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1421. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865884/psn-pdf
      May 29, 2024 - Due to the delayed diagnosis, the patient suffered permanent brain injury requiring around-the-clock … These barriers include professional hierarchy, time pressure, challenging workloads, and inadequate

1422. Noninvasive Testing for Coronary Artery Disease (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/coronary-artery-disease-testing_research-protocol.pdf
      January 15, 2015 - those related to local anesthesia and use of contrast material, as well as infection, local vascular injury … (FFR), which relies on the use of specialized catheters placed in the coronary artery to measure a pressure … BP = blood pressure; CABG = coronary artery bypass graft; CAD = coronary artery disease; DM = diabetes … This has been developed as an alternative to invasive FFR measurement in which a pressure wire is placed … Blood pressure and breathing are monitored as well. 22 Archived: This report is greater than 3 years

1423. Final Progress Report: Risk Analysis of Pediatric Chemotherapy Processes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/shenep-report.pdf
      January 01, 2024 - Review effectiveness of 60%. 6 Significant effect/ Minor injury Actual error occurred and reached … Page 8 8 Extreme effect/major injury Actual error occurred and reached the patient. … Error would result in a major injury for the individual served, including permanent patient harm … detect Remote likelihood that current controls will detect. 10 Catastrophic effect; terminal injury … Discussion Although CPOE is supported philosophically by multiple groups that exert significant pressure

1424. ElderTree Baseline Survey (pdf file)
      digital.ahrq.gov/sites/default/files/docs/survey/eldertree-baseline-survey.pdf
      October 16, 2014 - Medical support services*       ∗ reminders to take medications, taking blood pressure, monitor … weight for gain or loss, observe for injuries (bruises, limping) monitor for pain OTHER SUPPORT

1425. The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy | PSNet
      psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
      April 08, 2019 - 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

1426. Ratio of Magnetic Resonance Imaging Scans to Computed Tomography Scans for the Evaluation of Children with Atraumatic Seizure: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-fullreport.pdf
      November 01, 2019 - These complications include compromised airway, hypoxia leading to central nervous system injury, and … moderate and deep sedation carry risk of airway compromise, hypoxia resulting in central nervous system injury … These risks include dental trauma; airway edema (swelling of the windpipe); vocal cord spasm or injury … ; regurgitation of stomach contents with subsequent aspiration (inhalation) pneumonia; injury to arteries … , veins, or nerves; alterations in blood pressure; and/or irregular heart rhythms (Society for Pediatric

1427. Untitled (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/thromboembolism-update_research-protocol.pdf
      February 17, 2016 - prophylaxis in non-major orthopedic surgeries (knee arthroscopy, surgical repair of lower extremity injuries … joint bleeding §   Bleeding leading to infection §   As defined by authors o   Surgical site/wound-related … infections o   Surgical site/wound complications (other than bleeding, infection) o   Heparin-induced … These mostly work by preventing pooling of blood in the lower extremities either by applying pressure … cardiovascular collapse including hypoxemia (low oxygen level in the blood), hypotension (low blood pressure

1428. The Empty Bag | PSNet
      psnet.ahrq.gov/web-mm/empty-bag
      June 01, 2018 - 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

1429. Isolated Clot, Real Error | PSNet
      psnet.ahrq.gov/web-mm/isolated-clot-real-error
      December 01, 2013 - is sometimes observed in clinical practice, filters should not be used as a way to prevent VTE after trauma … July 1, 2011 Injuries before and after diagnosis of cancer: nationwide register … More Related Resources WebM&M Cases Under Pressure

1430. In Conversation With... Charles A Crecelius, MD, PhD, CMD and Lori L Popejoy, PhD, RN, FAAN | PSNet
      psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
      October 28, 2020 - In putting all of this in place, did you see reductions in harms like pressure injuries, resident falls … individuals can gain from social interaction and enhanced mobility, such as reduced risk of falls and pressure … mitigate safety risks associated with usual care needs for this patient population, such as falls and pressure

