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www.innovations.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.innovations.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.innovations.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.
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Stage 3 and 4 Injuries
All pressure … Don’t overreact.
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Displaying Data/Storytelling
Run charts. … Injuries
Annotated Run Chart Example
Intervention: Annual education fair for all hospital staff and
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www.innovations.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.innovations.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.innovations.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.innovations.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.innovations.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?
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-fullreport.pdf
February 01, 2020 - Markers of vascular injury can be detected in very young children, demonstrating that the path to
cardiovascular … In total, 600 charts were reviewed. … obesity: more
complete and accurate data with fewer errors, cost-effectiveness, use of online assessment tools … Height, weight, and blood pressure were
sometimes missing from the chart, and there could be substantial … Limitations for this measure
include missing chart values for height, weight, and/or blood pressure,
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www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - Testimonials
Organization & Contacts
Centers and Offices
Organization Chart … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … The event review focuses on uncovering latent hazards or contributing factors that increase pressure … 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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www.innovations.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - Main navigation
Topics
Programs
Research
Data & Analytics
Tools … Testimonials
Organization & Contacts
Centers and Offices
Organization Chart … Evidence
(Not reviewed)
(Not reviewed)
Interventions To Prevent Contrast-Induced Acute Kidney Injury … Summary of Evidence
Update
(all patients)
(Not reviewed)
Preventing Patient Death or Serious Injury … Institutionalized Older People
Summary of Evidence
Update
(all patients)
(Not reviewed)
Prevention of Pressure
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-fullreport.pdf
June 01, 2018 - A limited window of opportunity exists for treating underlying injury once shock is present. … Data and Methods
Measure testing involved an audit of medical records from three of the largest hospitals … hospital was reviewed as were the various locations where heart rate
may be documented within the charts … the
chart it was recorded that the dose administered was 0 mL. … The medical chart audit included
records from three of the largest hospitals serving children in Michigan
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-fullreport.pdf
April 02, 2018 - A limited window of opportunity exists for therapy of the underlying injury once shock is present. … Data and Methods
Measure testing involved an audit of medical records from three large hospitals serving … the
chart it was recorded that the dose administered was 0 mL. … The medical chart audit included
records from three large hospitals serving children in Michigan: Children … Improving outcomes for severe sepsis and septic shock: Tools for early
identification of at-risk patients
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-fullreport.pdf
May 01, 2018 - A limited window of opportunity exists for treating underlying injury once shock is present. … Data and Methods
Measure testing involved an audit of medical records from three of the largest hospitals … the
chart it was recorded that the dose administered was 0 mL. … The medical chart audit included
records from three of the largest hospitals serving children in Michigan … Improving outcomes for severe sepsis and septic shock: Tools for early
identification of at-risk patients
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
April 01, 2018 - Black and Hispanic newborns are at higher risk of birth trauma
(Miller, et al., 2003). … session, experts presented findings from
these charts. … We suggest establishing a system to audit hospital GAPPS
reports if the measure is ultimately used to … Internal pressures, such as a punitive culture
that leads to underreporting of medical errors, may influence … Identifying adverse drug events: Development of a
computer- based monitor and comparison with chart
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www.innovations.ahrq.gov/ncepcr/reports/grants-transform/bibliography/index.html
February 01, 2017 - Testimonials
Organization & Contacts
Centers and Offices
Organization Chart … The number of hospitalizations for unintentional injury and asthma also decreased after implementation … PMID: 23690385
The authors compared emergency care usage for any reason, asthma, and unintentional injury … design that included analyses of data collected from archival documents, operational reports, claims, chart … Using a combination of observation, chart audit, and collection of data from operational reports, correlations
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www.innovations.ahrq.gov/ncepcr/research-transform-primary-care/transform/tpcbib/index.html
May 01, 2015 - Testimonials
Organization & Contacts
Centers and Offices
Organization Chart … The number of hospitalizations for unintentional injury and asthma also decreased after implementation … PMID: 23690385
The authors compared emergency care usage for any reason, asthma, and unintentional injury … design that included analyses of data collected from archival documents, operational reports, claims, chart … Using a combination of observation, chart audit, and collection of data from operational reports, correlations
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www.innovations.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