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981. Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST) | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/anesthesiology-control-tower-feedback-alerts-supplement-treatment-actfast
     January 01, 2023 - How can we leverage all the data that are collected during surgery—vital signs, heart rate, blood pressure … If you've got a long period with low blood pressure, your risk will go up.” –Dr. Avidan Dr. … rooms improves care Machine learning algorithms for predicting postoperative death, acute kidney injury … compliance with standards of care, as well as with surrogate measures of patient outcome, such as blood pressure

982. Behavioral Counseling to Promote a Healthy Diet and Physical Activity for CVD Prevention in Adults With Cardiovascular Risk Factors: Updated Evidence Report and Systematic Review for the USPSTF (pdf file)
     www.uspreventiveservicestaskforce.org/home/getfilebytoken/-97QgoUF_rpQSy-9yM9KCx
     November 24, 2020 - group differences in serious adverse events, any adverse events, hospitalizations, musculoskeletal injuries … b Includes trials limited to persons with hypertension or elevated blood pressure. … hospitalizations, musculoskeletal injuries, withdrawals due to ad- verse events, gallbladder disease, … Effect of drug and diet treatment of mild hypertension on diastolic blood pressure. … Increasing daily walking lowers blood pressure in postmenopausal women.

983. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-slides.pptx
     June 01, 2021 - Case 1: Diagnostic Evaluation Temp 99.2° Fahrenheit Heart rate 98 beats per minute Blood pressure … antibiotic therapy Clinical instability Unable to maintain oxygen saturation Hypotension (systolic blood pressure … Pneumonia Versus Pneumonitis8 21 Aspiration Pneumonitis Aspiration Pneumonia Pathophysiology Acute lung injury

984. Improving Patient Safety in Long-Term Care Facilities, Module 1 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
     June 01, 2012 - She has high blood pressure, diabetes, and arthritis. She is also being treated for depression. … pressure ulcer (bed sore) if not responded to promptly. … it is an observed and assisted transition to the floor or an unwitnessed event that results in an injury … Vital Signs Vital signs include temperature, respiratory rate, blood pressure, and pulse rate. … Residents are safest – protected from harm or injury – when everyone expects to openly report anything

985. 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

986. Impact of Healthcare Worker Safety and Wellness: A Systematic Review (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/worker-safety-wellness-protocol.pdf
     October 26, 2024 - obstacles, paperwork burden, limited resources, understaffing, workplace violence, role conflict, and time pressures … Ergonomic hazards associated with repetitive strain and low back injuries among HCWs;51–54 2. … , emotional exhaustion, staff turnover, and physical injuries? … Moral distress and moral injury - recognising and tackling it for UK doctors. … Percutaneous injuries before and after the Needlestick Safety and Prevention Act.

987. Hlthstat (pdf file)
     meps.ahrq.gov/data_stats/nhc/hlthstat.pdf
     September 30, 1997 - SEXUALLY TRANSMITTED DISEASES TUBERCULOSIS URINARY TRACT INFECTION IN LAST 30 DAYS VIRAL HEPATITIS WOUND … SKIN CONDITIONS {VERSION, SECTION} HA42 What was the highest stage of pressure ulcer that {SP} had … NECK WITHOUT SPINAL CORD INJURY SPINE WITH SPINAL CORD INJURY Dorsal Lumbar Sacrum and Coccyx SPINE … Sexually Transmitted Diseases Tuberculosis Urinary Tract Infection in Last 30 Days Viral Hepatitis Wound … NECK WITHOUT SPINAL CORD INJURY SPINE WITH SPINAL CORD INJURY Dorsal Lumbar Sacrum and Coccyx SPINE

988. Remote Patient Monitoring | PSNet
     psnet.ahrq.gov/perspective/remote-patient-monitoring
     March 15, 2023 - We monitored the blood pressures of home peritoneal dialysis patients. … We knew their trends and that some of them had typically higher blood pressures and some of them had … typically lower blood pressures, so we created individual thresholds. 1 , 3 , 4 Sarah Mossburg: It … Historically, these are acute problems that arise where there is illness or injury. … We knew there were hospital capacity problems and a lot of different pressures and stakeholders that

989. In Conversation with... Dr. Neal Sikka and Dr. Colton Hood about Remote Patient Monitoring | PSNet
     psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
     March 15, 2023 - We monitored the blood pressures of home peritoneal dialysis patients. … We knew their trends and that some of them had typically higher blood pressures and some of them had … typically lower blood pressures, so we created individual thresholds. 1 , 3 , 4 Sarah Mossburg: It … Historically, these are acute problems that arise where there is illness or injury. … We knew there were hospital capacity problems and a lot of different pressures and stakeholders that

990. 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.

