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241. Emergency Nurses Association content and transcript (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ena-slides.pdf
     September 01, 2015 - Need for resources • What teams need to be activated (specialists, code team, trauma team, brain injury … While a catheter may prove useful in advanced-stage pressure ulcers, there are many other products that … Additionally, the presence of a catheter can cause pressure and may damage fragile tissue. … • The patient who requires immobilization for trauma or surgery  Inquire about the length of the … • The patient who is incontinent with open sacral or perineal wounds  Consult with the wound care

242. Emergency Nurses Association content and transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/ena-slides.pdf
     September 01, 2015 - Need for resources • What teams need to be activated (specialists, code team, trauma team, brain injury … While a catheter may prove useful in advanced-stage pressure ulcers, there are many other products that … Additionally, the presence of a catheter can cause pressure and may damage fragile tissue. … • The patient who requires immobilization for trauma or surgery  Inquire about the length of the … • The patient who is incontinent with open sacral or perineal wounds  Consult with the wound care

243. 7.  Appendix C: Additional Tables by Topic Area | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-c.html
     May 01, 2024 - Appendix D: Grant Summaries P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury … program that supports patients discharged from the hospital to home after an episode of acute kidney injury … Prioritizing Quality Improvement for the Treatment of Psychiatric Disturbances Following Traumatic Brain Injury … support in rural primary care practices to provide evidence-based clinical care recommendations for blood pressure … practice facilitation would improve the use of a hypertension-focused CDS to effectively improve blood pressure

244. Unique Challenges in Approaching Diagnostic Safety in Older Adults | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults2.html
     September 01, 2024 - presented to his physical therapist 23 days after falling off a ladder, resulting in a mild traumatic brain injury … Lamjoun, et al. (2023) 39 Normal pressure hydrocephalus and mania symptoms: case report A 54-year-old … e.g., registered nurses, clinical pharmacists, social workers, nutritionists) and face institutional pressure

245. Primary Care Practice Facilitation Curriculum Module 31: Facilitating Panel Management (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-31-facilitating-panel-management.pdf
     September 01, 2015 - acute care centers—services rendered to patients needing urgent medical attention (e.g., infection, injuries … The registry can also identify patients not in control of HbA1c, LDL, or blood pressure, patients who … Other information may need to be input by someone in the clinic, for example, blood pressure, weight … The Panel Manager may also have the job to enter data into the registry (like blood pressures) and to … Which of these patients would you call to schedule a group blood pressure clinic appointment? b.

246. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/049-dec-implementation-slides.pptx
     October 01, 2024 - and Dressings8 Recommended for superficial wounds Friable skin/rashes Superficial burns Pressure injuries … Recent nasal surgery or trauma: Discuss with your hospital’s ENT surgeons to establish guidelines for … CHG is approved as a wound cleanser. … Encourage wound care nurses to provide support to staff who are uncomfortable. … SHIELD: Eliminating Multidrug-Resistant Organisms; FAQ: Wound Care.

247. Advances in Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/advances/index.html
     July 01, 2022 - Reige Surveillance Detection of Inpatient Health Care Associated Injuries: Comparing Two ICD-9-CM … Song, Tracey Pritchett Developing a Veterans Health Administration (VHA) Serious Injury Surveillance … Jaser, Nancy Safer, Paul Davern Medical Injury Identification Using Hospital Discharge Data (   PDF … Nozick Clinical Informatics and Its Usefulness for Assessing Risk and Preventing Falls and Pressure

248. AHRQ Transforming Primary Care Grants Bibliography | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/grants-transform/bibliography/index.html
     February 01, 2017 - Hemoglobin A1c and blood pressure values in patients with diabetes were not significantly different between … The number of hospitalizations for unintentional injury and asthma also decreased after implementation … PMID: 23690385 The authors compared emergency care usage for any reason, asthma, and unintentional injury … As a comparison, emergency care use for unintentional injury had been increasing before and during implementation … Among patients with hypertension, frequent in-person visits were associated with better blood pressure

249. AHRQ Transforming Primary Care Grants | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/tpcbib/index.html
     May 01, 2015 - Hemoglobin A1c and blood pressure values in patients with diabetes were not significantly different between … The number of hospitalizations for unintentional injury and asthma also decreased after implementation … PMID: 23690385 The authors compared emergency care usage for any reason, asthma, and unintentional injury … As a comparison, emergency care use for unintentional injury had been increasing before and during implementation … Among patients with hypertension, frequent in-person visits were associated with better blood pressure

250. Improving Safety Using Teamwork and Patient Safety Norms (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
     March 18, 2025 - Implementation of TeamSTEPPS at a Level-1 Military Trauma Center: The San Antonio Military Medical … hospital-acquired infection was reviewed using LFD ► LFD used for post-fall huddle and after skin injury … Skin: Pressure Ulcer? POA? - Current descript ion of PU 10. Foley: Can it be removed?

