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www.cpsi.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.cpsi.ahrq.gov/patient-safety/settings/hospital/match/figure-11.html
July 01, 2022 - Main navigation
Topics
Programs
Research
Data & Analytics
Tools … Testimonials
Organization & Contacts
Centers and Offices
Organization Chart … Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Manual Retrospective Evaluation
Although time consuming, a manual chart review can be used to obtain
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-6a.html
July 01, 2022 - Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … During each _________, a total of _________ charts should be selected for record review. … The chart below represents an example of an audit reporting chart that could be used to communicate audit … The number of charts reviewed will vary depending on the size of your organization. … Audit Reporting Chart
Issue
Compliance Defined as:
Current Compliance as of [insert date]
Action
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/table-2.html
July 01, 2022 - Testimonials
Organization & Contacts
Centers and Offices
Organization Chart … Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 2: Reporting Audit … July 2022
Page originally created August 2012
Internet Citation: Table 2: Reporting Audit
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/table-4.html
July 01, 2022 - Testimonials
Organization & Contacts
Centers and Offices
Organization Chart … Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 4: Reporting Audit … July 2022
Page originally created August 2012
Internet Citation: Table 4: Reporting Audit
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www.cpsi.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.cpsi.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.cpsi.ahrq.gov/patient-safety/settings/hospital/match/chapter-6.html
July 01, 2022 - Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Example of Metrics and Auditing Tools
There are several effective methods to audit data in hospitals … The use of a generic data run-chart to track the data measures is suggested. … Examples of Manual Audit Tools. … Depending on the size of the organization, the number of charts reviewed may vary.
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www.cpsi.ahrq.gov/patient-safety/about/challenge-competition.html
February 01, 2024 - Testimonials
Organization & Contacts
Centers and Offices
Organization Chart … 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%."
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www.cpsi.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.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-11.html
July 01, 2022 - Main navigation
Topics
Programs
Research
Data & Analytics
Tools … Testimonials
Organization & Contacts
Centers and Offices
Organization Chart … Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Medication Reconciliation
Conclusion
References
Appendix: The MATCH Work Plan
Audit
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/index.html
July 01, 2022 - Main navigation
Topics
Programs
Research
Data & Analytics
Tools … Testimonials
Organization & Contacts
Centers and Offices
Organization Chart … Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Use post-implementation audit findings to educate staff and increase and sustain compliance.
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
October 01, 2014 - Testimonials
Organization & Contacts
Centers and Offices
Organization Chart … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Tools and Resources
Now you are ready to begin implementing the bundle of pressure … The team may provide day-to-day care for wounds in both inpatient and outpatient settings. … ulcer audit results and work with the Wound Care Team to educate their staff on areas still requiring
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www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man3.html
December 01, 2017 - Testimonials
Organization & Contacts
Centers and Offices
Organization Chart … 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.cpsi.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.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7b.html
October 01, 2014 - Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Tools and Resources
3A: Pressure Ulcer Prevention Pathway for Acute Care
Background … For example is it a skin tear, a pressure ulcer, or moisture-associated skin damage or injury? … staff, wound team, and unit staff for pressure ulcer practice
Certified Wound Care Nurse
Assesses … wounds, does complex treatments, collaborates with physician for care orders
Works with staff on pressure
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
October 01, 2014 - Testimonials
Organization & Contacts
Centers and Offices
Organization Chart … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … The assessments and planning will have helped you identify the issues you need to deal with and chart … Annual skin fairs and wound conferences. … The key steps in that process include:
Review medical record audit data for pressure ulcer risk and
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www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm7.html
October 01, 2014 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries … Blood pressure test at every continuing care visit. … A State interested in tracking pressure ulcers in its Supplemental Security Income (SSI) population, … Will the State provide tools, such as registries, to help expedite the process? … How will the State encourage providers to use the tools?
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www.cpsi.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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www.cpsi.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/guide.html
September 01, 2017 - Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Flip chart page with “Ground Rules” written at the top. … applied to other quality improvement efforts in a hospital, such as preventing:
Hospital-acquired pressure … injuries. … What tools do you currently use?