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1261. Safe Practices for Better Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
      April 01, 2004 - Not surprisingly, health care errors and consequent adverse events are a leading cause of death and injury … Introduction Health care errors and consequent adverse events are a leading cause of death and injury … Evaluate each patient upon admission, and regularly thereafter, for his or her risk of developing pressure … contrast media-induced renal failure, and use a clinically appropriate method for reducing risk of renal injury … Use of specialized hospital flooring to reduce injury from patient falls. 3.

1262. Improving the Safety and Quality of Health Care: The Impact of the National Academy of Medicine on Research and Collaboration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/dzau-summit2016.pdf
      September 28, 2016 - private-public partnerships to: • Identify the causes of preventable health care errors and patient injury … approximately $19.8 billion in health care costs were saved from 2010 to 2014 Adverse Drug Events Pressure … • Unsafe care causes 43 million injuries a year and the loss of 23 million disability- adjusted

1263. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33638/psn-pdf
      August 01, 2006 - Moreover, the safety gains we have achieved are under constant challenge from the pressures of production … chronicled the number of days there had been since anyone at our plant had lost a day due a work-related injury

1264. Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-192-fullreport.pdf
      November 01, 2019 - These complications include compromised airway, hypoxia leading to central nervous system injury, and … • Signs or symptoms of increased intracranial pressure (Table 10 [=IMG11]; see Supporting Documents … • Signs or symptoms of increased intracranial pressure. • Abnormal neurologic exam. … These risks include dental trauma; airway edema (swelling of the windpipe); vocal cord spasm or injury … Incidental findings in children with blunt head trauma evaluated with cranial CT scans.

1265. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843051/psn-pdf
      February 01, 2023 - prevent the development of hematoma after ACSS.18 Additionally, maneuvers that transiently raise venous pressure … Patients undergoing ACSS are commonly admitted to the hospital postoperatively for wound observation, … Early identification is crucial, as airway obstruction may evolve rapidly and hypoxic brain injury follows … Clear steri-strips and pull suture Open wound – cut skin and platysma stitches Open wound – cut strap … Hypoxic brain injury occurs rapidly after airway obstruction, and prompt recognition and management

1266. W-9Tarc9Nkw6Pe4Sfddmkz (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/W-9TArc9nkw6Pe4sfddMKZ
      July 01, 2013 - Evidence was in- sufficient for maternal weight gain and birth injury. … Second, where reported, definitions of preeclampsia varied (for example, a blood pressure of 140/90 mm … apart, these criteria with laboratory mea- sures indicative of preeclampsia, or an increase in blood pressure … estimate not reported because of heterogeneity 88 Cohort 2 515 �1.04 (�2.89 to 0.81)‡ 8 Maternal birth trauma … Clavicular fracture RCT 1 1030 0.35 (0.01 to 8.45) NA Cohort 1 389 0.02 (0.00 to 0.22)† NA Birth trauma

1267. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/patient-safety-practices_research-protocol.pdf
      November 09, 2011 - safety problems  Preventing ventilator-associated pneumonia – coordinate with AHRQ HAI report  Pressure …  Interventions for central venous catheter-related blood infections  Patient death or serious injury

1268. Archived: Evidence Summary: Carotid Artery Stenosis: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/carotid-artery-stenosis-screening-july-2014
      July 08, 2014 - Other harms of interventions include myocardial infarction, nerve injury, and hematoma. … cranial nerve injuries with complete functional recovery. … The Mayo Asymptomatic Carotid Endarterectomy study reported a 1.1% rate of minor cranial nerve injury … important harms, such as nonfatal MI, permanent cranial nerve damage, pulmonary embolism, pneumonia, wound … At follow-up in 2002 or 2003, mean blood pressure was 148/79 mm Hg in both groups 41 .

1269. Serious Reportable Adverse Events in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
      December 01, 2000 - Excludes deaths resulting from self- inflicted injuries that were the reason for admission to the health … Stage 3 or 4 pressure ulcers acquired after admission to a health care facility Excludes progression … Death or significant injury of a patient or staff member resulting from a physical assault (i.e., … Adverse describes a negative consequence of care that results in unintended injury or illness, which … A No fault for medical injury: theory and evidence.

