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  1. www.talkingquality.ahrq.gov/health-literacy/patient-education/pemat8.html
    November 01, 2020 - uviguide.pdf CHOOSE "DISAGREE"–Incomplete or unclear row and column headings Categories for Blood Pressure … Normal Less than 120 And Less than 80 Prehypertension 120-139 Or 80-89 High blood pressure … 159 Or 90-99 Stage 2 160 or higher Or 100 or higher Taken from NIH, Explore High Blood Pressure
  2. www.talkingquality.ahrq.gov/hai/pfp/2015-interim.html
    December 01, 2016 - About 42 percent of this reduction is from adverse drug events, about 23 percent from pressure ulcers … Ulcers MPSMS (2015) Hospital-Acquired Pressure Ulcers 1,190,000 36.3 Surgical Site Infections … 17.4% 1,040,500 NA NA $9,141,150,000 35,647 * Additional costs per HAC for Falls and Pressure … been wrongly based on the full cost of a hospital stay that included a fall or a hospital-acquired pressure … [7] The AHRQ-developed pressure ulcer toolkit and falls toolkit are online.
  3. www.talkingquality.ahrq.gov/hai/pfp/methods.html
    December 01, 2017 - Adverse Events PSI OB Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) Pressure … Ulcers MPSMS Hospital-Acquired Pressure Ulcers Surgical Site Infections NHSN SSIs combined … Tract Infections 18.80 25.58 0.73 Falls In-Hospital Patient Falls 12.25 14.56 0.84 Pressure … Ulcers Hospital-Acquired Pressure Ulcers 53.03 62.45 0.85 VAP Ventilator-Associated Pneumonia … Ulcer MPSMS Hospital-Acquired Pressure Ulcers 1,317,211 32,750,000 40.220 Surgical Site
  4. www.talkingquality.ahrq.gov/prevention/clinician/ahrq-works/burnout/index.html
    November 01, 2023 - The health care environment—with its packed work days, demanding pace, time pressures … HS11955), found that more than half of primary care physicians report feeling stressed because of time pressures … More than half of the physicians reported experiencing time pressures when conducting physical examinations … Work conditions, such as time pressure, chaotic environments, low control over work pace, and unfavorable … depression screening quality improvement projects to engage office staff, enhance team work, and reduce the pressure
  5. www.talkingquality.ahrq.gov/npsd/data/dashboard/index.html
    October 01, 2023 - Pressure Ulcer Dashboard Details the documentation of increased risk for pressure ulcer following a … risk assessment; and the timing of the first risk assessment for reported pressure ulcers or sDTIs.
  6. www.talkingquality.ahrq.gov/hai/tools/ambulatory-care/cap-ed-setting-slides.html
    January 01, 2018 - disorientation to person, place, or time U remia BUN >20 mg/dL R espiratory rate ≥30 Low B lood Pressure … ICU 5 57% ICU Slide 11: CURB-65 CDS Tool Automatically extracts data from EHR (age, blood pressure … sheet BUN Last in 24 hours Respiratory rate Last respiratory rate in vitals section Blood pressure … Last blood pressure in vitals section Age As recorded in chart, based on DOB listed Image: Sample
  7. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
    January 01, 2016 - types of hospital-acquired infections, adverse drug events, and injuries due to procedures, as well as pressure … For example, measured adverse drug events continued to drop from 2014 to 2016, while measured pressure … Ulcers/Pressure Injuries Surgical Site Infections Ventilator-Associated Pneumonias (Post-op) Venous … Ulcer MPSMS Hospital-Acquired Pressure Ulcers Surgical Site Infection NHSN SSIs for 17 procedures … Ulcer MPSMS Hospital-Acquired Pressure Ulcers 643,230 21.62 Surgical Site Infection NHSN SSIs
  8. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c2_pdi_prioritizationworksheetexample.pdf
    June 05, 2016 - purchasing • Sentinel event • Publicly reported • Public perception • Marketing • Competitive pressure … N PDI 01 Accidental Puncture 0.3 0.6 1 $41,204 $ 41,204 N 9 9 9 Y Y Y Y Y PDI 02 Pressure
  9. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/intramuscular-injections.pdf
    June 01, 2021 - Apply gentle pressure to the injection site for several seconds or longer to minimize bleeding using … For residents who take anticoagulation medications, gentle pressure may need to be applied longer to … pre-filled autoinjector (at least three doses) • H1 antihistamine (e.g., diphenhydramine/Benadryl) • Blood pressure
  10. www.talkingquality.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
