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1681. PowerPoint Presentation: Learn From Defects for Sustainability
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
      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

1682. PEPTIC ULCER #11 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/11_peptic_ulcer_potential_high_impact_2012-12-111.pdf
      January 01, 2012 - 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 mmHg, p<0.0001) … 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].

1683. Methods Guide for Medical Test Reviews Chapter 3 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-outcomes_methods.pdf
      July 01, 2012 - process because direct test effects are unlikely in this example: a vaginal swab will not cause any injury

1684. Screening for Impaired Visual Acuity in Older Adults: USPSTF Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/8JYDupJfG6LdRn7A6FkqXX
      March 01, 2016 - intravitreal injections of VEGF inhibitors include endophthalmitis, uveitis, increased intraocular pressure … , traumatic lens injury, and retinal detachment.1,4 In 3 trials, these outcomes were infrequent, and

1685. Aspirin for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: A Decision Analysis for the USPSTF (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/_SfjkGNHBnLqn8ySe7kAdg
      April 01, 2016 - Initial body mass index, sys- tolic blood pressure, high- and low-density lipoprotein cholesterol levels … prevention (counterfactual) group Yes Yes Yes Yes No No No No BMI = body mass index; BP = blood pressure … high-density lipoprotein choles- terol; LDL-C = low-density lipoprotein cholesterol; SBP = systolic blood pressure … 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

1686. Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
      January 01, 2024 - Significance Preventable Adverse Drug Events in Community Pharmacies Adverse drug events (ADEs), defined as injuries … PADEs lead to about 4% (range, 1.4-15.4%) of hospital admissions8,9,10,11,12,13 and account for injuries … medications are an essential component of drug therapy, they carry a significant risk of causing serious injuries … high-volume pharmacies to low- volume pharmacies are examples of interventions to help reduce time pressures … Assessing patient safety risk before the injury occurs: an introduction to socio-technical probabilistic

1687. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet
      psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
      September 01, 2011 - Risk managers developed these systems to identify injuries that might lead to litigation and to reduce … issues pertinent to nursing care, such as medication administration errors, falls, IV infiltrations, and pressure

1688. In Conversation With…Kaveh G. Shojania, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
      September 01, 2011 - Risk managers developed these systems to identify injuries that might lead to litigation and to reduce … issues pertinent to nursing care, such as medication administration errors, falls, IV infiltrations, and pressure

1689. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73104/psn-pdf
      January 04, 2021 - For example, it is imperative to examine whether hospitals are seeing a higher rate of pressure injuries

1690. Chapter 4. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/shuttered/acfselection/chapter4.html
      July 01, 2018 - Ambulatory acute care - i.e., triage and minor wound care. Chronic care. … The scope of care includes: nursing care for stabilized internal medicine, trauma, orthopedic, and … efforts to educate governments, businesses, and the public on measures they can take to reduce loss and injury … Flannel   Blanket, infant white, cotton Blanket, thermal WHI2.2 lb 48 Blood Pressure … Unit Aneroid, Adult, L/F Blood Pressure Unit Aneroid, Child, L/F Brief, Adult Trimline

1691. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-11/spotlight_case_neurological_red_flags_final.pptx
      January 01, 2024 - Cervical artery dissections can occur spontaneously or after head or neck trauma, which can be minimal … is a patient with dizziness after starting a new antihypertensive medication and low systolic blood pressure … would be dizziness in the context of tachycardia, melena, and heavy ibuprofen use after an orthopedic injury … age ~40 years) More often female Fewer vascular risks Nearly always present Present in 50-70% Recent trauma … sex, more vascular risk factors, past & family history of migraine less common, recent head or neck trauma

1692. State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
      January 17, 2024 - to his physical therapist 23 days after falling off a ladder, resulting in a mild traumatic brain injury … Lamjoun, et al. (2023)39 Normal pressure hydrocephalus and mania symptoms: case report A 54-year-old … e.g., registered nurses, clinical pharmacists, social workers, nutritionists) and face institutional pressure … Normal pressure hydrocephalus and mania symptoms: case report. … against overtesting, overdiagnosis, and overtreatment of older adults: thinking beyond imaging and injuries

1693. Evaluating Primary Care Behavioral Counseling Interventions: An Evidence-based Approach (pdf file)
      www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/behavintr.pdf
      January 01, 2010 - Healthy People 2010 leading health indicators* * Other leading health indicators include mental health, injury … interventions outside the clinical setting intended to change risky behaviors; reduce specific diseases, injuries … insufficient physical activity, intermediate outcomes may include physiological risk factors, such as blood pressure … utilization or patient satisfaction) (KQ 4), and may also induce adverse effects, such as increased injury … Gender, social pressure, and smoking cessations: The Community Intervention Trial for Smoking Cessation

