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321. 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

322. 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

323. Engineering Safe Practices Affinity Group | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/engineering-safety-practice/index.html
     April 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

324. 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

325. 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.

326. 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

327. Multiple Chronic Conditions Chartbook (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mccchartbook.pdf
     April 01, 2014 - -4 NO YES 861 HEART & LUNG INJURY -5 NO -4 NO 863 GI TRACT INJURY -4 NO -3 NO 864 LIVER INJURY - … 3 NO -3 NO 869 INTERNAL INJURY NOS -3 NO -3 NO 871 EYEBALL OPEN WOUND -3 NO -4 NO 872 OPEN WOUND OF … OPEN WOUND OF LOWER ARM -5 NO -5 NO 882 OPEN WOUND OF HAND -5 NO -5 NO 883 OPEN WOUND OF FINGER -5 … 893 OPEN WOUND OF TOE -5 NO -5 NO 904 BLOOD VESSEL INJURY NEC -5 NO -4 NO 908 LATE EFF INJURY NEC … TO NERVE NEC/NOS -4 NO -4 NO 958 EARLY COMPLIC OF TRAUMA -4 NO -3 NO 959 INJURY NEC/NOS -4 NO -3 NO

328. 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

329. 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.

330. 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.

331. 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

332. 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

333. 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

334. Survey on Patient Safety (facility version) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.pdf
     June 02, 2025 - • “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … Whenever pressure builds up, my supervisor/manager wants us to work faster, even if it means taking

335. Survey on Patient Safety (facility version) (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
     June 02, 2025 - · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … Whenever pressure builds up, my supervisor/manager wants us to work faster, even if it means taking shortcuts

336. 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

337. On-Time Preventable Hospital and Emergency Department Visits (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
     November 30, 2013 - • Current clinical conditions contributing to transfer risk: use of oxygen, catheter or ostomy, any pressure … and skin, injury (fall related or not fall related), musculoskeletal, abnormal labs or anemia, fever … or skin issues • Fall-related injury • Non-fall-related injury • Abnormal labs • Fever/possible infection … disease • Asthma • Circulatory problems • Hypertension • Gastroenteritis • Angina pectoris • Falls/trauma … obstructive pulmonary disease, asthma, circulatory problems, hypertension, gastroenteritis, angina, falls/trauma

338. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
     January 01, 2004 - mandatory error reporting programs gather data on errors associated with fatal outcomes or serious injuries … of administration were trapped prior to completion.10 The population above age 65 sustained more injuries … The most significant potential for injury occurred in the transition of a patient across and between … Inaccurate or incomplete data about medication regimens, when undetected, caused patient injuries. … Time pressures—due to limited CT scanner availability; the critical nature of the patient’s condition

339. Table 7: Health and Welfare of the Home and Community-Based Services Population as Measured by 13 Outcome Indicators, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab7.html
     December 01, 2012 - 5,672 13,799 7,174   Max 38,852 29,161 10,824 48,675 50,219 49,623 36,143 Pressure

340. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pptx
     January 01, 2020 - Nerve injury not elsewhere classified at birth, and Birth trauma not elsewhere classified.24 Many … of these injuries to neonates may be preventable.25 41 Birth trauma—injury to neonate per 1,000 … Overall Rate: In 2013, the birth trauma-neonatal injury rate was 1.9 per 1,000 live births. … Between 2004 and 2013, birth trauma-neonatal injury rates fell for all racial/ethnic groups, except for … Birth Trauma Rate—Injury to Neonate: Technical Specifications.