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psnet.ahrq.gov/node/837324/psn-pdf
July 08, 2022 - A 2014 study of
women who gave birth found that 14.8% of respondents perceived pressure from a clinician … riskier.13 Babies delivered via
cesarean section are at risk for respiratory problems and surgical injury … www.mayoclinic.org/tests-procedures/c-section/about/pac-20393655#:~:text=A%20C%2Dsection%20might%20increase,Wound … www.mayoclinic.org/tests-procedures/c-section/about/pac-20393655#:~:text=A%20C%2Dsection%20might%20increase,Wound … Patient-perceived pressure from clinicians for labor
induction and cesarean delivery: a population-based
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www.ahrq.gov/sites/default/files/2024-02/landrigan2-report.pdf
January 01, 2024 - begin their work day 8-10 hours after awakening (86), leaving them
with more accumulated homeostatic pressure … (i.e., injuries from needle sticks and scalpel
laceration), and ‘fall-asleep’ incidents. … extended-duration shifts compared to non-extended-duration shifts. (99) In addition, the odds of
a needlestick injury … A computer alert system to prevent injury from
adverse drug events. JAMA 1998;280(1317):1320. … Extended work duration and the risk of self-reported percutaneous injuries in interns.
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psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
April 01, 2006 - The bleeding was not stopped by local pressure, and he returned to the hospital, where he was found to … July 10, 2019
Classifying errors in preventable and potentially preventable trauma deaths … WebM&M Cases
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
August 01, 2025 - Implementation of TeamSTEPPS at a Level-1 Military
Trauma Center: The San Antonio Military Medical … hospital-acquired
infection was reviewed using LFD
► LFD used for post-fall huddle and after
skin injury … Skin: Pressure Ulcer? POA?
- Current descript ion of PU
10. Foley: Can it be removed?
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/chronic-urinary-retention_disposition-comments.pdf
September 15, 2014 - acontractile detrusor secondary to cauda equine or peripheral
nerve injury)
It is more appropriate … In these cases, the primary goals of
therapy are to reduce storage pressures (treat detrusor
overactivity … The whole idea behind using botulinum
toxin is to reduce storage pressures and reduce incontinence. … The Cruz study enrolled “patients with multiple sclerosis (MS; n
= 154) or spinal cord injury (SCI; … to under active
detrusor (failed contractility due to obstruction leading to CUR
and measured by pressure
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/tpcbib/index.html
May 01, 2015 - Hemoglobin A1c and blood pressure values in patients with diabetes were not significantly different between … The number of hospitalizations for unintentional injury and asthma also decreased after implementation … PMID: 23690385
The authors compared emergency care usage for any reason, asthma, and unintentional injury … As a comparison, emergency care use for unintentional injury had been increasing before and during implementation … Among patients with hypertension, frequent in-person visits were associated with better blood pressure
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psnet.ahrq.gov/node/33769/psn-pdf
June 01, 2014 - saw a flurry of new patient organizations, among them the
Josie King Foundation, Medically Induced Trauma … advocates, too, have generally concentrated their efforts on
hospitals, where the most devastating patient injuries … Laaser U, Senault R,
Viefhues H, German Society for Social Medicine, German Institute for High Blood Pressure … Medically Induced Trauma Support Services. [Available at]
18. Mothers Against Medical Error.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - Intrauterine pressure catheter or fetal scalp electrode placement.
Manual rotation. … Effects of shoulder dystocia training on the incidence of brachial plexus injury. … Shoulder dystocia and injuries: prevention and management.
