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1641. Prescribing Safety in Ambulatory Care: Physician Perspectives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
      January 01, 2003 - Human: Building a Safer Health System, identified medical errors as a leading cause of death and injury … control … and we’re treating 85-year-olds with drugs that will knock them out just to lower their blood pressure

1642. AHRQ Slide Template-Widescreen
      effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-child-adolesc-mental-health-grand-rounds.pptx
      May 22, 2025 - emergency departments in delivering mental health support to youth, and understand the limitations and pressures … Low SOE consistent with no difference in suicidal ideation, suicidal attempts, or self-injury. … Adjunct interventions 1–4 session brief skills interventions Only 4-session, trauma-focused program with … Interventions that targeted trauma (R-FPP, MDT) showed promise Safety planning did not outperform usual … treatment using positive psychology principles to manage trauma reminders.

1643. Telemedicine and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
      September 01, 2016 - physicians in a large academic medical center to manage treatment of children with serious illness or injury … RT : No, being able to have your tablet take your blood pressure and shoot the systolic and diastolic

1644. In Conversation With… Reed V. Tuckson, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
      September 01, 2016 - RT : No, being able to have your tablet take your blood pressure and shoot the systolic and diastolic … physicians in a large academic medical center to manage treatment of children with serious illness or injury

1645. In Conversation with...Lucian Leape, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
      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

1646. In Conversation With… Hardeep Singh, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
      January 01, 2014 - I study errors in primary care and find that there are many current pressures on primary care clinicians … in 2014 looked at the frequency of diagnostic errors in specific clinical settings, such as missed injuries … in pediatric trauma . … Another study reported that 8% of deaths at a Level 1 trauma center were definitely or potentially preventable

1647. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
      June 02, 2025 - The On-Time reports may also take some of the pressure off communication practices by automatically … She did make a recommendation for a medication change and some increased monitoring of blood pressure

1648. Tools for Optimizing Medication Safety (TOP-MEDS) - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/u19hs021093-lambert-final-report-2017.pdf
      January 01, 2017 - Antidepressant treatment and suicide attempts and self-inflicted injury in children and adolescents. … Antidepressant treatment and suicide attempts and self-inflicted injury in children and adolescents … also investigate our strategy’s impact on intermediary clinical outcomes including systolic blood pressure … measures included medication understanding, adherence and clinical measures (hemoglobin A1c, blood pressure

1649. Final Progress Report: TOP-MEDS CERT: Tools for Optimizing Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lambert-report.pdf
      January 01, 2024 - Antidepressant treatment and suicide attempts and self-inflicted injury in children and adolescents. … Antidepressant treatment and suicide attempts and self-inflicted injury in children and adolescents … also investigate our strategy’s impact on intermediary clinical outcomes, including systolic blood pressure … measures included medication understanding, adherence, and clinical measures (hemoglobin A1c, blood pressure

1650. Recommendation: Tobacco Smoking Cessation in Adults, Including Pregnant Persons: Interventions | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/tobacco-use-in-adults-and-pregnant-women-counseling-and-interventions
      January 19, 2021 - Potential adverse maternal events reported in studies of NRT include slightly increased diastolic blood pressure … Additionally, an outbreak of e-cigarette, or vaping product, use–associated lung injury (EVALI) that … Outbreak of lung injury associated with the use of e-cigarette, or vaping, products. … Blount BC, Karwowski MP, Shields PG, et al; Lung Injury Response Laboratory Working Group. … Practice advisory: lung injury associated with e-cigarettes (“vaping”). Published October 2019.

1651. Management of Uterine Fibroids - Evidence Summary (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/evidence-summary-cer-195-uterine-fibroids-final.pdf
      December 01, 2017 - such as technical success, conversion to alternate procedure, estimated blood loss during procedure, wound … Pain symptoms improved by GnRH treatment in four studies included pelvic pressure, pelvic and abdominal … improvement in measures of quality of life symptoms (days of bleeding, heavy menstrual bleeding, pelvic pressure … Harms associated with myomectomy included transfusion and pelvic organ injury. … occurred in one study, but overall risk across studies cannot be calculated since bowel and bladder injury

1652. Universal ICU Decolonization: An Enhanced Protocol (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
      September 01, 2013 - Wound Care 1. For what types of wounds is chlorhexidine (CHG) application safe? … to avoid causing additional soft tissue damage or extension of the wound due to pressure against the … #2: Nasal Trauma  Do NOT use mupirocin if nostril(s) are packed. …  CHG will not harm occlusive dressing (e.g., wound vacs).  Do NOT use on large or deep wounds … CHG can cause permanent injury if it comes in direct contact with nerves and is allowed to remain there

