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1221. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60066/psn-pdf
      March 25, 2020 - Her vital signs included: blood pressure 154/113 mmHg, heart rate 75 beats/minute, respiratory rate … Despite high levels of ED crowding, there is mounting pressure to see more patients in less time and … Patients with dangerous medical conditions and traumatic injuries may present with normal or near-normal … patients, who require direct supervision, triages them ahead of many complicated, sick medical and trauma … Multidisciplinary Simulation-Based Team Training for Trauma Resuscitation: A Scoping Review.

1222. Final Progress Report: Connected Emergency Care (CEC) Patient Safety Learning Lab (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/hinson-levin-report.pdf
      January 01, 2025 - compounded in the emergency department (ED) by a hazardous decision-making environment fraught with time pressure … data-driven studies of infectious disease diagnostics performance,9,10 in-depth study of acute kidney injury … Renal outcomes following intravenous contrast administration in patients with acute kidney injury: a … Optimal Acute Kidney Injury Algorithm for Detecting Acute Kidney Injury at Emergency Department Presentation … Epidemiology and Clinical Outcomes of Community-Acquired Acute Kidney Injury in the Emergency Department

1223. Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-192-fullreport.pdf
      November 01, 2019 - These complications include compromised airway, hypoxia leading to central nervous system injury, and … • Signs or symptoms of increased intracranial pressure (Table 10 [=IMG11]; see Supporting Documents … • Signs or symptoms of increased intracranial pressure. • Abnormal neurologic exam. … These risks include dental trauma; airway edema (swelling of the windpipe); vocal cord spasm or injury … Incidental findings in children with blunt head trauma evaluated with cranial CT scans.

1224. Archived: Evidence Summary: Carotid Artery Stenosis: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/carotid-artery-stenosis-screening-july-2014
      July 08, 2014 - Other harms of interventions include myocardial infarction, nerve injury, and hematoma. … cranial nerve injuries with complete functional recovery. … The Mayo Asymptomatic Carotid Endarterectomy study reported a 1.1% rate of minor cranial nerve injury … important harms, such as nonfatal MI, permanent cranial nerve damage, pulmonary embolism, pneumonia, wound … At follow-up in 2002 or 2003, mean blood pressure was 148/79 mm Hg in both groups 41 .

1225. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49550/psn-pdf
      December 01, 2007 - preoperative period but suffered a pulseless electrical activity arrest in the operating room at the time of wound … based on 1997 data from the National Inpatient Sample Excludes patients with any code for cancer, trauma … Excludes patients with any diagnosis code for drug dependence, abuse of drugs, or self-inflicted injury … Decubitus ulcer Pressure sores in patients hospitalized for 4 days or longer Discharges with ICD … diagnosis among all surgical discharges Excludes patients who have principal diagnosis codes for trauma

1226. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33713/psn-pdf
      June 01, 2011 - While the team adjusted the table, it swung loose and the patient fell to the floor but sustained no injury

1227. Misplaced Nasogastric Tube Resulting in Aspiration | PSNet
      psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
      August 01, 2009 - 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

1228. 007-Ss-Contact-Precautions-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/007-ss-contact-precautions-fg.docx
      April 01, 2025 - safety and safe injection practices to minimize the risk of infection transmission and needle stick injury … care equipment between patients – which in the pre-op area and PACU may mean equipment such as a blood pressure … Staff also reported feeling pressure to expedite transport by skipping steps in the contact precautions

1229. Dietary-Supplements Surveillance (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/dietary-supplements_surveillance.pdf
      January 01, 2013 - were not significant (results for lipids and blood pressure inconclusive; grade: insufficient). … The Effects of n-3 Long-Chain Polyunsaturated Fatty Acid Supplementation on Biomarkers of Kidney Injury … diuretics, 81% on meds for Type II DM Mixture of omega-3 FA 3g/d Corn oil Markers of kidney injury … C-reactive Protein; HTN hypertension; hx history; INR international normalized ratio; KIM-1 Kidney Injury … were not significant (results for lipids and blood pressure inconclusive; grade: insufficient).

