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1061. 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

1062. 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)?

1063. 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

1064. 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.

1065. 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

1066. 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

1067. 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,

1068. 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

1069. 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.

1070. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33764/psn-pdf
      April 01, 2014 - Does this accelerate the pressure to think about safety more broadly in the ambulatory environment and … That report called out the fact that many physical injuries are happening in the workforce, as well … as psychological injury due to lack of respect, bullying, fear, stress, and productivity pressures.

1071. Draft Comparative Effectiveness Review Appendicies (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/renal-artery-stenosis_appendixes.pdf
      April 01, 2005 - Effects on blood pressure and renal function. … pressure … the various treatment regimens examined were effective for lowering blood pressures in RAS patients … • Renal artery or parenchymal injury during procedure ranged from 1-10%. … various treatment regimens examined were effective for lowering blood pressures in RAS patients

1072. Factors that Impact Perinatal Care Experience and Outcomes: Slide Presentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/perinatal-care-experience-slides.pdf
      March 06, 2025 - Function, quality of life, satisfaction • Harms (eg, mistreatment, disrespectful care, birth related injury … Days 43 Days to One Year Maternal Deaths by Time Period and Cause Mental Health Condition High Blood Pressure … ng a P C P vi si t w ith sp ec ifi c pr im ar y ca re s er vi ce s, % Blood pressure

1073. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865984/psn-pdf
      May 29, 2024 - Angina is typically described as a pressure-like or squeezing sensation in the chest, associated with … remember that electrocardiographic changes are not seen in unstable angina, as there is no permanent injury … limit Table adapted from Long et al. (2017)9 1Examples of risk factors include retrosternal pain, pressure

1074. Alcohol-Misuse-Drug-Therapy Consumer (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/alcohol-misuse-drug-therapy_consumer.pdf
      February 01, 2016 - � People with alcohol use disorder also have a higher risk of: »High blood pressure » Liver problems … »Depression, anxiety, or other mental problems »Anemia (a very low number of red blood cells) » Injury … Alcohol use disorder can be a long-term condition, like high blood pressure or asthma.

1075. 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.

1076. Nursing-Staff-Shortages-Rapid-Research-Appendix-C (xls file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/nursing-staff-shortages-rapid-research-appendix-c.xlsx
      January 01, 2024 - Indicator QI Quality improvement RN registered nurse SD Standard deviation SOII Survey of Occupational Injuries … California's nurse-to-patient ratio law and occupational injury. … Hospital-acquired pressure ulcers decreased from 26 before the staffing change to 22 after the staffing … LOS also decreased with the addition of nurses for pressure ulcers and postoperative respiratory failure … Tarazi, 2020 Observational with comparison Policy: Medicaid expansion NR Hospitals under financial pressures

1077. 2019 National Healthcare Quality and Disparities Report Quality Trends (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-core-measures-quality.pdf
      January 01, 2019 - 51.9% in 2013 67.7% in 2017 -9.5 0.006 Surgical Safety Home health care patients whose surgical wound … single measure that was not changing over time examines long-stay nursing home patients who experience injuries … Ulcers Short-stay nursing home patients with new or worsening pressure ulcers (MDS) 0.7% in 2013 … Ulcers High-risk, long-stay nursing home patients with pressure ulcer (MDS) 5.3% in 2013 4.8% in … 2017 -2.1 0.018 Falls Long-stay nursing home patients experiencing one or more falls with major injury

1078. Behavioral Counseling Interventions to Promote a Healthy Diet and Physical Activity for CVD Prevention in Adults Without Known CVD Risk Factors: Updated Evidence Report and Systematic Review for the USPSTF (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/UXw277rnvJ8e_Dfsh4V3K3
      July 26, 2022 - increased physical activity, or decreased sedentary time among adults without known elevated blood pressure … (high blood pres- sure stage 1 [systolic blood pressure [SBP] 130 mm Hg or diastolic blood pressure … behavioral outcome (eg, dietary intake, physical activ- ity) or report adverse events (eg, serious harm, injury … nificantly different between groups.29-31,48,56,82 Twelve trials reported the incidence of musculoskeletal injuries … including physical activity counseling reported generally no differences in rates of musculoskeletal injuries

1079. Transitioning Newborns from NICU to Home: Family Information Packet, Appendix B (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb.pdf
      June 02, 2025 - ■ Should have: – Blood pressure checked at every visit. … are at risk for zinc deficiency and may need supplementation: – Poor growth, diarrhea, impaired wound … – Bivona ■ Cuffed: Indicated to prevent chronic aspiration, or when ventilating with high pressures … – Set suction pressure between 80-100 mmHg. … – Gastric or esophageal trauma during placement.

1080. 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.