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1141. Section5 (pdf file)
      hcup-us.ahrq.gov/reports/factsandfigures/2007/pdfs/section5.pdf
      January 01, 2007 - This gradual shift in payment responsibility from private insurers can create financial pressures on … Perinatal (newborns) 0.2 25.8 16.8 11.3 Digestive 10.3 5.4 9.3 11.3 Respiratory 12.6 7.0 5.5 7.0 Injury … of Medicare stays were for respiratory conditions (13 percent), digestive conditions (10 percent), injuries … Digestive body system conditions accounted for 9 percent of private insurance discharges and injury … or internal injury 17 23 8.4 9.4 34 Musculoskeletal 29 44 100.0 100.0

1142. Unintended Consequences of CPOE | PSNet
      psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
      September 01, 2004 - 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

1143. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863308/psn-pdf
      February 28, 2024 - Anesthetic factors such as difficult intubation, light anesthesia, prolonged surgery duration, or positive pressure … lacking.11 In this case, the addition of a nasogastric tube during ERCP may have increased the risk of injury … psnet.ahrq.gov//#1%206 https://psnet.ahrq.gov//#15 of aspiration include persistent hypoxia, high airway pressures … Positive pressure mask ventilation for an aspirating patient is not ideal due to the risk of pushing

1144. Behavioral Counseling Interventions to Promote a Healthy Diet and Physical Activity for CVD Prevention in Adults Without Known CVD Risk Factors: USPSTF Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/HMSNGkJatRuN5VoVWfbuFL
      March 01, 2022 - prevented by ad- dressing modifiable risk factors, including smoking, obesity, diabe- tes, elevated blood pressure … prevented by addressing modifiable risk factors, including smoking, obesity, diabetes, elevated blood pressure … Adults 18 years or older without known CVD risk factors, which include hypertension or elevated blood pressure … adults 18 years or older without known CVD risk factors, which include hypertension or elevated blood pressure … intervention participants and control groups on any adverse events, serious ad- verse events, musculoskeletal injuries

1145. Human Factors Engineering | PSNet
      psnet.ahrq.gov/primer/human-factors-engineering
      December 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

1146. Archived: Carotid Artery Stenosis: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/carotid-artery-stenosis-screening-july-2014
      July 08, 2014 - Mortality from all strokes has decreased substantially over the past 5 decades; improved blood pressure … Cranial nerve injury is another important potential harm; it occurred in 3.8% of patients (8 of 211) … The MACE trial reported a 1.1% rate of minor cranial nerve injury in the 36 patients randomly assigned … medical treatment groups in the RCTs were poorly defined and probably did not include the intensive blood pressure … ; Council on Cardiovascular Nursing; Council on Epidemiology and Prevention; Council for High Blood Pressure

1147. Timely diagnosis of esophageal perforation | PSNet
      psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
      September 27, 2023 - 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 … 2022 WebM&M Cases Errors in Managing an Open Wound

1148. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49654/psn-pdf
      June 01, 2012 - They had taken her to the operating room, but she developed low blood pressure before the case and the … An evaluation of compliance with practice guidelines on interhospital trauma transfer. … Injury. 2005;36:1051-1057. [go to PubMed] 15. … Injury. 2004;35:857-863. [go to PubMed] 17. Lee A, Lum ME, Beehan SJ, Hillman KM.

1149. Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
      September 01, 2015 - ulcers or similarly severe wounds that cannot be kept clear of urinary incontinence despite wound care … require strict prolonged immobilization following specific types of trauma or surgery. … Examples include instability in the thoracic or lumbar spine, multiple traumatic injuries such as pelvic … Intermittent catheterization is most often used in patients with neurogenic bladder or spinal cord injury … despite wound care and other urinary management strategies, if ISC is adequate to manage the type of

1150. Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
      September 01, 2015 - ulcers or similarly severe wounds that cannot be kept clear of urinary incontinence despite wound care … require strict prolonged immobilization following specific types of trauma or surgery. … Examples include instability in the thoracic or lumbar spine, multiple traumatic injuries such as pelvic … Intermittent catheterization is most often used in patients with neurogenic bladder or spinal cord injury … despite wound care and other urinary management strategies, if ISC is adequate to manage the type of

1151. Building a Team and Process to Reduce CAUTI Risk | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/building-team-process-slides.html
      December 01, 2017 - Urethral obstruction Medical (neurogenic bladder) Urinary blood clots with obstruction Trauma … catheter shortly after the surgery is completed Slide 28 Assist Healing of Perineal and Sacral Wounds … or Surgery Examples include: Unstable thoracic or lumbar spine Multiple traumatic injuries, … 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

