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541. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
     December 01, 2017 - If someone is in danger of injury or an emergent procedure is missing a vital resource, we do what needs … Were decisions made under pressure, despite distractions, or without appropriate knowledge of case or

542. Steps for Increasing Urinary Incontinence Screening: A Guide for Primary Care Practices (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/mui-screening-toolkit.pdf
     April 01, 2025 - other health condition.[21],[22] A clinician screens a woman for UI during an encounter for blood pressure … Activity • Small Amount of Urine Leakage • Difficulty Emptying Bladder • Lower Abdominal or Pelvic Pressure … This not only removed the pressure and embarrassment that may accompany reporting UI symptoms, but also … Reduction: Primary care practices may have QI efforts to reduce the risk of falls and subsequent injuries

543. Case Report on Ambulatory Safety and Quality (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-casereport.pdf
     September 05, 2017 - Recent illness or tissue injury, and chronic inflammation from arthritis can increase CRP levels and … electrolyte levels may be a sign of dehydration, kidney disease, liver disease, heart failure, high blood pressure … AST & ALT Injury to cells releases these enzymes into the blood. … Liver disease and heart attacks, as well as serious physical injury can cause elevation of these … Levels can be elevated with age, as a result of injury, sexual activity (ejaculation), inflammation

544. 2018 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-datasources.pdf
     October 01, 2019 - State-specific data on preventive health practices and risk behaviors linked to chronic diseases, injuries … are patient’s age, sex, race, and ethnicity; patient’s expressed reason for visit; intentionality of injury … include mode of arrival, waiting time, duration of time in the ED, initial vital signs, and cause of injury … The examination includes physical measurements, such as blood pressure and dental examinations, and … from each family in the house and collects data on topics including health status and limitations, injuries

545. ADHD Performance Measurement Set (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-14-attach-1.pdf
     January 01, 2011 - culminate in significant costs attributable to greater health-care needs, more frequent unintentional injury … culminate in significant costs attributable to greater health-care needs, more frequent unintentional injury … with or without behavior therapy): At least 2 follow-up visits with: Height, weight, and blood pressure

546. Measure 1, Section 14, Attachment 1 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-14-attachment-1.pdf
     January 01, 2011 - culminate in significant costs attributable to greater health-care needs, more frequent unintentional injury … culminate in significant costs attributable to greater health-care needs, more frequent unintentional injury … (with or without behavior therapy): At least 2 follow-up visits with: Height, weight, and blood pressure

547. Final Progress Report: Engineering Safe Care Journeys for Vulnerable Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
     January 01, 2025 - primary complaint of fall occurring within the previous 48 hours; were not categorized as a level 1 trauma … Nurses described challenges with teach back, including time pressure for both themselves and patients … info organized logically, important info on front page • Useful info in AVS (e.g., info on home care (wound … care partner during D/C • ED physician/ APP talking with pt about D/C before ED nurse • Time pressure … Preventable medical injuries in older patients. Arch Intern Med. 2000;160:2717-2728. 14.

548. Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
     January 01, 2024 - implement interventions to address these.1 Development of the BI-OTT Consistent with the “no preventable injuries … in terms of reported medical expenditures, employment status, or work days missed due to illness or injury … High blood pressure (hypertension)? 11(64.7) 23(67.6) 0.83** d. High cholesterol (hyperlipidemia)? … 18.8) During 2010 about how many days did you miss work at a job or business because of illness or injury … patients in terms of reported medical expenditures, employment status, or days missed due to illness or injury

549. Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
     January 01, 2020 - peripheral vascular complication [including pseudoaneurysm, hematoma at catheter insertion site, vascular injury

550. Prescribing Safety in Ambulatory Care: Physician Perspectives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
     January 01, 2003 - Human: Building a Safer Health System, identified medical errors as a leading cause of death and injury … control … and we’re treating 85-year-olds with drugs that will knock them out just to lower their blood pressure

551. Improving the Value of Patient Safety Reporting Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
     June 12, 2008 - identified insufficient staff knowledge as the main cause of events related to the use of intracranial pressure … Severity scoring (i.e., severity of patient injury and frequency of occurrence) is one approach to prioritizing

552. High-Hanging Fruit: Improving Transitions in Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
     March 27, 2008 - Signovers provide more than information (e.g., name, blood pressure, diagnosis); they also support macrocognitive … Patterns of communication breakdowns resulting in injury to surgical patients.

553. Fallspximpl-Handouts (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
     June 02, 2025 - The On-Time reports may also take some of the pressure off communication practices by automatically providing … She did make a recommendation for a medication change and some increased monitoring of blood pressure

554. Final Progress Report: TOP-MEDS CERT: Tools for Optimizing Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lambert-report.pdf
     January 01, 2024 - Antidepressant treatment and suicide attempts and self-inflicted injury in children and adolescents. … Antidepressant treatment and suicide attempts and self-inflicted injury in children and adolescents … also investigate our strategy’s impact on intermediary clinical outcomes, including systolic blood pressure … measures included medication understanding, adherence, and clinical measures (hemoglobin A1c, blood pressure

555. 2021 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-datasources.pdf
     December 31, 2021 - state-specific data on preventive health practices and risk behaviors linked to chronic diseases, injuries … patient’s age, gender, race, and ethnicity; patient’s expressed reason for visit; intentionality of injury … include mode of arrival, waiting time, duration of time in the ED, initial vital signs, and cause of injury … The examination includes physical measurements, such as blood pressure and dental examinations, and … from each family in the house and collects data on topics including health status and limitations, injuries

556. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
     December 01, 2020 - state-specific data on preventive health practices and risk behaviors linked to chronic diseases, injuries … The examination includes physical measurements, such as blood pressure and dental examinations, and … from each family in the house and collects data on topics including health status and limitations, injuries … infections; seven types of adverse events associated with surgery; patient falls; and hospital-acquired pressure … events associated with the hospital stay and not present on hospital admission (inpatient falls and pressure

557. Organizational Climate of Staff Working Conditions and Safety—An Integrative Mode (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Stone.pdf
     January 01, 2004 - as likely as nurses on well-staffed and better-organized units to report risk factors, needlestick injuries … Implementing evidence-based medicine: the role of market pressures, compensation incentives, and culture … Effects of hospital staffing and organizational climate on needlestick injuries to nurses.

558. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/handout.html
     November 01, 2017 - The On-Time reports may also take some of the pressure off communication practices by automatically providing … She did make a recommendation for a medication change and some increased monitoring of blood pressure

559. Department of Health and Human Services National Institutes of Health - National Institute for Research on Safety and Quality (NIRSQ) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2021/FY_2021_CJ_NIRSQ.pdf
     January 01, 2021 - Rounds on the Web); • AHRQ QuestionBuilder App; • AHRQ’s Safety Program for Nursing Homes: On-Time Pressure … scans ordered, higher physician trust, and higher patient knowledge in cases involving minor head injuries