1431. Final Progress Report: Quality Factors in Nursing Home Choice (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/congdon-magilvy-report.pdf
      January 01, 2024 - homes include indicators of physical care, such as rate of restraint use (physical and chemical), pressure … sore prevalence, urinary tract infections, pain, injuries, hospitalizations, functional decline; staffing … follows: .626 for urinary tract infections, .528 for weight loss, .853 for tube feeding, .570 for pressure … indicated that NHs with higher total hours of care had higher rates of urinary tract infections and pressure

1432. Long-Term Care and the Response to COVID-19 | PSNet
      psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
      October 28, 2020 - individuals can gain from social interaction and enhanced mobility, such as reduced risk of falls and pressure … mitigate safety risks associated with usual care needs for this patient population, such as falls and pressure … In putting all of this in place, did you see reductions in harms like pressure injuries, resident falls

1433. Meeting Minutes, November 2017 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
      February 01, 2018 - Preliminary data on the use of the training materials showed significant decreases in falls with injury … AHRQ also released training materials for preventing pressure ulcers in hospitals. … Preliminary data on use of the materials showed significant decreases in pressure ulcers during a 1-year

1434. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49624/psn-pdf
      May 01, 2011 - ICU, he was noted to have fixed and dilated pupils on neurologic exam, a sign of serious neurologic injury … Strong psychological pressures accompanying these events (not wanting to admit a mistake) can bias the

1435. Health IT Hazard Manager Beta-Test (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/HealthITHazardManagerFinalReport.pdf
      May 01, 2012 - note, the focus of most reporting systems on analyzing adverse events “means that injury has already … note, however, “Most reporting systems concentrate on analyzing adverse events; this means that injury … should establish a mechanism for both vendors and users to report health IT-related deaths, serious injuries … Intracranial Pressure Calculation: The formula for calculating intracranial pressure (ICP) was re-entered … incorrectly by local IT staff as part of a software upgrade, with the result that all pressures were

1436. Chartbook on Effective Treatment: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/effectivetreatment-slides.html
      April 01, 2018 - Most Costly Conditions, 2013 Condition Total Expenses (Millions) Report Section Trauma-related … Blood pressure under control is defined as having a mean systolic blood pressure <140 and mean diastolic … blood pressure <90 among all hypertensive patients. … , blood pressure control among people with diagnosed high blood pressure remains a problem. … Increased risk of death from car crashes and other injuries.

1437. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/womenhealth/2014nhqdr-womenhealth.pptx
      January 01, 2020 - Importance: About 70 million American adults (29%) have high blood pressure (Nwankwo, et al., 2013). … High blood pressure costs the Nation $46 billion each year. … mostly attributable to sudden unexpected infant death (SUID), congenital anomalies, infection, and injury … Web-based Injury Statistics Query and Reporting System (WISQARS) [Online]. (2013). http://www.cdc.gov … /injury/wisqars/index.html .

1438. ADHD-Update-protocol-160818 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/adhd-update_research-protocol.pdf
      August 18, 2016 - growth suppression,24 weight decrease, sleep disturbance, gastrointestinal symptoms, elevated blood pressure … growth suppression, weight decrease, sleep disturbance, gastrointestinal symptoms, elevated blood pressure … Growth suppression • Weight decrease • Sleep disturbance • Gastrointestinal symptoms • Elevated blood pressure … suppression o Weight decrease o Sleep disturbance o Gastrointestinal symptoms o Elevated blood pressure

1439. Methods (continued, 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3a.html
      July 01, 2018 - External motivation may also come from pressures or "pushes" from external organizations. … hospital-associated infections, reducing risk of harm from patient falls, and preventing hospital-associated pressure … unanticipated event in a health care setting resulting in death or serious physical or psychological injury … level (e.g., on PFACs and decisionmaking committees). 103,104 Sentinel events also lead to external pressures

1440. First Aid | Effective Health Care (EHC) Program
      effectivehealthcare.ahrq.gov/health-topics/first-aid