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psnet.ahrq.gov/node/837324/psn-pdf
July 08, 2022 - A 2014 study of
women who gave birth found that 14.8% of respondents perceived pressure from a clinician … riskier.13 Babies delivered via
cesarean section are at risk for respiratory problems and surgical injury … www.mayoclinic.org/tests-procedures/c-section/about/pac-20393655#:~:text=A%20C%2Dsection%20might%20increase,Wound … 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-2/vol3/Advances-Riley_58.pdf
April 02, 2008 - remains high at 6.3 birth traumas per 1,000 live deliveries.13
• Team and leadership communication … Discussion
Critical event teams in health care face significant complexity and time pressures, which … Preventing infant death and injury during delivery.
Sentinel Event Alert; Issue 30. … An evaluation of trauma
team leader performance by video recording. … Video techniques and data
compared with observation in emergency trauma care.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/h8qcZeQ68AQPS9DemArgXX
July 13, 2021 - from current
standard therapy because it compared tighter control of blood pres-
sure by targeting pressures … less than 150/85 mm Hg vs less tight con-
trol targeting pressures less than 180/105 mm Hg. … The state of US
Health, 1990-2016: burden of diseases, injuries,
and risk factors among US states. … Long-term follow-up after tight
control of blood pressure in type 2 diabetes. … ;
National High Blood Pressure Education Program
Coordinating Committee.
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psnet.ahrq.gov/web-mm/who-nose-where-airway
May 01, 2016 - how a safety pin could be aspirated, or a non-deformable endotracheal tube connector might cause a pressure … injury to the nares if left in place for more than a brief period.
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psnet.ahrq.gov/node/49639/psn-pdf
November 01, 2011 - On further history, he revealed that he had recently increased his beta-
blocker, a blood pressure medication … In case of injury, there may have been no attempt at recovery,
or the attempts may have been unsuccessful
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psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient
August 20, 2018 - On physical examination, abnormal findings included dilated pupils, elevated heart rate and blood pressure … Injury Prevention and Control Policy Impact: Prescription Painkiller Overdoses.
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psnet.ahrq.gov/web-mm/other-side
May 01, 2007 - is increased when multiple procedures are performed on the same patient, when a team is under time pressure … Error disclosure for patients, however, is merely the first step in a long process of adjustment to an injury
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psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
January 01, 2024 - On arrival at the ED, he was afebrile, heart rate was 98 beats per minute (bpm), blood pressure was 103 … laboratories, especially in busy clinical settings such as the ED.2–4
Hemolysis is a generalized process of injury
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psnet.ahrq.gov/node/49744/psn-pdf
October 01, 2015 - The Case
A 47-year-old man with paraplegia (secondary to a gunshot wound) and a history of polysubstance … Unfortunately, his cardiac arrest led to an anoxic brain injury, and he remained in a vegetative state … 11 Laboratory test(s)
12 Laboratory value(s)/result(s)
13 Vital signs: height, weight, blood pressure
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
June 30, 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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-synthesis-report.pdf
July 22, 2015 - post-implementation period.33 The trend applied to
emergency care use overall and to asthma and unintentional injury … Specifically, the percent of PCMH patients hospitalized per
month (overall and for asthma and unintentional injury … Donahue, MD,
MPH
Diabetes • HbA1c <9%
• LDL cholesterol <100
mg/dL
• Blood pressure
<130/80 … ≤130/80 mm Hg
• LDL cholesterol ≤100
mg/dL
Cardiovascular
disease:
• Blood pressure
≤130/80 … Gabbay, MD,
PhD
Diabetes • HbA1c <7%
• Blood pressure
<130/80 mm Hg
• LDL cholesterol <100
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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
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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
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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.
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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
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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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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary24/drug-use-illicit-primary-care-interventions-for-children-and-adolescents-march-2014
March 11, 2014 - Drug and alcohol use are the primary health risk behaviors that contribute to unintentional injuries, … substance use among girls; building skills for managing stress, conflict, and mood; overcoming peer pressure … or legal outcomes that might relate to drug use among children and adolescents, such as drug-related injuries … Joint session material covered importance of interpersonal relationships, depression from stress or pressure
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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.
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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