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1101. Don't Dismiss the Dangerous: Obstetric Hemorrhage | PSNet
      psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
      August 21, 2024 - hospital course but was ultimately discharged to a rehabilitation facility with no major permanent injuries … from 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

1102. High-Priority Evidence Gaps for Clinical Preventive Services Fourth Annual Report to Congress (pdf file)
      www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/annlrpt2014%20(9).pdf
      November 01, 2014 - Injury and Child Maltreatment 7. … Relationship between elevated blood pressure in childhood and hypertension in High blood pressure adulthood … Injury and Child Maltreatment 1. … Other risk factors include childhood trauma; family history of suicide; being discriminated against for … Injury and Child Maltreatment Child maltreatment includes physical, sexual, and emotional abuse, as

1103. High-Priority Evidence Gaps for Clinical Preventive Services Fourth Annual Report to Congress (pdf file)
      www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/annlrpt2014%20(6).pdf
      November 01, 2014 - Injury and Child Maltreatment 7. … Relationship between elevated blood pressure in childhood and hypertension in High blood pressure adulthood … Injury and Child Maltreatment 1. … Other risk factors include childhood trauma; family history of suicide; being discriminated against for … Injury and Child Maltreatment Child maltreatment includes physical, sexual, and emotional abuse, as

1104. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49662/psn-pdf
      August 01, 2012 - insertion site, hemorrhage, peritonitis, buried bumper syndrome, gastrocolocutaneous fistula, small bowel injury … involves avoiding tight traction on the PEG tube as this practice may increase ischemia and delay wound … healing.(3) All dressing changes should incorporate a careful wound inspection for redness or leakage … Parkinson disease, central nervous system tumor, amyotrophic lateral sclerosis, cerebral palsy • Severe trauma … Invaginate gastric wall, visible from endoscope with external digital pressure 4.

1105. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. | PSNet
      psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
      January 23, 2017 - transferred by ambulance to a tertiary Emergency Department (ED) from a referring hospital due to a left leg injury … holding her left hip flexed with significant tenderness on examination, but there were no other signs of trauma … during a diagnostic or therapeutic procedure.” 4,5 Sedation can also ameliorate the psychological trauma … exist when sedation is urgently needed to prevent harm associated with the underlying condition or injury … Blood pressure should be measured frequently, and the electrocardiogram, heart rate, respiratory rate

1106. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865778/psn-pdf
      May 29, 2024 - The patient’s blood pressure was 174/101 mmHg, heart rate 126, respiratory rate 26, temperature 37.5o … The patient’s laboratory results were notable for acute kidney injury and metabolic acidosis, with an … reported in 38 cases, but operator error, distraction, interruption, and emergency or after-hours pressure

1107. Saved by ECMO | PSNet
      psnet.ahrq.gov/web-mm/saved-ecmo
      May 05, 2017 - Epidural anesthesia is often preferred as it avoids the increase in PVR that accompanies positive pressure … inability of external compressions to generate enough force to overcome elevated pulmonary arterial pressures … Related Resources WebM&M Cases Uterine Artery Injury

1108. In Conversation With… Tejal K. Gandhi, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
      February 26, 2025 - 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.

1109. The National Action Alliance to Advance Patient Safety Summer Webinar Series - PowerPoint Presentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/public-action-alliance-slides-040323_LOCKED.pdf
      May 25, 2023 - factors focus areas • Workplace Change Collaborative – National Framework on Burnout and Moral Injury … “By and large, the U.S. does not account for medical care injuries and deaths in our vital statistics … Where it should say 'medical care harm/injuries', it's blank. … as surge … our new normal *Healthcare Acquired Infections, Early Elective Deliveries, Falls with Injury … , Healthcare Acquired Pressure Injuries, NTSV C-Section patients to get to WHO Goal, Sepsis Mortality

1110. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843150/psn-pdf
      December 05, 2022 - In these cases, easily managed health needs like high blood pressure or diabetes can progress to acute … People may go to a provider because they have an injury or concern, and providers can only focus on … There is also that trauma of accessing care and feeling that bias and stigma, which can prevent patients … I am trans, but I also have high blood pressure and high cholesterol. … We just want to be seen as humans, so that we can get our blood pressure managed on a regular basis.

