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1241. Error Producing Conditions in the Intensive Care Unit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
      February 26, 2008 - Time pressure in error detection. 3. Low signal-to-noise ratio. 4. … percent), the surgical ICU (8 percent), the neurological critical care unit (8 percent), and the burn-trauma … 38 ICU workplace (%) Medical 68 Thoracic 12 Surgical 8 Neurological critical care 8 Burn-trauma … Given the problems outlined above, it is no surprise to find that under time pressure, the operation … Preventing ventilator-related death and injuries.

1242. Final Progress Report: Evaluating the Impact of Simulated Team Training on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/scott-report.pdf
      January 01, 2024 - Use the ambulatory surgical setting as a model to better understand risks and injuries and to focus … University of Michigan, complications may occur in nearly 13% of cases.4 Preventable healthcare-related injuries … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization … by the team; and 3) Hypercarbia – the patient becomes hypercarbic with increased peak inspiratory pressures … and implement team training curricula regarding other domains, such as rare event crises in the OR, trauma

1243. Methods – Applying HCUP Quality Indicators (pdf file)
      hcup-us.ahrq.gov/reports/methods/2019-01.pdf
      January 01, 2019 - • ED visits for injuries. … ED utilization for injuries was reported by trauma level and by age, sex, community income, urban-rural … PDI11 Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions … PSI14 Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions … PSI17 Birth trauma - injury to neonate per 1,000 live births Consistent with the AHRQ PSI software

1244. Electronic Medication Adherence Reporting and Feedback During Care Transitions - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs024587-schnipper-final-report-2019.pdf
      January 01, 2019 - Several studies have shown that post-discharge adverse drug events (ADEs, injury due to a medication … evaluated in the transitions setting, where there are unique logistical challenges, e.g., due to time pressures … of disease control (Table 4a and 4b), those assigned to the smart pillbox overall had better blood pressure … control, especially diastolic blood pressure (arguably the more important of the two measures) in fully … goal of < 130 mmHg or decrease to that goal if not at goal at baseline b Maintain diastolic blood pressure

1245. Disposition of Comments Report for Comparative Effectiveness Review #68 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/nppv-respiratory-failure_disposition-comments.pdf
      July 01, 2012 - Noninvasive Positive–Pressure Ventilation (NPPV) for Acute Respiratory Failure. … When expiratory pressure is combined with higher inspiratory pressure in bilevel modes, it is not continuous … There are in fact two pressures: a continuous level that is periodically augmented by additional inspiratory … pressure. … Role of noninvasive ventilation in acute lung injury/acute respiratory distress syndrome: a proportion

1246. Research | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/research
      January 01, 2023 - Hicks LS et al. 2008 "Impact of computerized decision support on blood pressure management and control … McDowell I et al. 1989 "A randomized trial of computerized reminders for blood-pressure screening in … …compares "three ways of encouraging patients in a large family practice to obtain a blood pressure check … Soopramanien A et al. 2005 "Using telemedicine to provide post-discharge support for patients with spinal cord injuries … discharge to provide participants with regular telemedicine sessions conducted by specialists in spinal injury

1247. Disposition of Comments for Management of Suspected Opioid Overdose With Naloxone by Emergency Medical Services Personnel (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-193-disposition-comments-naloxone.pdf
      November 27, 2017 - line 22: There is some evidence that even trained EMS providers often provide substandard positive pressure … We also added the sentence: “In addition, negative pressure ventilation (i.e., patients breathing … on their own) is more likely to achieve adequate oxygenation than manual positive pressure ventilation … Also, the risk of adverse event will also have to do w/ the pt's overall health otherwise (wound infxns … The IN method takes the needle out of the equation- -which reduces needle-stick injuries, and in PWID

1248. ___APS-Def_Public.book (pdf file)
      hcup-us.ahrq.gov/db/nation/nis/APS-DRGs%20V23%20Definitions%20Manual.pdf
      August 01, 2006 - 507 Full Burn W Graft or Inhal W/O Sign Trauma 508 Full Burn W/O Graft or Inhal W Sign Trauma 510 … Ventilation - < 96 Hours 9672 Continuous Mechanical Ventilation - 96+ Hours 9390 Continuous Positive Airway Pressure … 440 440 WOUND DEBRIDEMENTS FOR INJURIES 441 441 HAND PROCEDURES FOR INJURIES 442 442 OTHER O.R PROCEDURES … 444 444 TRAUMATIC INJURY AGE >17 445 444 TRAUMATIC INJURY AGE >17 446 446 TRAUMATIC INJURY AGE … ,POISON&TOXIC EFFECT DX 455 454 OTH INJURY,POISON&TOXIC EFFECT DX 461 461 O.R.

1249. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49668/psn-pdf
      October 01, 2012 - On physical examination, abnormal findings included dilated pupils, elevated heart rate and blood pressure … Injury Prevention and Control Policy Impact: Prescription Painkiller Overdoses.