1653. Ambulatory Safety and Quality Program: Health IT Portfolio (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ambulatory-safety.pdf
      July 01, 2010 - protocol using an EHR to identify patients in need of treatment intensification for systolic blood pressure … treatment device and an internet-based portal that tracks management of continuous positive airway pressure … Focus Area(s): Drug-induced injury in the ambulatory geriatric population Type of Health IT: EMR Principal

1654. Statistical Brief #154
      hcup-us.ahrq.gov/reports/statbriefs/sb154.jsp
      April 01, 2013 - Readmission rates for debridement of a wound, infection, or burn are shown in figure 2. … All-cause 30-day readmission rates for debridement of a wound, infection, or burn by age and insurance … spinal stimulator and injection into spinal canal 6,302 637 10.1 6 Decompression (removing pressure … , infection or burn (surgical removal of foreign material and dead tissue from a wound, infection or … procedure during which a piece of skin is taken from a donor area and surgically grafted at the site of an injury

1655. National Healthcare Quality And Disparities Report Patient Safety Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
      October 01, 2018 - per 1,000 instrument-assisted deliveries • Birth trauma - injury to neonate per 1,000 selected live … 40 60 80 100 2014 2015 2016 2017 2018 2019 GOAL Ra te p er 1 ,0 00 D is ch ar ge s Pressure … 40 60 80 100 2014 2015 2016 2017 2018 2019 GOAL Ra te p er 1 ,0 00 D is ch ar ge s Pressure … Adverse Drug Events • An adverse drug event (ADE) is an injury—including physical harm, mental harm, … The home health team should regularly change wound dressing and teach the patient about wound care.

1656. Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
      June 01, 2023 - transition is prone to technical and diagnostic error due to not only the high patient acuity and time pressure … exposure to unnecessary interventions, and preventable harm.62 During the OR-to-ICU handoff, time pressure … Critical care settings are underrepresented in implementation science literature,84 due in part to time pressure … inherent in caring for critically ill patients.75 Yet it is that time pressure that makes a sustainable … Patterns of communication breakdowns resulting in injury to surgical patients.

1657. Archived: Decision Analysis: Aspirin Use to Prevent Cardiovascular Disease and Colorectal Cancer: Preventive Medication | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/decision-analysis-for-aspirin/aspirin-to-prevent-cardiovascular-disease-and-cancer-april-2016
      April 11, 2016 - Census. 17 Initial body mass index, systolic blood pressure, high- and low-density lipoprotein cholesterol … Effects of intensive blood-pressure lowering and low-dose aspirin in patients with hypertension: principal … Common values in assessing health outcomes from disease and injury: disability weights measurement study … BMI = body mass index; BP = blood pressure; CRC = colorectal cancer; CVD = cardiovascular disease; HDL-C … high-density lipoprotein cholesterol; LDL-C = low-density lipoprotein cholesterol; SBP = systolic blood pressure

1658. StartSmart: Health Information Technology to Improve Adherence to Prenatal Guidelines - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs024738-gance-cleveland-final-report-2019.pdf
      January 01, 2019 - Client measurements of height, weight, blood pressure, immunization status, and glucose tolerance test … self-report data, and the clinic medical assistant (MA) entered measurements (e.g., height, weight, blood pressure … The support staff who completed the weight, height, blood pressure, immunizations, and labs were to … log into the StartSmart server with unique credentials to enter the patient’s height, weight, blood pressure … Centers for Disease Control and Prevention, National Center for Injury Prevention and Control.

1659. Archived: Tobacco Use Prevention: Counseling, 1996 | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/tobacco-use-prevention-counseling-1996
      January 01, 1996 - responsible for about 25% of deaths from residential fires, causing some 1,000 fire-related deaths and 3,300 injuries … reinforced. 92 , 93 The most successful of these programs involve teaching the skills to resist social pressures … Effective school-based programs teach children skills to recognize and resist social pressure to smoke

1660. Development of a Clinical Decision Support Tool for Facilitating Naturalistic Decision-Making and Improving Blood Culture Utilization - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs025238-xie-final-report-2020.pdf
      January 01, 2020 - however, providers rarely use a completely analytic strategy for decision-making because of time pressure … conditions in the PICU, such venous thromboembolism, acute respiratory distress syndrome, traumatic brain injury