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1401. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? | PSNet
      psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
      February 01, 2007 - Umpires make crucial split-second decisions under conditions of substantial pressure and uncertainty, … Rarely, the error may cause injury or death. … And of course there is increasing pressure on the system to get it right, to not make so many mistakes … Yet the pressures in the market around pay for performance and transparency may conspire to begin stripping

1402. Development of a Screening Tool for Safe Wheelchair Seating (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Gavin.pdf
      January 01, 2001 - systems do not fit the individual needs of nursing homes residents, many problems can become evident: pressure … diagnosis, cognitive status, communication ability, sensation level, skin integrity (presence/absence of pressure … reductions (e.g., staff time saved if residents could self-propel, elimination of repositioning needs, injury … Nursing home wheelchair users: seat comfort and peak pressures [unpublished doctoral thesis].

1403. Advancing Patient Safety: A Decade of Evidence, Design, and Implementation (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/advancing-patient-safety.pdf
      January 01, 2010 - private-public partnerships to: (1) identify the causes of preventable health care errors and patient injury … By using hospital administrative data, PSIs can identify pressure ulcers, postoperative pulmonary … Education in 2003 and that the long shifts medical interns worked led to 61 percent more needlestick injuries

1404. Advancing Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/advancing/index.html
      July 01, 2022 - private-public partnerships to: (1) identify the causes of preventable health care errors and patient injury … By using hospital administrative data, PSIs can identify pressure ulcers, postoperative pulmonary emboli … Education in 2003 and that the long shifts medical interns worked led to 61 percent more needlestick injuries

1405. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
      March 27, 2008 - identification, orientation/training, use of available information, site marking, “time out,” and time pressures … Although a minority of these events result in significant harm to patients,1 major injuries and death … • Production/time pressures, including case urgency.

1406. Disposition of Comments for Screening for Glaucoma: Comparative Effectiveness (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/glaucoma-screening_disposition-comments.pdf
      April 01, 2012 - This is no longer considered to be part of the diagnosis because intraocular pressure is a risk factor … Methods analysis does not consider different populations with glaucoma; particularly those with trauma-induced … Shirley Methods Need more research on traumatically induced glaucoma secondary to sports-related injury … The diagnosis had to have included a clinical examination with measurement of intraocular pressure, … The diagnosis had to have included a clinical examination with measurement of intraocular pressure,

1407. Evidence Summary: Gestational Diabetes: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/gestational-diabetes-screening
      August 10, 2021 - 0.41-0.68]; ARD, 8.9%), large for gestational age (RR, 0.56 [95% CI, 0.47-0.66]; ARD, 8.4%), birth injuries … fewer cesarean deliveries (RR, 0.78 [95% CI, 0.66 to 0.92]; ARD, –4.8% [95% CI, –8.2% to –1.5%), birth injuries … fasting blood samples, OGTTs, sonographic fetal biometry, and measurements of maternal weight and blood pressure … first trimester (51% of screened), associated with reduced risk of cesarean deliveries (ARD, 5%), birth injuries … unknown, with 1 study for each outcome Reasonably precise for stillbirth, cesarean deliveries, birth injuries

1408. Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
      March 10, 2008 - 10 specifies certain conditions in more detail than ICD-9-CM by adding anatomical sites and type of injury … Major diagnosis category (MDC) exclusion Procedure codes requirement PSI 14: Postoperative wound … – injury to neonate Yes All liveborn births (newborns) No No PSI 18: Obstetric trauma – vaginal … the ulcer, while M70 codes describe unspecified “soft tissue disorders related to use, overuse, and pressure … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization

1409. 3. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state3.html
      January 01, 2024 - that patients with diagnosis-related claims were  2.33 times more likely to die than to have a minor injury … have been associated with increased medical errors and stress, anxiety, and burnout. 113,114 Time pressure … of diagnostic safety found the need to prioritize research on system factors, such as workload, time pressure … considering alternative diagnoses, taking a diagnostic timeout to pause and reflect, and minimizing time pressures … themes of the diagnostic process, including diagnosis as a social phenomenon and distractions and time pressures

1410. Ninth Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services (pdf file)
      www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/uspstf-annual-report-to-congress-2019.pdf
      January 01, 2019 - responsible for 88,000 deaths annually.20 Alcohol use also contributes to more than 200 diseases and injuries … , including both short-term (e.g., injuries from motor vehicle accidents, violence) and long- term (e.g … Trauma and Violence. https://www.samhsa.gov/trauma-violence. Accessed August 8, 2019. 35. … Atlanta, GA: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control … A High Blood Pressure: Screening in Adults The USPSTF recommends screening for high blood pressure

1411. In Conversation with... Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ Population | PSNet
      psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patient-safety-concerns-and-lgbtq-population
      February 01, 2023 - In these cases, easily managed health needs like high blood pressure or diabetes can progress to acute … People may go to a provider because they have an injury or concern, and providers can only focus on their … There is also that trauma of accessing care and feeling that bias and stigma, which can prevent patients … I am trans, but I also have high blood pressure and high cholesterol. … We just want to be seen as humans, so that we can get our blood pressure managed on a regular basis.

