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761. EU to tackle issue of patient safety. | PSNet
     psnet.ahrq.gov/issue/eu-tackle-issue-patient-safety
     September 06, 2023 - March 8, 2023 6-PACK programme to decrease fall injuries in acute hospitals: cluster … October 7, 2020 Air pressure: human factors are the key to a safer flight environment

762. Communication: Severe Hypertension (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
     July 01, 2023 - patient's family members. 4 Hospital AIM Team Leads SPPC‐II Maternal and Perinatal Deaths and Injuries … communication breakdowns are identified as the primary root cause of maternal and perinatal deaths and injuries … Other root causes for maternal and perinatal deaths and injuries are— • Assessment (i.e., the adequacy … Severe‐range blood pressure was sustained for nearly an hour. Ms. … Untitled Communication Severe Hypertension Communication is… Maternal and Perinatal Deaths and Injuries

763. Workplace Safety in Health Care | PSNet
     psnet.ahrq.gov/perspective/workplace-safety-health-care
     January 01, 2017 - Were there time pressures in the OR to proceed with no help? … their workforce, I announced we should be an injury-free workplace. … And over the 13 years I was there we got close to achieving zero injuries. … safety, namely to identify as quickly as possible anything gone wrong—including medication errors, pressure … are probably no better than average at all the other things they do, like central line infections and pressure

764. Long-term Care Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
     November 01, 2021 - Nursing Homes: On-Time Prevention End of Life Care Home and Community-based Services Falls and Injury … Long-Term Care Facilities Multiple Chronic Conditions Omissions of Care in Nursing Homes Pressure

765. Table 17B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17b.html
     February 01, 2023 - 10,530 7,005 Composite: ACSC Overall 24,760 16,334 23,622 19,729 26,330 18,086 Pressure … 397 350 396 366 462 324 Outcome Indicator Prevalence of High Blood Pressure … 8,314 8,522 10,408 7,479 Composite: ACSC Overall 21,408 21,005 25,803 19,316 Pressure

766. Table 17G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17g.html
     February 01, 2023 - 13,941 8,615 Composite: ACSC Overall 31,820 19,437 32,312 23,141 34,235 21,902 Pressure … 568 461 588 484 677 430 Outcome Indicator Prevalence of High Blood Pressure … 10,221 11,658 13,626 9,337 Composite: ACSC Overall 25,759 28,549 32,778 23,897 Pressure

767. Table 17D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17d.html
     February 01, 2023 - 3,815 3,120 Composite: ACSC Overall 6,079 4,558 5,662 5,312 6,245 5,000 Pressure … Falls 81 60 90 55 92 60 Outcome Indicator Prevalence of High Blood Pressure … 3,481 3,208 3,831 3,228 Composite: ACSC Overall 5,719 5,011 6,399 5,136 Pressure

768. Table 17C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17c.html
     February 01, 2023 - 5,049 3,932 Composite: ACSC Overall 15,281 10,642 14,988 12,306 15,447 12,117 Pressure … Falls 76 51 101 45 98 47 Outcome Indicator Prevalence of High Blood Pressure … 4,416 4,102 5,111 4,002 Composite: ACSC Overall 13,885 11,778 15,231 12,519 Pressure

769. Table 17A: National HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17.html
     February 01, 2023 - 9,215 6,184 Composite: ACSC Overall 22,374 14,832 21,534 17,751 23,720 16,492 Pressure … 316 271 324 280 375 250 Outcome Indicator Prevalence of High Blood Pressure … 7,298 7,429 9,114 6,570 Composite: ACSC Overall 19,447 18,724 23,221 17,538 Pressure

770. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=8
     January 01, 2024 - Publication Date: March 2015 Using an Electronic Health Record To Examine Nurse Continuity and Pressure … Coordination, Health Information Technology and Health Information Exchange, Human and Environmental Factors, Pressure … Information Exchange Publication Date: December 2014 Communication To Prevent and Respond to Medical Injuries

771. In Conversation With… Paul H. O'Neill, MPA | PSNet
     psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
     January 01, 2017 - their workforce, I announced we should be an injury-free workplace. … And over the 13 years I was there we got close to achieving zero injuries. … safety, namely to identify as quickly as possible anything gone wrong—including medication errors, pressure … are probably no better than average at all the other things they do, like central line infections and pressure … Were there time pressures in the OR to proceed with no help?

