-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa6.pdf
January 01, 2018 - - injury to neonate per 1,000 selected live births -7.28 -1.12 HCUP 2016
Reclosure of postoperative … abdominal wound dehiscence per 1,000 abdominopelvic-
surgery admissions of length 2 or more days, adults … or shoulder belts when riding in a car
15.84 2.24 MEPS 2016
Reclosure of postoperative abdominal wound … - injury to neonate per 1,000 selected live births 17.13 2.25 HCUP 2016
Sepsis diagnoses per 1,000 … - injury to neonate per 1,000 selected live births 18.63 2.19 HCUP 2016
Appendix A: List of
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/building-team-process-slides.html
December 01, 2017 - Urethral obstruction
Medical (neurogenic bladder)
Urinary blood clots with obstruction
Trauma … catheter shortly after the surgery is completed
Slide 28
Assist Healing of Perineal and Sacral Wounds … or Surgery
Examples include:
Unstable thoracic or lumbar spine
Multiple traumatic injuries, … unit (e.g., congestive heart failure receiving diuretics)
Incontinence without sacral or perineal pressure … ICU, or different non-ICU)
Partnering with other stakeholders (case managers, physical therapists, wound
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab7.html
December 01, 2012 - 5,672
13,799
7,174
Max
38,852
29,161
10,824
48,675
50,219
49,623
36,143
Pressure
-
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
-
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
-
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
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/aD-Br2oTJ67FeNdHHkLtPA
one)
Premature aging, wrinkling of the skin
Respiratory infections and asthma
High blood pressure … � HighHighHighHigh �
(tick one)
Hangovers, aggressive and violent behaviour, accidents and injury … Anxiety, paranoia, panic, depression
Decreased memory and problem solving ability
High blood pressure … vision
Flu like symptoms, sinusitis, nosebleeds
Indigestion, stomach ulcers
Accidents and injury … tactile, olfactory
Difficulty sleeping
Nausea and vomiting
Increased heart rate and blood pressure
-
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
-
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
-
psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
June 01, 2011 - analysts who see this behavior as a universal law: automobile seat belts actually do reduce deaths and injuries … So I think the combination of a high frequency of alarms and pressure for productivity is potentially … In studying some of the recent mine accidents, I found there was an institutional pressure there to have … come not because people are greedy or selfish or that they don't care, but that their bias and the pressures … While the team adjusted the table, it swung loose and the patient fell to the floor but sustained no injury
-
psnet.ahrq.gov/node/853774/psn-pdf
September 27, 2023 - Her vital signs included blood pressure 110/73 mmHg, heart rate 104 beats per minute,
respirations 16 … The
patient remained alert and cooperative until 2350H when her blood pressure fell to 90/58. … Nevertheless, every patient deserves to be
provided with the best opportunity to survive an illness or injury … that permits all necessary interventions to be provided commensurate with
the degree of illness or injury … Consulting Editor, AHRQ’s Patient Safety Network (PSNet)
Professor
Department of Surgery
Division of Trauma
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/back-pain-treatment_consumer.pdf
November 01, 2016 - � Your low back pain is not caused by:
» Injury or pressure on the nerve roots in the spine (radiculopathy … )
» A high-speed injury (such as from a car accident)
» Pregnancy
» Cancer, an infection, problems … as a
chiropractor) or other health care
professional uses his or her hands or a
device to apply pressure
-
psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
February 05, 2020 - Nitrous oxide only flows into the oxygen pipeline when the pressure in the nitrous line is higher than … When pressure in the oxygen line drops below that in the nitrous line, it is possible for an outlet to … The pressure in the oxygen and nitrous oxide pipelines as well as in the cylinders mounted on the anesthesia … When the pressure in the oxygen pipeline drops, a gas outlet may begin to deliver a hypoxic gas mixture … WebM&M Cases
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury
-
psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - technical aspects of anesthetic management (e.g., airway intubation, drug distribution and uptake, risk of
pressure … injury), but poorly controlled medical comorbidities are probably the most important factors
https: … STOP stands for loud snoring, tiredness during the daytime, o
bserved apneas, and high blood pressure … Nocturnal continuous positive airway pressure (CPAP) therapy
should be instituted 4-6 weeks before planned … position causes significant increases in oxygen
consumption, cardiac output, and pulmonary artery pressure
-
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.
-
psnet.ahrq.gov/issue/patients-right-safety-improving-quality-care-through-litigation-against-hospitals
February 17, 2011 - interventions coupled with the 100,000 Lives Campaign , suggesting the other half should feel the pressure … February 17, 2011
A randomized trial of a multifactorial strategy to prevent serious fall injuries
-
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
-
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
-
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?