1694. High-Priority Evidence Gaps for Clinical Preventive Services: 13th Annual Report to Congress (pdf file)
      www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/2023-12/2023-annual-report-to-congress.pdf
      January 01, 2023 - WISQARS—Web-Based Injury Statistics Query and Reporting System. … Accessed September July 12, 2023. https://www.cdc.gov/injury/wisqars/index.html 19. … https://www.cdc.gov/injury/wisqars/index.html https://www.cdc.gov/nchs/data/vsrr/VSRR016.pdf APPENDICES … Pregnancy The USPSTF recommends screening for hypertensive disorders in pregnant persons with blood pressure

1695. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt3.pptx
      September 19, 2015 - 2014 White Black Hispanic 89.3 86.5 82.2 Percent Adults who needed care right away for an illness, injury … less likely than privately insured Hispanic adults to receive needed care right away for an illness, injury … 18.100000000000001 18.899999999999999 20.2 Percent Children who needed care right away for an illness, injury … restrained daily can become weak, lose their ability to go to the bathroom by themselves, and develop pressure … Achievable Benchmark: 70.7% Importance: Many patients who receive home health care are recovering from an injury

1696. 2022 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
      December 01, 2022 - state-specific data on preventive health practices and risk behaviors linked to chronic diseases, injuries … The examination includes physical measurements, such as blood pressure and dental examinations, and … from each family in the house and collects data on topics including health status and limitations, injuries … patient’s age, gender, race, and ethnicity; patient’s expressed reason for visit; intentionality of injury … ulcer adverse events Pressure Ulcer Venous thromboembolism/pulmonary embolism (VTE/PE) not related

1697. Comparative Effectiveness Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/osteoarthritis-pain-2006_appendixes.pdf
      January 01, 2006 - washout 3-7 days no NA NR Valat no fair NR/NR/232 Symptoms of invertebrate disk herniation with pressure … heart disease within 2 yrs; active hepatic disease; recent neoplastic disease; acute meniscal injury … No SS difference between current NSAID user and past NSAID users in hospitalization rates for liver injury … withdrawals.3) Other AEsRofecoxib v NSAIDs: Rofecoxib seems to be associated with increased systolic blood pressure … One study also reported an increase in diastolic blood pressure.

1698. Ms2022-01-Nhqdrmethodsreport (pdf file)
      hcup-us.ahrq.gov/reports/methods/MS2022-01-NHQDRMethodsReport.pdf
      October 28, 2022 - • ED visits for injuries. … ED utilization for injuries was reported by trauma level and by age, sex, community income, urban-rural … admissions with expected low-mortality, age 18 and over or obstetric admissions PSI03 Admissions with pressure … per 1,000 elective-surgery admissions, age 18 and over PSI14 Reclosure of postoperative abdominal wound … - injury to neonate per 1,000 live births PSI18 Obstetric trauma per 1,000 instrument-assisted vaginal

1699. Methods Applying AHRQ Quality Indicators to Healthcare Cost and Utilization Project (HCUP) Data for the 2021 National Healthcare Quality and Disparities Report (NHQDR) (pdf file)
      hcup-us.ahrq.gov/reports/methods/MS2021-03-NHQDRMethodsReport.pdf
      December 09, 2021 - • ED visits for injuries. … ED utilization for injuries was reported by trauma level and by age, sex, community income, urban-rural … admissions with expected low-mortality, age 18 and over or obstetric admissions PSI03 Admissions with pressure … elective-surgery admissions, age 18 and over PSI14 PSI15 Reclosure of postoperative abdominal wound … - injury to neonate per 1,000 live births PSI19 Obstetric trauma per 1,000 instrument-assisted

1700. Methods Report Describing 2016-2020 HCUP Data in the National Healthcare Quality and Disparities Report (NHQDR) Methods Series Report 2023-01 (pdf file)
      hcup-us.ahrq.gov/reports/methods/MS2023-01-NHQDRMethodsReport_508.pdf
      November 21, 2023 - • ED visits for injuries. … ED utilization for injuries was reported by trauma level and by age, sex, community income, urban-rural … admissions with expected low-mortality, age 18 and over or obstetric admissions PSI03 Admissions with pressure … per 1,000 elective-surgery admissions, age 18 and over PSI14 Reclosure of postoperative abdominal wound … - injury to neonate per 1,000 live births PSI18 Obstetric trauma per 1,000 instrument-assisted vaginal