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1041. 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

1042. 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

1043. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa5.pdf
      January 01, 2018 - per 1,000 vaginal deliveries without instrument assistance -54.51 -35.20 HCUP 2016 Obstetric trauma … - injury to neonate per 1,000 selected live births 8.00 1.46 HCUP 2016 Accidental puncture or laceration … 18 and over or obstetric admissions 75.00 4.24 HCUP 2016 Reclosure of postoperative abdominal wound … People Relative Difference Z Score Data Source Data Year Reclosure of postoperative abdominal wound … - injury to neonate per 1,000 selected live births 3.3 0.50 HCUP 2016 Adults who had a doctor’s office

1044. Slide 1 (pdf file)
      hcup-us.ahrq.gov/datainnovations/clinicaldata/MPinepresentation.pdf
      September 22, 2010 - For accidents (i.e., E codes), POA codes are based on the relation of the time of injury to the time … Therefore, POA=Y only when injury occurs prior to admission. … Composite Scores Enter 4 or More Models Vital Signs, Other Lab Data, Scores • Pulse (8) • Blood Pressure

1045. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.341_slideshow.ppt
      March 01, 2015 - surgery is a sentinel event—an unexpected occurrence involving death or serious physical or psychological injuries … Incorrect or lack of consent Failure to use site markings Surgeon fatigue Multiple surgeons Unusual time pressures

1046. 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.

1047. 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

1048. 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

1049. 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

1050. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50389/psn-pdf
      September 25, 2019 - Laboratory tests showed acute kidney injury with markedly elevated levels of potassium, phosphate, and … The patient's blood pressure improved with fluids. … Six hours after admission, the patient's blood pressure started to drop, requiring further intravenous … Despite aggressive measures to maintain her circulation, blood pressures further dropped, and a code

1051. 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.

1052. The Effect of Dietary Digestible Carbohydrate Intake on Risk of Cardiovascular Disease (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/risk-cardiovascular-disease.pdf
      January 01, 2023 - metabolism, cancer, and malabsorption syndromes • Participants hospitalized with an illness or injury … Association of dietary nutrients with blood lipids and blood pressure in 18 countries: a cross-sectional … Effect of high-carbohydrate or high- monounsaturated fatty acid diets on blood pressure: a systematic … Effect of a high-carbohydrate versus a high--cis- monounsaturated fat diet on blood pressure in patients … Effects of protein, monounsaturated fat, and carbohydrate intake on blood pressure and serum lipids:

1053. 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

1054. Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision Support - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/k08hs24764-nanji-final-report-2022.pdf
      January 01, 2022 - The CDS group practiced tighter blood pressure control, which has been shown to prevent end-organ … damage, such as acute myocardial injury and renal injury. … proposed medication) or reminder alerts (eg, reminders to treat hypotension at individualized blood pressure … in a workflow that is faster, more efficient, and leads to higher quality of care (tighter blood pressure … clinician task time by 20% (see Table 1), improving efficiency and quality of care metrics (blood pressure

1055. 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

1056. 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

1057. 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.

1058. Hidden Danger! Insidious Postpartum Bleeding After Emergency Cesarean Delivery. | PSNet
      psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
      November 25, 2020 - Vital signs showed systolic blood pressure around 90 mm Hg, mean arterial pressure (MAP) 60-70, pulse … At that time, the patient’s vital signs showed a blood pressure of 88/40, mean arterial pressure of 57 … include increased blood volume, increased cardiac output, decreased vascular resistance (with lower blood pressure … For example, single parameter alerts such as a diastolic blood pressure >90 mm Hg were common in the … October 30, 2024 WebM&M Cases Uterine Artery Injury during

1059. Comparative Effectiveness of Pain Management Interventions fo Hip Fracture (ppt file)
      effectivehealthcare.ahrq.gov/sites/default/files/hip-fracture-pain.ppt
      May 01, 2011 - also includes bone-anchored [skeletal] traction) performed to stabilize the fractured leg and relieve pressure … practices, and products that are not part of conventional medicine, such as: Acupressure: applying pressure … Acupressure uses applied pressure at body points away from the location of pain to lessen pain. … , which lasts for the duration of injury and healing. … lasts for the duration of injury and healing.

1060. Comparative Effectiveness of Pain Management Interventions fo Hip Fracture (ppt file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/hip-fracture-pain.ppt
      May 01, 2011 - also includes bone-anchored [skeletal] traction) performed to stabilize the fractured leg and relieve pressure … practices, and products that are not part of conventional medicine, such as: Acupressure: applying pressure … Acupressure uses applied pressure at body points away from the location of pain to lessen pain. … , which lasts for the duration of injury and healing. … lasts for the duration of injury and healing.