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121. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-facguide.docx
     January 01, 2017 - There’s also a cyclical type of trauma that occurs, often called “atelectrauma.” … and adjust the ventilator to try to maintain the plateau pressures below 30 centimeters of water; and … There’s some sort of priming insult, such as pneumonia, sepsis, severe trauma, noncardiogenic shock, … Insults secondary to mechanical ventilation include ventilation-induced lung injuries. … Plateau pressures were significantly lower.

122. Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-slides.html
     February 01, 2025 - Pressure limited. … Slide 22: LTVV in ARDS Large V t and the high pressures it generates were harmful 3,4 LTVV became the … to measure transpulmonary pressures clinically). … Trauma. Noncardiogenic shock. Multiple transfusions. Cardiopulmonary bypass. … Trauma. Pancreatitis. Post-circulatory arrest. Multiple transfusions. Severe burns.

123. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture | PSNet
     psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
     March 15, 2023 - The patient subsequently underwent surgical repair of the tracheal injury. … obstruction (e.g., obstructive sleep apnea; stridor and air hunger due to vocal cord paralysis or neck trauma … intubate, ventilatory support for neuromuscular disease, and as an adjunct to head/neck surgery or trauma … preventable through careful procedural and post-placement care. 6 Patient-related risk factors that affect wound … injuries can occur due to local tissue damage caused by tissue ischemia at high cuff pressures. 15

124. Untitled (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/field-triage-glascow_research-protocol.pdf
     February 25, 2016 - (TBI) vs. unspecified or other trauma, systolic blood pressure, level of intoxication, type of trauma … unspecified or other trauma, systolic blood pressure, level of intoxication, type of trauma, or intubation … injury, intoxication status, systolic blood pressure, type of trauma, or intubation or receipt of medication … The injury severity score: a method for describing patients with multiple injuries and evaluating emergency … and injuries"/ (764490) 7 exp accidents/ (153435) 8 exp violence/ (73131) 9 (tbi or (

125. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867427/psn-pdf
     December 18, 2024 - Centers for Disease Control and Prevention (CDC) consistently reports falls as the leading cause of injury … The World Health Organization reports falls as the second leading cause of unintentional injury deaths … A patient fall is defined as “an unplanned descent to the floor with or without injury to the patient … In hospitals, falls with injuries can lead to other adverse outcomes including pressure injuries or … One study found that providing patients at risk for falls with Smart Socks, which contain pressure sensors

126. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
     January 01, 2019 - due to procedures, as well as pressure ulcers/pressure injuries and falls. … ulcers/pressure injuries increased from 2014 to 2015 and then decreased somewhat from 2015 to 2016 … Ulcers/ Pressure Injuries 21.7 23.5 22.7 23.0 6% 17.4 Surgical Site Infections 2.5 2.5 2.5 … Pressure Ulcers/Pressure Injuries Surgical Site Infection NHSN SSIs for 17 procedures w/CDC SCIP … Ulcers/Pressure Injuries Surgical Site Infection NHSN SSIs for 17 procedures w/CDC SCIP+5

127. Physiologic Predictors of Severe Injury: Systematic Review, Evidence Summary (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-205-predictors-trauma-care-evidence-summary.pdf
     April 01, 2018 - e.g., a crush injury or amputation), but other injuries require additional assessment. … in trauma patients, but that many patients with serious injuries will have normal physiologic measures … Systolic blood pressure criteria in the National Trauma Triage Protocol for geriatric trauma: 110 is … Shock index as a marker for significant injury in trauma patients. … Coma Scale, Age, and Systolic Blood Pressure score.

128. Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
     January 01, 2023 - obstruction (e.g., obstructive sleep apnea; stridor and air hunger due to vocal cord paralysis or neck trauma … intubate, ventilatory support for neuromuscular disease, and as an adjunct to head/neck surgery or trauma … fistulas.6,7 – With the use of the Seldinger technique, complications from esophageal or carotid injuries … Indications, Complications and Risk Factors of Tracheostomy (4) • Patient-related risk factors that affect wound … blood flow at cuff pressures over 50 cm H20.15 • Stenosis, fistulas, and other tracheal injuries can

129. Nothing Called Small Surgery | PSNet
     psnet.ahrq.gov/web-mm/nothing-called-small-surgery
     February 01, 2023 - injury to the skin and soft tissues, and ischemic injury resulting in digital necrosis. … Arguably the most severe complication of digital tourniquets, ischemic injuries, have two principal causes … Excessive tourniquet pressures cause ischemic injury by vascular compression, which can lead to intimal … First, the use of a self-made tourniquet likely applied excessive pressure, which caused vascular injury … J Orthop Trauma. 2010 Jun;24(6):387–8.   Smith IM, Austin OMB, Knight SL.

