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361. Appendix B. Clinical Materials to Share With Primary Care Providers (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
     December 01, 2013 - BPD, even in the absence of overt brain injury, is a risk factor for neurodevelopmental delay. … Vent frequently to prevent gas pressure from compromising the seal. … Cuffed: Indicated to prevent chronic aspiration, or when ventilating with high pressures. … Set suction pressure between 80-100 mmHg. … Gastric or esophageal trauma during placement.

362. Appendix B. Clinical Materials to Share With Primary Care Providers (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
     December 01, 2013 - BPD, even in the absence of overt brain injury, is a risk factor for neurodevelopmental delay. … Vent frequently to prevent gas pressure from compromising the seal. … Cuffed: Indicated to prevent chronic aspiration, or when ventilating with high pressures. … Set suction pressure between 80-100 mmHg. … Gastric or esophageal trauma during placement.

363. Communication Assessment Guide: Appendix 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/ap2.html
     August 01, 2022 - During her procedure, her heart rate, blood pressure, and oxygen level were monitored. … During a part of the procedure, we became aware that her heart rate, blood pressure, and oxygen level … First off, right now Mary is stable; her heart rate, blood pressure, and oxygen level are all in normal … We also don't know right now if she has suffered any injury from what happened, but we will check her

364. Module 3. Falls Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mgdod3.html
     October 01, 2014 - In addition, they should be able to manage injuries that result from falls. … Risk factors are identified, and ways to prevent injury are discussed. … Develop participants' knowledge and skills in preventing falls and fall-related injuries. … He has moderate dementia, and his blood pressure falls when he stands up too fast, making him dizzy. … Paul comes to visit his father after work; he is aware that his father fell yesterday, without injury

365. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa4.pdf
     January 01, 2018 - - injury to neonate per 1,000 selected live births 4.5 0.67 HCUP 2016 Adults age 40 and over with … - injury to neonate per 1,000 selected live births 7.4 1.33 HCUP 2016 Adults with chronic joint symptoms … health only per 100,000 population 46.1 5.39 HCUP_NEDS 2016 Reclosure of postoperative abdominal wound … - injury to neonate per 1,000 selected live births 6.7 1.24 HCUP 2016 Children 41-80 lb for whom a … sores or irritation in the calendar year 36.3 2.34 MEPS 2016 Reclosure of postoperative abdominal wound

366. Emergency Department and Catheter Insertion | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
     December 01, 2017 - So because of his immobility, he developed a pressure ulcer on his sacrum and the physician decided to … Now we know the elderly are very vulnerable to infection and other injury in the hospital. … Possibly, the patient needs immobilization for trauma or surgery, patient is incontinent with open wounds … ; protocolized care for trauma; incontinence without open sacral or perineal wounds; pre-operative placement … On the next slide, we’ll – one case study is trauma.

367. 2022 National Healthcare Quality and Disparities Report Executive Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-final-es.pdf
     October 01, 2022 - injury deaths), followed by accidental falls and motor vehicle accidents (each of which accounted for … approximately 20% of unintentional injuries) … an important cause of death that disproportionately affects younger populations, was unintentional injury … • Among the top 10 causes of YPLL, rates of unintentional injury, heart disease, liver disease, and … eclampsia/preeclampsia rate, which measures a complication of pregnancy characterized by high blood pressure

368. Making Health Care Safer II, Executive Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
     March 01, 2013 - “common;” examples include falls, venous thromboembolism (VTE), potential adverse drug events, or pressure … The scope must also consider the severity of each event; for instance, most falls do not result in injury … patient safety target, such as adverse drug events, or general clinical topics, such as preventing pressure … High (hypoglycemia) Low-to- moderate NA Interventions to prevent contrast-induced acute kidney injury … Common/ Moderate High Moderate (bleeding) Low Little/Moderate Preventing patient death or serious injury

369. Acute Care Learning From Defects
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
     November 01, 2019 - associated with biliary duct obstruction from a gallstone Temperature of 101° F, pulse of 100, and blood pressure … Acute kidney injury and unnecessary lab tests and imaging could have been avoided 3 Piperacillin/tazobactam … Care Learning From Antibiotic-Associated Adverse Events Adverse event: Patient develops acute kidney injury

370. Final Progress Report: Health Journalism 2011, national conference on healthcare journalism (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/bruzzese3-report.pdf
     January 01, 2024 - Soldiers with traumatic brain injuries. Athletes with concussions. … care o From pee wee to pro: Head injuries in sports o Can the FDA ensure food safety? … Journalism Graduate Program • How nanotechnology may revolutionize the detection of traumatic brain injury … interim deputy director, Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury … "Sim Man" and "Harvey" reproduced physiological signs, such as blood pressure and heart and breathing

371. Communication: Obstetric Hemorrhage - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
     July 01, 2023 - interruption to a doctor who is with a patient's family members. 2 Maternal and Perinatal Deaths and Injuries … 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.” 

