-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
August 01, 2025 - Implementation of TeamSTEPPS at a Level-1 Military
Trauma Center: The San Antonio Military Medical … hospital-acquired
infection was reviewed using LFD
► LFD used for post-fall huddle and after
skin injury … Skin: Pressure Ulcer? POA?
- Current descript ion of PU
10. Foley: Can it be removed?
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/recombinant-factor-viia_disposition-comments.pdf
June 01, 2010 - the wound patterns in the two settings
are vastly different. … injury and hypotension, and these conditions are thought to
drive the coagulopathy of trauma. … Therefore, despite the
differences in injury mechanisms, injuries of sufficient severity … trumps that of
other injuries and where the other injuries are not of a life-threatening
hemorrhagic … guideline from the American Heart
Association/American Stroke Association Stroke Council, High
Blood Pressure
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/N3VeYbr4ZdhZfqsw3ErLHE
November 01, 2014 - Mortality from all strokes has decreased sub-
stantially over the past 5 decades; improved blood pressure … Cranial
nerve injury is another important potential harm; it oc-
curred in 3.8% of patients (8 of 211 … The MACE trial reported a 1.1%
rate of minor cranial nerve injury in the 36 patients ran-
domly assigned … treatment groups in the RCTs were
poorly defined and probably did not include the intensive
blood pressure
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
December 01, 2017 - defines a sentinel event as an unexpected occurrence involving death or serious physical or psychological injury … Serious injury specifically includes loss of limb or function. … Confirm patient identity, site, and procedure
Review perfusion plan, including–
Cannulation
Perfusion pressure … Review the perfusion plan, including cannulation, perfusion pressure goals, temperature, and transfusion … for improvement
Ask if instrument, sponge, and needle counts are correct
Record name of procedure and wound
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
November 01, 2014 - Participation is required in the following priority areas: falls and fall injuries, pressure ulcers, … For example, in 2008 the national system launched a campaign to have zero preventable injuries or deaths … , the department was working toward certification as an American College of Surgeons (ACS) Level II Trauma … The ED successfully launched a trauma center and identified a new director in early 2010. … Staff perceived a shift of work to other staff because of the pressures of Lean process.
-
psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
July 23, 2024 - riskier. 13 Babies delivered via cesarean section are at risk for respiratory problems and surgical injury … A 2014 study of women who gave birth found that 14.8% of respondents perceived pressure from a clinician … www.mayoclinic.org/tests-procedures/c-section/about/pac-20393655#:~:text=A%20C%2Dsection%20might%20increase,Wound … Patient-perceived pressure from clinicians for labor induction and cesarean delivery: a population-based
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
March 09, 2005 - Activities
Falls* Nutritional status
Dehydration Dental care
Feeding tubes† Physical restraints†
Pressure … Factors associated with serious injury
during falls by ambulatory nursing home residents. … Fall injuries in the elderly. Clin
Geriatr Med 1985;1(3):501–12.
28. Monane M, Avorn J.
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effectivehealthcare.ahrq.gov/health-topics/first-aid
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
June 02, 2025 - Report data help identify
residents with new ADL decline, fall
risk, or fall injury, therefore at risk … Rehab
Managers
Weekly huddle to review residents
at risk for ADL decline or fall or with
fall injury … 2 or
above pressure ulcers at risk for
infection who potentially require
hospitalization/ED visit … Reports
provide information about current
and changing risks for pressure
ulcer healing and can aid … Discharge diagnoses were dehydration, fall with injury,
cellulitis, and angina.
