-
pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-sept2013.pptx
January 01, 2013 - Multi-faceted approach to improve resident safety in our participating facilities
Areas of clinical focus are pressure … ulcers, pain management, medication errors, and falls
Key to improvement is effective team delivery
-
pcmh.ahrq.gov/teamstepps/lep/hospitalguide/lephospitalguide.html
December 01, 2012 - Safety, Quality, and Cost Drivers
Greater risk of line infections, surgical infections, falls, and pressure … ulcers due to LEP patients' longer hospital stays compared to English-speaking patients with the same
-
pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/practices.html
January 01, 2013 - Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure … Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism … principles of patient autonomy and cause all the complications of bed rest, such as deconditioning, pressure … ulcers, aspiration, and deep vein thrombosis, thereby keeping the patient in the hospital longer and
-
pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.html
September 01, 2017 - Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure … Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism
-
pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure … Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism
-
pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.html
September 01, 2017 - Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure … Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - Information Form, and Summary of Initial Report Form)
and then applying Common Formats for falls, pressure … ulcers, surgery/anesthesia, medications, and blood/
blood products.
-
pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/implementation.html
January 01, 2013 - Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure … Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism
-
pcmh.ahrq.gov/research/findings/studies/index.html
January 01, 2024 - Network (PBRN)
(16)
Practice Improvement
(34)
Practice Patterns
(305)
Pregnancy
(289)
Pressure … Ulcers
(28)
Prevention
(794)
Primary Care
(718)
Primary Care: Models of Care
(86)
Provider
-
pcmh.ahrq.gov/patient-safety/reports/advancing/index.html
July 01, 2022 - By using hospital administrative data, PSIs can identify pressure ulcers, postoperative pulmonary emboli
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pdf
January 01, 2020 - Weight loss also may lead to muscle wasting, infections, and
increased risk of pressure ulcers.
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
January 01, 2013 - For example, improvement actions might reduce hospital-associated infections, rates of pressure ulcers
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
January 01, 2023 - neonate per 1,000 live births HCUP 2020
High-risk, long-stay nursing home patients with stages 2-4
pressure … ulcer or unstageable pressure ulcer
MDS 2021
Low-risk, long-stay nursing home residents with a catheter … neonate per 1,000 live births HCUP 2020
High-risk, long-stay nursing home patients with stages 2-4
pressure … ulcer or unstageable pressure ulcer
MDS 2021
Low-risk, long-stay nursing home residents with a catheter
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
January 01, 2013 - For example, improvement actions might reduce
hospital-associated infections, rates of pressure ulcers
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
December 01, 2022 - Healthcare-associated Infection
Patients with one or more falls during stay Fall
Stays with one or more pressure … ulcer adverse events Pressure Ulcer
Venous thromboembolism/pulmonary embolism (VTE/PE)
not related
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
December 01, 2020 - infections; seven types of adverse events associated with surgery;
patient falls; and hospital-acquired pressure … ulcers. … events associated with the hospital stay and not present on hospital admission
(inpatient falls and pressure … ulcers).
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
December 01, 2023 - Healthcare-associated Infection (HAI)
Patients with one or more falls during stay Fall
Stays with one or more pressure … ulcer adverse events Pressure Ulcer
Venous thromboembolism/pulmonary embolism
(VTE/PE) not related
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated
Urinary Tract Infections
Falls Lower … 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated
Urinary Tract Infections
Falls Lower