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1361. Urine Culturing Stewardship in the ICU Setting Facilitator Notes
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing.pptx
      April 01, 2022 - Abbreviations: BP = blood pressure; GI = gastrointestinal; Hgb = hemoglobin; HR = heart rate; ICU = intensive … without evidence of another source on history, physical examination, or laboratory testing In spinal cord injury … Has the patient had recent urologic manipulation such as trauma to the GU tract or surgery? … Effectiveness of a bundled approach to reduce urinary catheters and infection rates in trauma patients

1362. Evidence Summary: Gestational Diabetes: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/gestational-diabetes-screening
      August 10, 2021 - 0.41-0.68]; ARD, 8.9%), large for gestational age (RR, 0.56 [95% CI, 0.47-0.66]; ARD, 8.4%), birth injuries … fewer cesarean deliveries (RR, 0.78 [95% CI, 0.66 to 0.92]; ARD, –4.8% [95% CI, –8.2% to –1.5%), birth injuries … fasting blood samples, OGTTs, sonographic fetal biometry, and measurements of maternal weight and blood pressure … first trimester (51% of screened), associated with reduced risk of cesarean deliveries (ARD, 5%), birth injuries … unknown, with 1 study for each outcome Reasonably precise for stillbirth, cesarean deliveries, birth injuries

1363. Disposition of Comments for Screening for Glaucoma: Comparative Effectiveness (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/glaucoma-screening_disposition-comments.pdf
      April 01, 2012 - This is no longer considered to be part of the diagnosis because intraocular pressure is a risk factor … Methods analysis does not consider different populations with glaucoma; particularly those with trauma-induced … Shirley Methods Need more research on traumatically induced glaucoma secondary to sports-related injury … The diagnosis had to have included a clinical examination with measurement of intraocular pressure, … The diagnosis had to have included a clinical examination with measurement of intraocular pressure,

1364. Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
      March 10, 2008 - 10 specifies certain conditions in more detail than ICD-9-CM by adding anatomical sites and type of injury … Major diagnosis category (MDC) exclusion Procedure codes requirement PSI 14: Postoperative wound … – injury to neonate Yes All liveborn births (newborns) No No PSI 18: Obstetric trauma – vaginal … the ulcer, while M70 codes describe unspecified “soft tissue disorders related to use, overuse, and pressure … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization

1365. 3. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state3.html
      January 01, 2024 - that patients with diagnosis-related claims were  2.33 times more likely to die than to have a minor injury … have been associated with increased medical errors and stress, anxiety, and burnout. 113,114 Time pressure … of diagnostic safety found the need to prioritize research on system factors, such as workload, time pressure … considering alternative diagnoses, taking a diagnostic timeout to pause and reflect, and minimizing time pressures … themes of the diagnostic process, including diagnosis as a social phenomenon and distractions and time pressures

1366. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/049-dec-implementation-slides.pptx
      October 01, 2024 - and Dressings8 Recommended for superficial wounds Friable skin/rashes Superficial burns Pressure injuries … Recent nasal surgery or trauma: Discuss with your hospital’s ENT surgeons to establish guidelines for … CHG is approved as a wound cleanser. … Encourage wound care nurses to provide support to staff who are uncomfortable. … SHIELD: Eliminating Multidrug-Resistant Organisms; FAQ: Wound Care.

1367. Ninth Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services (pdf file)
      www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/uspstf-annual-report-to-congress-2019.pdf
      January 01, 2019 - responsible for 88,000 deaths annually.20 Alcohol use also contributes to more than 200 diseases and injuries … , including both short-term (e.g., injuries from motor vehicle accidents, violence) and long- term (e.g … Trauma and Violence. https://www.samhsa.gov/trauma-violence. Accessed August 8, 2019. 35. … Atlanta, GA: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control … A High Blood Pressure: Screening in Adults The USPSTF recommends screening for high blood pressure

1368. Understanding the CMS Patient Safety Structural Measure Requirements for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cms-patient-safety-measure-hospitals-webcast.pdf
      July 08, 2025 - improvement activities on safety events (such as: medication errors, surgical/procedural harm, falls, pressure … injuries, diagnostic errors, and healthcare-associated infections).” 31 Domain 3 Statement C:

1369. QDR 2014: Chartbook for Hispanic Health Care, Part 1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt1.pdf
      October 01, 2015 - For example, only half of people with high blood pressure have it controlled. …  Leading causes of morbidity and mortality include heart disease, cancer, unintentional injuries,

1370. Patient Safety Concerns and the LGBTQ Population | PSNet
      psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population
      February 01, 2023 - than their heterosexual and cisgender peers. 5 Studies have also found that LGBTQ+ people experience trauma … In these cases, easily managed health needs like high blood pressure or diabetes can progress to acute … People may go to a provider because they have an injury or concern, and providers can only focus on their … I am trans, but I also have high blood pressure and high cholesterol. … We just want to be seen as humans, so that we can get our blood pressure managed on a regular basis.