372. Appendix III (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiid.html
     June 01, 2010 - A few are related to the health and welfare of clients, such as injuries and medication errors. … HCBS MS Domains: Unmet Need Populations: Individuals with disabilities, adults with acquired brain injuries … information concerning the number of incidents (abuse and neglect; restraints, crimes against, serious injuries … required data via NCI form titled "NCI Protocol for Reporting Incidents: Abuse and Neglect, Serious Injuries … additional measures under development relate to influenza vaccinations for people with disabilities and pressure

373. Part 1: Overviews of the Report and the Hispanic Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part1.html
     March 01, 2020 - For example, only half of people with high blood pressure have it controlled. … Leading causes of morbidity and mortality include heart disease, cancer, unintentional injuries, stroke

374. Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
     September 01, 2015 - ulcers or similarly severe wounds that cannot be kept clear of urinary incontinence despite wound care … require strict prolonged immobilization following specific types of trauma or surgery. … Examples include instability in the thoracic or lumbar spine, multiple traumatic injuries such as pelvic … Intermittent catheterization is most often used in patients with neurogenic bladder or spinal cord injury … despite wound care and other urinary management strategies, if ISC is adequate to manage the type of

375. Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
     September 01, 2015 - ulcers or similarly severe wounds that cannot be kept clear of urinary incontinence despite wound care … require strict prolonged immobilization following specific types of trauma or surgery. … Examples include instability in the thoracic or lumbar spine, multiple traumatic injuries such as pelvic … Intermittent catheterization is most often used in patients with neurogenic bladder or spinal cord injury … despite wound care and other urinary management strategies, if ISC is adequate to manage the type of

376. Healthcare Safety Competencies Affinity Group Environmental Scan (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
     March 27, 2025 - including central line-associated bloodstream infections, ventilator-associated events, hospital-acquired pressure … injuries, patient falls, and catheter-associated urinary tract infections during the COVID-19 pandemic … Bureau of Labor Statistics, in 2018, healthcare workers accounted for 73% of all nonfatal workplace injuries … Safety Science- Adjacent • Workload Management • Burnout • Worker Safety • Fatigue • Moral Injury … The Human Experience • Burnout • Co-Design • Fatigue • Improving Access to Care • Moral Injury

377. 2019 National Healthcare Quality and Disparities Report Quality Trends (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-core-measures-quality.pdf
     January 01, 2019 - 51.9% in 2013 67.7% in 2017 -9.5 0.006 Surgical Safety Home health care patients whose surgical wound … single measure that was not changing over time examines long-stay nursing home patients who experience injuries … Ulcers Short-stay nursing home patients with new or worsening pressure ulcers (MDS) 0.7% in 2013 … Ulcers High-risk, long-stay nursing home patients with pressure ulcer (MDS) 5.3% in 2013 4.8% in … 2017 -2.1 0.018 Falls Long-stay nursing home patients experiencing one or more falls with major injury

378. Patient Safety Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
     June 01, 2022 - The Preventing Pressure Ulcers in Hospitals Toolkit assists hospital staff in implementing effective … pressure ulcer prevention practices through an interdisciplinary approach to care. … The toolkit draws on literature on best practices in pressure ulcer prevention and includes both validated … patients can suffer adverse outcomes and even fatal complications, and clinicians can be exposed to injury

379. Care Coordination Quality Measure for Primary Care (CCQM-PC) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/ccqmpc/ccqm-pc-survey-instructions.pdf
     July 01, 2016 - most of your usual health care needs and who you normally see when you need care for a new illness or injury … being able to walk a flight of stairs without losing your breath, or target rates—for example, a blood pressure … In the last 12 months, if you had an illness or injury, how often did your primary care provider or … 1 Never 2 Sometimes 3 Usually 4 Always 5 I did not have an illness or injury in the last … High blood pressure or hypertension? Congestive heart failure? Coronary artery disease?

380. AHRQ Views: Celebrating the 40th Anniversary of the U.S. Preventive Services Task Force | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/920.html
     July 01, 2024 - 36 states from AHRQ’s Healthcare Cost and Utilization Project focusing on adverse outcomes such as pressure … Epidemiology and clinical outcomes of community-acquired acute kidney injury in the emergency department