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301. Table 13B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13b.html
     December 01, 2012 - Composite: ACSC Overall 25,630 23,315 17,273 24,034 22,926 16,939 18,851 24,850 Pressure

302. Table 13E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13e.html
     December 01, 2012 - Composite: ACSC Overall 22,658 20,161 15,487 19,836 18,844 18,762 16,626 21,838 Pressure

303. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
     September 01, 2015 - Assistance with healing of perineal and sacral wounds in incontinent patients. … Required immobilization for trauma or surgery. … Examples include an unstable thoracic or lumbar spine, multiple traumatic injuries such as pelvic fractures … For example, wound care nurses and physical therapists would discourage UC use to reduce the risk for … Many clinical sites (sputum, urine, wounds, or ulcers) are not sterile.

304. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
     September 01, 2015 - Assistance with healing of perineal and sacral wounds in incontinent patients. … Required immobilization for trauma or surgery. … Examples include an unstable thoracic or lumbar spine, multiple traumatic injuries such as pelvic fractures … For example, wound care nurses and physical therapists would discourage UC use to reduce the risk for … Many clinical sites (sputum, urine, wounds, or ulcers) are not sterile.

305. 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 - Assistance with healing of perineal and sacral wounds in incontinent patients. … Required immobilization for trauma or surgery. … Examples include an unstable thoracic or lumbar spine, multiple traumatic injuries such as pelvic fractures … For example, wound care nurses and physical therapists would discourage UC use to reduce the risk for … Many clinical sites (sputum, urine, wounds, or ulcers) are not sterile.

306. Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Furmaga.pdf
     January 01, 2005 - initiated efforts to decrease the common but unapproved use of that agent for treating high blood pressure … Further concern was raised regarding the use of short-acting nifedipine for rapid reduction of blood pressure … nifedipine that, while allowing for some uses (e.g., autonomic dysreflexia secondary to spinal cord injury … were continued (158 [9.5 percent] for treatment of autonomic dysreflexia in patients with spinal cord injury … acting nifedipine for hypertension, 84 (15 percent) for autonomic dysreflexia secondary to spinal cord injury

307. Building a Team and Process to Reduce CAUTI Risk | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/building-team-process-slides.html
     December 01, 2017 - Urethral obstruction Medical (neurogenic bladder) Urinary blood clots with obstruction Trauma … catheter shortly after the surgery is completed Slide 28 Assist Healing of Perineal and Sacral Wounds … or Surgery Examples include: Unstable thoracic or lumbar spine Multiple traumatic injuries, … unit (e.g., congestive heart failure receiving diuretics) Incontinence without sacral or perineal pressure … ICU, or different non-ICU) Partnering with other stakeholders (case managers, physical therapists, wound

308. Chapter 4 | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/resources/vision/resources/vision4.html
     October 01, 2002 - a limitation in life activities may stem from one or more of genetic conditions, acquired diseases, traumas … health care and health information, and have more exposure to interpersonal violence and intentional injury … therapies. 104 The study included 85 patients with various nervous, circulatory, musculoskeletal, and injury … and other care for people with disabilities is of increasing concern given ongoing cost-containment pressures

309. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
     January 01, 2014 - Video: Do Less Harm 2 Presentation Goals Highlight the gap between optimal response to medical injury … Resolution) process and how this toolkit will help organizations improve their response to medical injury … The nursing staff in the room had Michelle connected to a monitor and monitored her heart rate, blood pressure … field of ergonomics; as we work more at desks and computers, these areas are redesigned to help prevent injuries … helps them care for their patients. 36 Module 1 In addition to the organization Medically Induced Trauma

310. Engineering Safe Practices Affinity Group | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/engineering-safety-practice/index.html
     September 01, 2025 - that make it more difficult for people to make errors in care delivery or experience a work-related injury … Healthcare Settings includes strategies to identify risks and hazards and prevent/control work-related injury … Healthcare-Associated Infections Program (contains multiple resources and toolkits). * Preventing Pressure

311. Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
     January 01, 2024 - high-injury-severity incidents conformed to the 2006 NQF standard. … Stage 3 or 4 pressure ulcers acquired after admission to a healthcare facility 0.0 G. … Ninety-eight percent of hospitals’ policies recommend disclosure in case of serious injuries believed … , organ injury, pneumonia, pneumothorax, pressure sore, sepsis, shock, urinary tract infection, postoperative … wound infection, and other.

