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1521. In Conversation With… Urmimala Sarkar, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
      August 22, 2014 - RW : In the hospital there are significant pressures and drivers that create a business case to invest … events that occur in outpatient settings in the United States, resulting in 4829 serious permanent injuries … annually in the ambulatory setting.( 7 ) If the rate of prescribing errors that have potential for patient injury

1522. Ch 4-User-Guide-To-Ocer 130129 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/ch_4-user-guide-to-ocer_130129.pdf
      January 01, 2010 - encountered when evaluating the comparative effectiveness of antihypertensive medications for blood pressure … When the exposure is removed, however, blood pressure may no longer be controlled and effectiveness … current benzodiazepine exposure by use of a single baseline measurement and its effects upon studies of injuries

1523. Screening for Carotid Artery Stenosis: An Update of the Evidence (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/YSj5xRQc9DroH8gpUYsoFA
      December 01, 2007 - Although the intensity of medical management is difficult to determine, the mean systolic blood pressure … However, among the RCTs, the VACS reported a surgical complica- tions rate of 3.8% for cranial nerve injuries … (none of these injuries were permanent), 5.2% for hypotension, and 25% for hypertension (34). … Cumulative effects of high cholesterol levels, high blood pressure, and cigarette smoking on carotid … death: Overall: 3.7% High-volume hospital (.100 cases/y): 3.5% Low-volume hospital: 5.2% HTN: 3% Wound

1524. Dementia-Agitation-Aggression Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/dementia-agitation-aggression_executive.pdf
      March 01, 2016 - and severity of agitation/ aggresion; general behavior of individual with dementia; distress; injuries … to residents, staff, others KQ 2: Injuries to people with dementia, caregivers; admission to nursing … aggression may arouse fear or disturb the calm of other patients in group settings; at worst, it may cause injury … Staff training is even more difficult when the staffing is unstable or staff feel great pressure to … J Head Trauma Rehabil. 1999;14(1):91-6. PMID: 9949251. 20. Cohen-Mansfield J.

1525. Nonsurgical Treatments for Urinary Incontinence in Adult Women: (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/urinary-incontinence-update_research-protocol.pdf
      June 06, 2017 - inability to retain urine during coughing, sneezing, or other activities that increase intraabdominal pressure … Continence Society.5 Stress UI is more common in younger women and in association with pelvic floor trauma … 2017 2 The etiology of UI is multifactorial; risk factors include age, pregnancy, pelvic floor trauma … urgency UI, including urinary tract infection or neurogenic bladder (due to, for example, spinal cord injury … Stress Urinary Incontinence: UI that occurs with episodes of increased intraabdominal pressure, such

1526. Archived: Evidence Summary: Lipid Disorders in Adults (Cholesterol, Dyslipidemia): Screening, 2001 | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/lipid-disorders-in-adults-cholesterol-dyslipidemia-screening-2001
      April 09, 2001 - It is the leading cause of disabled life-years and is second only to injuries as a cause of life-years … A 50-year-old man with a blood pressure of 120/80 mmHg, a TC of 180 mg/dL, and an HDL-C of 40 mg/dL has … A 50-year-old man with hypertension (blood pressure of 160/90 mmHg) who smokes and has a TC of 180 mg … Serum cholesterol, blood pressure, cigarette smoking, and death from coronary heart disease: overall

1527. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
      December 01, 2017 - If someone is in danger of injury or an emergent procedure is missing a vital resource, we do what needs … Were decisions made under pressure, despite distractions, or without appropriate knowledge of case or

1528. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
      December 01, 2017 - If someone is in danger of injury or an emergent procedure is missing a vital resource, we do what needs … Were decisions made under pressure, despite distractions, or without appropriate knowledge of case or

1529. Research Methods for Studying the Primary Care Workforce: Slide Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/workforce-pcr.pptx
      August 01, 2024 - develop, retain, and grow this workforce and to further understanding and improvement of burnout, moral injury … burden, patient wait times, how time is spent in a limited primary care patient visit, impact of time pressure

1530. Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program? | PSNet
      psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
      March 01, 2015 - demonstrate an average or below average R-AHMR, given that most quality problems, while associated with injury … at the beginning of last year to get the head of the NHS to resign, and he did resign as a result of pressure

1531. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care. | PSNet
      psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
      July 08, 2022 - The patient was hypotensive on arrival, but his blood pressure improved with fluid resuscitation. … Laboratory tests were notable for acute kidney injury, metabolic acidosis, hypomagnesemia, hypophosphatemia

1532. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery | PSNet
      psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
      March 25, 2020 - This time pressure likely contributed to the team forgetting to check that the cardioverter/defibrillator … Related Resources WebM&M Cases Uterine Artery Injury

