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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
June 12, 2018 - Injury Prevention Program Training Webinar
· Using Pressure Ulcer Risk Assessment Tools in Care Planning … — AHRQ Pressure Injury Prevention Program Training Webinar
· Risk Factors for Pressure Injuries: Going … Any patient with an existing pressure injury is at risk for additional injuries.
· Determine whether … ASK: How do you review or audit documentation now? … injury risk assessment tools.
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pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinar/slides.html
June 01, 2018 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Healthcare Research & Quality
Toolkit: https://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries … Falls and falls with injury decreased from 2008 to 2009 but increased in 2010 and 2011. … grouping required information by location (e.g., environmental safety information in patient room, patient chart
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
August 31, 2017 - Injury Prevention Group or the Wound Care Group. … ASK: Do you have a Wound Care Team or Wound Care Nurse in this hospital? … Once you examine and understand current practices that are being used to help prevent pressure injuries … A quality representative checked charts and conducted random bedside checks to make sure the process … injuries.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
July 02, 2008 - If not sure, ask the Wound Care Team or Nurse.
16
Measures
Measures used in monitoring pressure injury … # of injuries) 17 patients with any pressure injury
# of patients with a >Stage 2 pressure injury 5 … Count the number and stage of pressure injuries in a month.
24
Stage 3 and 4 Injuries
All pressure … Don’t overreact.
26
Displaying Data/Storytelling
Run charts. … Injuries
Annotated Run Chart Example
Intervention: Annual education fair for all hospital staff and
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - pressure injuries. … pressure injuries. … If you are not sure a skin lesion is a pressure injury, ask the Wound Care Team or Wound Care Nurse. … One way to display data in a way that tells a story is using run charts and annotated run charts. … In November, staff began a biweekly audit of intervention performance measures.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - This tool should be used in conjunction with the other
tools for applying QIs to hospital data (B tools … Another would be to audit
charts to find missed cases, especially those of high-risk patients (e.g., … X
PDI 11 Postoperative Wound
Dehiscence Rate
X Depth of the wound dehiscence:
external/superficial … X
PSI 14 Postoperative Wound
Dehiscence
X Depth of the wound dehiscence:
external/superficial vs … PSI 18
PSI 19
OB Trauma – Vaginal
Delivery With Instrument
OB Trauma – Vaginal
Delivery Without
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pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/prp/prp-wound-care.pdf
September 17, 2020 - formation include diabetes, pressure
injuries, and venous or arterial diseases. … formation include diabetes, pressure
injuries, and venous or arterial diseases. … Haesler E, ed Prevention and Treatment of
Pressure Ulcers/Injuries. … EPUAP/NPIAP/PPPIA: European Pressure
Ulcer Advisory Panel, National Pressure
Injury Advisory Panel … and Pan Pacific
Pressure Injury Alliance; 2019.
32
Abbreviations and Acronyms
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pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.html
September 01, 2017 - Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Post-Fall Huddles: Reducing Preventable Falls and Fall-Related Injuries —AHRQ Fall Prevention Program … “Parking Lot” flip chart page and markers. … The patient should be carefully and systematically assessed for injuries. … RCA is often used for a fall with injury.
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pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/guide.html
September 01, 2017 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Flip chart page with “Ground Rules” written at the top. … injuries. … What tools do you currently use?
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_fall-prevention.docx
January 01, 2013 - Prevention Program Training Webinar
Post-Fall Huddles: Reducing Preventable Falls and Fall-Related Injuries … medications or medicines that could cause sedation, confusion, impaired balance, or orthostatic blood pressure … The patient should be carefully and systematically assessed for injuries. … The post-fall clinical review focuses on immediate risk of injury or complications. … RCA is often used for a fall with injury.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_fall-prevention.docx
August 24, 2017 - applied to other quality improvement efforts in a hospital, such as preventing:
Hospital-acquired pressure … injuries. … Capture all responses to the above questions on the flip chart. … Capture responses to the above questions on the flip chart. … What tools do you currently use?
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … To help achieve these goals, this document provides the following guidance and tools:
A name change … Copies of objective data (medical records, EMR audit trails, paging records, labs, imaging reports, and … To determine which contributing factors are most critical, chart the factors evaluating impact and likelihood
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pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/implementation.html
January 01, 2013 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Worksheet 4A in Tools and Resources may help in this process. … Or as implementation advances and the new practices become the norm, peer pressure may spur resisters … Hospitals will not be reimbursed by Medicare for hospital-acquired falls with trauma.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - • Access measures are not represented in this chart. … per 1,000 instrument-assisted deliveries
• Birth trauma - injury to neonate per 1,000 selected live … • Available tools: Checklists, preventable incidence calculators, audit forms, event report
templates … The home health team should regularly change wound dressing and teach the patient about
wound care. … patient experience, chart review checklist, and process mapping tool
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pcmh.ahrq.gov/sites/default/files/attachments/Information%20Technology%20to%20Support%20Transformation%20to%20Proactive%20Primary%20Care.pdf
July 01, 2010 - � “Primary prevention – Prevention strategies that seek to prevent the occurrence of
disease or injury … prevent disability by restoring individuals
to their optimal level of functioning after a disease or injury … Other individuals who rely on chart audits to track performance are less
satisfied. … While
it is often necessary for a staff member to manually enter data from a patient chart into a registry … A
graph page can show patient trends for weight and blood pressure, and key labs over a 2-year
period