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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.
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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
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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.
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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
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psnet.ahrq.gov/node/47788/psn-pdf
March 06, 2019 - Medical device-related pressure ulcers: a systematic
review and meta-analysis. … Medical device-related pressure ulcers: A systematic review and
meta-analysis. … https://psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis … Hospital-acquired pressure ulcers are considered never events and represent a significant source of … This systematic review and meta-analysis found a pooled incidence of 12% for pressure injuries
related
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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
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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
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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.
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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.
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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
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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
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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
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2025.xlsx
January 01, 2025 - / surgical unit) 33913 47.5%
Pressure Injury Labor and delivery 288 0.4%
Pressure Injury … Pressure Injury Outpatient care area 592 0.8%
Pressure Injury Outside area (i.e., grounds of … Injury Communication 485 2.2%
Pressure Injury Data 814 3.8%
Pressure Injury Environment … 6.0%
Pressure Injury Other 11187 51.7%
Pressure Injury Policies and Procedures 45 0.2% … Injury UNK Female Severe Harm * *
Pressure Injury UNK Female Unknown Harm * *
Pressure Injury UNK
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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
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hcup-us.ahrq.gov/reports/statbriefs/sb96.pdf
September 01, 2010 - eligibles
accounted for about one-third of all
Medicare hospital stays with a
principal diagnosis of pressure … ■ Among the nine selected potentially
preventable hospitalizations, stays for
pressure ulcers had … Pressure ulcers are a condition that typically results
from prolonged periods of uninterrupted pressure … Injurious falls are a common cause of fatal injuries
among elderly adults ages 65 years and older. … Common fall-related injuries include fractures, open
wounds, and head traumas, and are serious enough
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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
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/intro.html
December 01, 2017 - , and other clinical details known to affect wound healing, such as nutrition, temperature, and ulcer … For example, during wound rounds, the wound nurse may prefer having treatment details for each ulcer … Healing Report ), and the entire team may attend wound rounds with a copy of the Weekly Wound Rounds … Pressure Ulcers At Risk for Delayed Healing
Weekly Wound Rounds Report
Weekly Pressure … Advisory Panel and Pan Pacific Pressure Injury Alliance.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb6.html
February 01, 2023 - Orthostatic Hypotension
Risk Factor: Unsafe Behavior
Selected Interventions
__ Low blood pressure … __ Behavior management strategies
__ Increase assistance and surveillance
__ Position or pressure … _ Increase activities involvement
__ Other ___________________________
__ Reduce risk of injury
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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
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psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
April 28, 2021 - The anesthesiologist then noted a rapid decrease in the patient’s blood pressure and increasing tachycardia … , indicating a possible vascular injury. … Pressure was applied and vascular surgery was consulted. … of underreporting of vascular injury. … How can this type of injury be prevented?