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321. Hypertension Screening for Children Who Are Overweight or Obese: Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-fullreport.pdf
     February 01, 2020 - percentile (2) documentation of diastolic blood pressure percentile, (3) classification of blood pressure … Markers of vascular injury can be detected in very young children, demonstrating that the path to cardiovascular … , systolic blood pressure value, diastolic blood pressure value, and both height and weight (necessary … blood pressure, diastolic blood pressure, height, and weight) was 100 percent, with a Kappa statistic … Systolic or diastolic blood pressure values. 30 7.

322. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa5.pdf
     January 01, 2018 - per 1,000 vaginal deliveries without instrument assistance -54.51 -35.20 HCUP 2016 Obstetric trauma … - injury to neonate per 1,000 selected live births 8.00 1.46 HCUP 2016 Accidental puncture or laceration … 18 and over or obstetric admissions 75.00 4.24 HCUP 2016 Reclosure of postoperative abdominal wound … People Relative Difference Z Score Data Source Data Year Reclosure of postoperative abdominal wound … - injury to neonate per 1,000 selected live births 3.3 0.50 HCUP 2016 Adults who had a doctor’s office

323. Appendix A, Pt. 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
     April 01, 2018 - Other risk factors were male sex (OR 2.01, 95% CL 0.44-10.45), injury-operation interval less than … The incidence increased from 13.2% in clean wounds to 70.0% in dirty wounds. … for specific operation Intraoperative recommendations Ventilation Maintain positive-pressure … Risks include effusions (12% or procedures), deep vein thrombosis (1.8%-46%), nerve injuries, and arterial … injury or aneurysm formation.

324. Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
     April 23, 2008 - Patient Falls Project aimed to reduce the incidence of patient falls and the severity of fall-related injury … Throughout this phase, coaches sought to understand site priorities (goals/ strategic plans) and pressures … • Implement individualized interventions to prevent falls/reduce injury. … improvements Monitor organizational change over time; analyze falls risk assessment, incidence, and injury … Changes may be explained by the “pressure” of the intervention (continuous reminders; ongoing scheduled

325. A Unit Guide To Infection Prevention for Long-Term Care Staff | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
     March 01, 2017 - Infections cause pain, injury, disability, and sometimes even death, and can be very expensive to treat … signs, such as— Increased temperature Changes in respiration or pulse rate Changes in blood pressure … resident, if needed, that the law requires the use of safety lancets and needles to prevent needle stick injuries … Make sure that wounds are covered. Contain any urine, stool, or wound drainage. … An LTC facility must have negative pressure rooms and a respiratory fit-test program in order to safely

326. 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

327. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa4.pdf
     January 01, 2018 - - injury to neonate per 1,000 selected live births 4.5 0.67 HCUP 2016 Adults age 40 and over with … - injury to neonate per 1,000 selected live births 7.4 1.33 HCUP 2016 Adults with chronic joint symptoms … health only per 100,000 population 46.1 5.39 HCUP_NEDS 2016 Reclosure of postoperative abdominal wound … - injury to neonate per 1,000 selected live births 6.7 1.24 HCUP 2016 Children 41-80 lb for whom a … sores or irritation in the calendar year 36.3 2.34 MEPS 2016 Reclosure of postoperative abdominal wound

328. Nursing Intervention to Remove Non-necessary Urinary Catheters
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-040814.pptx
     January 01, 2013 - remove the catheter shortly after the surgery is completed 27 Assist Healing of Perineal and Sacral Wounds … end-of-life: depends on what the patient perceives as more comfortable 29 Required Immobilization for Trauma … or Surgery Examples include: Unstable thoracic or lumbar spine Multiple traumatic injuries, such … 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

329. Table 7: Health and Welfare of the Home and Community-Based Services Population as Measured by 13 Outcome Indicators, 2005 | Agency for Healthcare Research and Quality
     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

330. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
     January 01, 2004 - mandatory error reporting programs gather data on errors associated with fatal outcomes or serious injuries … of administration were trapped prior to completion.10 The population above age 65 sustained more injuries … The most significant potential for injury occurred in the transition of a patient across and between … Inaccurate or incomplete data about medication regimens, when undetected, caused patient injuries. … Time pressures—due to limited CT scanner availability; the critical nature of the patient’s condition

331. Final Progress Report: Safety in the Home Healthcare Sector: A Pilot Study (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdf
     January 01, 2024 - Nearly one of four RNs (19%, n=142) reported experiencing an injury in the past 3 years. … The majority of these injuries were back injuries, (n=68, 48%), upper-extremity injuries (n=38, 27%) … , and lower extremity injuries (n=37, 26%). … Of those with a fire extinguisher, only two households had a fire extinguisher with a working pressure … Childhood injury prevention at home and play.

332. Final Topic Refinement Document - Therapeutic Options for Obesity in the Medicare Population (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/obesity_topic-refinement.pdf
     May 22, 2014 - Adverse effects of interventions ● Activity-related injury ● Adverse effects of medication ( diarrhea … Respiratory disease (i.e., asthma, COPD) ● Sleep apnea o BMI o Adverse effects ● Activity-related injuries … Question 1b CMS Intermediate outcomes We are excluding all intermediate outcomes (adherence, blood pressure … outcomes CMS Intermediate outcomes We are excluding all intermediate outcomes (adherence, blood pressure … skinfold thickness and waist circumference; excluding all intermediate outcomes (adherence, blood pressure

333. Resources by Safety Topic | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/resources/type-harm.html
     April 01, 2025 - Falls Healthcare-Associated Infections Maternal Safety Medication Safety Never Events Opioid Safety Pressure … Center for Disease Control and Prevention (CDC) Stopping Elderly Accidents, Deaths & Injuries (STEADI … Back to Contents Pressure Ulcers AHRQ Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving … Quality of Care This resource assists hospital staff in implementing effective pressure ulcer prevention

334. 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

335. AHRQ Views: Celebrating the 40th Anniversary of the U.S. Preventive Services Task Force | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/920.html
     July 01, 2024 - 36 states from AHRQ’s Healthcare Cost and Utilization Project focusing on adverse outcomes such as pressure … Epidemiology and clinical outcomes of community-acquired acute kidney injury in the emergency department

336. 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.

337. 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

338. Care Coordination Quality Measure for Primary Care (CCQM-PC) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/ccqmpc/ccqm-pc-survey-instructions.pdf
     July 01, 2016 - most of your usual health care needs and who you normally see when you need care for a new illness or injury … being able to walk a flight of stairs without losing your breath, or target rates—for example, a blood pressure … In the last 12 months, if you had an illness or injury, how often did your primary care provider or … 1 Never 2 Sometimes 3 Usually 4 Always 5 I did not have an illness or injury in the last … High blood pressure or hypertension? Congestive heart failure? Coronary artery disease?

339. Communication Assessment Guide: Appendix 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/ap2.html
     August 01, 2022 - During her procedure, her heart rate, blood pressure, and oxygen level were monitored. … During a part of the procedure, we became aware that her heart rate, blood pressure, and oxygen level … First off, right now Mary is stable; her heart rate, blood pressure, and oxygen level are all in normal … We also don't know right now if she has suffered any injury from what happened, but we will check her

340. 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.