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1181. Transfer Troubles | PSNet
      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.

1182. Research Themes and Findings | Digital Healthcare Research
      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

1183. Screening for Gestational Diabetes Mellitus: U.S. Preventive Services Task Force Recommendation Statement (pdf file)
      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

1184. Microsoft PowerPoint - FINAL Nov_Spotlight Case_Premature Closing-Snycope_11.20.2020-revised.pptx (pdf file)
      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

1185. Psn-Pdf (pdf file)
      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

1186. Transitioning Newborns from NICU to Home: Family Information Packet (pdf file)
      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.

1187. Transitioning Newborns from NICU to Home: Family Information Packet (pdf file)
      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.

1188. Hypertension-Pulmonary-Arterial Research-Protocol (pdf file)
      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.

1189. Second Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services (pdf file)
      www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/annlrpt2012%20(2).pdf
      November 01, 2012 - Grossman, a board-certified pediatrician recognized for his research on injury prevention and Native … of Scientific Counselors for the Centers for Disease Control and Prevention’s National Center for Injury … high blood pressure in adults ages 18 years and older. 22 | Second Annual Report to Congress … Prevention of motor vehicle Occupant injuries: counseling in a Primary care Setting for Driving under … Prevention of motor vehicle Occupant injuries: counseling in a Primary care Setting for Proper use of

1190. Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/ascwebcast0715_transcript.pdf
      September 01, 2015 - our overall efforts in patient safety, and as part of the National Action Plan for health-associated injuries … Smith, Slide 23 And the area with the most room for improvement was Staffing, Work Pressure and Pace … Smith, Slide 25 The two bottom-performing items were from Staff Training and the Staffing, Work Pressure … And you can see that for Staffing, Work Pressure and Pace it was a 94 percent positive compared to a … Brown, Slide 44 Our second area of focus was Staffing, Work Pressure and Pace, and our result was 55

1191. In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
      August 30, 2023 - States, we have since experienced higher rates of preventable infections, as well as increases in pressure … measures are associated with measuring and reporting specific harms, such as an infection, falls with injury … what’s troubling our workforce and distinguish among conditions such as burnout, moral distress and injury … Studies show that an increase in healthcare-acquired infections, falls, and pressure ulcers has occurred … Similar increases were observed in falls and pressure ulcers at skilled nursing facilities and preventable

1192. Beyond the Pandemic: Creating Total Systems Safety | PSNet
      psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
      August 30, 2023 - Studies show that an increase in healthcare-acquired infections, falls, and pressure ulcers has occurred … Similar increases were observed in falls and pressure ulcers at skilled nursing facilities and preventable … States, we have since experienced higher rates of preventable infections, as well as increases in pressure … measures are associated with measuring and reporting specific harms, such as an infection, falls with injury … what’s troubling our workforce and distinguish among conditions such as burnout, moral distress and injury

1193. 2015-06 (pdf file)
      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

1194. Guide-Infection-Prevention (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/guides/guide-infection-prevention.pdf
      March 01, 2017 - ▪ Infections cause pain, injury, disability, and sometimes even death, and can be very expensive … ▪ Cover all cuts and wounds with a dressing. … resident, if needed, that the law requires the use of safety lancets and needles to prevent needle stick injuries … ▪ Make sure that wounds are covered. ▪ Contain any urine, stool, or wound drainage. … ▪ An LTC facility must have negative pressure rooms and a respiratory fit-test program in order to

1195. In Conversation With… David Juurlink, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
      May 22, 2017 - We know that people with a history of substance use disorders, people with histories of childhood trauma … inability to balance these complex forces appropriately with the idea of pain as a fifth vital sign and the pressures … required emergency care due to these products, making opioids one of the most common causes of iatrogenic injury … nonfatal overdose go on to receive prescription opioids again and remain at high risk of subsequent injury … most important steps that clinicians, individually and collectively, can take to reduce opioid-related injuries

1196. Opioid Overdose as a Patient Safety Problem | PSNet
      psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
      May 01, 2017 - required emergency care due to these products, making opioids one of the most common causes of iatrogenic injury … nonfatal overdose go on to receive prescription opioids again and remain at high risk of subsequent injury … most important steps that clinicians, individually and collectively, can take to reduce opioid-related injuries … We know that people with a history of substance use disorders, people with histories of childhood trauma … inability to balance these complex forces appropriately with the idea of pain as a fifth vital sign and the pressures

1197. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865540/psn-pdf
      April 11, 2024 - She was afebrile, tachycardic (120 beats per minute), with a normal blood pressure (109/51) and excellent … ulceration or necrosis, chronic gastric irritation leading to gastrointestinal bleeding from gastritis or pressure … approximately 30 to 35 cm allows repositioning of misplaced tubes and can potentially prevent pulmonary injury

1198. Final Progress Report: Bridging the Gap between EMS and Health Services Research: A Conference for Researchers and Practitioners (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
      January 01, 2025 - For example, the Brain Trauma Foundation periodically updates its hyperventilation guideline for the … Impacts of quality reporting in EMS may be driven more by peer pressure and regulation. Dr. … Friedrich von Recklinghausen presented information about the Trauma and EMS Information System (TEMSIS … Other applications involve local epidemiology of injury and demand for EMS services. … Because EMS remains a low-profile issue, researchers feel pressure to “bury” EMS in other projects with

1199. Strategies to Better Engineer Safety into Healthcare Delivery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
      March 06, 2025 - that make it more difficult for people to make errors in care delivery or experience a work-related injury … designed to reduce the transmission of healthcare-associated infections and the risk of occupational injury … Healthcare Settings includes strategies to identify risks and hazards and prevent/control work-related injury … Healthcare-Associated Infections Program (contains multiple resources and toolkits)  • Preventing Pressure

1200. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852700/psn-pdf
      August 30, 2023 - States, we have since experienced higher rates of preventable infections, as well as increases in pressure … measures are associated with measuring and reporting specific harms, such as an infection, falls with injury … solution that we think will prevent risks from becoming reality, we must constantly be proactive in pressure … what’s troubling our workforce and distinguish among conditions such as burnout, moral distress and injury