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1041. Final Progress Report: Health Journalism 2011, national conference on healthcare journalism (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/bruzzese3-report.pdf
      January 01, 2024 - Soldiers with traumatic brain injuries. Athletes with concussions. … care o From pee wee to pro: Head injuries in sports o Can the FDA ensure food safety? … Journalism Graduate Program • How nanotechnology may revolutionize the detection of traumatic brain injury … interim deputy director, Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury … "Sim Man" and "Harvey" reproduced physiological signs, such as blood pressure and heart and breathing

1042. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49677/psn-pdf
      February 01, 2013 - history of hypertension, psychiatric illness, and a previous suicide attempt overdosed on her blood pressure … The ED team thought this was likely due to severe hypotension (her systolic blood pressure was around … The possibilities for harm are numerous and include accidental trauma to non-venous structures (arteries … , lung, nerve, visceral organs); bleeding (hematoma, hemothorax, or hemorrhage); operator injury (needle … wire, bloodstream infections, sheared catheter, dysrhythmias, thrombosis, through-and-through vessel trauma

1043. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33578/psn-pdf
      September 15, 2024 - anesthesia were integral to the redesign of anesthesia equipment, significantly reducing the risk of injury … critical system property, reflecting the organization's capacity to bounce back in the face of continuing pressures

1044. In Conversation With… Leah Binder, MA, MGA | PSNet
      psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
      February 26, 2025 - reason for us to make sure, at least from Leapfrog's spot, that there's a continued laser focus and pressure … We graded every hospital for which there's adequate data on errors, accidents, and injuries. … Then hopefully they will go to the hospital and put some pressure on them to elevate the priority of … How do I protect them from the errors and injuries that are rampant? What can I do better?

1045. Nursing Intervention to Remove Non-necessary Urinary Catheters
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-040814.pptx
      January 01, 2013 - remove the catheter shortly after the surgery is completed 27 Assist Healing of Perineal and Sacral Wounds … end-of-life: depends on what the patient perceives as more comfortable 29 Required Immobilization for Trauma … or Surgery Examples include: Unstable thoracic or lumbar spine Multiple traumatic injuries, such … unit (e.g., congestive heart failure receiving diuretics ) Incontinence without sacral or perineal pressure … ICU, or different non-ICU) Partnering with other stakeholders (case managers, physical therapists, wound

1046. Effect of Recent Refresher Training on in Situ Simulated Pediatric Tracheal Intubation Psychomotor Skill Performance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nishisaki_44.pdf
      April 19, 2008 - • Hypotension: systolic blood pressure <70 mmHg.9 • Intubation failure: o No intubation success … Nadkarni); the Center for Injury Research and Prevention (Dr. … Committee on Trauma. Advanced trauma life support student manual. 7th ed. … The infant has no evidence of increased intracranial pressure. … Each subject was reminded to “pay attention to” the potential cervical spine injury, but a person was

1047. PCIP Evaluation Patient Survey (pdf file)
      digital.ahrq.gov/sites/default/files/docs/survey/pcip-evaluation-patient-survey.pdf
      June 16, 2021 - In the last 6 months, when you needed care for an illness or injury, how often did this doctor's office … never  Sometimes  Usually  Almost always  Always  I did not need care for an illness or injury … Do you have a chronic illness (for example: high blood pressure, diabetes, asthma)?

1048. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? | PSNet
      psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
      June 24, 2020 - Were there time pressures, organizational or managerial expectations, or protocol or procedures that … October 14, 2009 Laparoscopic bile duct injury: understanding the psychology and heuristics

1049. S50 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/s50.pdf
      October 01, 2007 - Practice-Based Evidence for Clinical Practice Improvement in Long-term Care The National Pressure Ulcer … No resident started with a pressure ulcer, but 29% of residents developed one by the end of the 12-week … Interventions identified by regression analyses to be associated with decreased likelihood of pressure … Measuring medical complexity during inpatient rehabilitation after traumatic brain injury. … The National Pressure Ulcer Long-Term Care Study: pressure ulcer development in long-term care residents

1050. Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
      January 29, 2008 - percent).5 In terms of overall numbers, preventable technical complications of surgery (10,891) and wound … Postoperative wound dehiscence 15. Transfusion reaction Treatment 5. … Birth trauma and obstetric trauma (3 types related to delivery methods) Preventive 10. … as “response generalization.”36 This line of OBM research informed an intervention to decrease injuries … individual access to computers; d) adding clinical decision support; e) instigating relevant peer pressure

1051. Chronic-urinary-retention-protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/chronic-urinary-retention_research-protocol.pdf
      November 19, 2012 - Examples of neurologic causes include spinal cord injury (SCI), stroke, multiple sclerosis (MS), and … diabetes mellitus.3 Other causes include Fowler’s syndrome in women, trauma, postoperative complications … In men it may also be important to determine whether the retention is high-pressure or low-pressure … retention (detrusor pressure at the end of micturition) as this may affect treatment decisions.4 However … Bladder management for adults with spinal cord Injury: A clinical practice guideline for health-care

1052. Disposition of Comments for Technical Brief 27 Patient Safety (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/ambulatory-safety_disposition-comments.pdf
      October 19, 2016 - We added this to the intro: Ambulatory providers experience intense time pressure, with current incentives … Again the extreme time pressures seem to be a big factor here and lack of time to both be fully attentive … injuries, patient falls, MRSA, undue radiologic testing (i.e., unnecessary and unwarranted duplicative … Cluttered environments, torn carpets, uneven flooring, exam table injuries (e.g., patients falling off … This also relates to above comments related to pace of work and production pressures.

1053. Microsoft Word - NHQRDR9_HCUP Methods Report_final.doc (pdf file)
      hcup-us.ahrq.gov/reports/methods/2011_06.pdf
      January 01, 2011 - E Codes: Another issue relates to external cause-of-injury reporting. … data to help identify complications of care or to exclude cases (e.g., poisonings, self-inflicted injury … , delirium and other psychoses, anoxic brain injury; patients with metastatic cancer, lymphoid malignancy … , bone malignancy, and self-inflicted injury; admissions for diseases and disorders of the musculoskeletal … PSI 17 Birth trauma - injury to neonate per 1,000 live births (excluding preterm and osteogenesis imperfecta

1054. PowerPoint Presentation (ppt file)
      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,

1055. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49774/psn-pdf
      November 01, 2016 - hospital course but was ultimately discharged to a rehabilitation facility with no major permanent injuries … a cervical laceration that extends beyond the vagina into the peritoneal cavity or a vaginal wall injury … (12) Furthermore, the operative field may appear dry during the procedure when the patient's blood pressure … is low, only to have significant bleeding later emerge when severe hypertensive pressures return, after

1056. A Real Heartache | PSNet
      psnet.ahrq.gov/web-mm/real-heartache
      October 01, 2018 - On physical examination, his initial blood pressure was elevated at 192/100 mm Hg, but his heart rate … Bilateral upper-extremity blood pressures were equal. … oral antacid/anesthetic combination) was given, and the patient reported symptom relief; his blood pressure … ECG interpretation: sinus tachycardia, with posterolateral injury pattern.

1057. Developing a tool for assessing competency in root cause analysis. | PSNet
      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.

1058. Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study. | PSNet
      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?

1059. Psn-Pdf (pdf file)
      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.

1060. Layout 1 (pdf file)
      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