991. 162-Example-Completed-Learning-Defects-Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
     October 01, 2024 - Current: He was found unconscious at home after a suspected syncopal episode with injury to his chest … First vitals included a blood pressure of 75/40, temperature of 38.5°C, heart rate of 110 beats per minute … His blood pressure continued to remain low, and it was decided to place a central line and begin a vasopressor

992. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
     January 01, 2023 - An example of additional detail from the Fall module would be the type of injury sustained in a fall … Pressure Ulcers result in harm to the patient by their very nature. … This is unexpected, as pressure ulcers result in harm to the patient by their very nature. … unstageable • A lesion that, on admission, was a suspected Deep Tissue Injury • A pressure ulcer … Pressure Ulcers result in harm to the patient by their very nature.

993. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention - Facilitator Training: Overview of On-Time (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
     June 02, 2025 - of On-Time This version of On-Time introduction is for training Facilitators who have not had pressure …  It is more difficult for staff to identify which residents are at risk for a fall or pressure … electronic reports with input from relevant staff (e.g., nursing assistants, director of nursing [DON], wound … weekly basis and encourage multidisciplinary input (e.g., certified nursing assistants [CNAs], DON, wound … when On-Time pressure ulcer prevention reports were integrated into day-to-day workflow

994. Good Catch in the Operating Room | PSNet
     psnet.ahrq.gov/web-mm/good-catch-operating-room
     August 27, 2017 - About halfway through the procedure, the anesthesiologist noticed that the patient's blood pressure was … anesthesiologist administered a bolus of intravenous fluids, but over the next few minutes the patient's blood pressure … The patient required transfusion of multiple units of blood, and fortunately the injury was repaired … first challenge occurred when the anesthesiologist alerted the surgeon during the initial drop in blood pressure … Paige, MD Professor of Clinical Surgery Director of Wound Care LSU Health New Orleans Health Sciences

995. Behavioral Counseling to Promote a Healthful Diet and Physical Activity for CVD Prevention in Adults Without Known CVD Risk Factors: Updated Evidence Report and Systematic Review for the USPSTF (pdf file)
     www.uspreventiveservicestaskforce.org/home/getfilebytoken/DTRggkjEPQ5-ALArTjrhKT
     July 11, 2017 - There was no evidence of greater incidence of serious adverse events, injuries, or falls in intervention … Seven physical activity– focused trials (n = 3565) reported the incidence of injuries, frac- tures, or … falls; only 1 trial among women aged 40 to 74 years re- ported significantly more injuries (19% vs 14% … Screening for high blood pressure in adults: U.S. … cardiovascular biomarkers in men and women with high blood pressure: the ENCORE study.

996. Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? | PSNet
     psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
     July 01, 2017 - this area from personal acquaintance with physicians and understanding their narratives of how legal pressures … That caring relationship doesn't end when an injury occurs, particularly if the injury is our fault. … They reduce the underlying safety problems that can lead to injuries that lead to claims. … Then, we have a few cases in which EHR systems themselves have had problems that have led to injuries … May 20, 2015 Medical monitoring for pharmaceutical injuries: tort law for the public's

997. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49673/psn-pdf
     December 01, 2012 - On physical examination, his initial blood pressure was elevated at 192/100 mm Hg, but his heart rate … Bilateral upper-extremity blood pressures were equal. … oral antacid/anesthetic combination) was given, and the patient reported symptom relief; his blood pressure … ECG interpretation: sinus tachycardia, with posterolateral injury pattern.

998. Ratio of Magnetic Resonance Imaging Scans to Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-fullreport.pdf
     January 01, 2020 - children with secondary headaches accompanied by neurological signs or symptoms of increased intracranial pressure … in blood pressure; and/or irregular heart rhythms (Society for Pediatric Anesthesia, 2014). … headache in the absence of documented neurologic signs or symptoms that suggest increased intracranial pressure … , new neurologic deficits, or signs and symptoms of increased intracranial pressure may require timely … Incidental findings in children with blunt head trauma evaluated with cranial CT scans.

999. National Web-Based Teleconference on Utilizing Health IT to Improve Medication Management for the Care of Elderly Patients (pdf file)
     digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-slides-081811.pdf
     August 18, 2011 - Preventability of Adverse Drug Events in Two Large Academic Long-term Care Facilities Adverse Drug Events injury … Gastrointestinal 16% Renal/electrolytes 12% Fall with injury … 5% Cardiovascular 4% Fall without injury … I know if I stay off my Verapamil for angina and high blood pressure too long I will start to get pressure

1000. Cognitive Overload in the ICU | PSNet
      psnet.ahrq.gov/web-mm/cognitive-overload-icu
      June 01, 2005 - The patient ultimately regained a pulse but required two vasopressors to maintain her blood pressure … Bedside cannulation of the central circulation for measurement of central venous pressure and for vasopressor … The patient immediately responded, with improved oxygenation and blood pressure. … radiograph provided reassurance that the central line was in the correct position without evidence of lung injury … Relative value of central-venous-pressure monitoring and blood-volume measurement in the management of