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1161. TREAT ECARDS: Translating Evidence into Action: Electronic Clinical Decision Support in ARDS – Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs026188-gong-final-report-2022.pdf
      January 01, 2022 - frequent re-admissions, and high costs in the hospital.4 Because ARDS develops after some initial injury … is a major contributor and driver to the mortality reported by better recognized conditions such as trauma … hospital floor, ICU); 3) because ARDS develops acutely and co-exists with other serious conditions like trauma … of mechanical ventilation, Page 10 of 21 Phase 2 involved prevention of complications and lung injury … Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury

1162. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843150/psn-pdf
      December 05, 2022 - In these cases, easily managed health needs like high blood pressure or diabetes can progress to acute … People may go to a provider because they have an injury or concern, and providers can only focus on … There is also that trauma of accessing care and feeling that bias and stigma, which can prevent patients … I am trans, but I also have high blood pressure and high cholesterol. … We just want to be seen as humans, so that we can get our blood pressure managed on a regular basis.

1163. Regulation of Health Policy: Patient Safety and the States (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
      March 01, 2004 - In this research, we examined State legislative responses to pressure from constituents and policymakers … or disability or the immediate danger of serious injury or disability”); and Class C (an adverse event … Nevada defines a sentinel event as “an unexpected occurrence” involving death or serious injury or the … According to JCAHO, the classification of an AE that was avoided or did not result in injury is drawn … In recent years, State legislatures have deflected pressure to regulate health care away from the Federal

1164. Hypertension-Pulmonary-Arterial Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/hypertension-pulmonary-arterial_executive.pdf
      April 01, 2013 - screening tests may be used to identify patients with asymptomatic elevation of pulmonary artery pressures … hypertension was 1.1 percent and included bleeding, vasovagal reactions, systemic hypotension, arterial injury … good, 10 fair, 3 poor) reported the diagnostic accuracy of echocardiographic estimates of pulmonary pressures … We found that echocardiography estimates of pulmonary artery pressures (sPAP, TG, and TRV) and pulmonary … PASP pulmonary artery systolic pressure PCWP pulmonary capillary wedge pressure PH pulmonary hypertension

1165. Effect of Recent Refresher Training on in Situ Simulated Pediatric Tracheal Intubation Psychomotor Skill Performance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nishisaki_44.pdf
      April 19, 2008 - • Hypotension: systolic blood pressure <70 mmHg.9 • Intubation failure: o No intubation success … Nadkarni); the Center for Injury Research and Prevention (Dr. … Committee on Trauma. Advanced trauma life support student manual. 7th ed. … The infant has no evidence of increased intracranial pressure. … Each subject was reminded to “pay attention to” the potential cervical spine injury, but a person was

1166. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. | PSNet
      psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
      January 23, 2017 - transferred by ambulance to a tertiary Emergency Department (ED) from a referring hospital due to a left leg injury … holding her left hip flexed with significant tenderness on examination, but there were no other signs of trauma … during a diagnostic or therapeutic procedure.” 4,5 Sedation can also ameliorate the psychological trauma … exist when sedation is urgently needed to prevent harm associated with the underlying condition or injury … Blood pressure should be measured frequently, and the electrocardiogram, heart rate, respiratory rate

1167. Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
      psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
      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 … Carole Stockmeier:  Patients come to us with faith, hope, and trust that we will restore health and heal wounds

1168. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865984/psn-pdf
      May 29, 2024 - Angina is typically described as a pressure-like or squeezing sensation in the chest, associated with … remember that electrocardiographic changes are not seen in unstable angina, as there is no permanent injury … limit Table adapted from Long et al. (2017)9 1Examples of risk factors include retrosternal pain, pressure

1169. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60066/psn-pdf
      March 25, 2020 - Her vital signs included: blood pressure 154/113 mmHg, heart rate 75 beats/minute, respiratory rate … Despite high levels of ED crowding, there is mounting pressure to see more patients in less time and … Patients with dangerous medical conditions and traumatic injuries may present with normal or near-normal … patients, who require direct supervision, triages them ahead of many complicated, sick medical and trauma … Multidisciplinary Simulation-Based Team Training for Trauma Resuscitation: A Scoping Review.

1170. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49654/psn-pdf
      June 01, 2012 - They had taken her to the operating room, but she developed low blood pressure before the case and the … An evaluation of compliance with practice guidelines on interhospital trauma transfer. … Injury. 2005;36:1051-1057. [go to PubMed] 15. … Injury. 2004;35:857-863. [go to PubMed] 17. Lee A, Lum ME, Beehan SJ, Hillman KM.

