and related disorders' 'MBD007 ' = 'MBD007 : Trauma … PNL007 : Hemolytic jaundice and perinatal jaundice' 'PNL008 ' = 'PNL008 : Birth trauma … : Anesthesia complications during pregnancy' 'PRG026 ' = 'PRG026 : OB-related trauma … ulcer of skin' 'SKN004 ' = 'SKN004 : Non-pressure ulcer of skin' 'SKN005

80. CE/MOC Quizzes | PSNet
    psnet.ahrq.gov/cme
    February 26, 2025 - On arrival at the emergency department, she had severely elevated blood pressure and hypoxemia. … in a motorcycle crash, including head trauma, chest injuries, and spinal fractures. … 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