1250. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-470
      December 31, 2024 - On arrival at the emergency department, she had severely elevated blood pressure and hypoxemia. … continuing challenge of preventing falls and explores strategies for preventing falls and falls with injury

1251. High-Risk Medications, High-Risk Transfers | PSNet
      psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
      December 21, 2017 - airway displacement), hemodynamic disturbances (including cardiac arrest), nosocomial infections, and injury … More Related Resources WebM&M Cases Under Pressure

1252. Findings and Lessons From the Enabling Patient-Centered Care Through Health IT Grant Initiative (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-enabling-patient-centered-care-through-health-it.pdf
      January 01, 2013 - 07-003), which supported research in risk assessment and modeling to iden- tify preventable patient injuries … , which allow them to more closely monitor blood pressure and antihypertensive medications. … Patients use the PHR to record and monitor health measures such as blood pressure. … discussing blood pressure management with their physicians during visits. … (5.25 points) and a more modest, nonsignificant decline in systolic blood pressure.

1253. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49726/psn-pdf
      March 01, 2015 - as a sentinel event—an unexpected occurrence involving death or serious physical or psychological injuries … markings, surgeon fatigue, numerous surgeons, multiple procedures on the same patient, atypical time pressures

1254. Cervical Ripening in the Outpatient Setting (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/ocr-protocol-final_1.pdf
      December 18, 2019 - (e.g., bone fracture, neurologic injury, or retinal hemorrhage)c • Intracranial or subgaleal … (e.g., bone fracture, neurologic injury, or retinal hemorrhage)c • Intracranial or subgaleal … (e.g., bone fracture, neurologic injury, or retinal hemorrhage)c • Intracranial or subgaleal … (e.g., bone fracture, neurologic injury, or retinal hemorrhage)c • Intracranial or subgaleal … maternal age, gestational age, race and ethnicity), pregnancy risk factors (such as diabetes, high blood pressure

1255. Atrial-Fibrillation-Ablation Surveillance (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/atrial-fibrillation-ablation_surveillance.pdf
      May 16, 2013 - Prevalence  and  characteristics  of   asymptomatic  excessive  transmural   injury   … Identification  of  a  high-­‐risk   population  for  esophageal  injury  during   … ET-1 level>1.68 pg/ml as a predictor of AF recurrence; MVA) OR=6.10, p<0.05 (diastolic blood pressure … aspiration pneumonia 3 (0.2%), pulmonary edema 2 (0.1%), conduction system damage 1 (0.1%), genitourinary trauma … CI: 1.2, 32.5 [MVA] (LA ≤ 45 mm as a predictor of PH) OR=1.14, 95% CI: 1.1, 1.4 [MVA] (Mean LA pressure

1256. Refining Key Questions: Interactive Case Study Quiz
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/rfviia.pptx
      May 01, 2010 - guideline from the American Heart Association/American Stroke Association Stroke Council, High Blood Pressure … brain injury (TBI) as the overall cause of mortality. … The coagulopathy develops when there is tissue injury in combination with hypotension. … Transfusions result in pulmonary morbidity and death after a moderate degree of injury. … Effect of recombinant factor VIIa as an adjunctive therapy in damage control for wartime vascular injuries

1257. Refining Key Questions: Interactive Case Study Quiz
      effectivehealthcare.ahrq.gov/sites/default/files/rfviia.pptx
      May 01, 2010 - guideline from the American Heart Association/American Stroke Association Stroke Council, High Blood Pressure … brain injury (TBI) as the overall cause of mortality. … The coagulopathy develops when there is tissue injury in combination with hypotension. … Transfusions result in pulmonary morbidity and death after a moderate degree of injury. … Effect of recombinant factor VIIa as an adjunctive therapy in damage control for wartime vascular injuries

1258. Urine Culturing Stewardship in the ICU Setting Facilitator Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing-notes.docx
      April 01, 2022 - Her temperature is 100.8 degrees Fahrenheit, heart rate 130, respiratory rate 22, and blood pressure … mistakenly considered an unavoidable “cost of doing business” instead of understood as avoidable, tragic injury

1259. FRN 39 - Nonoperative and Operative Treatments for Rotator Cuff Tears: Future Research Needs (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/rotator-cuff-tears-future_research.pdf
      February 01, 2013 - Consumers lack knowledge about which rotator cuff injuries need surgery and how to find information … Stakeholders noted that despite great pressure in orthopedics to evaluate new, controversial, or promising … Arch Orthop Trauma Surg, 2011 (RC repair vs. … Arch Orthop Trauma Surg. Mar 2011;131(3):363-369. PMID: 21161250. 10. … • There is a lack of public understanding of which rotator cuff injuries really need surgery.

1260. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/disabilities-quality-improvement-outcomes_research-protocol.pdf
      August 03, 2011 - can also be differentiated by etiology: developmental disabilities, disabilities acquired through trauma … Preventive Services Task Force) o Urinary tract infections o Pressure ulcers o Uncontrolled diabetes … functioning and disability… as a dynamic interaction between health conditions (diseases, disorders, injuries … , trauma, etc.) and contextual; factors, including the social, attitudinal, and physical environments … . intellectual disabilit$.mp. 3092 9. 1 or 2 or 3 or 4 or 5 or 6 or 7 or 8 214730 10. exp Pressure