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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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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
June 30, 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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www.ahrq.gov/sites/default/files/2024-07/domino-report.pdf
January 01, 2024 - Physicians already felt pressure to reduce or limit time with patients to meet scheduling
demands and … outpatient treatment, unplanned
admission or readmission, or emergency room visit), or new physical injury … In contrast, the nature of most errors was equipment
injuries (23%), diagnostic delays or failures ( … Medical errors leading to complaints included medication errors (n=5), equipment injuries
(n=3), diagnosis … and dollar amounts
Patient complaints were more likely than errors to result in some new physical injury
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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/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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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/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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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
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/bundled-payments-quality-effects_executive.pdf
August 01, 2012 - Several studies reported outcomes separately for patients
with relatively severe disease or injury and … patients
with less severe disease or injury, but the results were
inconsistent between studies. … limited due to differences in
beneficiary characteristics, provider bargaining power, and
competitive pressures … bundled payment is more effective in more highly
integrated delivery settings, the role of financial pressure … Medicare
prospective payment system on acute rehabilitation
outcomes of patients with spinal cord 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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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
April 01, 2018 - This measure calculates the rate of adverse events (patient harm)—defined as unintended
physical injury … Black and Hispanic newborns are at higher risk of birth trauma
(Miller, et al., 2003). … Although AEs most
often result in transient harms, some lead to permanent injury and death. … : "Naloxone administration," “Health care-
associated infections: positive C. difficile test,” and "Pressure … Internal pressures, such as a punitive culture
that leads to underreporting of medical errors, may influence
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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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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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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/tfannrpt2011.pdf
January 01, 2012 - Adolescents
High-risk alcohol use by adolescents is an important cause of preventable death and significant injury … high blood pressure in adults ages 18 years and older. … B
Type 2 Diabetes Mellitus: Screening in Adults With Sustained Blood Pressure of 135/80+
The USPSTF … I
Prevention of Motor Vehicle Occupant Injuries: Counseling in a Primary Care Setting for Driving Under … I
Prevention of Motor Vehicle Occupant Injuries: Counseling in a Primary Care Setting for Proper Use
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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.uspreventiveservicestaskforce.org/uspstf/recommendation/obesity-in-adults-interventions
September 18, 2018 - recommendations on screening for abnormal blood glucose levels and type 2 diabetes, screening for high blood pressure … Intermediate outcomes (eg, prevalence of high blood pressure or the metabolic syndrome, use of cardiovascular … potential harms of behavioral weight-loss interventions, including increased risk for fractures, serious injuries … Association of overweight with increased risk of coronary heart disease partly independent of blood pressure … Screening for high blood pressure in adults: U.S.
-
www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/obesity-in-children-and-adolescents-screening-2005
July 12, 2005 - Blood pressure was not improved, and in some cases increased blood pressure was a reason for discontinuation … stigmatization, binging or purging behaviors, eating disorders, suppressed growth, or exercise-induced injuries … Childhood risk factors for high adult blood pressure: the Muscatine Study. … Childhood predictors for high adult blood pressure. The Muscatine Study. … Alterations in anthropometric blood pressure and serum lipoprotein variables.
-
psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
April 01, 2005 - However, if you believe that these kinds of schedules actually prevent injuries due to medical errors … There has been pressure within the nursing community to keep shifts limited because of data, going back … March 2, 2011
Extended work duration and the risk of self-reported percutaneous injuries