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521. Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0082-fullreport.pdf
     March 01, 2016 - delivery are at much higher risk for rehospitalization for uterine infection and obstetrical surgical wound … nonmedical factors such as provider density, the capacity of the local health care system, and malpractice pressure … o Have a physical abnormality or injury to their brain or spinal cord. … For example, there may be fewer surgical injuries and fewer infections. … vaginally is more likely to have a nerve injury that affects the shoulder, arm, or hand.

522. The San Diego Center for Patient Safety: Creating a Research, Education, and Community Consortium (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Pratt.pdf
     March 01, 2004 - The usual time Advances in Patient Safety: Vol. 4 36 pressures and competing demands kept early … identification and wrong-site surgery; (3) event reporting, including near misses; and (4) physical injury … As the collaborative and Consortium have grown, there has been increasing pressure to take on new initiatives

523. 2014-Women-Chartbook (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
     January 01, 2014 - For example, only half of people with high blood pressure have it controlled. … High blood pressure costs the Nation $46 billion each year. … mostly attributable to sudden unexpected infant death (SUID), congenital anomalies, infection, and injury … Web-based Injury Statistics Query and Reporting System (WISQARS) [Online]. (2013). http://www.cdc.gov … /injury/wisqars/index.html .

524. Facilitator Guide: Optimize Your Briefings and Debriefings (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
     December 01, 2017 - defines a sentinel event as an unexpected occurrence involving death or serious physical or psychological injury … Serious injury specifically includes loss of limb or function. … Review the perfusion plan, including cannulation, perfusion pressure goals, temperature, and transfusion

525. Environmental Scan of Patient Safety Education and Training Programs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
     June 01, 2013 - of Patient Safety Definition of Patient Safety Reference Freedom from accidental or preventable injuries … psnet.ahrq.gov/glossary) The prevention of health care errors and elimination or mitigation of patient injury … National Patient Safety Foundation Freedom from accidental injury; ensuring patient safety involves … The avoidance, prevention, and amelioration of adverse outcomes or injuries stemming from the processes … Complications 26 429 -- Delirium 2 427 -- Nosocomial Infections 3 450 -- Patient Falls 11 428 -- Pressure

526. Final Progress Report: Short-term Clinical Deterioration After Acute Pulmonary Embolism (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/weekes-report.pdf
     January 01, 2025 - important indicator of acute PE of moderate to high severity is an acute increase in right ventricular pressure … abnormality is commonly assessed in two ways: 1) laboratory surrogates of myocardial stretch and injury … and 2) imaging assessments for RV dilatation, pressure increases, and decreased systolic function. … point each for abnormal RV by echocardiography, abnormal RV by computed tomography, systolic blood pressure

527. Making Information Technology a Team Player in Safety: The Case of Infusion Devices (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
     January 01, 2002 - particular kinds of medications to desired effect such as vasopressors, which are used to control blood pressure … Adverse events including device- related deaths and serious injuries must be reported to the FDA and

528. Meeting Minutes, March 2021 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/events/nac/2021-03-nac/nacmtg031821-minutes.html
     July 01, 2021 - revealed improvement in patient safety overall, especially with regard to urinary tract infections and pressure … A health disparity means a higher burden of illness, injury, disability, or mortality experienced by

529. Section 2: Engaging Stakeholders in a Care Management Program | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm2.html
     October 01, 2014 - management unit work with patients having a wide range of conditions (e.g., hemophilia, burns, spinal cord injury … However, local physicians' support of the program created enough pressure to reverse the decision to

530. Simulation-Based Education Improves Patient Safety in Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
     March 12, 2008 - related to pediatrics, respiratory emergencies, and seizures, the urgent care staff also requested trauma … scenarios (e.g., lacerations, fractures, head injuries, spinal cord injuries). … to obtain a more easily transportable, moderate-fidelity manikin with heart/lung sounds and blood pressure

531. Slide 1
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/womenhealth/2014nhqdr-womenhealth.pptx
     January 01, 2020 - Importance: About 70 million American adults (29%) have high blood pressure (Nwankwo, et al., 2013). … High blood pressure costs the Nation $46 billion each year. … mostly attributable to sudden unexpected infant death (SUID), congenital anomalies, infection, and injury … Web-based Injury Statistics Query and Reporting System (WISQARS) [Online]. (2013). http://www.cdc.gov … /injury/wisqars/index.html .

532. 2018 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-datasources.pdf
     October 01, 2019 - State-specific data on preventive health practices and risk behaviors linked to chronic diseases, injuries … are patient’s age, sex, race, and ethnicity; patient’s expressed reason for visit; intentionality of injury … include mode of arrival, waiting time, duration of time in the ED, initial vital signs, and cause of injury … The examination includes physical measurements, such as blood pressure and dental examinations, and … from each family in the house and collects data on topics including health status and limitations, injuries

533. Research Methods for Studying the Primary Care Workforce: Slide Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/workforce-pcr.pptx
     August 01, 2024 - develop, retain, and grow this workforce and to further understanding and improvement of burnout, moral injury … burden, patient wait times, how time is spent in a limited primary care patient visit, impact of time pressure

534. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
     December 01, 2017 - If someone is in danger of injury or an emergent procedure is missing a vital resource, we do what needs … Were decisions made under pressure, despite distractions, or without appropriate knowledge of case or

535. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
     December 01, 2017 - If someone is in danger of injury or an emergent procedure is missing a vital resource, we do what needs … Were decisions made under pressure, despite distractions, or without appropriate knowledge of case or

536. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults-references.html
     September 01, 2024 - Normal pressure hydrocephalus and mania symptoms: case report. … against overtesting, overdiagnosis, and overtreatment of older adults: thinking beyond imaging and injuries

537. Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
     January 01, 2024 - implement interventions to address these.1 Development of the BI-OTT Consistent with the “no preventable injuries … in terms of reported medical expenditures, employment status, or work days missed due to illness or injury … High blood pressure (hypertension)? 11(64.7) 23(67.6) 0.83** d. High cholesterol (hyperlipidemia)? … 18.8) During 2010 about how many days did you miss work at a job or business because of illness or injury … patients in terms of reported medical expenditures, employment status, or days missed due to illness or injury

538. Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
     January 01, 2020 - peripheral vascular complication [including pseudoaneurysm, hematoma at catheter insertion site, vascular injury

539. Return on Investment Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.docx
     January 01, 2013 - For example, improvement actions might reduce hospital-associated infections, rates of pressure ulcers … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization

540. Return on Investment Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
     January 01, 2013 - For example, improvement actions might reduce hospital-associated infections, rates of pressure ulcers … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization