-
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
-
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
-
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 .
-
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
-
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
-
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].
-
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?
-
effectivehealthcare.ahrq.gov/health-topics/first-aid
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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
-
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
-
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
-
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
-
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
-
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
-
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
-
effectivehealthcare.ahrq.gov/health-topics/barotrauma
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
September 01, 2023 - status, extremes of age, delirium, or poor
information exchange between health systems;
■ Time pressures … Identification of children at very low risk of clinically-
important brain injuries after head trauma … Cluster Randomized Trial Reducing Missed Elevated Blood
Pressure in Pediatric Primary Care: Project … Disparities in the evaluation and
diagnosis of abuse among infants with traumatic brain injury. … The use of telemedicine in the care of the pediatric trauma patient. Semin
Pediatr Surg.
-
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
-
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