1412. Patient Safety Concerns and the LGBTQ Population | PSNet
      psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population
      February 01, 2023 - than their heterosexual and cisgender peers. 5 Studies have also found that LGBTQ+ people experience trauma … In these cases, easily managed health needs like high blood pressure or diabetes can progress to acute … People may go to a provider because they have an injury or concern, and providers can only focus on their … I am trans, but I also have high blood pressure and high cholesterol. … We just want to be seen as humans, so that we can get our blood pressure managed on a regular basis.

1413. Atrial-Fibrillation-Ablation Surveillance (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/atrial-fibrillation-ablation_surveillance.pdf
      May 16, 2013 - Prevalence  and  characteristics  of   asymptomatic  excessive  transmural   injury   … Identification  of  a  high-­‐risk   population  for  esophageal  injury  during   … ET-1 level>1.68 pg/ml as a predictor of AF recurrence; MVA) OR=6.10, p<0.05 (diastolic blood pressure … aspiration pneumonia 3 (0.2%), pulmonary edema 2 (0.1%), conduction system damage 1 (0.1%), genitourinary trauma … CI: 1.2, 32.5 [MVA] (LA ≤ 45 mm as a predictor of PH) OR=1.14, 95% CI: 1.1, 1.4 [MVA] (Mean LA pressure

1414. Untitled (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/thromboembolism-update_research-protocol.pdf
      February 17, 2016 - prophylaxis in non-major orthopedic surgeries (knee arthroscopy, surgical repair of lower extremity injuries … joint bleeding §   Bleeding leading to infection §   As defined by authors o   Surgical site/wound-related … infections o   Surgical site/wound complications (other than bleeding, infection) o   Heparin-induced … These mostly work by preventing pooling of blood in the lower extremities either by applying pressure … cardiovascular collapse including hypoxemia (low oxygen level in the blood), hypotension (low blood pressure

1415. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837660/psn-pdf
      July 08, 2022 - The trauma team was called to assist and the patient was given additional sedation and opioid analgesia … The trauma surgeon then manipulated both TMJs and was finally able to unloose the locked jaw. … diagnosis and a physician experienced in reducing the TMJ should be consulted to minimize the risk of injury … Placing staff under too much time pressure can, at times, be counterproductive and can adversely affect

1416. Statistical Brief #29
      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

1417. Medication Reconciliation Technology to Improve Quality of Transitional Care - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs018183-weiner-final-report-2013.pdf
      January 01, 2013 - Treating drug-related injuries in hospitals costs at least $3.5 billion per year. … Since clinicians in the hospital work under time constraints and pressures, this can pose difficulties

1418. Protocol for Identifying and Treating Children With Sepsis Syndrome in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
      February 01, 2018 - Unlike adults, the diagnosis of septic shock in children does not require the presence of low blood pressure … (hypotension), as children often maintain normal 6 blood pressure until the advanced stages of … A limited window of opportunity exists for treating underlying injury once shock is present. … Because children often maintain their blood pressure until they are severely ill, systemic hypotension … requirement for diagnosis of septic shock in children; in fact, shock may occur long before blood pressure

1419. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-469
      December 31, 2024 - On arrival at the emergency department, she had severely elevated blood pressure and hypoxemia. … continuing challenge of preventing falls and explores strategies for preventing falls and falls with injury

1420. Obesity-Child Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/obesity-child_executive.pdf
      March 31, 2010 - thickness, prevalence of obesity or overweight); clinical outcomes related to obesity (e.g., blood pressure … Adverse effects • Eating disorders, psychosocial outcomes, impact on growth and development, injury … Eating disorders • Psychosocial outcomes, e.g. stigma • Impact on growth and development • Injury … overweight, dietary intake, physical activity, and obesity-related clinical outcomes (e.g., blood pressure … reported some statistically significant desirable effects, predominantly regarding lowered blood pressure