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1021. Ed-Catheter-Insertions-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.doc
      September 10, 2013 - 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.

1022. Recommendation: Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Cardiovascular Disease Risk Factors: Behavioral Counseling Interventions | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/healthy-lifestyle-and-physical-activity-for-cvd-prevention-adults-without-known-risk-factors-behavioral-counseling
      July 26, 2022 - adults 18 years or older without known CVD risk factors, which include hypertension or elevated blood pressure … prevented by addressing modifiable risk factors, including smoking, obesity, diabetes, elevated blood pressure … prevented by addressing modifiable risk factors, including smoking, obesity, diabetes, elevated blood pressure … (−0.8 mm Hg [95% CI, −1.30 to −0.31]), diastolic blood pressure (−0.42 mm Hg [95% CI, −080 to −0.04] … intervention participants and control groups on any adverse events, serious adverse events, musculoskeletal injuries

1023. Hospital Survey on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.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

1024. Hospital Survey on Patient Safety (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.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

1025. Improving the Delivery of Health Services at the Health Systems Level - Emerging Research | Digital Healthcare Research
      digital.ahrq.gov/2020-year-review/research-summary/improving-delivery-health-services-health-systems-level-emerging-research
      January 01, 2020 - interactions at the bedside and their effect on nurse-sensitive patient outcomes such as patient falls, pressure … ulcer injuries, and hospital-acquired infections.  

1026. 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

1027. 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

1028. Microsoft PowerPoint - FINAL Nov_Spotlight Case_Premature Closing-Snycope_11.20.2020-revised.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
      January 01, 2020 - an episode of dizziness and syncope when exercising – Vital signs were notable for systolic blood pressure … with similar episodes of syncope in the preceding months, all resulting in falls and subsequent head trauma … would have alerted the clinical team to the history of recurrent syncope with repeated falls and head injuries … neuroimaging before initiating anticoagulation, suggesting that the clinician initially considered trauma … in acute coronary syndromes — ST-segment abnormalities in a patient with a recent history of head trauma

1029. 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?

1030. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49737/psn-pdf
      June 01, 2015 - The misplaced catheter caused trauma to the urethra and blood loss. … With regulatory and financial pressures directed toward reducing hospital-acquired infections, attention … occurs more frequently in men who perform intermittent catheterizations frequently (e.g., spinal cord injury … J Wound Ostomy Continence Nurs. 2007;24:655-661. [go to PubMed] 2. … Assist in healing of open sacral/perineal wound in incontinent patients.

1031. 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

1032. 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.

1033. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33712/psn-pdf
      June 01, 2011 - analysts who see this behavior as a universal law: automobile seat belts actually do reduce deaths and injuries … So I think the combination of a high frequency of alarms and pressure for productivity is potentially … In studying some of the recent mine accidents, I found there was an institutional pressure there to … come not because people are greedy or selfish or that they don't care, but that their bias and the pressures

1034. In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
      psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
      September 24, 2024 - safety culture and found a 37% increase in reporting, and decreases in preventable harm: 39% decrease in injuries … with falls, 37% fewer pressure injuries and a 34% reduction in central line-associated blood stream … For instance, a hospital may focus on eliminating severe pressure injuries as a preventable harm, but

1035. 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

1036. Research Protocol: Diabetes Medications for Adults With Type 2 Diabetes: An Update Focused on Monotherapy and Add-On Therapy to Metformin (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetes-update-2015_research-protocol.pdf
      January 01, 2015 - medications (see Table 1) for the intermediate outcomes of hemoglobin A1c, weight, systolic blood pressure … medications (see Table 1) for the intermediate outcomes of hemoglobin A1c, weight, systolic blood pressure … safety of the specified monotherapy FDA-approved diabetes medications (see Table 1) regarding liver injury … Neuropathy • We will include studies addressing the following safety outcomes for KQ3: § Liver injury … than 3 months; and safety outcomes besides hypoglycemia, gastrointestinal side effects, and liver injury

1037. Nppv-Respiratory-Failure Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/nppv-respiratory-failure_executive.pdf
      July 01, 2012 - Continuous positive airway pressure (CPAP) and bilevel positive airway pressure (BPAP) are the two … with cardiopulmonary arrest or shock, where greater airway control is required, or those with facial trauma … ventilation; PaCO2 = partial pressure of carbon dioxide in blood; PaO2 = partial pressure of oxygen … Adult populations where NPPV is contraindicated, such as cardiopulmonary arrest, shock, and facial trauma … Role of noninvasive ventilation in acute lung injury/acute respiratory distress syndrome: a proportion

1038. 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

1039. 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.” 

1040. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33614/psn-pdf
      June 01, 2005 - //#ref1 https://psnet.ahrq.gov//#ref2 https://psnet.ahrq.gov//#ref2 https://psnet.ahrq.gov//#ref3 injuries … intervention, they referred to any event that resulted in the emergency team being called—low blood pressure … the error caught by their regular physician, others would experience asymptomatic reduction in blood pressure