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321. A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. | PSNet
     psnet.ahrq.gov/issue/longitudinal-study-multifaceted-intervention-reduce-newborn-falls-while-preserving-rooming
     March 20, 2019 - implementation, the hospital achieved one year without any newborn falls and there were no fall-related injuries … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

322. Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head | PSNet
     psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
     March 27, 2024 - were worse when supine, but nocturnal headaches can be the presenting sign of elevated intracranial pressure … keep patients awake at night should prompt repeat imaging given the concern for elevated intracranial pressure … which allows time for the brain to adapt to tissue displacement and modestly increased intracranial pressure … Incidence of delayed intracranial hemorrhage in older patients after blunt head trauma. … Trauma Surg Acute Care Open . 2018;3(1):e000129. [ Free full text ] Borst J, Godat LN, Berndtson AE,

323. 4 Tk2 T1-Medical Care Referral Form Word Doc For Html Only (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form_Word_doc_for_html_only.doc
     June 02, 2025 - including recent fever pattern and change in recent/current health status: CURRENT VITAL SIGNS Blood pressure … Suspected minor injury Yes No ? Suspected serious injury Yes No ? … New or increasing pus draining from wound Y N ? New breakdown Y N ? … New or expanding redness around wound Y N ? Pain / tenderness Y N ? Warmth Y N ?

324. Low Tidal Volume Ventilation Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-mvpguide.pdf
     January 01, 2017 - (so-called ZEEP)6-15 and limiting plateau pressures to < 30 cm/H2O (as compared with 10–12 mL/kg and … to be beneficial in patients at risk for ARDS, such as those with sepsis, pneumonia, or traumatic injuries … tidal volumes in the 6–8 mL/kg PBW range along with the avoidance of ZEEP6-13,24 and limiting plateau pressures … admitted to the ICU already have risk factors for ARDS, such as pneumonia, sepsis, noncardiogenic shock, trauma … Tidal volume and plateau pressure use for acute lung injury from 2000 to present: A systematic literature

325. 056-Nursing-Protocol-Bathing-Cloths (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/056-nursing-protocol-bathing-cloths.docx
     October 01, 2024 - CHG is also safe for superficial wounds, including stage 1 and stage 2 pressure injuries. 7.

326. 057-Nursing-Protocol-Bathing-Liquid (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/057-nursing-protocol-bathing-liquid.docx
     October 01, 2024 - CHG is also safe for superficial wounds, including stage 1 and stage 2 pressure injuries. 12.

327. Statistical Brief #130
     hcup-us.ahrq.gov/reports/statbriefs/sb130.jsp
     May 01, 2012 - Introduction All-terrain vehicles (ATVs) are small open motorized vehicles designed with large low-pressure … ED visits for ATV injuries were more likely to occur on a weekend than the total of other injury-related … Compared with all injury related visits, those for ATV injuries were more likely to be covered by private … Case definition The External Cause of Injury codes (E-codes) used to define ATV-related injuries were … Journal of Trauma-Injury Infection and Critical Care 69(6): 1344-1349. 5 Aitken, M. E., C. J.

328. A comprehensive program to reduce rates of hospital-acquired pressure ulcers in a system of community hospitals. | PSNet
     psnet.ahrq.gov/issue/comprehensive-program-reduce-rates-hospital-acquired-pressure-ulcers-system-community
     May 12, 2021 - Study A comprehensive program to reduce rates of hospital-acquired pressure ulcers … A Comprehensive Program to Reduce Rates of Hospital-Acquired Pressure Ulcers in a System of Community … This implementation study sought to reduce incidence of pressure ulcers in hospitalized patients using … A Comprehensive Program to Reduce Rates of Hospital-Acquired Pressure Ulcers in a System of Community … injury policy.

329. An integrative review exploring the perceptions of patients and healthcare professionals towards patient involvement in promoting hand hygiene compliance in the hospital setting. | PSNet
     psnet.ahrq.gov/issue/integrative-review-exploring-perceptions-patients-and-healthcare-professionals-towards
     March 06, 2019 - Citation Related Resources From the Same Author(s) Medical device-related pressure … March 6, 2019 A randomized trial of a multifactorial strategy to prevent serious fall injuries … September 27, 2016 Towards international consensus on patient harm: perspectives on pressure … injury policy.

330. The Top Five: A Review of Post-Pandemic Patient Safety Priorities. | PSNet
     psnet.ahrq.gov/issue/top-five-review-post-pandemic-patient-safety-priorities
     July 10, 2024 - demands during the crisis to affect falls, medication safety, healthcare associated infections , and pressure … injuries.

331. Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. | PSNet
     psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project-redde
     November 30, 2022 - Diagnostic errors, including missed diagnoses of adolescent depression, elevated blood pressure, and … included failure to screen for adolescent depression, failure to recognize and act on abnormal blood pressure … August 9, 2011 Delayed or missed diagnosis of cervical spine injuries.

332. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
     January 01, 2024 - wound care and intravenous antibiotics. … Despite animal studies suggesting sealant alone can withstand high hydrostatic pressures,52–54 some remain … Suture Choice in Lumbar Dural Closure Contributes to Variation in Leak Pressures: Experimental Model. … Quantification of leakage pressures after durotomy repairs in the canine. … Occult spinal pseudomeningocele following a trivial injury successfully treated with a lumboperitoneal

333. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
     October 27, 2014 - MPSMS (2013) In-Hospital Patient Falls 240,000 7.2 Obstetric Adverse Events PSI (2012) OB Trauma … Fall and injury prevention (Chapter 10). In: Hughes RG, ed. … Preventing falls and eliminating injury at Ascension Health. … The road to zero preventable birth injuries. … Eliminating birth trauma at Ascencion Health.

334. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33561/psn-pdf
     September 15, 2024 - , while being cared for in a healthcare setting Care management events Patient death or serious injury … associated with unsafe administration of blood products Maternal death or serious injury associated … of a neonate associated with labor or delivery in a low-risk pregnancy Patient death or serious injury … associated with a fall while being cared for in a healthcare setting Any stage 3, stage 4, and unstageable pressure … Because Never Events are devastating and preventable, health care organizations are under increasing pressure

335. AHRQ QI List of Indicators (pdf file)
     qualityindicators.ahrq.gov/Downloads/Modules/V2023/AHRQ_QI_Indicators_List.pdf
     October 01, 2023 - • PSI 02 - Death Rate in Low-Mortality Diagnosis Related Groups (DRGs) • PSI 03- Pressure … Fracture Rate • PSI 09- Postoperative Hemorrhage or Hematoma Rate • PSI 10- Postoperative Acute Kidney Injury … or Deep Vein Thrombosis (PE/DVT) Rate • PSI 13- Postoperative Sepsis Rate • PSI 14 - Postoperative Wound … Rate - Injury to Neonate • PSI 18 - Obstetric Trauma Rate - Vaginal Delivery with Instrument • PSI … 19- Obstetric Trauma Rate - Vaginal Delivery without Instrument • PSI 90- Patient Safety and Adverse

336. WebM&M: Case Studies | PSNet
     psnet.ahrq.gov/webmm-case-studies
     March 25, 2025 - On arrival at the emergency department, she had severely elevated blood pressure and hypoxemia. … in a motorcycle crash, including head trauma, chest injuries, and spinal fractures. … A head CT scan was read as normal and he was diagnosed with a minor head injury and discharged without … The commentary highlights the importance of evaluating patient risk of wound infection and poor wound … healing, the role of imaging modalities to help identify foreign material in wounds, and diligent follow-up

337. Resource List - AHRQ Nursing Home Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
     April 01, 2023 - Falls Management Program http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries … Provider Fax Report and Orders http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries … professionals/onthejob/falls.asp http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries … /fallspx/index.html http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries/fallspx … /fallspx/fallspxmanapb10pcp.html http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries

338. Appendix B1: The FMP Self-Assessment Tool (Text Description) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb1txt.html
     December 01, 2017 - Monthly falls analysis by: location and time of fall shift and day of week type of injury … Monthly falls analysis by # of falls, fallers, patients ≥2 falls, and falls with serious injury?   … of falls high-risk medications, sleep hygiene measures for management of anxiety low blood pressure … care plan include general behavior management strategies and specific interventions to reduce risk of injury … results of fall (BP, BS, mental status, VS, tests ordered, ER or hospital visit) description of injury

339. Too Many Cooks Spotlight Pdf (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
     January 01, 2020 - in one hour (versus six hours in this case) • Prolonged operative time is a surrogate for tissue injury … Deviation in the face of production pressure is a recipe for disaster. … Injury. 2018;49(1):130‐134. doi:10.1016/j.injury.2017.09.002 7. … Pressure Ulcer Prevention in the Hospital Setting Using Silicone Foam Dressings. … Injury. 2020;S0020-1383(20)30424-1. doi:10.1016/j.injury.2020.05.017 10.

340. Patient Safety. | PSNet
     psnet.ahrq.gov/issue/patient-safety-1
     April 15, 2020 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.