1230. Appendix III (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiid.html
      June 01, 2010 - A few are related to the health and welfare of clients, such as injuries and medication errors. … HCBS MS Domains: Unmet Need Populations: Individuals with disabilities, adults with acquired brain injuries … information concerning the number of incidents (abuse and neglect; restraints, crimes against, serious injuries … required data via NCI form titled "NCI Protocol for Reporting Incidents: Abuse and Neglect, Serious Injuries … additional measures under development relate to influenza vaccinations for people with disabilities and pressure

1231. Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
      January 01, 2023 - by ambulance to a tertiary Emergency Department (ED) from a referring hospital due to a left leg injury … left hip flexed with significant tenderness on examination, but there were no other obvious signs of trauma … during a diagnostic or therapeutic procedure.”4,5 • Sedation can also ameliorate the psychological trauma … Patients often require assistance in maintaining a patent airway, and positive pressure ventilation … • Blood pressure should be measured frequently, and the electrocardiogram, heart rate, respiratory

1232. Disposition of Comments for Treatment of Glaucoma: Comparative Effectiveness (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/glaucoma-treatment_disposition-comments.pdf
      April 01, 2012 - In this study, intraocular pressure reduction was similar between the groups. … Krupin T, Reviewer #3n JM, Greenfield DS, et al; Low-Pressure Glaucoma Study Group. … Public comment/ AAO-AGS Results Key Question3b It is important to remember that target intraocular pressures … Likewise, the conclusion that use of MMC results in lower intraocular pressures needs to be considered … with glaucoma includes increased risk of nursing home admission, depression, falls and/or accidents, injury

1233. Usability Testing and the Relation of Clinical Information Systems to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdf
      January 01, 2003 - Scenario-based testing also identified workplace performance trade-offs related to time and production pressures … ability to identify impact prior to implementation and to suggest redesign before adverse events or injury … Difficulty in design decisions can more easily be created when “typical” work with its time pressure … a series of often unrelated single tasks (e.g., open a program, save a file), without performance pressure … Software used in health care can prevent patient injury or contribute to it, when usability testing

1234. In Conversation With… Sharon K. Inouye, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
      December 01, 2012 - My criteria for neuroimaging are that if someone has a history of head trauma or evidence of bruising … In the absence of any neurologic changes, head trauma, or fever where you think there could be herpes … " similar to other end-organ injuries (e.g., heart attack, acute kidney injury). … As with these other important end-organ injuries, delirium is a clinical event for which prevention and … spontaneous breathing trials (SBT, defined as turning the ventilator settings to continuous positive airway pressure

1235. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49400/psn-pdf
      May 01, 2003 - A full code ensued and after a brief time, the patient was stabilized with a blood pressure of 95/55 … or more risk factors identified only one patient with a DVT.(9) A retrospective study of pediatric trauma … Assistant Professor of Pediatrics (Anaesthesia), Harvard Medical School Chair, Pediatric Acute Lung Injury … Deep venous thrombosis in the pediatric trauma population: an unusual event: report of three cases.

1236. Financial and Demographic Influences on Medicare Patient Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
      January 01, 2004 - Database for Florida from 1996–99 (373,814 discharges at 188 hospitals) to examine whether financial pressure … Shen (2003) examined the effect of financial pressures on patient outcomes and found that financial … pressures adversely affect patient outcomes.7 That study used data from an earlier period (1985–94), … The effect of financial pressure on the quality of care in hospitals. … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization

1237. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
      January 01, 2004 - With disease, injury, or illness, the diagnosis is often obvious and may involve no more than simple … Coercive pressures may drive a particular agenda that is not congruent with good decisionmaking. … For example, team pressures to lower door-to-needle times for thrombolytic therapy in the context of … affective error by changing systemic features: decreased reliance on memory, minimization of time pressure … Minimize time pressures Provide adequate time for quality decisionmaking.

1238. DEcIDE 32: The Incident User Design in Comparative Effectiveness Research (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/incident-user-design_research.pdf
      May 01, 2012 - noted above, Psaty and colleagues went to exceptional effort to obtain patients’ pretreatment blood pressure … index date that determined current drug use.8 Even with that exceptional effort, pretreatment blood pressure … Had Psaty and colleagues adjusted for patients’ most recent blood pressure values, they would have biased … the comparisons between classes of antihypertensive drugs because the most recent blood pressure value … Injury Prev 2002;8:276-9. 40. Glynn RJ, Schneeweiss S, Stürmer T.

1239. Chronic-Urinary-Retention Research (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/chronic-urinary-retention_research.pdf
      September 01, 2014 - (7 percent), and other conditions such as stroke or traumatic brain injury (29 percent). … Journal of Wound, Ostomy, & Continence Nursing. 2007 May- Jun;34(3):289-96. PMID 17505249. … disease and a history of stroke or myocardial infarction in the previous 6 months; resting blood pressure … citrate Control: placebo Definition/etiology max flow rate <15ml/min, max urethral closure pressure … Score; LUTS = lower urinary tract symptoms; MS = multiple sclerosis; MUCP = maximal urethral closure pressure

1240. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853080/psn-pdf
      August 30, 2023 - of Nursing Quality Indicators showed low incidence of catheter-associated urinary tract infections, pressure … injuries, deep vein thrombosis, and central-line associated blood stream infection.1 In terms of patient