-
psnet.ahrq.gov/node/853902/psn-pdf
September 27, 2023 - diuresis, diarrhea, and fluid restriction, they ordered blood products and
albumin to increase oncotic pressure … psnet.ahrq.gov//#8
resuscitation,” with the added requirement for vasopressors to maintain a mean arterial pressure … perforations.21 Other identified risk factors include older age, presence of comorbidities,22 acute kidney
injury
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psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
January 29, 2021 - diuresis, diarrhea, and fluid restriction, they ordered blood products and albumin to increase oncotic pressure … responsive to fluid resuscitation,” with the added requirement for vasopressors to maintain a mean arterial pressure … perforations. 21 Other identified risk factors include older age, presence of comorbidities, 22 acute kidney injury
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/carotid-artery-stenosis-screening-1996
January 01, 1996 - important modifiable risk factors are hypertension and smoking. 8 Improved treatment of high blood pressure … An awareness of the diagnosis might motivate patients to modify other risk factors (e.g., high blood pressure … ACAS was small and not conclusive surgery may result in other nonfatal complications (cranial nerve injury
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/e9f8a_uGMXxSbBUxpRPkrc
June 18, 2024 - apnea]), intermediate outcomes (BMI, weight,
physical fitness, cardiometabolic outcomes [eg, blood pressure … was phentermine/topiramate, and only at the higher dose level
(mean difference for diastolic blood pressure … pressure, fasting glucose levels, and quality of life but had no
apparent impact on lipid levels, other … of thyroid tumors, including cancer, as well as pan-
creatitis, gallbladder problems, acute kidney injury … prospective study of
weight self-perception and blood pressure in
adolescents with overweight and obesity
-
psnet.ahrq.gov/perspective/conversation-james-augustine-md
July 28, 2021 - we have different approaches to care that can take place for MIs [myocardial infarctions], strokes, trauma … What if that trauma patient all of a sudden decompensated? … To assist EMS personnel in decision making in high-pressure situations and to support standardized care … One example is injuries personnel can sustain from slipping or tripping when lifting and moving equipment … and patients. 8 An injury can harm not only the worker, but also the patient, if, for example, the
-
psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
October 28, 2020 - In putting all of this in place, did you see reductions in harms like pressure injuries, resident falls … individuals can gain from social interaction and enhanced mobility, such as reduced risk of falls and pressure … mitigate safety risks associated with usual care needs for this patient population, such as falls and pressure
-
www.ahrq.gov/sites/default/files/2024-07/congdon-magilvy-report.pdf
January 01, 2024 - homes include indicators of physical care, such as rate of restraint
use (physical and chemical), pressure … sore prevalence, urinary tract infections, pain,
injuries, hospitalizations, functional decline; staffing … follows: .626 for urinary tract infections, .528 for weight
loss, .853 for tube feeding, .570 for pressure … indicated
that NHs with higher total hours of care had higher rates of urinary tract infections and
pressure
-
psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
October 28, 2020 - individuals can gain from social interaction and enhanced mobility, such as reduced risk of falls and pressure … mitigate safety risks associated with usual care needs for this patient population, such as falls and pressure … In putting all of this in place, did you see reductions in harms like pressure injuries, resident falls
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/alcohol-misuse-drug-therapy-surveillance.pdf
September 01, 2017 - Injuries may be from a wide variety of
alcohol-related problems (e.g., violence, falls). … We did not use strict definitions for accidents
and injuries. … Yes Likely current
Topiramate D-26
Fewer topiramate users experienced accidents or
injuries (4%) … No studies reported accidents or injuries,
and mortality. … Higher pretreatment blood pressure is associated with greater alcohol
drinking reduction in alcohol-dependent
-
hcup-us.ahrq.gov/reports/statbriefs/sb29.jsp
April 01, 2007 - This category includes high blood pressure medications (antihypertensives), cardiotonic drugs such as … To define ADEs in this analysis, we used the following ICD-9-CM codes or external cause of injury codes … same drug event was coded (e.g., diagnosis code 960.0, Penicillin poisoning; and external cause of injury
-
hcup-us.ahrq.gov/reports/statbriefs/sb29.pdf
April 01, 2007 - This category includes
high blood pressure medications (antihypertensives), cardiotonic drugs such as … To define ADEs in this analysis, we used the following ICD-9-CM codes or external cause of injury codes … same drug event was coded (e.g., diagnosis code 960.0, Penicillin poisoning; and external
cause of injury