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1081. Practice and Quality Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-improvement.html
      May 01, 2024 - Appendix D: Grant Summaries P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury … would improve the use of a hypertension focused clinical decision support to effectively improve blood pressure … support in rural primary care practices to provide evidence-based clinical care recommendations for blood pressure … program that supports patients discharged from the hospital to home after an episode of acute kidney injury … health improvement project in 60 primary care clinics throughout Alabama to improve rates of blood pressure

1082. FRN 27 - Wireless Motility Capsule Versus Other Diagnostic Technologies for Evaluating Gastroparesis and Constipation: Future Research Needs (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/wireless-motility-capsule-future_research.pdf
      May 01, 2013 - Utility of colonic pressure (colonic dysmotility) 10 14. … Colonic pressure patterns following meal ingestion. 7 8. … which had already published the results on populations outside of the scope of our review, spinal cord injury … Utility of colonic pressure (colonic dysmotility) 10 14. … which had already published the results on populations outside of the scope of our review, spinal cord injury

1083. Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
      July 01, 2004 - This urgency is, in part, precipitated by the confluence of market pressures to demonstrate value in … DVT/PE* Hospital acquired UTI** Ventilator associated pneumonia** Adverse drug events ** Pressure … care postoperative stays has shifted the diagnostic location for a large percentage of postoperative wound … reliable proxies for this event in the administrative claims, our ability to identify postoperative wound … A study of medical injury and medical malpractice: an overview.

1084. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
      January 01, 2003 - .6, 10–12 Injuries to workers result from a causal chain of events involving both latent and immediate … Indeed, many risk factors for injury that have been studied in case-crossover studies of injury are … circumstances may be the result of other working conditions, such as a hectic work environment, time pressures … Case-crossover studies of occupational trauma: methodological caveats. … Injury Prevention 2001;7:Supplement 38–42.

1085. CVC Placement: Speak Now or Do Not Use the Line | PSNet
      psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
      November 01, 2003 - 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

1086. Getting the Diagnosis Both Right and Wrong | PSNet
      psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
      May 29, 2024 - Laboratory tests showed acute kidney injury with markedly elevated levels of potassium, phosphate, and … The patient's blood pressure improved with fluids. … Six hours after admission, the patient's blood pressure started to drop, requiring further intravenous … Despite aggressive measures to maintain her circulation, blood pressures further dropped, and a code

1087. Communication: Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
      July 01, 2023 - interruption to a doctor who is with a patient's family members. 2 Maternal and Perinatal Deaths and Injuries … 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.” 

1088. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49649/psn-pdf
      March 01, 2012 - Emigration to the United States has put pressure on these traditional values, particularly as the roles … present with somatic complaints.(3) A related fact is that many Vietnamese have experienced significant trauma … Trauma contributed the largest role to mental disorders in the Vietnamese group.(5) In our own Vietnamese … Trauma, PTSD, and the longer-term mental health burden amongst Vietnamese refugees: a comparison with … and mental health sequelae in South Vietnamese ex-political detainees who survived traumatic head injury

1089. W-9Tarc9Nkw6Pe4Sfddmkz (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/W-9TArc9nkw6Pe4sfddMKZ
      July 01, 2013 - Evidence was in- sufficient for maternal weight gain and birth injury. … Second, where reported, definitions of preeclampsia varied (for example, a blood pressure of 140/90 mm … apart, these criteria with laboratory mea- sures indicative of preeclampsia, or an increase in blood pressure … estimate not reported because of heterogeneity 88 Cohort 2 515 �1.04 (�2.89 to 0.81)‡ 8 Maternal birth trauma … Clavicular fracture RCT 1 1030 0.35 (0.01 to 8.45) NA Cohort 1 389 0.02 (0.00 to 0.22)† NA Birth trauma

1090. Behavioral Counseling to Promote a Healthy Diet and Physical Activity for CVD Prevention in Adults With Cardiovascular Risk Factors: Updated Evidence Report and Systematic Review for the USPSTF (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/-97QgoUF_rpQSy-9yM9KCx
      November 24, 2020 - group differences in serious adverse events, any adverse events, hospitalizations, musculoskeletal injuries … b Includes trials limited to persons with hypertension or elevated blood pressure. … hospitalizations, musculoskeletal injuries, withdrawals due to ad- verse events, gallbladder disease, … Effect of drug and diet treatment of mild hypertension on diastolic blood pressure. … Increasing daily walking lowers blood pressure in postmenopausal women.

