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1201. Error Producing Conditions in the Intensive Care Unit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
      February 26, 2008 - Time pressure in error detection. 3. Low signal-to-noise ratio. 4. … percent), the surgical ICU (8 percent), the neurological critical care unit (8 percent), and the burn-trauma … 38 ICU workplace (%) Medical 68 Thoracic 12 Surgical 8 Neurological critical care 8 Burn-trauma … Given the problems outlined above, it is no surprise to find that under time pressure, the operation … Preventing ventilator-related death and injuries.

1202. Second Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services (pdf file)
      www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/annlrpt2012%20(2).pdf
      November 01, 2012 - Grossman, a board-certified pediatrician recognized for his research on injury prevention and Native … of Scientific Counselors for the Centers for Disease Control and Prevention’s National Center for Injury … high blood pressure in adults ages 18 years and older. 22 | Second Annual Report to Congress … Prevention of motor vehicle Occupant injuries: counseling in a Primary care Setting for Driving under … Prevention of motor vehicle Occupant injuries: counseling in a Primary care Setting for Proper use of

1203. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865778/psn-pdf
      May 29, 2024 - The patient’s blood pressure was 174/101 mmHg, heart rate 126, respiratory rate 26, temperature 37.5o … The patient’s laboratory results were notable for acute kidney injury and metabolic acidosis, with an … reported in 38 cases, but operator error, distraction, interruption, and emergency or after-hours pressure

1204. Making Healthcare Safer IV Rapid Review: Examining the Impact of Implementing High-Reliability Organization Principles on Patient Safety Outcomes (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/hro-rapid-research.pdf
      May 01, 2025 - SSEs: Truman reported 7 SSEs during the study period: 5 at-home unobserved falls with injury, 1 death … o Preventing Pressure Ulcers in Hospitals28: assist hospital staff in implementing effective pressure … A "high-reliability organization" approach to improve trauma imaging performance. … Preventing pressure ulcers in hospitals. … A "high-reliability organization" approach to improve trauma imaging performance.

1205. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia | PSNet
      psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
      January 29, 2021 - managing the difficult airway. 8 The combination of these devices can also help to prevent airway trauma … this high-risk scenario was, in retrospect, not the most prudent course of action due to the airway trauma … neuromuscular blockade with high dose sugammadex was an essential step that prevented hypoxic brain injury … reversal of neuromuscular blockade made surgical cricothyroidotomy unnecessary, preventing hypoxic brain injury … abdominal contents displacing the diaphragm in a cephalad direction with the positive end expiratory pressure

1206. Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. | PSNet
      psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
      October 28, 2020 - order of 1 in 10,000 individuals 2-4 – and can be related to autoimmune destruction, infiltration/injury … (hemorrhage, trauma, infection), underlying genetic or metabolic disorders, or medication effects. … Forms of AI that affect mineralocorticoid production can cause low blood pressure or orthostatic hypotension … including gastrointestinal illness as well as any infection, medical/dental procedure, or physical trauma … life-threatening and can occur in patients with AI due to any physiologic stress, including viral illness or injury

1207. ___APS-Def_Public.book (pdf file)
      hcup-us.ahrq.gov/db/nation/nis/APS-Def_Public_v24.pdf
      March 01, 2008 - 507 Full Burn W Graft or Inhal W/O Sign Trauma 508 Full Burn W/O Graft or Inhal W Sign Trauma 510 … Ventilation - < 96 Hours 9672 Continuous Mechanical Ventilation - 96+ Hours 9390 Continuous Positive Airway Pressure … 440 440 WOUND DEBRIDEMENTS FOR INJURIES 441 441 HAND PROCEDURES FOR INJURIES 442 442 OTHER O.R PROCEDURES … 444 444 TRAUMATIC INJURY AGE >17 445 444 TRAUMATIC INJURY AGE >17 446 446 TRAUMATIC INJURY AGE … ,POISON&TOXIC EFFECT DX 455 454 OTH INJURY,POISON&TOXIC EFFECT DX 461 461 O.R.

1208. Guide-Infection-Prevention (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/guides/guide-infection-prevention.pdf
      March 01, 2017 - ▪ Infections cause pain, injury, disability, and sometimes even death, and can be very expensive … ▪ Cover all cuts and wounds with a dressing. … 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

1209. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49730/psn-pdf
      April 01, 2015 - dystrophy, hypertension, and chronic kidney disease was admitted to the hospital with anuric acute kidney injury … transition management team could conduct a home visit or a telemedicine visit utilizing self-taken blood pressure

1210. Final Research Plan: High Body Mass Index in Children and Adolescents: Interventions | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/obesity-in-children-and-adolescents-screening
      June 30, 2022 - only when weight-related measures are also reported): insulin resistance/blood glucose/diabetes, blood pressure … patterns (excessive fasting, overly restrictive eating, or binging) Suppressed growth Exercise-induced injury