130. Themes from HCBS Expert Call Discussions (pdf file)
     qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1B_Details_of_Expert_Panel_Calls.pdf
     January 01, 2012 - previous trauma. …  One panelist suggested examining wound infections rather than infection due to prosthesis use. … Accidents and Injuries A. … or sometimes spinal cord injury. …  Another panelist suggested examining wound infections rather than infection due to prosthesis

131. Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
     April 01, 2025 - the population at risk numbered at least 100, the highest rates for both 2021 and 2022 were worsening pressure … injuries that were present on admission (2021: 4.9%, 2022: 6.0%), hypoglycemic events (4.7% for both … Pressure Injury. Surgery/Anesthesia. Venous Thromboembolism. Other. … determined that national efforts to reduce hospital-acquired conditions such as adverse drug events and injuries

132. Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey. | PSNet
     psnet.ahrq.gov/issue/interactive-effects-nurse-experienced-time-pressure-and-burnout-patient-safety-cross
     September 23, 2009 - Study Interactive effects of nurse-experienced time pressure and burnout on patient … Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional … The combination of burnout and time pressures appeared to be associated with patient safety risks, … May 9, 2012 Surgeon commitment to trauma care decreases missed injuries. … May 22, 2013 System approach to prevent common bile duct injury and enhance performance

133. Outcomes | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/outcomes.html
     Hospital Reduces Emergency Wait Time, Adverse Events Using AHRQ Tools Connecticut Hospital Reduces Pressure … Injuries Using AHRQ Toolkit Georgetown University Family Nurse Practitioner Program Trains Hundreds

134. Wound-care teams for preventing and treating pressure ulcers. | PSNet
     psnet.ahrq.gov/issue/wound-care-teams-preventing-and-treating-pressure-ulcers
     June 05, 2019 - Review Wound-care teams for preventing and treating pressure ulcers. … Wound-care teams for preventing and treating pressure ulcers. … In this systematic review, researchers sought to examine the impact of wound care teams in preventing … Wound-care teams for preventing and treating pressure ulcers. … injury policy.

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849679/psn-pdf
     June 28, 2023 - The patient subsequently underwent surgical repair of the tracheal injury. … obstruction (e.g., obstructive sleep apnea; stridor and air hunger due to vocal cord paralysis or neck trauma … intubate, ventilatory support for neuromuscular disease, and as an adjunct to head/neck surgery or trauma … preventable through careful procedural and post-placement care.6 Patient-related risk factors that affect wound … capillary blood flow at cuff pressures over 50 cm H20.15 Stenosis, fistulas, and other tracheal injuries

136. CE/MOC Quizzes | PSNet
     psnet.ahrq.gov/cme
     February 26, 2025 - On arrival at the emergency department, she had severely elevated blood pressure and hypoxemia. … A head CT scan was read as normal and he was diagnosed with a minor head injury and discharged without … in a motorcycle crash, including head trauma, chest injuries, and spinal fractures. … The commentary highlights the importance of evaluating patient risk of wound infection and poor wound … healing, the role of imaging modalities to help identify foreign material in wounds, and diligent follow-up

137. Data Submission Dashboard (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Pressure_Ulcer_Dashboard_Data_2024.xlsx
     January 01, 2024 - Documented within 24 hours of admission 0.9% 35 Stage/Category IV Unknown * * Suspected Deep Tissue Injury … Documented within 24 hours of admission 71.0% 2,897 Suspected Deep Tissue Injury No risk assessment … documented * * Suspected Deep Tissue Injury Not on admission, but documented after discovery or advancement … of pressure ulcer 78.6% 11 Suspected Deep Tissue Injury Not on admission, but documented before discovery … or advancement of pressure ulcer * * Suspected Deep Tissue Injury Unknown 69.4% 1,111 Unstageable

138. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-slides.pptx
     January 01, 2017 - cc/kg)1 Additional studies and meta-analysis showed large tidal ventilation and the resulting high pressures … regulated volume controlled (PRVC) Pressure support (PS) Continuous positive airway pressure (CPAP) … #› AHRQ Safety Program for Mechanically Ventilated Patients 21 LTVV in ARDS Large Vt and the high pressures … Emerging Evidence5 Multi-hit theory Priming: initial insult → at risk for ARDS Pneumonia Sepsis Trauma … inhalation Pulmonary contusion Pulmonary vasculitis Sepsis Systemic inflammatory response syndrome Trauma

139. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41985/psn-pdf
     October 26, 2016 - The most common adverse events reported were pressure ulcers and fall- related injuries or deaths. … serious-reportable-events-healthcare-2011-update https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities … https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities

140. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/74279
     January 01, 2022 - Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. … of health care delivery, including how hospitals prevent common hospital-acquired conditions such as pressure … injuries. … visitation-restrictions-patient-experience-and-safety-outcomes-critical https://psnet.ahrq.gov/issue/learning-during-crisis-impact-covid-19-hospital-acquired-pressure-injury-incidence