1533. Making Healthcare Safer IV Rapid Review: Prevention in Adults of Infection With Transmission of Multidrug-Resistant Organisms (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-infection-prevention-mdro-rapid-research.pdf
      April 01, 2024 - injuries, inpatient falls) • Clinical outcomes specifically for: o Central-line associated bloodstream … dehiscence, pressure ulcers, and falls/trauma. … ulcers, hemorrhage, thrombosis, and post-operative respiratory failure, and wound dehiscence) after … dehiscence, pressure ulcers, falls/trauma) decreased by 19% (12.3 to 10.0 per 1000 admissions, … Eur J Trauma Emerg Surg. 2021 Aug;47(4):1003-13. doi: 10.1007/s00068-020-01477-z. PMID: 32914198.

1534. In Conversation With… Dave deBronkart | PSNet
      psnet.ahrq.gov/perspective/conversation-dave-debronkart
      June 01, 2014 - saw a flurry of new patient organizations, among them the Josie King Foundation, Medically Induced Trauma … advocates, too, have generally concentrated their efforts on hospitals, where the most devastating patient injuries … Laaser U, Senault R, Viefhues H, German Society for Social Medicine, German Institute for High Blood Pressure … Medically Induced Trauma Support Services. [Available at] 18. Mothers Against Medical Error.

1535. The Performance of Fusion Procedures for Degenerative Disease of teh Lumbar Spine (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/lumbar-fusion-protocol.pdf
      June 20, 2024 - spine surgery safety by providing neural structure assessment 3 and detecting neurological injury … Does the use of intraoperative monitoring (IONM) decrease perioperative neurological injuries compared … • Decompression: A surgical procedure aimed at relieving pressure on the spinal cord or nerve roots … evoked potentials, electromyography) to assess neural structures and reduce the risk of neurological injury … • Neurological injuries due to surgery: Damage to the spinal cord or nerves during surgeries, possibly

1536. Patient Advocacy in Patient Safety: Have Things Changed? | PSNet
      psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
      June 01, 2014 - saw a flurry of new patient organizations, among them the Josie King Foundation, Medically Induced Trauma … advocates, too, have generally concentrated their efforts on hospitals, where the most devastating patient injuries … Laaser U, Senault R, Viefhues H, German Society for Social Medicine, German Institute for High Blood Pressure … Medically Induced Trauma Support Services. [Available at] 18. Mothers Against Medical Error.

1537. PEPTIC ULCER #11 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/peptic-ulcer-horizon-scan-high-impact-1312.pdf
      December 01, 2013 - Resting LES manometric pressure changed from 52.5 mm Hg before POEM to 19.8 mm Hg after the procedure … Significant reductions in Eckardt score (1.1–7.5, p<0.0001) and LES pressure (19–49 mm Hg, p<0.0001 … Esophageal achalasia is typically diagnosed by the manometric detection of elevated LES resting pressure … primary cause of SBS is surgical removal of more than half of the small intestine because of disease, injury … POEM relieves dysphagia, sphincter pressure. [internet].

1538. Disposition of Comments_Comparative Effectiveness Review No. 249: Malnutrition in Hospitalized Adults: A Systematic Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-249-malnutrition-disposition-comments_0_0.pdf
      October 13, 2021 - injuries (Meehan et al (2016)) and reduced length of stay (Siegel et al (2019)). … intentional and reflective our improved understanding of the immunology and the acute response to injury … trials on the measurement of blood pressure on clinical outcomes? … To the Reviewer's point about blood pressure, many trials are still conducted in which patients are … Still, for KQ1 studies from ICU, traumatic injury and decompensated chronic disease consistently show

1539. Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
      January 01, 2020 - peripheral vascular complication [including pseudoaneurysm, hematoma at catheter insertion site, vascular injury

1540. Virginia Final Report
      hcup-us.ahrq.gov/datainnovations/clinicaldata/AHRQFINALREPORTVHI.jsp
      July 01, 2016 - Ulcer (707.03) 0 0.0 12 92.3 1 7.7 13 Pressure Ulcer (707.07) 0 0.0 5 100.0 … 0 0.0 5 Pressure Ulcer (707.09) 0 0.0 3 100.0 0 0.0 3 Pulmonary Embolism … 9.40 13 Post-operative sepsis 18.10 15.90 15.06 6.60 6.60 14* Post-operative wound … 16* Transfusion reaction, secondary DX field 0.00 0.00 0.00 . . 17 Birth trauma-Injury … 36.20 . . 20 OB Trauma-cesarean section 5.50 5.50 3.93 . .