1171. Improving Patient Safety in Long-Term Care Facilities: Training Modules (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
      June 01, 2012 - safety, create a more resident-centered environment, and reduce the number of falls and fall-related injuries … In addition, they should be able to manage injuries that result from falls. … Risk factors are identified, and ways to prevent injury are discussed. … Paul comes to visit his father after work; he is aware that his father fell yesterday, without injury … use to reduce the number of falls. › Nursing staff must have the knowledge and skills to prevent injury

1172. Making Healthcare Safer IV Rapid Response: Acute Care Nursing Staff Shortages That Compromise Patient-to-Nurse Ratios (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/nursing-staff-shortages-rapid-research.pdf
      April 01, 2025 - injuries, catheter-associated urinary tract infections, surgical site infections, and sepsis cases … The emergency department was restructured to cohort patients by specialty (e.g., trauma, pediatrics … The emergency department was restructured to cohort patients by specialty (e.g., trauma, pediatrics) … pandemic, and which sought to re-organize work structures to enhance nurses’ ability to cope with these pressures … California's nurse-to-patient ratio law and occupational injury.

1173. Archived: Evidence Summary: Child Maltreatment: Counseling, 2004 | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/child-maltreatment-counseling-2004
      March 09, 2004 - These problems include acute trauma, including death, unwanted pregnancy, and long-term physical and … , injury histories inconsistent with physical findings, and injuries inconsistent with children's abilities … We excluded studies about patients presenting with trauma. … of respondents rated the identification of maltreatment as rather difficult or difficult. 70 Work pressure … *Including physical trauma (fractures, dislocations, brain injury, etc.); unwanted pregnancy and sexually

1174. Screening Children for Family Violence: A Review of the Evidence (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/qCaKmh7ayuG9VP2vj646pQ
      March 01, 2004 - These problems include acute trauma, including death, unwanted pregnancy, and long-term physical and … , injury histories inconsistent with physical findings, and injuries inconsistent with children’s abilities … We excluded studies about patients presenting with trauma. … *Including physical trauma (fractures, dislocations, brain injury, etc.); unwanted pregnancy and sexually … 71% of respondents rated the identification of maltreatment as rather difficult or difficult.70 Work pressure

1175. Pharmacologic Management of Acute Pain by EMS in the Prehospital Setting Protocol Amendment (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/acute-pain-ems-protocol-amendment.pdf
      January 28, 2019 - medical conditions or patient characteristics (e.g., dental pain, abdominal pain, depressed blood pressure … Prehospital trauma analgesia. J Emerg Med. 2008;35:47-57. 3. … An evidence-based guideline for prehospital analgesia in trauma. … Continuous infusion of ketamine for out-of-hospital isolated orthopedic injuries secondary to trauma … Adding the following outcomes to KQ 2 and 4: systolic blood pressure, diastolic blood pressure,

1176. Final Progress Report: Demonstration Project To Refine, Automate and Test a Novel Emergency Department Trigger Tool (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/griffey-report.pdf
      January 01, 2025 - preventable.6-9 Numerous factors, such as increasing acuity, limited data for decision making, time pressures … We queried home medications, chief complaint, triage data such as acuity and trauma leveling, keywords … BiPAP – bilevel positive airway pressure; CPAP – continuous positive airway pressure; D50 – 50% Dextrose … (11%), and pressure ulcers (12.3%). … hypoxia and hypotension, delirium/ confusion, various bleeding events, surgical complications and injuries

1177. Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
      January 01, 2005 - 519, mandates that all manufacturers of medical devices must report device-related deaths, serious injuries … facilities” must report medical device related deaths to FDA and to the manufacturer and report serious injuries … of medical devices so it could become more proactive in addressing device issues before a death or injury … the various types and sizes of facilities that are obligated to make reports of deaths and serious injuries … systems are really at the root of the problem, and c) clinicians report they are just too busy with the pressures

1178. Final Progress Report: Implementing Reduced Work Hours for All House Staff To Improve Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/landrigan2-report.pdf
      January 01, 2024 - begin their work day 8-10 hours after awakening (86), leaving them with more accumulated homeostatic pressure … (i.e., injuries from needle sticks and scalpel laceration), and ‘fall-asleep’ incidents. … extended-duration shifts compared to non-extended-duration shifts. (99) In addition, the odds of a needlestick injury … A computer alert system to prevent injury from adverse drug events. JAMA 1998;280(1317):1320. … Extended work duration and the risk of self-reported percutaneous injuries in interns.

1179. Final Progress Report: Incident Reporting Practices in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
      January 01, 2025 - states, however; for example, abuse incidents are taken very seriously, but falls, other incidents, and pressure … events or medication errors; resident altercations or other types of abuse; and non-fall related injuries … Compared to 38.5% surveyor visits for burns and 22.7% for pressure ulcers, the numbers are fairly low … The relationship between physical restraint removal and falls and injuries among nursing home residents … ., dispensing, administration, adverse drug event) 27 17.3 6.3 69.3 7.1 24 12.5 4.2 66.7 16.7 Pressure

1180. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/disabilities-quality-improvement-outcomes_research-protocol.pdf
      August 03, 2011 - can also be differentiated by etiology: developmental disabilities, disabilities acquired through trauma … Preventive Services Task Force) o Urinary tract infections o Pressure ulcers o Uncontrolled diabetes … functioning and disability… as a dynamic interaction between health conditions (diseases, disorders, injuries … , trauma, etc.) and contextual; factors, including the social, attitudinal, and physical environments … . intellectual disabilit$.mp. 3092 9. 1 or 2 or 3 or 4 or 5 or 6 or 7 or 8 214730 10. exp Pressure