251. Labor and Delivery Unit Safety: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
     July 01, 2023 - Intrauterine pressure catheter or fetal scalp electrode placement. Manual rotation. … Effects of shoulder dystocia training on the incidence of brachial plexus injury. … Shoulder dystocia and injuries: prevention and management.

252. Screening for Family and Intimate Partner Violence: Systematic Evidence Review (pdf file)
     www.ahrq.gov/downloads/pub/prevent/pdfser/famviolser.pdf
     March 01, 2004 - Inflicted injury versus accidental injury. [Review] [87 refs]. … Validation of a Trauma Questionnaire in veteran women. … Analytic Framework and Key Questions *Including physical trauma (fractures, dislocations, brain injury … If answer is yes, code “1” for no injury, “2” for possible injury, and “3” for injury. … 6 = Use of weapon, wound from weapon 4.

253. Appendix D. Falls Engineer Instructions | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapd.html
     December 01, 2017 - Engineer Instructions The Falls Management Program is designed to prevent falls and injuries … Fill to the pressure recommended on the side of the tire. … Instructions: If the brake lever does not bite 1/8 inch into the tire, it may be because the tire pressure

254. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/handouts.html
     September 01, 2017 - Report data help identify residents with new ADL decline, fall risk, or fall injury, therefore at risk … and Rehab  Managers Weekly huddle to review residents at risk for ADL decline or fall or with fall injury … with stage 2 or above pressure ulcers at risk for infection who potentially require hospitalization/ … Reports provide information about current and changing risks for pressure ulcer healing and can aid root … Discharge diagnoses were dehydration, fall with injury, cellulitis, and angina.

255. NAA National Webinar July 2024 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/slides-healthcare-safer-by-design.pdf
     August 20, 2024 - Use of an ADC’s override feature should be routinely tracked and monitored. 2023 #6 Inflatable Pressure … ©2024 ECRI | ECRI Confidential47 Surgical Fire Response • Immediate action • Mitigate risk of injury

256. 3. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state3.html
     January 01, 2024 - that patients with diagnosis-related claims were  2.33 times more likely to die than to have a minor injury … have been associated with increased medical errors and stress, anxiety, and burnout. 113,114 Time pressure … of diagnostic safety found the need to prioritize research on system factors, such as workload, time pressure … considering alternative diagnoses, taking a diagnostic timeout to pause and reflect, and minimizing time pressures … themes of the diagnostic process, including diagnosis as a social phenomenon and distractions and time pressures

257. Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-synthesis-report.pdf
     July 22, 2015 - post-implementation period.33 The trend applied to emergency care use overall and to asthma and unintentional injury … Specifically, the percent of PCMH patients hospitalized per month (overall and for asthma and unintentional injury … Donahue, MD, MPH Diabetes • HbA1c <9% • LDL cholesterol <100 mg/dL • Blood pressure <130/80 … ≤130/80 mm Hg • LDL cholesterol ≤100 mg/dL Cardiovascular disease: • Blood pressure ≤130/80 … Gabbay, MD, PhD Diabetes • HbA1c <7% • Blood pressure <130/80 mm Hg • LDL cholesterol <100

258. Advancing Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/advancing/index.html
     July 01, 2022 - private-public partnerships to: (1) identify the causes of preventable health care errors and patient injury … By using hospital administrative data, PSIs can identify pressure ulcers, postoperative pulmonary emboli … Education in 2003 and that the long shifts medical interns worked led to 61 percent more needlestick injuries

259. Advancing Patient Safety: A Decade of Evidence, Design, and Implementation (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/advancing-patient-safety.pdf
     January 01, 2010 - private-public partnerships to: (1) identify the causes of preventable health care errors and patient injury … By using hospital administrative data, PSIs can identify pressure ulcers, postoperative pulmonary … Education in 2003 and that the long shifts medical interns worked led to 61 percent more needlestick injuries

260. Imp-Handouts (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
     April 02, 2025 - Report data help identify residents with new ADL decline, fall risk, or fall injury, therefore at risk … Rehab Managers Weekly huddle to review residents at risk for ADL decline or fall or with fall injury … 2 or above pressure ulcers at risk for infection who potentially require hospitalization/ED visit … Reports provide information about current and changing risks for pressure ulcer healing and can aid … Discharge diagnoses were dehydration, fall with injury, cellulitis, and angina.