772. Table 17F: HCBS Population Ages 18-64 Without Intellectual/Developmental Disabilities or Serious Mental Illness | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17f.html
     February 01, 2023 - 7,139 5,429 Composite: ACSC Overall 23,940 16,507 25,790 18,529 23,803 18,978 Pressure … 147 123 175 119 170 116 Outcome Indicator Prevalence of High Blood Pressure … 6,119 6,072 7,171 5,539 Composite: ACSC Overall 21,607 19,235 23,468 19,546 Pressure

773. Table 17E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17e.html
     February 01, 2023 - 8,838 5,914 Composite: ACSC Overall 20,734 15,368 19,563 17,756 23,009 16,087 Pressure … 253 224 263 220 323 194 Outcome Indicator Prevalence of High Blood Pressure … 6,956 7,098 7,925 6,580 Composite: ACSC Overall 19,175 17,427 20,509 17,826 Pressure

774. Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. | PSNet
     psnet.ahrq.gov/issue/redesigning-hospital-alarms-patient-safety-alarmed-and-potentially-dangerous
     December 12, 2018 - Related Resources From the Same Author(s) Success in hospital-acquired pressure … December 12, 2018 Differences in the reporting of care-related patient injuries to existing

775. Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital: an exploratory study. | PSNet
     psnet.ahrq.gov/issue/visitor-restrictions-during-covid-19-pandemic-and-increased-falls-harm-canadian-hospital
     June 05, 2013 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

776. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852280/psn-pdf
     August 09, 2023 - Veterans Health Administration (VHA) hospital, this study found that use of SmartSocks – socks containing pressure … assessment-wearable-fall-prevention-system-veterans-health-administration-hospital https://psnet.ahrq.gov/primer/falls https://psnet.ahrq.gov/issue/preventing-falls-injury

777. Check the Anesthesia Machine | PSNet
     psnet.ahrq.gov/web-mm/check-anesthesia-machine
     August 01, 2006 - are difficult to compare, current estimates put medication error rates at 1 in 100 anesthetics.( 2 ) Injury … from such errors are estimated to occur with 1% of errors.( 3 ) By extrapolation, then, the risk of injury … American Society of Anesthesiologists Closed Claims Project recently presented an update on patient injuries … Medication error etiology is multifactorial and includes a distracting environment and production pressure … Patient injuries from anesthesia gas delivery equipment: a closed claims update.

778. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60268/psn-pdf
     April 29, 2020 - The most common complications of ECMO are bleeding from cannulation sites (15-20%) or surgical wounds … Device operating at proper settings (example: ventilator pressures, pump rpm)        iii. … Brain injury during venovenous extracorporeal membrane oxygenation. … Pressures – does the pump produce a pressure adequate for flow? What are the pressure trends? … Pressures are monitored before (pre-pump pressure), between pump and oxygenator (pre-oxygenator), and

779. Nurses' use of computerized clinical guidelines to improve patient safety in hospitals. | PSNet
     psnet.ahrq.gov/issue/nurses-use-computerized-clinical-guidelines-improve-patient-safety-hospitals
     June 06, 2018 - February 14, 2024 A randomized trial of a multifactorial strategy to prevent serious fall injuries … May 29, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis

780. Microsoft Word - Comp Eff 10.doc (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/ace-inhibitor-arb-2007_research-2007-1.pdf
     January 01, 2007 - hypertension are not on treatment, and two-thirds of hypertensive patients continue to have blood pressures … - When used in pregnancy during the second and third trimesters, ACEIs can cause injury and even … - When used in pregnancy during the second and third trimesters, ACEIs can cause injury and even … - When used in pregnancy during the second and third trimesters, ACEIs can cause injury and … Blood pressure control?