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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
October 01, 2017 - Collect and analyze data to learn about pressure injury rates and causes of pressure injuries. … of pressure injuries. … device-related pressure injuries, mucosal injuries, and how they differ from regular pressure injuries … reducing pressure injuries. … The team reviewed the charts of patients with pressure injuries before discharge, and nursing worked
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.html
October 01, 2017 - reducing pressure injuries. … Description: The Implementation Team compared chart documentation, wound care nurse data, and ICD 10 … Wound champions partnered up with and taught the new nurses how to conduct chart audits (including how … Show photos of pressure injury prevention staff (such as wound care nurses, skin champions, and Skin … The team reviewed the charts of patients with pressure injuries before discharge, and nursing worked
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www.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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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide3.html
October 01, 2017 - Using Pressure Ulcer Risk Assessment Tools in Care Planning —AHRQ Pressure Injury Prevention Program … Risk Factors for Pressure Injuries: Going Beyond Validated Instruments —AHRQ Pressure Injury Prevention … Any patient with an existing pressure injury is at risk for additional injuries. … injury risk assessment tools. … Tools ( MS Word , 1 MB).
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
October 01, 2017 - Additional Related Training Resources
Wound Classification —AHRQ Pressure Injury Prevention Program … of pressure injuries. … If you are not sure a skin lesion is a pressure injury, ask the Wound Care Team or Wound Care Nurse. … In November, staff began a biweekly audit of intervention performance measures. … Tools ( MS Word , 166.8 KB).
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides5.html
October 01, 2017 - Slide 7: Pressure Injury Staging
There are four stages of pressure injuries. … Slide 9: Stage 2
Shallow open injury with a red-pink wound bed.
No slough. … Slide 15: Measuring Pressure Injury Rates
Slide 16: Measure Only Pressure Injuries
Many types … If not sure, ask the Wound Care Team or Nurse. … Tools ( MS Word , 166.8 KB).
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb1txt.html
December 01, 2017 - Further instructions are provided in the Chart Audit section. … Chart Audit Instructions: Select the charts of 5 residents who have fallen within the past 6 months. … Chart Audit
Chart 1
Chart 2
Chart 3
Chart 4
Chart 5
E. … Chart Audit
Chart 1
Chart 2
Chart 3
Chart 4
Chart 5
F. … Chart Audit
Chart 1
Chart 2
Chart 3
Chart 4
Chart 5
G.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide2.html
October 01, 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 … injuries. … Tools ( MS Word , 190 KB).
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www.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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www.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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www.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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www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-fac-guide.html
February 01, 2017 - Plateau pressures were significantly lower. … This can be facilitated through using electronic health records and paper charts. … You should also include tools to support or reinforce your expectations, such as daily goal checklists … You should create a process using the LTVV data collection tool whereby you audit your practices intermittently … Slide 48: LTVV Quick Reference for Tidal Volume
Say:
This is a quick reference chart for tidal
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-intro-facguide.docx
January 01, 2017 - Plateau pressures were significantly lower. … This can be facilitated through using electronic health records and paper charts. … You should also include tools to support or reinforce your expectations, such as daily goal checklists … You should create a process using the LTVV data collection tool whereby you audit your practices intermittently … Slide 47
LTVV Quick Reference for Tidal Volume
SAY:
This is a quick reference chart for tidal volume
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
January 01, 2007 - Evaluation of this decision support approach can employ patient chart review or observation, but
we … of patient injury. … Evaluation of a blunt and penetrating trauma
algorithm for truncal injury. … Using
video audit to improve trauma resuscitation – time for
a new approach. … Missed injuries in a
level 1 trauma center.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man3.html
December 01, 2017 - Patient Safety is the key tool used for measurement in the FMP, and replaces old incident reporting tools … Specific process measures identified through chart audits during the FMP Self-Assessment can be targeted … Include alarms attached to a wheelchair and consider all types of pressure or position change alarms … Item 14 asks if the resident's blood pressure was taken after the fall. … across from the injury site and specify the type of injury.
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/measure-fall-rates.html
January 01, 2013 - Also, staff may feel pressure to underreport borderline cases because of concern that their unit will … The NDNQI definitions for injury follow:
None—patient had no injuries (no signs or symptoms) resulting … To learn how to create a basic control chart for falls, see section titled "The u-chart" in Mohammed … Plotting basic control charts: tutorial notes for health care practitioners. … A more formal audit might review 10 percent of all patients admitted to the unit.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-mvpguide.pdf
January 01, 2017 - (so-called ZEEP)6-15 and limiting plateau pressures to < 30 cm/H2O (as
compared with 10–12 mL/kg and … In addition, the audit findings were frequently shared with staff. … admitted to the ICU already have risk factors for ARDS, such as pneumonia,
sepsis, noncardiogenic shock, trauma … This
patient safety nurse audits the daily charts to verify specific care requirements or
interventions … Tidal volume
and plateau pressure use for acute lung injury from
2000 to present: A systematic literature
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www.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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
March 15, 2016 - This tool should be used in conjunction with the other
tools for applying QIs to hospital data (B tools … It is recommended that there be an ongoing process in place to audit coding, track and
report errors … Another would be to audit
charts to find missed cases, especially those of high-risk patients (e.g., … PDI 02 Pressure Ulcer Rate (stage
III, IV, Unstageable)
Diagnosis and site of pressure ulcer must … Dehiscence Rate
X Depth of the wound dehiscence:
external/superficial vs. internal/deep
should
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www.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.
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Abbreviations and Acronyms