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psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
August 05, 2022 - 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?”
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/obesity-in-children-and-adolescents-screening-2010
January 15, 2010 - Adverse effects included elevated heart rate, elevated blood pressure, and adverse gastrointestinal effects … high-intensity comprehensive interventions. 15 However, decreases in cardiovascular risk factors (e.g., blood pressure … Other harms, such as risk of exercise-induced injuries, were considered minimal. … Adolescent sibutramine users were more likely to develop small increases in heart rate or blood pressure
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
April 01, 2016 - Eventually, they are able to re-establish a normal heart rate, blood pressure, and adequate blood
oxygen … During her procedure, her heart rate, blood pressure, and oxygen level were monitored. … During a part of
the procedure, we became aware that her heart rate, blood pressure, and oxygen level … First off, right now Mary
is stable; her heart rate, blood pressure, and oxygen level are all in normal … We also don’t know right now if she has
suffered any injury from what happened, but we will check her
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.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
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/osteoporosis-vibration-therapy_technical-brief.pdf
January 01, 2020 - Pharmacological interventions can result in adverse outcomes,
commonly minimal trauma atypical fractures … weight-bearing exercise, may also increase bone density18,19 and may be
safer than medication, but risk of injury … discontinuation in 10-15 percent of patients.59 Common adverse effects from
bisphosphonates include minimal trauma … Women were excluded from these studies if they had any number of conditions such as high
blood pressure … They may also experience other side effects while using the platform, such
as decreased blood pressure
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
July 01, 2023 - Slide 6: Root Causes of Maternal and Perinatal Deaths and Injuries 2004-2012
Say:
Human factors … 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. … Example:
The nurse says to the doctor, "Doctor, the patient's blood pressure is dropping; it is 60/
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part1.html
March 01, 2020 - For example, only half of people with high blood pressure have it controlled. … Leading causes of morbidity and mortality include heart disease, cancer, unintentional injuries, stroke
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tap.html
December 01, 2012 - in a 1915(c) for aged and disabled people; aged people only; disabled people only; people with brain injuries … , 758.31, 758.33, 758.39, 758.7, 759.5, 759.81-759.83, or 759.89), developmental delay-severe brain injury … who are under age 65 and are not classified as I/DD or SMI (includes, for example, traumatic brain injury … Prevalence of high blood pressure, State's . … "Have you ever been told by a doctor, nurse, or other health professional that you have high blood pressure
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psnet.ahrq.gov/web-mm/cultural-dimensions-depression
September 01, 2018 - 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 … abnormalities and mental health sequelae in South Vietnamese ex-political detainees who survived traumatic head injury
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psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
April 29, 2020 - 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
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psnet.ahrq.gov/web-mm/transfer-troubles
December 29, 2014 - 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.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/9K4QQKvhXZNJLCxNX3FkZm
May 01, 2008 - the evidence on maternal and
neonatal benefits (reduction in preeclampsia, mortality, brachial
plexus injury … for benefits of
screening in the following health outcomes: perinatal mor-
tality; brachial plexus injury … the generally accepted pri-
mary outcomes (for example, stillbirth, neonatal death,
brachial plexus injury … Women in the treatment group had a 30% lower
risk for pregnancy-induced hypertension (defined as blood
pressure … because most babies
with macrosomia are born to mothers without gestational
diabetes, and most cases of injuries
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psnet.ahrq.gov/node/846915/psn-pdf
March 29, 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
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digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-themes-and-findings
January 01, 2022 - standards-based shareable, interoperable patient-facing clinical decision support tool for high blood pressure … empowering patients and providing them the tools to better engage in the self-management of their high blood pressure … reduce the need for opioids, and improve outcomes for children needing at-home dressing changes for burn injuries
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
January 01, 2025 - Patients are fully
compensated for all costs of injuries; we provide emotional support for patients … Forum), and requires health care organizations to compensate patients for costs of
treatment-related injuries … management and
facility model will be paired with a regionally centralized system of critical and trauma … support consumer groups to assure authenticity, to accelerate
progress in patient safety through public pressure … episodes—necessarily resulting from the variegated and
heterogeneous nature of human physiology, of illness and injury
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psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
January 01, 2020 - an episode of dizziness and
syncope when exercising
– Vital signs were notable for systolic blood pressure … with similar episodes of syncope in the preceding months, all
resulting in falls and subsequent head trauma … would have alerted the clinical team to the history of
recurrent syncope with repeated falls and head injuries … neuroimaging before initiating anticoagulation, suggesting that
the clinician initially considered trauma … in acute coronary
syndromes
— ST-segment abnormalities in a patient with a recent history of head
trauma
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/hypertension-pulmonary-arterial_research-protocol.pdf
January 30, 2013 - arterial puncture, lung
puncture (pneumothorax), pulmonary infarction, brachial plexus/phrenic nerve injury … An echocardiogram is a
noninvasive test that provides an estimate of pulmonary artery pressures at rest … As with initial diagnosis, right heart
catheterization is used to measure pulmonary arterial pressures … outcome efficacy:
Intermediate-term outcomes
Hemodynamic parameters such as pulmonary artery pressures … Estimating pulmonary artery pressures by
echocardiography in patients with emphysema.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicupacket.pdf
December 01, 2013 - ■ Should have:
– Blood pressure checked at every visit. … diarrhea are at risk for zinc defciency and may need
supplementation:
– Poor growth, diarrhea, impaired wound … ■ BPD, even in the absence of overt brain injury, is a risk factor for neurodevelopmental delay. … – Bivona
■ Cuffed: Indicated to prevent chronic aspiration, or when ventilating with high pressures … – Gastric or esophageal trauma during placement.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket.pdf
December 01, 2013 - ■ 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.
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hcup-us.ahrq.gov/reports/methods/2015-06.pdf
January 01, 2015 - delivered, with
or without mention of antepartum condition 229,733 183,562 79.9
66481: Other specified trauma … medical care, not
elsewhere classified 10,966 9,161 83.5
51851: Acute respiratory failure following trauma … and
surgery 30,445 24,998 82.1
5185: Pulmonary insufficiency following trauma and surgery 111,856 … pregnancy, childbirth, and the puerperium
740-759 Congenital anomalies
905-909 Late effects of injuries … subsequent fall
E919 Accident caused by machinery (Except E919.2)
E921 Accident caused by explosion of pressure