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  1. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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 pressureinjuries.
  7. 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
  8. 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?
  9. 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
  10. 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
  11. 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.
  12. 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
  13. 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
  14. 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
  15. 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 .
  16. 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.
  17. 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
  18. 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.
  19. 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.
  20. 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

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