    February 01, 2017 - weight for patients without ARDS and 4-6cc/kg predicted body weight for patients with ARDS, plateau pressure … of less than or equal to 30 cm H 2 O, and the use of positive end-expiratory pressure instead of zero … end-expiratory pressure—can prevent further pulmonary complications. … To do so, use positive end-expiratory pressure greater than or equal to 5cm H 2 0, not zero end-expiratory … pressure (ZEEP), maintain plateau pressure at less than or equal to 30cm H 2 0, and use tidal volume
  11. www.talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/index.html
    September 01, 2018 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … Network Webinars Related AHRQ Resources Preventing Falls in Hospitals Toolkit Pressure
  12. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
    January 01, 2012 - Proceed to: · Check vital signs (blood pressure, heart rate, respiratory rate, oxygen saturation, and … For adults, the scores follow: Activity Score Eye opening None 1 = Even to supraorbital pressure … To pain 2 = Pain from sternum/limb/supraorbital pressure To speech 3 = Nonspecific response, … Orthostatic blood pressure Blood Pressure (mm Hg) Heart Rate (beats per minute) Systolic blood pressure … blood pressure (standing) Need for orthostatic Systolic blood pressure (sitting)* Heart rate
  13. www.talkingquality.ahrq.gov/practiceimprovement/delivery-initiative/rodriguez/index.html
    December 01, 2020 - Blood pressure. Patients’ Experiences of Care: CG-CAHPS Communication (k=6). … Slide 22 Blood Pressure Control (≤140/90 mmHg) Over Time Image: Bar graph compares blood pressure … Improved blood pressure control for CHW arm (6.1% points). … Slide 28 Key Conclusions Diabetic patients improved intermediate outcomes (Blood pressure for
  14. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-6-table-12.pdf
    April 17, 2019 - Section 6, Table 12 Table 12: ICD-9-CM Codes to Identify Signs and Symptoms of Increased Intracranial Pressure
  15. www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apc.html
    August 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI
  16. www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apg.html
    August 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI
  17. www.talkingquality.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/oklahoma.html
    March 01, 2021 - adopt  the ABCS of cardiovascular disease prevention: A spirin in high-risk individuals, B lood pressure … management of patients at risk for CVD events, especially methods such as smoking cessation, blood pressure … Community-level interventions, such as smoking quit line referral and blood pressure medication assistance … A second randomization assigns practices to work first on either smoking cessation and blood pressure
  18. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-section-5-appendix-1-tables-1-5.pdf
    October 22, 2013 - careful and frequent monitoring of side effects should be performed…Ideally, monitoring of BMI, blood pressure … This includes baseline BMI, waist circumference, blood pressure, fasting glucose, and a fasting lipid … Blood pressure, fasting glucose and lipids should be followed up after 3 months then yearly.” … recommendations for monitoring physical examination maneuvers (height, weight, BMI, waist circumference, blood pressure
  19. www.talkingquality.ahrq.gov/news/newsroom/case-studies/index.html?page=7
    January 01, 2016 - Preventing Falls in Hospitals Toolkit (4) Preventing Hospital-Related VTE Guide (1) Preventing Pressure … Labs (1) Patient Safety Organizations (3) Patient Self-Management (29) Policy (61) Pressure … University of Texas Southwestern Date: January 2016 AHRQ Research Findings Support Effort to Reduce Pressure … Impact Case Study Identifier: 2015-32 AHRQ Product(s): Research Topic(s): Prevention, Long-Term Care, Pressure
  20. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/labordel.pdf
    March 18, 2014 - He asks the registered nurse (RN) to provide fundal pressure. … The RN states, “Don’t you mean suprapubic pressure?” The OB replies, “I said fundal pressure!” … The RN says, “Once again, don’t you mean suprapubic pressure? … Fundal pressure could trap the shoulders even more.” The OB replies, “Oh, you are right. … I meant to say, suprapubic pressure.”

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