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1801. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
      September 01, 2015 - She was found to have a fever of 102 °F, and her blood pressure dropped to 90 systolic.

1802. Findings and Lessons From the Enabling Quality Measurement Through Health IT Grant Initiative (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/final-eqm-report-6-21-12.pdf
      May 01, 2012 - The grantees confirmed that higher scores on the disease management indices for blood pressure were … pressure, hemoglobin A1c, and low- density lipoprotein (LDL) data elements. … pressure, and low-density lipoprotein, even when the clinician uses all recommended therapies. … pressure, and low-density lipoprotein levels to expected levels. … pressure and low-density lipoprotein levels.

1803. In Conversation With... Freya Spielberg, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
      September 28, 2022 - A big step was just educating people that, in fact, they have high blood pressure and how they can take … As part of this education, the community health worker would give a patient a blood pressure monitor … so they could take their own blood pressure at different times during the day and see for themselves … pressure [monitor] and know how to use it. … pressure, or education about the benefits of preventive services, such as vaccinations and wellness

1804. TeamSTEPPS® Diagnosis Improvement: Module 5 Situation Monitoring To Improve Diagnosis - Facilitator’s Notes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-presenters-notes.pdf
      January 10, 2022 - Are the blood pressure cuffs, otoscope, ophthalmoscopes, and other equipment working properly?

1805. Module 5: Situation Monitoring
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-situation-monitoring.pptx
      January 10, 2022 - Are the blood pressure cuffs, otoscope, ophthalmoscopes, and other equipment working properly?

1806. Microsoft PowerPoint - Spotlight Case_A Missed Bowel Perforation - SLIDES_FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
      January 01, 2023 - Microsoft PowerPoint - Spotlight Case_A Missed Bowel Perforation - SLIDES_FINAL.pptx Spotlight A Missed Bowel Perforation – the Importance of Diagnostic Reasoning Source and Credits • This presentation is based on the September 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/web…

1807. Angiotensin-Converting Enzyme Inhibitors (ACEIs), Angiotensin II Receptor Antagonists (ARBs), and Direct Renin Inhibitors for Treating Essential Hypertension: An Update | Effective Health Care (EHC) Program
      effectivehealthcare.ahrq.gov/products/ace-inhibitor-arb-update/research

1808. The Safety Challenges of Supervision and Night Coverage in Academic Residency | PSNet
      psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
      February 21, 2024 - The patient continued to desaturate, and his blood pressure fell.

1809. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49612/psn-pdf
      November 01, 2010 - His white blood cell count, which had been normal previously, was now very high (31,000), and his blood … pressure was lower than usual.

1810. Updates in the Management of High-Risk Pulmonary Embolism | PSNet
      psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
      December 02, 2020 - Embolism.( 20 )   Definition Mortality Massive PE Sustained hypotension (systolic blood … pressure Up to 65% Submassive PE Right ventricular dysfunction (elevated BNP or ECG changes

1811. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49679/psn-pdf
      March 01, 2013 - The Unfamiliar Catheter March 1, 2013 Swayze SC, James A. The Unfamiliar Catheter. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/unfamiliar-catheter The Case A 28-year-old woman, 20 months post–bilateral lung transplant, presented to the emergency department with sudden onset of severe shortness of breath…

1812. Section 2: Explanation of Key Concepts and Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/situation/tools/index.html
      June 01, 2023 - electronic intensive care unit (eICU) nurse notices a concerning change in vital signs (heart rate, blood … pressure, temperature, oxygen saturation) and lab values.

1813. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care | PSNet
      psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
      June 28, 2023 - SPOTLIGHT CASE A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care Citation Text: Gould E, Craddock K, Le Tellier T, et al. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research…

1814. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
      January 01, 2024 - – In addition, further evaluation of blood pressure and laboratory test results against the Phoenix

1815. Diagnostic Errors Case Studies | PSNet
      psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
      September 15, 2025 - weeks later, he sought care from a nurse practitioner at his primary care provider's office where his blood … pressure and creatinine levels were found to be markedly elevated, 2L of urine were drained via catheter

1816. Safe Medication Administration: Magnesium Sulfate | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-mgso4.html
      July 01, 2023 - Assessment prior to initiation : Vital signs (temperature, pulse, blood pressure, respiratory rate and … Assessments should include— Vital signs (blood pressure, respirations [rate and pattern], pulse

1817. Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs018649-levick-final-report-2014.pdf
      January 01, 2014 - time of change with progression of data points reflecting that evolution: weight, fundal height, blood … pressure, cervical dilation, fetal position, etc. … Specifically, we asked providers about information on blood pressure, cervical examinations, the antenatal … The availability of several data elements in Triage (cervical exam results, blood pressure, the antenatal … With the exception of blood pressure information, which was frequently in the inpatient EHR and reported

1818. Weight-Loss-Surgery Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/weight-loss-surgery_executive.pdf
      June 01, 2013 - Data abstracted included metabolic outcomes (glucose, blood pressure, lipids) and weight loss, mortality … Strength of evidence for cholesterol and blood pressure outcomes is low. … collect important metabolic data, including measures of blood sugar, cholesterol, triglycerides, and blood … pressure.

1819. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
      April 01, 2008 - the operating room, was called to see the patient who was pale, crying inconsolably, with fluctuating blood … pressure. 

1820. Obesity-Child Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/obesity-child_executive.pdf
      March 31, 2010 - pressure, blood lipids); behavioral outcomes related to energy balance (e.g., dietary intake, physical … pressure and blood lipids). … In the full report, we also describe clinical outcomes (e.g., blood pressure, blood lipids) and intermediate … physical activity interventions also had an impact on clinical outcomes (e.g., lowering systolic blood … pressure.