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641. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49856/psn-pdf
     March 01, 2019 - If there is no cuff leak, it suggests that laryngeal edema or another type of laryngeal injury has reduced … The ICU decided to implement a standardized protocol for positive pressure weaning trials, which also … mechanical ventilation: clinical outcome in patients randomized for a 30-min or 120-min trial with pressure … Extubation outcome after spontaneous breathing trials with T-tube or pressure support ventilation.

642. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837660/psn-pdf
     July 08, 2022 - The trauma team was called to assist and the patient was given additional sedation and opioid analgesia … The trauma surgeon then manipulated both TMJs and was finally able to unloose the locked jaw. … diagnosis and a physician experienced in reducing the TMJ should be consulted to minimize the risk of injury … Placing staff under too much time pressure can, at times, be counterproductive and can adversely affect

643. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854849/psn-pdf
     October 31, 2023 - On hospital day 2, the primary trauma surgery team ordered magnetic resonance imaging (MRI) of the brain … These studies, completed on hospital day 6, showed no evidence of traumatic or hypoxic brain injury … and no vertebral or ligamentous injury; the radiologist noted “minimal cervical spine epidural blood … capturing data for quality metrics or responding to messages from patients through portals certainly add pressure … professional society educational efforts may be helpful in addressing this generational problem.15 Pressure

644. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49765/psn-pdf
     August 21, 2016 - 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

645. In Conversation with... Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ Population | PSNet
     psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patient-safety-concerns-and-lgbtq-population
     February 01, 2023 - In these cases, easily managed health needs like high blood pressure or diabetes can progress to acute … People may go to a provider because they have an injury or concern, and providers can only focus on their … There is also that trauma of accessing care and feeling that bias and stigma, which can prevent patients … I am trans, but I also have high blood pressure and high cholesterol. … We just want to be seen as humans, so that we can get our blood pressure managed on a regular basis.

646. Patient Safety Concerns and the LGBTQ Population | PSNet
     psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population
     February 01, 2023 - than their heterosexual and cisgender peers. 5 Studies have also found that LGBTQ+ people experience trauma … In these cases, easily managed health needs like high blood pressure or diabetes can progress to acute … People may go to a provider because they have an injury or concern, and providers can only focus on their … I am trans, but I also have high blood pressure and high cholesterol. … We just want to be seen as humans, so that we can get our blood pressure managed on a regular basis.

647. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49859/psn-pdf
     April 01, 2019 - oxygen requirement at home was 2 liters via nasal cannula, and she used a continuous positive airway pressure … Benowitz, MD This case, of a woman who sustained burn injuries from using an electronic cigarette (e-cigarette … Numerous reports have emerged of fires and explosions caused by e- cigarettes, some resulting in severe injuries … In summary, this case describes a serious injury due to use of an e-cigarette, a known ignition source … Electronic cigarette explosion and burn injuries, US emergency departments 2015–2017.

648. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49779/psn-pdf
     January 01, 2017 - these failures are more likely when staff are working under high levels of stress, workload, or time pressure … Injuries are caused by a lack of differentiation between the use of infusion devices in hospitals and

649. Hypoxic Gas Supply from Cross-Connected Pipelines | PSNet
     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

650. Delayed Evaluation of Abdominal Pain in an Elderly Patient. | PSNet
     psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
     February 26, 2020 - 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 … 2022 WebM&M Cases Errors in Managing an Open Wound

651. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49744/psn-pdf
     October 01, 2015 - The Case A 47-year-old man with paraplegia (secondary to a gunshot wound) and a history of polysubstance … Unfortunately, his cardiac arrest led to an anoxic brain injury, and he remained in a vegetative state … 11  Laboratory test(s) 12  Laboratory value(s)/result(s) 13  Vital signs: height, weight, blood pressure

652. In Conversation With... Freya Spielberg, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
     September 28, 2022 - A big step was just educating people that, in fact, they have high blood pressure and how they can take … As part of this education, the community health worker would give a patient a blood pressure monitor … so they could take their own blood pressure at different times during the day and see for themselves … that since hypertension is such a huge issue in these populations, everybody should have a home blood pressure … AHRQ’s broad definition of patient safety includes “prevention of diagnostic errors, medical errors, injury

653. Policies and practices related to the role of board certification and recertification of pediatricians in hospital privileging. | PSNet
     psnet.ahrq.gov/issue/policies-and-practices-related-role-board-certification-and-recertification-pediatricians
     February 03, 2011 - September 29, 2017 Medical injuries among hospitalized children.

654. The Wet Read | PSNet
     psnet.ahrq.gov/web-mm/wet-read
     October 01, 2017 - The following morning, the patient's condition improved with normalization of blood pressure, improved … Evaluation of an emergency radiology quality assurance program at a level I trauma center: abdominal … Head trauma: CT scan interpretation by radiology residents versus staff radiologists. … Around-the-clock attending radiology coverage is essential to avoid mistakes in the care of trauma patients … May 1, 2011 Delayed or missed diagnosis of cervical spine injuries.

655. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33765/psn-pdf
     April 01, 2014 - reason for us to make sure, at least from Leapfrog's spot, that there's a continued laser focus and pressure … We graded every hospital for which there's adequate data on errors, accidents, and injuries. … Then hopefully they will go to the hospital and put some pressure on them to elevate the priority of … How do I protect them from the errors and injuries that are rampant? What can I do better?

656. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851971/psn-pdf
     July 31, 2023 - with factitious disorder consciously and manipulatively (usually surreptitiously) produce illness or injury … advocated by most experienced practitioners.20 Applying cricoid pressure compresses the esophagus and … this communication error because the foreign body likely traversed the gastrointestinal tract without injury … Scand J Trauma Resusc Emerg Med. 2021;29(1):64. [Free full text] 20. … The clinical use of cricoid pressure: first, do no harm. Anesth Analg. 2021;132(1):261-267.

657. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49609/psn-pdf
     October 01, 2010 - Risk factors for falls included patient age, number of comorbidities, having a lower systolic blood pressure … addition, after dialysis sessions, hemodynamic shifts can lead to transient hypotension (low blood pressure … The quality indicators include identification of medical injuries and medical errors. … Falls and fall-related injuries in older dialysis patients.

658. 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

659. 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

660. 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