1371. In Conversation with... Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ Population | PSNet
      psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patient-safety-concerns-and-lgbtq-population
      February 01, 2023 - In these cases, easily managed health needs like high blood pressure or diabetes can progress to acute … People may go to a provider because they have an injury or concern, and providers can only focus on their … There is also that trauma of accessing care and feeling that bias and stigma, which can prevent patients … I am trans, but I also have high blood pressure and high cholesterol. … We just want to be seen as humans, so that we can get our blood pressure managed on a regular basis.

1372. Medication Reconciliation Technology to Improve Quality of Transitional Care - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs018183-weiner-final-report-2013.pdf
      January 01, 2013 - Treating drug-related injuries in hospitals costs at least $3.5 billion per year. … Since clinicians in the hospital work under time constraints and pressures, this can pose difficulties

1373. Protocol for Identifying and Treating Children With Sepsis Syndrome in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
      February 01, 2018 - Unlike adults, the diagnosis of septic shock in children does not require the presence of low blood pressure … (hypotension), as children often maintain normal 6 blood pressure until the advanced stages of … A limited window of opportunity exists for treating underlying injury once shock is present. … Because children often maintain their blood pressure until they are severely ill, systemic hypotension … requirement for diagnosis of septic shock in children; in fact, shock may occur long before blood pressure

1374. Pc2015
      hcup-us.ahrq.gov/toolssoftware/procedure/pc2015.csv
      January 01, 2012 - OP NOS 4 '7992' RADIUS/ULNA INJ OP NOS 4 '7993' METACARP/CARP INJ OP NOS 4 '7994' FINGER INJURY OP … 4 '7998' TOE INJURY OPERATION NOS 4 '7999' UNSPEC OPBONE INJ NEC 4 '8000' ARTHROT & PROS REMOV NOS … 1 '9172' CULTUREOP WOUND 1 '9173' C & SOP WOUND 1 '9174' PARASITOLOGYOP WOUND 1 '9175' TOXICOLOGYOP … WOUND 1 '9176' CELL BLK/PAPOP WOUND 1 '9179' MICRO EXAMOP WOUND NEC 1 '9181' BACT SMEAR NEC 1 '9182 … DRESSING APPLIC 2 '9357' DRESSING OF WOUND NEC 2 '9358' PRESSURE TROUSER APPLICA 2 '9359' IMMOBILIZ

1375. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49779/psn-pdf
      January 01, 2017 - these failures are more likely when staff are working under high levels of stress, workload, or time pressure … Injuries are caused by a lack of differentiation between the use of infusion devices in hospitals and

1376. In Conversation With... Freya Spielberg, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
      September 28, 2022 - A big step was just educating people that, in fact, they have high blood pressure and how they can take … As part of this education, the community health worker would give a patient a blood pressure monitor … so they could take their own blood pressure at different times during the day and see for themselves … that since hypertension is such a huge issue in these populations, everybody should have a home blood pressure … AHRQ’s broad definition of patient safety includes “prevention of diagnostic errors, medical errors, injury

1377. Glaucoma-Screening Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/glaucoma-screening_executive.pdf
      April 01, 2012 - glaucoma may be characterized by optic nerve damage, visual field loss, and elevated intraocular pressure … The USPSTF noted that intraocular pressure measurement and optic nerve head assessment alone have limited … KQ4b: How does intraocular pressure vary when comparing different screening-based programs for open- … Goldmann Applanation Tonometry (GAT) Tonometry is the measurement of intraocular pressure (IOP). … Detection of psychophysical and structural injury in eyes with glaucomatous optic neuropathy and normal

1378. Imp-Handouts (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
      June 02, 2025 - Report data help identify residents with new ADL decline, fall risk, or fall injury, therefore at risk … Rehab Managers Weekly huddle to review residents at risk for ADL decline or fall or with fall injury … 2 or above pressure ulcers at risk for infection who potentially require hospitalization/ED visit … Reports provide information about current and changing risks for pressure ulcer healing and can aid … Discharge diagnoses were dehydration, fall with injury, cellulitis, and angina.

1379. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49744/psn-pdf
      October 01, 2015 - The Case A 47-year-old man with paraplegia (secondary to a gunshot wound) and a history of polysubstance … Unfortunately, his cardiac arrest led to an anoxic brain injury, and he remained in a vegetative state … 11  Laboratory test(s) 12  Laboratory value(s)/result(s) 13  Vital signs: height, weight, blood pressure

1380. The Nature, Characteristics and Patterns of Perinatal Critical Events Teams (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Riley_58.pdf
      April 02, 2008 - remains high at 6.3 birth traumas per 1,000 live deliveries.13 • Team and leadership communication … Discussion Critical event teams in health care face significant complexity and time pressures, which … Preventing infant death and injury during delivery. Sentinel Event Alert; Issue 30. … An evaluation of trauma team leader performance by video recording. … Video techniques and data compared with observation in emergency trauma care.