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www.ahrq.gov/sites/default/files/publications/files/ena-slides.pdf
September 01, 2015 - Need for resources
• What teams need to be activated (specialists, code team, trauma team, brain injury … While a catheter
may prove useful in advanced-stage pressure ulcers, there are many other products that … Additionally, the presence of a catheter can cause pressure and
may damage fragile tissue. … • The patient who requires immobilization for trauma or surgery
Inquire about the length of the … • The patient who is incontinent with open sacral or perineal wounds
Consult with the wound care
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/ena-slides.pdf
September 01, 2015 - Need for resources
• What teams need to be activated (specialists, code team, trauma team, brain injury … While a catheter
may prove useful in advanced-stage pressure ulcers, there are many other products that … Additionally, the presence of a catheter can cause pressure and
may damage fragile tissue. … • The patient who requires immobilization for trauma or surgery
Inquire about the length of the … • The patient who is incontinent with open sacral or perineal wounds
Consult with the wound care
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psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
November 21, 2018 - single-bed patient rooms with high-efficiency particulate air filters and with negative or positive pressure … and the design and location of hazards like furniture—can contribute to patient falls and associated injuries
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psnet.ahrq.gov/web-mm/its-all-syringe
February 01, 2013 - add-on visits, and unexpected staff absences could all have increased the day's workload and production pressure … Insulin errors and injuries are common among hospitalized patients.( 4-9 ) The risk of treatment-related
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
January 01, 2004 - Studies have
identified a number of factors that affect the rate of worker injury. … authority.13 There is research examining the climate of safety in health
care as it impacts worker injuries … reactions of
supervisors, the training in use of technology, performance appraisals that include
safety, pressures … perceptions of work group members
regarding the protection of patients from medication errors and injuries … teamwork, risk perception, process auditing,
A Hospital Safety Climate Measure
441
production pressures
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hcup-us.ahrq.gov/db/nation/nis/APS-DRGsDefManualV27Public.pdf
April 01, 2010 - Ventilation - < 96 Hours
9672 Continuous Mechanical Ventilation - 96+ Hours
9390 Continuous Positive Airway Pressure … 902 901 WD DBRD FOR INJURIES
903 901 WD DBRD FOR INJURIES … 904 904 SKN GRFTS FOR INJURIES
905 904 SKN GRFTS FOR INJURIES … INJURIES
908 907 OTH OR PX FOR INJURIES
909 907 OTH OR … PX FOR INJURIES
913 913 TRAUMATIC INJURY
914 913 TRAUMATIC INJURY
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hcup-us.ahrq.gov/db/nation/nis/APS_DRGsDefManualV26Public.pdf
April 01, 2010 - determination.
9672 Continuous Mechanical Ventilation - 96+ Hours
9390 Continuous Positive Airway Pressure … 902 901 WD DBRD FOR INJURIES
903 901 WD DBRD FOR INJURIES … 904 904 SKN GRFTS FOR INJURIES
905 904 SKN GRFTS FOR INJURIES … INJURIES
908 907 OTH OR PX FOR INJURIES
909 907 OTH OR … PX FOR INJURIES
913 913 TRAUMATIC INJURY
914 913 TRAUMATIC INJURY
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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-the-improving-quality-through-clinician-use-of-health-it.pdf
January 28, 2014 - 07-003), which supported
research in risk assessment and modeling to iden-
tify preventable patient injuries … The system included the follow-
ing: alerts about elevated blood pressure; a template
that shows the … Kopal found that average diastolic and systolic
blood pressure fell among hypertensive patients after … The proportion of
hypertensive patients with their blood pressure under
control at their last visit … times more likely to have their blood pressure
under control after the intervention than before.
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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - recognized 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
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hcup-us.ahrq.gov/reports/statbriefs/sb29.jsp
April 01, 2007 - This category includes high blood pressure medications (antihypertensives), cardiotonic drugs such as … To define ADEs in this analysis, we used the following ICD-9-CM codes or external cause of injury codes … same drug event was coded (e.g., diagnosis code 960.0, Penicillin poisoning; and external cause of injury
-
hcup-us.ahrq.gov/reports/statbriefs/sb29.pdf
April 01, 2007 - This category includes
high blood pressure medications (antihypertensives), cardiotonic drugs such as … To define ADEs in this analysis, we used the following ICD-9-CM codes or external cause of injury codes … same drug event was coded (e.g., diagnosis code 960.0, Penicillin poisoning; and external
cause of injury
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/npsd-spotlight_behavioral-health.pdf
September 01, 2025 - Furthermore, healthcare staff
exposed to aggressive behavior from patients
are at an increased risk for injury … psycnet.apa.org/doi/10.1016/j.genhosppsych.2017.09.001
Behavioral Health AI Free-Text Analysis | Page 2
injuries … Studies have found that BH issues are linked to an increase in
staff injuries, a decrease in an organization … 1.4%
Blood or Blood Product 288 1.7% * *
Perinatal 561 3.4% 21 0.8%
Device 329 2.0% 14 0.5%
Pressure … Injury 318 1.9% * *
Healthcare-associated Infection 33 0.2% * *
Multiple * .02% 0 0%
Event