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www.uspreventiveservicestaskforce.org/home/getfilebytoken/nMb54adBfgajp8dG87kPcw
April 17, 2018 - Beil, MS
IMPORTANCE Falls are the most common cause of injury-related morbidity and mortality
among … of falls resulting in injury as reported in the trials. … number of the following components: balance,
gait, vision, cardiovascular health (eg, postural blood pressure … Web-based Injury Statistics Query and Reporting
System (WISQARS) website. https://www.cdc.gov
/injury … Injury. 2014;45(1):265-271.
38.
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psnet.ahrq.gov/issue/determining-skills-needed-frontline-nhs-staff-deliver-quality-improvement-findings-six-case
March 30, 2022 - Multifactorial interventions to reduce duration and variability in delays to identification of serious injury … Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab12.html
February 01, 2023 - Composite: ACSC Overall
Yes
26,515
17,685
7,028
No
18,855
19,300
20,127
Pressure … 7,404
Composite: ACSC Overall
6,233
33,102
8,819
20,714
16,992
19,479
Pressure
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
July 01, 2023 - communication breakdowns are identified as the primary root
cause of maternal and perinatal deaths and injuries … Other root causes for maternal and perinatal deaths and injuries are—
• Assessment (i.e., the adequacy … Her blood pressures have
remained normotensive, and she has had good
reflexes throughout the shift. … Her
blood pressures have remained normotensive, and she has had good reflexes throughout
the shift. … 2023
Communication Obstetric Hemorrhage
Communication is…
Maternal and Perinatal Deaths and Injuries
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psnet.ahrq.gov/perspective/measuring-patient-safety
December 14, 2022 - Falls and pressure ulcers also went up – in skilled nursing facilities, we saw rates of falls causing … major injury increase by 17% and pressure ulcers increase by over 40%. … healthcare-acquired infections, complications, medication safety, safety of the EMR, patient falls with injury … , and pressure injuries. … Did you take someone's blood pressure?
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psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
December 14, 2022 - Falls and pressure ulcers also went up – in skilled nursing facilities, we saw rates of falls causing … major injury increase by 17% and pressure ulcers increase by over 40%. … healthcare-acquired infections, complications, medication safety, safety of the EMR, patient falls with injury … , and pressure injuries. … Did you take someone's blood pressure?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
April 01, 2003 - This heightened interest has
increased pressure on hospitals to reduce medical errors. … Increased regulatory and payer pressures have encouraged hospital
leaders to undertake efforts to improve … For example, one consortium participant from a large multihospital
network created an injury graph that … Based on this analysis, she categorized injuries by hospital. … The visual image helped motivate the organization to set system goals for
reducing patient injuries.
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psnet.ahrq.gov/issue/teamstepps-core-curriculum
August 01, 2012 - July 12, 2018
Pressure Injury Prevention in Hospitals Training Program.
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psnet.ahrq.gov/issue/abc-handover-impact-shift-handover-emergency-department
June 17, 2010 - June 17, 2010
Teams under pressure in the emergency department: an interview study. … Settings Help Improve Management of Sepsis
May 31, 2023
High delayed and missed injury … rate after inter-hospital transfer of severely injured trauma patients.
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psnet.ahrq.gov/node/840141/psn-pdf
November 16, 2022 - reporting and improvements in safety culture, as well as decreases in adverse events such
as falls, pressure … injuries and healthcare-acquired infections.
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psnet.ahrq.gov/web-mm/forgotten-drip
April 01, 2014 - Multiple therapies were initiated to reduce the intracranial pressure and swelling, including intubation … The "Lund protocol," derived in patients with elevated ICP in the setting of head trauma, assumes that … Continuous recording and control of ventricular fluid pressure in neurosurgical practice. … Introduction to cerebral perfusion pressure management. Neurosurg Clin N Am. 1995;6:761-773. … Hyperventilation in head injury: a review. Chest. 2005;127:1812-1827. [go to PubMed] 5.
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psnet.ahrq.gov/issue/medical-malpractice-why-it-so-hard-doctors-apologize
August 24, 2011 - August 24, 2011
Assessment of nursing home reporting of major injury falls for quality … February 5, 2020
Accuracy of pressure ulcer events in US nursing home ratings.