312. CHIPRA 194: Overuse of Imaging for the Evaluation of Children With Primary Headache Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-fullreport.pdf
     April 01, 2019 - These complications include compromised airway, hypoxia leading to central nervous system injury, and … • Signs or symptoms of increased intracranial pressure. … • Trauma. o Suspected child abuse. o Concussion. … These risks include dental trauma; airway edema (swelling of the windpipe); vocal cord spasm or injury … ; regurgitation of stomach contents with subsequent aspiration (inhalation) pneumonia; injury to arteries

313. Hybrid Cardiac Rehabilitationi (HYCR) Tools and Resources Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/hycr-tools-resources-guide.pdf
     June 02, 2025 - (aerobic and strength) and that all accidental injuries would be virtually assessed by the physiologist … Alert staff if you have any: Chest pain, pressure, aching, or indigestion. … (aerobic and strength) and that all accidental injuries would be virtually assessed by the physiologist … Try to place the majority of the pressure on your foot, on your big toe. 2. … Assess the patient, instruct patient to check blood pressure and heartrate on home blood pressure device

314. Appendix A, Pt. 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
     April 01, 2018 - Other risk factors were male sex (OR 2.01, 95% CL 0.44-10.45), injury-operation interval less than … The incidence increased from 13.2% in clean wounds to 70.0% in dirty wounds. … for specific operation Intraoperative recommendations Ventilation Maintain positive-pressure … Risks include effusions (12% or procedures), deep vein thrombosis (1.8%-46%), nerve injuries, and arterial … injury or aneurysm formation.

315. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
     November 01, 2017 - Facilitator Training This version of On-Time introduction is for training Facilitators who have not had pressure … It is more difficult for staff to identify which residents are at risk for a fall or pressure ulcer or … electronic reports with input from relevant staff (e.g., nursing assistants, director of nursing [DON], wound … weekly basis and encourage multidisciplinary input (e.g., certified nursing assistants [CNAs], DON, wound … On-Time pressure ulcer prevention reports were integrated into day-to-day workflow.

316. Communication: Obstetric Hemorrhage (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
     July 01, 2023 - communication breakdowns are identified as the primary root cause of maternal and perinatal deaths and injuries … Other root causes for maternal and perinatal deaths and injuries are— • Assessment (i.e., the adequacy … Her blood pressures have remained normotensive, and she has had good reflexes throughout the shift. … Her blood pressures have remained normotensive, and she has had good reflexes throughout the shift. … 2023 Communication Obstetric Hemorrhage Communication is… Maternal and Perinatal Deaths and Injuries

317. A Unit Guide To Infection Prevention for Long-Term Care Staff | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
     March 01, 2017 - Infections cause pain, injury, disability, and sometimes even death, and can be very expensive to treat … signs, such as— Increased temperature Changes in respiration or pulse rate Changes in blood pressure … resident, if needed, that the law requires the use of safety lancets and needles to prevent needle stick injuries … Make sure that wounds are covered. Contain any urine, stool, or wound drainage. … An LTC facility must have negative pressure rooms and a respiratory fit-test program in order to safely

318. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-slides.html
     September 01, 2017 - showing 15 active medications during the report week, active high-risk diagnosis of UTI, stage III pressure … DNR,DNH, MOLST, or POLST Order in Place Oxygen Therapy Catheter or Ostomy Present Stage II or > Pressure … Gastrointestinal/ Genitourinary Symptoms Endocrine/ Metabolic/ Nutrition Issues Wound … Genitourinary Endocrine/ Nutritional/ Metabolic Musculoskeletal/ Joint Symptoms Wound … Circulatory Problems Hypertension or Renal Failure Gastroenteritis Angina Pectoris Falls /Trauma

319. Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
     April 23, 2008 - Patient Falls Project aimed to reduce the incidence of patient falls and the severity of fall-related injury … Throughout this phase, coaches sought to understand site priorities (goals/ strategic plans) and pressures … • Implement individualized interventions to prevent falls/reduce injury. … improvements Monitor organizational change over time; analyze falls risk assessment, incidence, and injury … Changes may be explained by the “pressure” of the intervention (continuous reminders; ongoing scheduled

320. Final Topic Refinement Document - Therapeutic Options for Obesity in the Medicare Population (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/obesity_topic-refinement.pdf
     May 22, 2014 - Adverse effects of interventions ● Activity-related injury ● Adverse effects of medication ( diarrhea … Respiratory disease (i.e., asthma, COPD) ● Sleep apnea o BMI o Adverse effects ● Activity-related injuries … Question 1b CMS Intermediate outcomes We are excluding all intermediate outcomes (adherence, blood pressure … outcomes CMS Intermediate outcomes We are excluding all intermediate outcomes (adherence, blood pressure … skinfold thickness and waist circumference; excluding all intermediate outcomes (adherence, blood pressure