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1001. Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up | PSNet
      psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
      September 27, 2023 - with factitious disorder consciously and manipulatively (usually surreptitiously) produce illness or injury … advocated by most experienced practitioners. 20 Applying cricoid pressure compresses the esophagus … this communication error because the foreign body likely traversed the gastrointestinal tract without injury … Scand J Trauma Resusc Emerg Med . 2021;29(1):64. [ Free full text ] Zdravkovic M, Rice MJ, Brull SJ. … The clinical use of cricoid pressure: first, do no harm.

1002. Impact of Healthcare Worker Safety and Wellness: A Systematic Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/worker-safety-wellness-protocol.pdf
      October 26, 2024 - obstacles, paperwork burden, limited resources, understaffing, workplace violence, role conflict, and time pressures … Ergonomic hazards associated with repetitive strain and low back injuries among HCWs;51–54 2. … , emotional exhaustion, staff turnover, and physical injuries? … Moral distress and moral injury - recognising and tackling it for UK doctors. … Percutaneous injuries before and after the Needlestick Safety and Prevention Act.

1003. Measuring Patient Safety | PSNet
      psnet.ahrq.gov/perspective/measuring-patient-safety
      December 14, 2022 - Falls and pressure ulcers also went up – in skilled nursing facilities, we saw rates of falls causing … major injury increase by 17% and pressure ulcers increase by over 40%. … healthcare-acquired infections, complications, medication safety, safety of the EMR, patient falls with injury … , and pressure injuries. … Did you take someone's blood pressure?

1004. In Conversation With... Dr. Michelle Schreiber on Measuring Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
      December 14, 2022 - Falls and pressure ulcers also went up – in skilled nursing facilities, we saw rates of falls causing … major injury increase by 17% and pressure ulcers increase by over 40%. … healthcare-acquired infections, complications, medication safety, safety of the EMR, patient falls with injury … , and pressure injuries. … Did you take someone's blood pressure?

1005. Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-fullreport.pdf
      November 01, 2019 - These complications include compromised airway, hypoxia leading to central nervous system (CNS) injury … • Neurologic signs of increased intracranial pressure. … sedation, moderate and deep sedation carry a greater risk of airway compromise, hypoxia resulting in CNS injury … 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

1006. Lessons in Safety Climate and Safety Practices from a California Hospital Consortium (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
      April 01, 2003 - This heightened interest has increased pressure on hospitals to reduce medical errors. … Increased regulatory and payer pressures have encouraged hospital leaders to undertake efforts to improve … For example, one consortium participant from a large multihospital network created an injury graph that … Based on this analysis, she categorized injuries by hospital. … The visual image helped motivate the organization to set system goals for reducing patient injuries.

1007. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854849/psn-pdf
      October 31, 2023 - On hospital day 2, the primary trauma surgery team ordered magnetic resonance imaging (MRI) of the brain … These studies, completed on hospital day 6, showed no evidence of traumatic or hypoxic brain injury … and no vertebral or ligamentous injury; the radiologist noted “minimal cervical spine epidural blood … capturing data for quality metrics or responding to messages from patients through portals certainly add pressure … professional society educational efforts may be helpful in addressing this generational problem.15 Pressure

1008. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73103/psn-pdf
      March 31, 2021 - On arrival, she was in septic shock with systolic blood pressure in the 80’s. … Common examples include pneumonia, Clostridium difficile infection, pressure injuries, delirium, and … diarrhea in an incontinent patient with skin breakdown on the “backside” should have raised an alarm, as wound … The use of a video visit for wound care is possible as skin and wound tissue can be adequately evaluated … Wesley Valdes, DO Telehealth and Wound Specialist Sacramento, CA wesley.valdes@gmail.com Garth Utter

1009. 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.

1010. 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.