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hcup-us.ahrq.gov/reports/race/50StateScan04_26forweb.pdf
December 01, 2010 - and Illnesses, Census of
Fetal Occupational Injuries,
Current Population Survey), DPH
Infectious … (2008)
http://tinyurl.com/
46tflsy
Physical Activity, Mental
Health, Tobacco Use, High
Blood Pressure … Cancer,
Cardiovascular Disease,
Diabetes, Obesity, HIV/AIDS,
Infant Mortality, Unintentional
Injuries … Deaths, Deaths
of Children 1-17, Deaths of
teens 15-17, Tobacco Use,
General Nutrition, Blood
Pressure … Diabetes, Stroke, Homicide,
Motor Vehicle Deaths, Suicide
Deaths, Obesity, Tobacco Use,
Blood Pressure
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/healthy-diet-and-physical-activity-counseling-adults-with-high-risk-of-cvd
September 13, 2018 - activity for cardiovascular disease (CVD) prevention among adults with hypertension, elevated blood pressure … e.g., morbidity and mortality) in adults with known CVD risk factors (hypertension or elevated blood pressure … glucose, or body mass index) in adults with known CVD risk factors (hypertension or elevated blood pressure … What is the relationship between intermediate outcomes (e.g., blood pressure, lipid levels, blood glucose … Adverse outcomes
Harms requiring medical attention (e.g., nutritional deficiency, musculoskeletal injury
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/healthy-lifestyle-and-physical-activity-for-cvd-prevention-adults-without-known-risk-factors-behavioral-counseling
June 04, 2020 - Abbreviations: BP=blood pressure; BMI=body mass index; CVD=cardiovascular disease; yr=year. … activity, and reduce sedentary behavior improve intermediate outcomes associated with CVD (g., blood pressure … *CVD risk factors include hypertension or elevated blood pressure, dyslipidemia or elevated lipid levels … intervention (e.g., nutritional deficiencies, disordered eating, symptoms of anxiety, musculoskeletal injuries … † Persons with known traditional CVD risk factors (i.e., hypertension or elevated blood pressure,
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.347_slideshow.ppt
May 01, 2015 - Her vital signs were notable for a temperature of 38.6° C, heart rate of 115 beats per minute, blood pressure … 2 hours despite adequate fluid resuscitation
Creatinine > 2 mg/dL
Worsening hypoxemia
Acute lung injury … with PaO2/FiO2 < 250 in the absence of pneumonia as infection source
Acute lung injury with PaO2/FiO2 … Shock
Septic shock is defined as severe sepsis with lactate ≥ 4 mmol/L or hypotension (mean arterial pressure … [MAP] < 65 mm Hg; systolic blood pressure < 90 mm Hg) not responsive to a fluid bolus
In this case,
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psnet.ahrq.gov/issue/developing-tool-assessing-competency-root-cause-analysis
May 01, 2014 - May 22, 2019
Fake it 'til you make it: pressures to measure up in surgical training. … Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.
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psnet.ahrq.gov/issue/are-measurements-patient-safety-culture-and-adverse-events-valid-and-reliable-results-cross
February 04, 2015 - Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … July 1, 2016
Does time pressure have a negative effect on diagnostic accuracy?
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psnet.ahrq.gov/node/49732/psn-pdf
May 01, 2015 - 4 mmol/L or hypotension (mean arterial pressure [MAP] 4) In this case, the patient presented to
the … mental status
Lactate > 2 mmol/L
Urinary output
Creatinine > 2 mg/dL
Worsening hypoxemia
Acute lung injury … with PaO2/FiO2
Acute lung injury with PaO2/FiO2
Bilirubin > 2 mg/dL
Platelet count 9/L
International … normalized ratio > 1.5
Partial thromboplastin time > 60 seconds
MAP: mean arterial pressure
SBP: … systolic blood pressure
Reprinted from (4) with permission from Wolters Kluwer Health, Inc.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/renal-artery-stenosis_executive.pdf
October 01, 2006 - Renal artery revascularization
may provide immediate improvement in kidney
function and blood pressure … While there was a benefit in blood pressure
after angioplasty, particularly in patients with bilateral … patients, transient deterioration of kidney function in 1
to 13 percent, renal artery or parenchymal injury … are independently
associated with direct kidney injury. … Blood pressure Acceptable • The 2 RCTs both found some evidence of greater blood pressure
improvement