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psnet.ahrq.gov/primer/never-events
June 15, 2024 - Never Events
Citation Text:
Never Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/node/49432/psn-pdf
February 09, 2004 - She continued to require fluid resuscitation for blood pressure support. … Additionally, the patient continued to require fluids for blood pressure support; the admitting
team
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_vbac-abpain.docx
May 01, 2017 - For example, after team measures blood pressure (BP), the BP value is provided to team on a card. … Clinical information to be provided to team in response to their assessment after trigger #1
Pulse 100
BP [blood … pressure] 120/80
Temp 37.2
FHR 130 Category I with moderate variability, no decelerations.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_ut-tachysystole.docx
May 01, 2017 - For example, after team measures blood pressure (BP), the BP value is provided to team on a card. … Clinical information to be provided to team in response to their assessment after trigger #1
Pulse 90
BP [blood … pressure] 135/85
Temp 37.2
FHR [fetal heart rate] 140, Category 1
Tocography: Contractions every 90
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-ut-tachysystole.html
July 01, 2023 - For example, after team measures blood pressure (BP), the BP value is provided to team on a card. … information to be provided to team in response to their assessment after trigger #1
Pulse 90
BP [blood … pressure] 135/85
Temp 37.2
FHR [fetal heart rate] 140, Category 1
Tocography: Contractions
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-vbac-ab-pain.html
July 01, 2023 - For example, after team measures blood pressure (BP), the BP value is provided to team on a card. … information to be provided to team in response to their assessment after trigger #1
Pulse 100
BP [blood … pressure] 120/80
Temp 37.2
FHR 130 Category I with moderate variability, no decelerations.
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psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
August 21, 2005 - The Case
A 61-year-old woman presented to her primary care physician with uncontrolled high blood pressure
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016
June 2018
AHRQ National Scorecard on Hospital-Acquired Conditions
Updated Baseline Rates and Preliminary Results 2014–2016
Summary
New patient safety data for 2014 through 2016 continue to show a do…
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meps.ahrq.gov/data_files/publications/st518/stat518.pdf
December 01, 2018 - It is associated with various comorbidities including heart disease, stroke, high blood
pressure, kidney
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017
July 2020
AHRQ National Scorecard on Hospital-Acquired Conditions
Final Results for 2014 Through 2017
Summary
Final patient safety data for 2014 through 2017 showed a downward trend in the annual
number of hospital-acq…
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digital.ahrq.gov/sites/default/files/docs/phr-impact-chronic-disease-transcript-012512.pdf
August 01, 2012 - Our primary outcome measure was blood pressure. … pressure and a couple of other variables if they so choose. … We were interested in blood pressure, so that one
is there. That is kind of what it looks like. … We did see a reduction in both systolic and diastolic blood pressure between four and five points
there … How and why
was blood pressure selected as the chronic problem, and so hypertension, which was the focus
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/addexercises.pdf
August 08, 2025 - Number of pressure ulcers 0 0 2 2
Temperature 98.2 100.4
Pulse 82 88 99 110
Respirations 20 20 20 24
Blood … pressure 134/68 130/74 126/70 100/42
O2 saturation 99 99 98 90
W
eig
ht
Weight in pounds 160
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-14-collecting-performance-data.pdf
September 01, 2015 - pressure is lower. … pressure is lower. … Blood
pressure is lower. He is following his diet, by his account. … pressure is lower. … pressure is lower.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/xUc_vXf7323faUQY7SePhT
January 01, 2002 - pressure (SBP) was less than
130 mm Hg (RR, 0.59) but not in patients whose
SBP was greater than 145 … pressure. … pressure, serum total
cholesterol level (or low-density lipoprotein
cholesterol level), high-density … pressure (150 mm Hg) … Effects
of intensive blood-pressure lowering and low-dose
aspirin in patients with hypertension: principal
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - His initial systolic blood pressure after transfer was 60 mmHg.
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effectivehealthcare.ahrq.gov/products/renal-update/research-protocol
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hcup-us.ahrq.gov/datainnovations/clinicaldata/MPinepresentation.jsp
December 01, 2010 - Other Lab Data, Scores
All Vital Signs Enter 4 or More Models
Pulse (8)
Temperature (6)
Blood … Pressure (6)
Respirations (5)
Ejection Fraction and Culture Results Each Enter 2 Models
Both
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psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - • Likewise, her blood pressure recordings, lying, sitting or standing, were not noted
so we don’t … know whether she also may have suffered a drop in her blood
pressure and experienced lightheadedness
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psnet.ahrq.gov/issue/association-between-hospital-acquired-harm-outcomes-and-membership-national-patient-safety
June 29, 2022 - Study
Association between hospital acquired harm outcomes and membership in a national patient safety collaborative.
Citation Text:
Coffey M, Marino M, Lyren A, et al. Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. JAMA Ped…
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psnet.ahrq.gov/issue/reasons-why-physicians-and-advanced-practice-clinicians-work-while-sick-mixed-methods
November 14, 2018 - Study
Classic
Reasons why physicians and advanced practice clinicians work while sick: a mixed-methods analysis.
Citation Text:
Szymczak JE, Smathers S, Hoegg C, et al. Reasons Why Physicians and Advanced Practice Clinicians Work While Sick: A Mixed-Methods Anal…