1091. Behavioral Counseling to Promote Physical Activity and a Healthful Diet to Prevent Cardiovascular Disease in Adults: A Systematic Review for the USPSTF (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/bF5BNLvASN5r9EnP3VTJPN
      December 01, 2010 - The largest reduction in blood pressures oc- curred in 3 intensive salt-restriction counseling interven … Systolic and diastolic blood pressure were reduced by 1.5 and 0.7 mm Hg. … No increase in serious injuries occurred from phys- ical activity or unintended adverse changes in dietary … in overweight people with high-normal blood pressure. … Blood pressure, stroke, and coronary heart disease.

1092. Appendix B. Clinical Materials to Share With Primary Care Providers | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb.html
      December 01, 2013 - supplementation, mechanical ventilation, air leaks, pulmonary edema, PDA ligation, infection causing lung injury … Blood pressure: Not higher in infants with nephrocalcinosis, but overall higher in preterm infants … Should have: Blood pressure checked at every visit. … diarrhea are at risk for zinc deficiency and may need supplementation: Poor growth, diarrhea, impaired wound

1093. Appendix B. Clinical Materials to Share With Primary Care Providers | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb.html
      December 01, 2013 - supplementation, mechanical ventilation, air leaks, pulmonary edema, PDA ligation, infection causing lung injury … Blood pressure: Not higher in infants with nephrocalcinosis, but overall higher in preterm infants … Should have: Blood pressure checked at every visit. … diarrhea are at risk for zinc deficiency and may need supplementation: Poor growth, diarrhea, impaired wound

1094. Michael Pine Presentation
      hcup-us.ahrq.gov/datainnovations/clinicaldata/MPinepresentation.jsp
      December 01, 2010 - For accidents (i.e., E codes), POA codes are based on the relation of the time of injury to the time … Therefore, POA=Y only when injury occurs prior to admission. … Lab Data, Scores All Vital Signs Enter 4 or More Models Pulse (8) Temperature (6) Blood Pressure

1095. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49771/psn-pdf
      July 01, 2016 - She presented with sepsis and acute kidney injury with a creatinine of 2.0 mg/dL (up from a baseline … creatinine improved but remained elevated at 1.6 mg/dL and the team felt the persistent acute kidney injury … Figure, many of which are similar in appearance and might easily be selected by mistake given time pressure … have identified this and related problems prior to their being discovered in the context of patient injury

1096. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49444/psn-pdf
      May 01, 2004 - Both doctors and nurses recounted professional requests for health care "favors" include taking blood pressures … In this case, the resident may not have been fully competent to perform the exam (resulting in injury … Additionally, failing to include nursing in procedures exposes patients to risks of injury related to

1097. Wheeled Mobility (Wheelchair) Service Delivery (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/wheelchair-service_technical-brief.pdf
      January 01, 2012 - , pressure sores, falls, and accidents), equipment abandonment, and underutilization.9-13 Wheeled … or trauma who will require a wheelchair for mobility beyond a period of rehabilitation).15 The Brief … Adverse events/harms/safety issues (i.e., pressure sores, injuries, need for repairs, need for replacement … Wheelchair related injuries treated in US emergency departments. … problems with wheelchair Wheelchair functionality, seating comfort, pain, occupational performance, pressure

1098. Regulation of Health Policy: Patient Safety and the States (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
      March 01, 2004 - In this research, we examined State legislative responses to pressure from constituents and policymakers … or disability or the immediate danger of serious injury or disability”); and Class C (an adverse event … Nevada defines a sentinel event as “an unexpected occurrence” involving death or serious injury or the … According to JCAHO, the classification of an AE that was avoided or did not result in injury is drawn … In recent years, State legislatures have deflected pressure to regulate health care away from the Federal

1099. Recommendation: Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Cardiovascular Disease Risk Factors: Behavioral Counseling Interventions | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/healthy-lifestyle-and-physical-activity-for-cvd-prevention-adults-without-known-risk-factors-behavioral-counseling
      July 26, 2022 - adults 18 years or older without known CVD risk factors, which include hypertension or elevated blood pressure … prevented by addressing modifiable risk factors, including smoking, obesity, diabetes, elevated blood pressure … prevented by addressing modifiable risk factors, including smoking, obesity, diabetes, elevated blood pressure … (−0.8 mm Hg [95% CI, −1.30 to −0.31]), diastolic blood pressure (−0.42 mm Hg [95% CI, −080 to −0.04] … intervention participants and control groups on any adverse events, serious adverse events, musculoskeletal injuries

1100. Near Miss with Bedside Medications | PSNet
      psnet.ahrq.gov/web-mm/near-miss-bedside-medications
      February 01, 2006 - On further history, he revealed that he had recently increased his beta-blocker, a blood pressure medication … In case of injury, there may have been no attempt at recovery, or the attempts may have been unsuccessful … From the Same Author(s) Perspective Removing Insult from Injury—Disclosing … 2004 A randomized trial of a multifactorial strategy to prevent serious fall injuries