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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
June 01, 2013 - of Patient Safety
Definition of Patient Safety Reference
Freedom from accidental or preventable injuries … psnet.ahrq.gov/glossary)
The prevention of health care errors and
elimination or mitigation of patient injury … National Patient Safety Foundation
Freedom from accidental injury; ensuring patient
safety involves … The avoidance, prevention, and amelioration of
adverse outcomes or injuries stemming from the
processes … Complications 26
429 -- Delirium 2
427 -- Nosocomial Infections 3
450 -- Patient Falls 11
428 -- Pressure
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2017datasources.pdf
June 01, 2018 - 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
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www.ahrq.gov/sites/default/files/wysiwyg/chain/practice-tools/warfarin-slides.pdf
March 19, 2017 - Blood pressure is 124/60
mm Hg; heart rate 70 and irregular.” … The issue I’m calling about is a fall with potential injury.
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www.ahrq.gov/news/events/nac/2021-03-nac/nacmtg031821-minutes.html
July 01, 2021 - revealed improvement in patient safety overall, especially with regard to urinary tract infections and pressure … A health disparity means a higher burden of illness, injury, disability, or mortality experienced by
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/workforce-pcr.pptx
August 01, 2024 - develop, retain, and grow this workforce and to further understanding and improvement of burnout, moral injury … burden, patient wait times, how time is spent in a limited primary care patient visit, impact of time pressure
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt3.pdf
June 01, 2014 - less likely than privately insured Hispanic
adults to receive needed care right away for an illness, injury … Adults who needed care right away for an illness, injury, or condition in the last 12
months who sometimes … 50
P
e
rc
e
n
t
Total White Black Hispanic
Adults who needed care right away for an illness, injury … Children who needed care right away for an illness, injury, or condition in the last 12
months who sometimes … restrained daily can become weak, lose their ability to go to
the bathroom by themselves, and develop pressure
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm2.html
October 01, 2014 - management unit work with patients having a wide range of conditions (e.g., hemophilia, burns, spinal cord injury … However, local physicians' support of the program created enough pressure to reverse the decision to
-
www.ahrq.gov/sites/default/files/wysiwyg/workingforquality/cms-quality-strategy.pdf
January 01, 2020 - year, and these conditions lead to 99,000 deaths; adverse medication
events cause more than 770,000 injuries … CMS aims to partner with healthcare providers in a continual effort to reduce the risk for injury from … The key interventions are referred to as the “ABCs”:
appropriate aspirin therapy, blood pressure control … Surviving Sepsis Campaign, Healthy People 2020, as well as screening and
treatment for high blood pressure
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www.ahrq.gov/downloads/pub/prevent/pdfser/cas/cases.pdf
December 01, 2007 - Although it is difficult to determine the intensity of medical
management, the mean systolic blood pressure … However, among the RCTs, the VACS reported
surgical complications rates of 3.8% for cranial nerve injuries … (none of these injuries were
permanent), 5.2% for hypotension, and 25% for hypertension.40
Is … Cumulative effects of high cholesterol levels,
high blood pressure, and cigarette smoking on carotid … Overall = 3.7%
High volume hospital (>100
cases/year) = 3.5%
Low volume hospital = 5.2%
3% HTN
2% wound
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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
-
www.ahrq.gov/teamstepps/longtermcare/module6/igltccommunication.html
November 01, 2012 - nurse is signing out Margaret for the leave of absence, she tells Beth, "Your mother is at risk for pressure … Examples:
The nonverbal cues a nurse gives when assessing an injury would quickly tell another nurse
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www.ahrq.gov/research/findings/studies/index.html?page=154
January 01, 2024 - investigators concluded that nonroutine event-containing cases were commonly associated with patient impact and injury … Keywords: Blood Pressure, Pregnancy, Cardiovascular Conditions, Women, Maternal Care, Risk
McDonald
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www.ahrq.gov/research/findings/studies/index.html?page=105
January 01, 2024 - Changes in 3 clinical quality measures (CQMs): appropriate aspirin use, blood pressure (BP) control, … a risk-treatment paradox for TRI use was observed not only for bleeding risk, but for acute kidney injury
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_tools.docx
November 16, 2011 - Monthly falls analysis by:
location and time of fall
shift and day of week
type of injury … consequences of falls
High-risk medications, sleep hygiene measures for management of anxiety
Low blood pressure
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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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
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
-
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
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt3.pptx
September 19, 2015 - 2014 White Black Hispanic 89.3 86.5 82.2
Percent
Adults who needed care right away for an illness, injury … less likely than privately insured Hispanic adults to receive needed care right away for an illness, injury … 18.100000000000001 18.899999999999999 20.2
Percent
Children who needed care right away for an illness, injury … restrained daily can become weak, lose their ability to go to the bathroom by themselves, and develop pressure … Achievable Benchmark: 70.7%
Importance: Many patients who receive home health care are recovering from an injury
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www.ahrq.gov/research/findings/studies/index.html?page=441
January 01, 2024 - infections and catheter-related urinary tract infections but no improvements for either hospital acquired pressure
-
www.ahrq.gov/research/findings/studies/index.html?page=265
January 01, 2024 - Keywords: Telehealth, Health Information Technology (HIT), Blood Pressure, Stroke, Cardiovascular Conditions … These calls were more likely associated with male sex, traumatic injuries, advanced monitoring, airway