1111. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49522/psn-pdf
      November 01, 2006 - Mostly in response to increasing pressure from the hospital's administration to improve compliance with … Intramuscular injection site injuries masquerading as pressure ulcers. Wounds. 2003;15:302-312.

1112. TREAT ECARDS: Translating Evidence into Action: Electronic Clinical Decision Support in ARDS – Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs026188-gong-final-report-2022.pdf
      January 01, 2022 - frequent re-admissions, and high costs in the hospital.4 Because ARDS develops after some initial injury … is a major contributor and driver to the mortality reported by better recognized conditions such as trauma … hospital floor, ICU); 3) because ARDS develops acutely and co-exists with other serious conditions like trauma … of mechanical ventilation, Page 10 of 21 Phase 2 involved prevention of complications and lung injury … Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury

1113. Archived: Gestational Diabetes: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/gestational-diabetes-screening-2008
      May 15, 2008 - evidence for benefits of screening in the following health outcomes: perinatal mortality, brachial plexus injury … , the generally accepted primary outcomes (for example, stillbirth, neonatal death, brachial plexus injury … the treatment group had a 30% percent lower risk for pregnancy-induced hypertension (defined as blood pressure … of participants to permit evaluation of important health outcomes such as mortality, brachial plexus injury … are limited because most babies with macrosomia are born to mothers without GDM, and most cases of injuries

1114. Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. | PSNet
      psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
      October 28, 2020 - order of 1 in 10,000 individuals 2-4 – and can be related to autoimmune destruction, infiltration/injury … (hemorrhage, trauma, infection), underlying genetic or metabolic disorders, or medication effects. … Forms of AI that affect mineralocorticoid production can cause low blood pressure or orthostatic hypotension … including gastrointestinal illness as well as any infection, medical/dental procedure, or physical trauma … life-threatening and can occur in patients with AI due to any physiologic stress, including viral illness or injury

1115. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia | PSNet
      psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
      January 29, 2021 - managing the difficult airway. 8 The combination of these devices can also help to prevent airway trauma … this high-risk scenario was, in retrospect, not the most prudent course of action due to the airway trauma … neuromuscular blockade with high dose sugammadex was an essential step that prevented hypoxic brain injury … reversal of neuromuscular blockade made surgical cricothyroidotomy unnecessary, preventing hypoxic brain injury … abdominal contents displacing the diaphragm in a cephalad direction with the positive end expiratory pressure

1116. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846170/psn-pdf
      March 15, 2023 - confusion, the patient ran out of his medication and his daughter and home health nurse noted poor blood pressure … This lapse resulted in poor blood pressure control, but fortunately no harmful outcomes. … errors have the potential to be serious and may result in adverse drug events (ADE), which are patient injuries … What changes you will make to your blood pressure medications?”

1117. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73103/psn-pdf
      March 31, 2021 - On arrival, she was in septic shock with systolic blood pressure in the 80’s. … Common examples include pneumonia, Clostridium difficile infection, pressure injuries, delirium, and … diarrhea in an incontinent patient with skin breakdown on the “backside” should have raised an alarm, as wound … The use of a video visit for wound care is possible as skin and wound tissue can be adequately evaluated … Wesley Valdes, DO Telehealth and Wound Specialist Sacramento, CA wesley.valdes@gmail.com Garth Utter

1118. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50931/psn-pdf
      February 26, 2020 -  re-evaluation of the available information to refine the list of possible diagnoses.5  Systematic pressures … Even in the absence of a history suggestive of esophageal perforation (instrumentation, injury, vomiting … Utter, MD MSc  Professor of Surgery  Division of Trauma, Acute Care Surgery, and Surgical Critical

1119. Survey on Patient Safety (facility version) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
      June 02, 2025 - · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … Whenever pressure builds up, my supervisor/manager wants us to work faster, even if it means taking shortcuts

1120. Wireless-Motility-Capsule Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/wireless-motility-capsule_executive.pdf
      May 01, 2013 - scintigraphy Motility assessment: pressure patterns Low 3 WMC can measure pressure patterns and … measurement of pressure patterns adds to diagnostic accuracy. … (Scintigraphy does not measure pressure patterns.) … .37, 39 A WMC detects pressure patterns, whereas scintigraphy cannot. … technology provides safe and effective assessment of gastrointestinal function in persons with spinal cord injury