1011. Analysis of Emergency Department Visits During the October 2017 Wildfires in Northern California (pdf file)
      hcup-us.ahrq.gov/reports/ataglance/HCUPanalysisCA2017Wildfires.pdf
      August 19, 2019 - (Including Burns) Figures 8a–8e present emergency department visits for the initial encounter of injuries … The scale for the y-axis indicating ED visits for injuries ranges from 0 to a maximum of 1,000. … ICD-10-CM Code Range Injury Code Range Description S00- to S99 Injuries head, neck, thorax, abdomen … effects of health and light, hypothermia, other effects of reduced temperature, effects of air and water pressure … unspecified effects of other external causes and adverse effects T79- Certain early complications of trauma

1012. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852280/psn-pdf
      August 09, 2023 - Veterans Health Administration (VHA) hospital, this study found that use of SmartSocks – socks containing pressure … assessment-wearable-fall-prevention-system-veterans-health-administration-hospital https://psnet.ahrq.gov/primer/falls https://psnet.ahrq.gov/issue/preventing-falls-injury

1013. Hypertension Screening for Children Who Are Overweight or Obese: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-fullreport.pdf
      February 01, 2020 - percentile (2) documentation of diastolic blood pressure percentile, (3) classification of blood pressure … Markers of vascular injury can be detected in very young children, demonstrating that the path to cardiovascular … , systolic blood pressure value, diastolic blood pressure value, and both height and weight (necessary … blood pressure, diastolic blood pressure, height, and weight) was 100 percent, with a Kappa statistic … Systolic or diastolic blood pressure values. 30 7.

1014. Behavioral Counseling Interventions to Promote a Healthy Diet and Physical Activity for CVD Prevention in Adults Without Known CVD Risk Factors: Updated Evidence Report and Systematic Review for the USPSTF (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/UXw277rnvJ8e_Dfsh4V3K3
      July 26, 2022 - increased physical activity, or decreased sedentary time among adults without known elevated blood pressure … (high blood pres- sure stage 1 [systolic blood pressure [SBP] 130 mm Hg or diastolic blood pressure … behavioral outcome (eg, dietary intake, physical activ- ity) or report adverse events (eg, serious harm, injury … nificantly different between groups.29-31,48,56,82 Twelve trials reported the incidence of musculoskeletal injuries … including physical activity counseling reported generally no differences in rates of musculoskeletal injuries

1015. Nurses' use of computerized clinical guidelines to improve patient safety in hospitals. | PSNet
      psnet.ahrq.gov/issue/nurses-use-computerized-clinical-guidelines-improve-patient-safety-hospitals
      June 06, 2018 - February 14, 2024 A randomized trial of a multifactorial strategy to prevent serious fall injuries … May 29, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis

1016. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49856/psn-pdf
      March 01, 2019 - If there is no cuff leak, it suggests that laryngeal edema or another type of laryngeal injury has reduced … The ICU decided to implement a standardized protocol for positive pressure weaning trials, which also … mechanical ventilation: clinical outcome in patients randomized for a 30-min or 120-min trial with pressure … Extubation outcome after spontaneous breathing trials with T-tube or pressure support ventilation.

1017. Lapse in Antibiotics Leads to Sepsis | PSNet
      psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
      November 21, 2021 - Upon further evaluation, she was noted to have a rapid heart rate and low blood pressure. … Several hours later, the patient was noted to be lethargic with a low blood pressure. … While the inpatient care team discussed possible causes for her low blood pressure, the microbiology … Automated, electronic alerts for acute kidney injury: a single-blind, parallel-group, randomised controlled

1018. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865411/psn-pdf
      March 27, 2024 - Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. … https://psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and … https://psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency … saturation <93% Heart rate >110 or <50 beats/min (bpm) Respiratory rate >24 or <10/minute Blood pressure

1019. Implement Teamwork and Communication for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
      July 01, 2023 - Slide 6: Root Causes of Maternal and Perinatal Deaths and Injuries 2004-2012 Say: Human factors … 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. … Example: The nurse says to the doctor, "Doctor, the patient's blood pressure is dropping; it is 60/

1020. Microsoft Word - Comp Eff 10.doc (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/ace-inhibitor-arb-2007_research-2007-1.pdf
      January 01, 2007 - hypertension are not on treatment, and two-thirds of hypertensive patients continue to have blood pressures … - When used in pregnancy during the second and third trimesters, ACEIs can cause injury and even … - When used in pregnancy during the second and third trimesters, ACEIs can cause injury and even … - When used in pregnancy during the second and third trimesters, ACEIs can cause injury and … Blood pressure control?