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1441. PEPTIC ULCER #11 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/peptic-ulcer-horizon-scan-high-impact-1306.pdf
      June 01, 2013 - Resting LES manometric pressure changed from 52.5 mm Hg before POEM to 19.8 mm Hg after the procedure … Significant reductions in Eckardt score (1.1–7.5, p<0.0001) and LES pressure (19–49 mm Hg, p<0.0001 … Esophageal achalasia is typically diagnosed by the manometric detection of elevated LES resting pressure … primary cause of SBS is surgical removal of more than half of the small intestine because of disease, injury … POEM relieves dysphagia, sphincter pressure. [internet].

1442. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837959/psn-pdf
      August 31, 2022 - The patient developed generalized urticaria, bronchospasm requiring high airway pressures to achieve … Latex is essential to these plants to heal surface injuries and create immune responses against invading … Thus, unexplained hypotension, tachycardia, and high airway pressure for adequate ventilation (due to

1443. Final Progress Report: Process Reliability and Organizational Learning in Home Health Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
      January 01, 2025 - Two hospitalizations (1.5%) were the result of injuries that were unrelated to home care. … 120 Decline resulting from patient's condition Complication of earlier care New diagnosis Injury … benefit will be provided in those visits (e.g., an agency cannot simply increase the frequency of wound … Identifying barriers to reporting changes in condition: unclear expectations, time/production pressure

1444. Behavioral Programs for Diabetes Mellitus (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/diabetes-behavior-programs_executive.pdf
      September 11, 2015 - , and cholesterol levels.14,22-24 For instance, intensive lowering of blood pressure in people with … For patients with T1DM, what are the associated harms (i.e., activity-related injury) of behavioral … For KQ 4, harms (i.e., activity-related injury), we planned to descriptively summarize all outcomes … No studies reported on the associated harms (i.e., activity-related injury) of behavioral programs … For objective outcomes (e.g., HbA1c, weight, blood pressure), 42 percent of trials had a medium risk

1445. EMS Patient Safety in the Field | PSNet
      psnet.ahrq.gov/perspective/ems-patient-safety-field
      July 28, 2021 - correctly and safely, but for a subset of patients experiencing time-sensitive events such as severe trauma … To assist EMS personnel in decision making in high-pressure situations and to support standardized care … One example is injuries personnel can sustain from slipping or tripping when lifting and moving equipment … and patients. 8 An injury can harm not only the worker, but also the patient, if, for example, the … What if that trauma patient all of a sudden decompensated?

1446. Privacy or Safety? | PSNet
      psnet.ahrq.gov/web-mm/privacy-or-safety
      December 01, 2011 - patient on the same unit who also happened to have severe cognitive impairment from a traumatic brain injury … Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure

1447. Which Line: Ordering Provider or Proceduralist? | PSNet
      psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
      September 16, 2015 - harmed by having the incorrect catheter placed, but the error was eventually discovered and further injury … The efficacy of self-check is limited by time pressure and by asymmetric knowledge—individuals in the

1448. Interventions To Prevent Age-Related Cognitive Decline, Mild Cognitive Impairment, and Clinical Alzheimer’s-Type Dementia (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/cognitive-decline-disposition-170707pdf.pdf
      March 24, 2017 - blood pressure. … I am a professor at UCSF and see elderly patients and individuals post neurological trauma and chronic … Thus, more of our elders will be forced to accept declining physical independence, unnecessary injuries … throughout one’s life is not like playing football where 100% of players will suffer a concussion injury … money to play and the world loves to watch the game despite the violence of the sport and the serious injuries

1449. Interventions To Prevent Age-Related Cognitive Decline, Mild Cognitive Impairment, and Clinical Alzheimer’s-Type Dementia (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cognitive-decline-disposition-170707pdf.pdf
      March 24, 2017 - blood pressure. … I am a professor at UCSF and see elderly patients and individuals post neurological trauma and chronic … Thus, more of our elders will be forced to accept declining physical independence, unnecessary injuries … throughout one’s life is not like playing football where 100% of players will suffer a concussion injury … money to play and the world loves to watch the game despite the violence of the sport and the serious injuries

1450. transforming-guidelines-action-slides-06152023 (pdf file)
      digital.ahrq.gov/sites/default/files/docs/transforming-guidelines-action-slides-06152023.pdf
      June 15, 2023 - interventions 9 STRIDE = STrategies to Reduce Injuries … A Randomized Trial of a Multifactorial Strategy to Prevent Serious Fall Injuries. … home • Lifestyle changes Barriers Staff • Time • No show risk • Provider preferences • Time pressures … Osteoporosis and osteopenia are well documented risk factors for fall injury, including fractures, with … Research Impact Background: CDS, Interoperability, and Data Sharing STRIDE = STrategies to Reduce Injuries

1451. Barotrauma | Effective Health Care (EHC) Program
      effectivehealthcare.ahrq.gov/health-topics/barotrauma

1452. Miscommunication During the Interhospital Transport of a Critically Ill Child | PSNet
      psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
      March 27, 2024 - Disconnection in information exchange during pediatric trauma transfers: a qualitative study. … moderator of child’s acute biological response and subsequent posttraumatic stress symptoms in pediatric injury … disorder symptoms and child gender on risk for persistent posttraumatic stress disorder symptoms in child trauma … May 29, 2024 WebM&M Cases Under Pressure: Delayed Diagnosis

1453. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
      January 01, 2020 - opioid-induced respiratory depression; of those, 77% resulted in severe brain damage or death – Most injuries … should be monitored closely 25 Monitoring Component Assessment Type Vital Signs Heart Rate Blood Pressure

1454. Optimize Briefings and Debriefings: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
      December 01, 2017 - defines a sentinel event as an unexpected occurrence involving death or serious physical or psychological injury … Serious injury specifically includes loss of limb or function. … Review the perfusion plan, including cannulation, perfusion pressure goals, temperature, and transfusion

1455. Facilitator Guide: Optimize Your Briefings and Debriefings (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
      December 01, 2017 - defines a sentinel event as an unexpected occurrence involving death or serious physical or psychological injury … Serious injury specifically includes loss of limb or function. … Review the perfusion plan, including cannulation, perfusion pressure goals, temperature, and transfusion

1456. 2019NHQDRMethodsReport (pdf file)
      hcup-us.ahrq.gov/reports/methods/2020-04.pdf
      January 01, 2020 - • ED visits for injuries. … ED utilization for injuries was reported by trauma level and by age, sex, community income, urban-rural … PSI03 Admissions with pressure ulcers per 1,000 medical and surgical discharges of length 3 or more … QI QI Label Definition Footnote Risk Adjustment Footnote PSI15 Reclosure of postoperative abdominal wound … PSI18 Birth trauma - injury to neonate per 1,000 live birthsa,b a Consistent with the AHRQ PSI software

1457. Classics and Emerging Classics | PSNet
      psnet.ahrq.gov/classics
      August 01, 2023 - Complications (93) Nosocomial Infections (50) Patient Falls (8) Pressure … clear limitations, select PSIs have been shown to accurately identify certain accidental inpatient injuries

1458. The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
      May 01, 2012 - estimated that avoidable medical errors contribute to 44,000–98,000 deaths, and more than a million injuries … Patient safety efforts should focus on medical injuries. JAMA. 2002;287:1993-1997. … detection of adverse events in hospital patients, and it moves patient safety from a retrospective focus on injury … a really important transition to make, and it's going to be hard because it's going to put a lot of pressure

1459. In Conversation With…David C. Classen, MD, MS | PSNet
      psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
      May 01, 2012 - detection of adverse events in hospital patients, and it moves patient safety from a retrospective focus on injury … a really important transition to make, and it's going to be hard because it's going to put a lot of pressure … estimated that avoidable medical errors contribute to 44,000–98,000 deaths, and more than a million injuries … Patient safety efforts should focus on medical injuries. JAMA. 2002;287:1993-1997.

1460. Final Progress Report: Short-term Clinical Deterioration After Acute Pulmonary Embolism (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/weekes-report.pdf
      January 01, 2025 - important indicator of acute PE of moderate to high severity is an acute increase in right ventricular pressure … abnormality is commonly assessed in two ways: 1) laboratory surrogates of myocardial stretch and injury … and 2) imaging assessments for RV dilatation, pressure increases, and decreased systolic function. … point each for abnormal RV by echocardiography, abnormal RV by computed tomography, systolic blood pressure