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681. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=162
     January 01, 2024 - Keywords: Healthcare Cost and Utilization Project (HCUP), Osteoporosis, Injuries and Wounds, Emergency … The diagnoses errors studied were missed adolescent depression, missed elevated blood pressure, and missed

682. 3. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/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

683. 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

684. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=473
     January 01, 2024 - This study of 1,512 ACLR patients who were followed for 6 years found that both articular cartilage injury … time of ACLR were significant predictors of International Knee Documentation Center (IKDC) and Knee injury … The recession did not create additional fiscal pressure on hospitals that were previously financially … Keywords: Medical Expenditure Panel Survey (MEPS), Blood Pressure, Healthcare Costs, Health Insurance

685. Presentation: Optimize Your Briefings and Debriefings
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
     December 01, 2017 - Serious injury specifically includes loss of limb or function. … Confirm patient identity, site, and procedure Review perfusion plan, including– Cannulation Perfusion pressure … Review the perfusion plan, including cannulation, perfusion pressure goals, temperature, and transfusion … for improvement Ask if instrument, sponge, and needle counts are correct Record name of procedure and wound … Patient positioned to prevent injury Potential problems of the case identified and discussed All equipment

686. Module 2: How To Manage Change—Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/slides.html
     September 01, 2017 - Change process strategies can be applied to other quality improvement efforts: Hospital-acquired pressure … injuries.

687. 2022 National Healthcare Quality and Disparities Report Executive Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-final-es.pdf
     October 01, 2022 - injury deaths), followed by accidental falls and motor vehicle accidents (each of which accounted for … approximately 20% of unintentional injuries) … an important cause of death that disproportionately affects younger populations, was unintentional injury … • Among the top 10 causes of YPLL, rates of unintentional injury, heart disease, liver disease, and … eclampsia/preeclampsia rate, which measures a complication of pregnancy characterized by high blood pressure

688. 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?

689. 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

690. Protocol for Identifying and Treating Children With Sepsis Syndrome in the Emergency Department (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
     February 01, 2018 - Unlike adults, the diagnosis of septic shock in children does not require the presence of low blood pressure … (hypotension), as children often maintain normal 6 blood pressure until the advanced stages of … A limited window of opportunity exists for treating underlying injury once shock is present. … Because children often maintain their blood pressure until they are severely ill, systemic hypotension … requirement for diagnosis of septic shock in children; in fact, shock may occur long before blood pressure

691. Treatment of Maladaptive Agression in Youth (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chain/practice-tools/tmay-final.pdf
     January 01, 2008 - What are the risks for injury of the child to self and others? … Remember when you are   feeling   overwhelmed by the   lack of available   resources, time   pressures … Picks or scratches skin, pulls hair out, hits self (without injury) ___ 2. … Strikes, pushes, scratches, pulls hair of others (without injury) ___ 3. … Attacks others, causing mild injury (bruises, sprains, welts, etc.) ___ 4.

692. Final2016Qdr-Cx (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqdr16/final2016qdr-cx.pdf
     October 01, 2017 - ◆ The three leading diseases and injuries contributing to years of potential life lost (YPLLs) (unintentional … injury, cancer, and heart disease) did not change between 2005 and 2015 (Figure 3) … Heart disease, cancer, cerebrovascular disease, chronic lower respiratory diseases, unintentional injuries … and may help ensure that money is spent efficiently. 0 25 50 75 100 125 150 175 200 Unintentional Injuries … Measures include hospital-acquired infections, pressure ulcers in nursing homes, inappropriate prescription

693. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
     May 06, 2008 - Data are gathered about the type of event, the location of the event, contributing factors, injuries … • Ensure there are no reprisals for reporting of errors and injuries, both actual occurrences and … of particular importance because all team members must be prepared to move quickly to prevent such injury … There has been a 36 percent reduction in the pressure ulcer rate since July 2006. … The number of patient falls with injury per 1,000 inpatient days is one of the core clinical indicators

694. Urine Culturing Stewardship in the ICU Setting Facilitator Notes
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing.pptx
     April 01, 2022 - Abbreviations: BP = blood pressure; GI = gastrointestinal; Hgb = hemoglobin; HR = heart rate; ICU = intensive … without evidence of another source on history, physical examination, or laboratory testing In spinal cord injury … Has the patient had recent urologic manipulation such as trauma to the GU tract or surgery? … Effectiveness of a bundled approach to reduce urinary catheters and infection rates in trauma patients

695. Slide 1
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/womenhealth/2014nhqdr-womenhealth.pptx
     January 01, 2020 - Importance: About 70 million American adults (29%) have high blood pressure (Nwankwo, et al., 2013). … High blood pressure costs the Nation $46 billion each year. … mostly attributable to sudden unexpected infant death (SUID), congenital anomalies, infection, and injury … Web-based Injury Statistics Query and Reporting System (WISQARS) [Online]. (2013). http://www.cdc.gov … /injury/wisqars/index.html .

696. The Nature, Characteristics and Patterns of Perinatal Critical Events Teams (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Riley_58.pdf
     April 02, 2008 - remains high at 6.3 birth traumas per 1,000 live deliveries.13 • Team and leadership communication … Discussion Critical event teams in health care face significant complexity and time pressures, which … Preventing infant death and injury during delivery. Sentinel Event Alert; Issue 30. … An evaluation of trauma team leader performance by video recording. … Video techniques and data compared with observation in emergency trauma care.

697. 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

698. Technology for Improving Medication Monitoring in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
     March 09, 2005 - Activities Falls* Nutritional status Dehydration Dental care Feeding tubes† Physical restraints† Pressure … Factors associated with serious injury during falls by ambulatory nursing home residents. … Fall injuries in the elderly. Clin Geriatr Med 1985;1(3):501–12. 28. Monane M, Avorn J.

699. 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.

700. U.S. Department of Health and Human Services Health Literacy
     www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/health-literacy-education-presentation-tool-3a.pptx
     January 01, 2019 - She wound up with chlamydia, which resulted in her not being able to have children. 15 Afra Salah was … Afra wound up with chlamydia, which damaged her fallopian tubes and resulted in her not being able to … Ed wound up in the hospital from taking both medicines. 16 Ed Williams’ doctor switched him to a new … Technical Terms Say Not Pain killer Analgesic Swelling Inflammation Feverish Febrile High blood pressure … Hypertension Wound Lesion Injury Insult We’ve been trained in medical language, but we need to