Results

Total Results: 80 records

Showing results for "pressure injury chart audit tools".

21. The Forgotten Turn | PSNet
    psnet.ahrq.gov/web-mm/forgotten-turn
    August 01, 2018 - injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, … These tools are well described in a recent guideline on pressure ulcer prevention.( 9 ) Multiple known … At our last random audit, we found no pressure ulcers in 32 hip fracture patients cared for during a … facility, to identify these patients, staff members place a SKIN ALERT sticker on the outside of the chart … Guidelines for the prevention of pressure ulcers. Wound Repair Regen. 2008;16:151-168. 

22. Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement (pdf file)
    www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
    January 01, 2024 - implement interventions to address these.1 Development of the BI-OTT Consistent with the “no preventable injuries … Each site performed a review of the entire sample of 472 charts (approximately 157 charts per nurse) … In total, 586 patient charts were reviewed as part of the 2010 BI-OTT chart audits. … in terms of reported medical expenditures, employment status, or work days missed due to illness or injury … High blood pressure (hypertension)? 11(64.7) 23(67.6) 0.83** d. High cholesterol (hyperlipidemia)?

23. Clinical Decision Support for Mild Traumatic Brain Injury - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/k08hs021271-melnick-final-report-2018.pdf
    January 01, 2018 - However, other ED‐spec ific factors also contribute to overuse, such as time and volume pressures, a … Although paper charts were intuitive and simple, they were criticized for being disorganized and illegible … Participants were patients and clinicians recruited from an urban, academic Level I trauma center ED … Field Testing To optimize naturalistic decision making under the constraints of the complex, high-pressure … Improving emergency physician performance using audit and feedback: a systematic review.

24. Chartbook on Healthy Living: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/healthyliving-slides.html
    April 01, 2018 - Patient Safety: Birth trauma—injury to neonates. … Birth trauma not elsewhere classified. 24 Many of these injuries to neonates may be preventable … . 25 Slide 42 Birth trauma—injury to neonate per 1,000 live births, 2004-2013 Image: Chart … Feedback and audit. … Birth Trauma Rate—Injury to Neonate: Technical Specifications.

25. AHRQ-Funded Patient Safety Project Highlights (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
    August 01, 2025 - Procedural harm and in-facility injury prevention also includes the development of resources and tools … Using Tools and Toolkits to Prevent Procedural Harms and In-Facility Injuries Examples of projects that … ■ Improve patient outcomes (e.g., reduced pressure injuries, infection rates, falls). … , and pressure injuries compared to normal weight. … (fall and pressure injury prevention) to improve patient safety.

26. Workplace Safety in Health Care | PSNet
    psnet.ahrq.gov/perspective/workplace-safety-health-care
    January 01, 2017 - In 2013, a team at Beth Israel Deaconess Medical Center combined selected tools and techniques used in … Were there time pressures in the OR to proceed with no help? … More examples are available in an online chart . … safety, namely to identify as quickly as possible anything gone wrong—including medication errors, pressure … are probably no better than average at all the other things they do, like central line infections and pressure

27. In Conversation With… Paul H. O'Neill, MPA | PSNet
    psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
    January 01, 2017 - safety, namely to identify as quickly as possible anything gone wrong—including medication errors, pressure … sores, and all the other things that afflict patients—and apply the tools of identification, real-time … are probably no better than average at all the other things they do, like central line infections and pressure … Were there time pressures in the OR to proceed with no help? … More examples are available in an online chart .

28. 050-Dec-Implementation-Notes (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/050-dec-implementation-notes.docx
    October 01, 2024 - A downloadable copy of this chart is available here: Action Chart for Implementing Decolonization. … , and stage 1 and 2 pressure injuries. … skin, or pressure injuries. … injuries (stage 1 and 2), superficial wounds, and sutured or stapled wounds. … CHG is approved as a wound cleanser.

29. AHRQ-Funded Patient Safety Highlights: Improving Healthcare Safety by Supporting Measure Implementation (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
    August 01, 2025 - ■ Tools and Interventions: Created innovative adverse event-prevention tools and safety systems for … Score (AIS)=5 head injury, other AIS=5 injury, or higher age groups. … of this system allowed data generated by MPSMS to have a large national randomly selected set of charts … infarction, asthma, and dislocations requiring procedural sedation; dual physician review data for 1,564 charts … than patients without a medical injury.

30. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
    December 01, 2017 - reengineer the system to catch holes before they line up, and end system gaps that lead to a patient injury … On the way out of the ICU, the nurse handed over the chart with the Kardex stamp plate. … It’s tough when the pressure is high and the patient is at risk. … Use a flip chart, a chalkboard, or a whiteboard, or tape oversized paper to the wall. … Outline your data collection and audit plans: the frequency of the collection or the audit and the sample

31. PowerPoint Presentation: Learn From Defects Through Sensemaking
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
    December 01, 2017 - What tools or technologies were used and how? … reengineer the system to catch holes before they line up, and end system gaps that lead to a patient injury … It’s tough when the pressure is high and the patient is at risk. … Then, you tweak the intervention and audit again. … Outline your data collection and audit plans: the frequency of the collection or the audit and the sample

32. Hypertension Screening for Children Who Are Overweight or Obese: Report (pdf file)
    www.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,

33. EHR Solutions for Accurate Reporting of Data on Interprofessional ICU Rounds - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r01hs023793-gold-final-report-2021.pdf
    January 01, 2021 - High- fidelity Interprofessional rounding simulations, with structured EHR charts were used to provide … In Aim #1 we performed a comprehensive audit of ICU rounds to determine the data domains at greatest … types of tools created by clinicians. … For patients with known ARDS, where knowledge of the plateau pressure and tidal volume is central towards … reducing lung injury and improving survival, these data are presented less than 50% of the time.

34. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
    December 01, 2017 - reengineer the system to catch holes before they line up, and end system gaps that lead to a patient injury … On the way out of the ICU, the nurse handed over the chart with the Kardex stamp plate. … It’s tough when the pressure is high and the patient is at risk. … Use a flip chart, a chalkboard, or a whiteboard, or tape oversized paper to the wall. … Outline your data collection and audit plans: the frequency of the collection or the audit and the sample

35. Putoolssect7 (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
    February 16, 2011 - Pressure ulcers are sterile wounds. 36. … Pressure ulcers are sterile wounds. False 36. … For example is it a skin tear, a pressure ulcer, or moisture-associated skin damage or injury? … unit staff for pressure ulcer practice Certified Wound Care Nurse · Assesses wounds, does complex … Provider order for wound care on the chart within 24 hours of notification j.

36. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pptx
    January 01, 2020 - Nerve injury not elsewhere classified at birth, and Birth trauma not elsewhere classified.24 Many … of these injuries to neonates may be preventable.25 41 Birth trauma—injury to neonate per 1,000 … Overall Rate: In 2013, the birth trauma-neonatal injury rate was 1.9 per 1,000 live births. … Between 2004 and 2013, birth trauma-neonatal injury rates fell for all racial/ethnic groups, except for … Birth Trauma Rate—Injury to Neonate: Technical Specifications.

37. Archived: Problem Drinking: Screening, 1996 | United States Preventive Services Taskforce
    www.uspreventiveservicestaskforce.org/uspstf/recommendation/problem-drinking-screening-1996
    January 01, 1996 - Additional Information Supporting Evidence and Research Taxonomy Related Resources & Tools … 100,000 deaths attributed to alcohol annually, nearly half are due to unintentional and intentional injuries … 60%) in various studies, 54 , 55 , 72 but elevations in GGT may be due to other causes (medications, trauma … New assessment tools for risk drinking during pregnancy: T-ACE, TWEAK, and others. … Age charts for periodic health examination. (Reprint no. 510.) 104.

38. Preventing Pressure Ulcers in Hospitals: A Toolkit - Section 7, Tools and Resources (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.pdf
    January 01, 2004 - Preventing Pressure Ulcers in Hospitals: A Toolkit - Section 7, Tools and Resources Section 7. … Pressure ulcers are sterile wounds. 36. … Pressure ulcers are sterile wounds. False 36. … For example is it a skin tear, a pressure ulcer, or moisture-associated skin damage or injury? … Provider order for wound care on the chart within 24 hours of notification j.

39. Presentation: Optimize Your Briefings and Debriefings
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
    December 01, 2017 - Serious injury specifically includes loss of limb or function. … Review the perfusion plan, including cannulation, perfusion pressure goals, temperature, and transfusion … The surgical audit tools will also identify system flaws. … The checklist does not remain with the chart, but stays in the department. … for improvement Ask if instrument, sponge, and needle counts are correct Record name of procedure and wound

40. Final Progress Report: Midcoast Maine Patient Safety and IT Integration (pdf file)
    www.ahrq.gov/sites/default/files/2024-07/buckley-report.pdf
    January 01, 2024 - Organizational Charts of All NEH entities 5. Major NEH Initiatives, written September 2004 6. …  Fully Implement CPOE with Clinical Decision Support  Reduce LOS Through Full Use of Automated Tools … movement is multifaceted and complex, embracing a range of perspectives on the etiology of patient injuries … Such pressures may be the stimulus for beneficial innovation, as necessity spawns invention, and traditional … implementation The fields of Human Computer Interaction and Human Factors have developed methods and tools