1211. Unintended Consequences of CPOE | PSNet
      psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
      September 01, 2004 - She presented with sepsis and acute kidney injury with a creatinine of 2.0 mg/dL (up from a baseline … creatinine improved but remained elevated at 1.6 mg/dL and the team felt the persistent acute kidney injury … Figure , many of which are similar in appearance and might easily be selected by mistake given time pressure … have identified this and related problems prior to their being discovered in the context of patient injury

1212. Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer. | PSNet
      psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
      May 01, 2005 - 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 1 Examples of risk factors include retrosternal pain, pressure

1213. PCIP Evaluation Patient Survey (pdf file)
      digital.ahrq.gov/sites/default/files/docs/survey/pcip-evaluation-patient-survey.pdf
      June 16, 2021 - In the last 6 months, when you needed care for an illness or injury, how often did this doctor's office … never  Sometimes  Usually  Almost always  Always  I did not need care for an illness or injury … Do you have a chronic illness (for example: high blood pressure, diabetes, asthma)?

1214. Hypertension-Pulmonary-Arterial Research-Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/hypertension-pulmonary-arterial_research-protocol.pdf
      January 30, 2013 - arterial puncture, lung puncture (pneumothorax), pulmonary infarction, brachial plexus/phrenic nerve injury … An echocardiogram is a noninvasive test that provides an estimate of pulmonary artery pressures at rest … As with initial diagnosis, right heart catheterization is used to measure pulmonary arterial pressures … outcome efficacy: Intermediate-term outcomes  Hemodynamic parameters such as pulmonary artery pressures … Estimating pulmonary artery pressures by echocardiography in patients with emphysema.

1215. Care Coordination Quality Measure for Primary Care (CCQM-PC) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/ccqmpc/cati-script.pdf
      July 01, 2016 - able to walk a flight of stairs without losing your breath, or target rates —for example, a blood pressure … In the last 12 months, if you had an illness or injury, how often did your primary care provider or … professionals in this office ask whether you had enough services to help you take care of this illness or injury … NEEDED] 1 Never 2 Sometimes 3 Usually 4 Always, or 5 I did not have an illness or injury … High blood pressure or hypertension? 66e. Congestive heart failure? 66f.

1216. Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/ascwebcast0715_transcript.pdf
      September 01, 2015 - our overall efforts in patient safety, and as part of the National Action Plan for health-associated injuries … Smith, Slide 23 And the area with the most room for improvement was Staffing, Work Pressure and Pace … Smith, Slide 25 The two bottom-performing items were from Staff Training and the Staffing, Work Pressure … And you can see that for Staffing, Work Pressure and Pace it was a 94 percent positive compared to a … Brown, Slide 44 Our second area of focus was Staffing, Work Pressure and Pace, and our result was 55

1217. Screening and Interventions for Childhood Overweight: A Systematic Review (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/6desD2XJCQKF8ZDPMS-NU_
      July 01, 2005 - Blood pressure was not improved, and in 10 some cases increased blood pressure was … stigmatization, binging or purging behaviors, eating disorders, suppressed growth, or exercise-induced injuries … Childhood risk factors for high adult blood pressure: the Muscatine Study. … Childhood predictors for high adult blood pressure. The Muscatine Study. … Alterations in anthropometric blood pressure and serum lipoprotein variables.

1218. Michael Pine Presentation
      hcup-us.ahrq.gov/datainnovations/clinicaldata/MPinepresentation.jsp
      December 01, 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. … Lab Data, Scores All Vital Signs Enter 4 or More Models Pulse (8) Temperature (6) Blood Pressure

1219. High-Priority Evidence Gaps for Clinical Preventive Services (pdf file)
      www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/annlrpt2013%20(4).pdf
      November 01, 2013 - Preventing Falls and Fractures Falls are the leading cause of injury in adults age 65 and older: about … Grossman, a board-certified pediatrician recognized for his research on injury prevention and Native … of Scientific Counselors for the Centers for Disease Control and Prevention’s National Center for Injury … I Prevention of Motor Vehicle Occupant Injuries: Counseling in a Primary Care Setting for Driving Under … I Prevention of Motor Vehicle Occupant Injuries: Counseling in a Primary Care Setting for Proper Use

1220. In Conversation With… David Juurlink, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
      May 22, 2017 - We know that people with a history of substance use disorders, people with histories of childhood trauma … inability to balance these complex forces appropriately with the idea of pain as a fifth vital sign and the pressures … required emergency care due to these products, making opioids one of the most common causes of iatrogenic injury … nonfatal overdose go on to receive prescription opioids again and remain at high risk of subsequent injury … most important steps that clinicians, individually and collectively, can take to reduce opioid-related injuries