1152. Inadequate Preanesthetic Evaluation, Airway Trouble | PSNet
      psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
      November 01, 2023 - Furthermore, perceived time pressure when assessing the patient on the day of surgery may lead to the … July 31, 2024 WebM&M Cases Uterine Artery Injury … WebM&M Cases Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury

1153. Microsoft PowerPoint - Spotlight Case_Suicide Attempts_03.17.2023 FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-03/challenging_case_of_multiple_suicide_attempts_in_a_complex_patient_with_psychiatric_comorbidities.pdf
      January 01, 2023 - disorder, commingled substance use disorder, neurocognitive impairment, history of traumatic brain injury … – Therefore, clinicians may face pressure due to non-clinical factors (e.g., lack of inpatient psychiatric … .13 – As illustrated in this case, the risks of inadequate treatment involve suicide, self-inflicted injury

1154. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
      June 01, 2025 - (Not reviewed) (Not reviewed) (Not reviewed) Interventions To Prevent Contrast-Induced Acute Kidney Injury … Summary of Evidence (all patients) (Not reviewed) (Not reviewed) Preventing Patient Death or Serious Injury … Summary of Evidence Summary of Evidence (all patients) (Not reviewed) (Not reviewed) Prevention of Pressure

1155. Evidence Summary: Prediabetes and Type 2 Diabetes: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/screening-for-prediabetes-and-type-2-diabetes
      August 24, 2021 - , and diastolic blood pressure (pooled weighted mean difference, −1.7 mm Hg [95% CI, −2.6 to −0.8] and … by targeting pressures less than 150/85 mm Hg vs less tight control targeting pressures less than 180 … The state of US Health, 1990-2016: burden of diseases, injuries, and risk factors among US states. … Long-term follow-up after tight control of blood pressure in type 2 diabetes. … ; National High Blood Pressure Education Program Coordinating Committee.

1156. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49730/psn-pdf
      April 01, 2015 - dystrophy, hypertension, and chronic kidney disease was admitted to the hospital with anuric acute kidney injury … transition management team could conduct a home visit or a telemedicine visit utilizing self-taken blood pressure

1157. Final Research Plan: High Body Mass Index in Children and Adolescents: Interventions | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/obesity-in-children-and-adolescents-screening
      June 30, 2022 - only when weight-related measures are also reported): insulin resistance/blood glucose/diabetes, blood pressure … patterns (excessive fasting, overly restrictive eating, or binging) Suppressed growth Exercise-induced injury

1158. Hypertension-Pulmonary-Arterial Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/hypertension-pulmonary-arterial_executive.pdf
      April 01, 2013 - screening tests may be used to identify patients with asymptomatic elevation of pulmonary artery pressures … hypertension was 1.1 percent and included bleeding, vasovagal reactions, systemic hypotension, arterial injury … good, 10 fair, 3 poor) reported the diagnostic accuracy of echocardiographic estimates of pulmonary pressures … We found that echocardiography estimates of pulmonary artery pressures (sPAP, TG, and TRV) and pulmonary … PASP pulmonary artery systolic pressure PCWP pulmonary capillary wedge pressure PH pulmonary hypertension

1159. Healthcare Safety Competencies Affinity Group Environmental Scan (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
      March 27, 2025 - including central line-associated bloodstream infections, ventilator-associated events, hospital-acquired pressure … injuries, patient falls, and catheter-associated urinary tract infections during the COVID-19 pandemic … Bureau of Labor Statistics, in 2018, healthcare workers accounted for 73% of all nonfatal workplace injuries … Safety Science- Adjacent • Workload Management • Burnout • Worker Safety • Fatigue • Moral Injury … The Human Experience • Burnout • Co-Design • Fatigue • Improving Access to Care • Moral Injury

1160. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication | PSNet
      psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
      August 01, 2012 - complications and the time period for ascertainment. 11,14,17,18 The most common complications are wound … bumper” syndrome occurs in about 1-4% of cases 6,9,14 when the PEG tube’s internal bumper causes focal pressure … Liver 4 , 10 , 13-15 , 21-25 or spleen injury 20 are exceedingly rare complications of PEG placement … Liver injury during PEG tube placement: report of two cases. … Trauma transitional care coordination: a mature system at work.