1270. Evidence Report on the (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/vte-protocol-8-4-10.pdf
      February 01, 2008 - guidelines also address HFS, knee arthroscopy, elective spine surgery, and isolated lower-extremity injuries … deep vein thrombosis prophylaxis, circulation enhancement, leg ulcers, leg pain incidental to leg trauma … venous insufficiency Aircast® VenaFlow® System DJO Intended to apply intermittent application of pressure … enhancement; deep vein thrombosis prophylaxis; acute and chronic edema; extremity pain incident to trauma … Predictors of wound infection in hip and knee joint replacement: results from a 20 year surveillance

1271. Evidence Report on the (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/blood-clots-hip-knee-surgery_research-protocol.pdf
      February 01, 2008 - guidelines also address HFS, knee arthroscopy, elective spine surgery, and isolated lower-extremity injuries … deep vein thrombosis prophylaxis, circulation enhancement, leg ulcers, leg pain incidental to leg trauma … venous insufficiency Aircast® VenaFlow® System DJO Intended to apply intermittent application of pressure … enhancement; deep vein thrombosis prophylaxis; acute and chronic edema; extremity pain incident to trauma … Predictors of wound infection in hip and knee joint replacement: results from a 20 year surveillance

1272. ___APS-Def_Public.book (pdf file)
      hcup-us.ahrq.gov/db/nation/nis/APS-DRGs%20V23%20Definitions%20Manual.pdf
      August 01, 2006 - 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.

1273. One Bronchoscopy, Two Errors | PSNet
      psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
      December 09, 2020 - Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … Infusion July 31, 2023 WebM&M Cases Under Pressure

1274. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33611/psn-pdf
      July 01, 2005 - However, if you believe that these kinds of schedules actually prevent injuries due to medical errors … There has been pressure within the nursing community to keep shifts limited because of data, going back

1275. QDR 2014: Chartbook for Hispanic Health Care, Part 1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt1.pdf
      October 01, 2015 - For example, only half of people with high blood pressure have it controlled. …  Leading causes of morbidity and mortality include heart disease, cancer, unintentional injuries,

1276. In Conversation with…Christopher P. Landrigan, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
      April 01, 2005 - However, if you believe that these kinds of schedules actually prevent injuries due to medical errors … There has been pressure within the nursing community to keep shifts limited because of data, going back … March 2, 2011 Extended work duration and the risk of self-reported percutaneous injuries

1277. Implement Teamwork and Communication for Perinatal Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.pdf
      May 01, 2017 - communication breakdowns are identified as the primary root cause of maternal and perinatal deaths and injuries … Other root causes for maternal and perinatal deaths and injuries are— • Assessment, • Leadership, … Example: The nurse says to the doctor, “Doctor, the patient’s blood pressure is dropping; it is 60

1278. Final Progress Report: Bridging the Gap between EMS and Health Services Research: A Conference for Researchers and Practitioners (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
      January 01, 2025 - For example, the Brain Trauma Foundation periodically updates its hyperventilation guideline for the … Impacts of quality reporting in EMS may be driven more by peer pressure and regulation. Dr. … Friedrich von Recklinghausen presented information about the Trauma and EMS Information System (TEMSIS … Other applications involve local epidemiology of injury and demand for EMS services. … Because EMS remains a low-profile issue, researchers feel pressure to “bury” EMS in other projects with

1279. Usability Testing and the Relation of Clinical Information Systems to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdf
      January 01, 2003 - Scenario-based testing also identified workplace performance trade-offs related to time and production pressures … ability to identify impact prior to implementation and to suggest redesign before adverse events or injury … Difficulty in design decisions can more easily be created when “typical” work with its time pressure … a series of often unrelated single tasks (e.g., open a program, save a file), without performance pressure … Software used in health care can prevent patient injury or contribute to it, when usability testing

1280. Diagnostic Safety Centers of Excellence Grants Awarded in FY 2022 | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/research/grants-2022.html
      July 01, 2025 - Use of ChatGPT for Urinary Symptom Management Among People With Spinal Cord Injury or Disease: Qualitative … evidence, diagnostic practices, and outcomes for the problems of unintentional weight loss, high blood pressure … clinical problems above, based on analysis of EHR data; existing evidence, including from a home blood pressure