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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary24/drug-use-illicit-primary-care-interventions-for-children-and-adolescents-march-2014
March 11, 2014 - Drug and alcohol use are the primary health risk behaviors that contribute to unintentional injuries, … substance use among girls; building skills for managing stress, conflict, and mood; overcoming peer pressure … or legal outcomes that might relate to drug use among children and adolescents, such as drug-related injuries … Joint session material covered importance of interpersonal relationships, depression from stress or pressure
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effectivehealthcare.ahrq.gov/sites/default/files/crosscutting-horizon-scan-high-impact-1406.pdf
June 01, 2014 - Senior-
specific EDs use furnishings and equipment designed to provide comfort, reduce injury risk, … curve of oxygen desaturation [AUCDesat]) that served as a surrogate for potential hypoxia-
induced injury … a risk of falls for elderly patients, narrow and thin
mattresses increase the risk of developing pressure … hospital’s return rate for seniors who came back within 30 days of treatment for the same illness or
injury … Clinical researchers state that these
16
challenges, combined with the pressure to make rapid
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www.ahrq.gov/downloads/pub/prevent/pdfser/cas/cases.pdf
December 01, 2007 - Although it is difficult to determine the intensity of medical
management, the mean systolic blood pressure … However, among the RCTs, the VACS reported
surgical complications rates of 3.8% for cranial nerve injuries … (none of these injuries were
permanent), 5.2% for hypotension, and 25% for hypertension.40
Is … Cumulative effects of high cholesterol levels,
high blood pressure, and cigarette smoking on carotid … Overall = 3.7%
High volume hospital (>100
cases/year) = 3.5%
Low volume hospital = 5.2%
3% HTN
2% wound
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psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
March 01, 2015 - at the beginning of last year to get the head of the NHS to resign, and he did resign as a result of pressure … demonstrate an average or below average R-AHMR, given that most quality problems, while associated with injury
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm2.html
October 01, 2014 - management unit work with patients having a wide range of conditions (e.g., hemophilia, burns, spinal cord injury … However, local physicians' support of the program created enough pressure to reverse the decision to
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psnet.ahrq.gov/node/33728/psn-pdf
May 01, 2012 - of adverse events
in hospital patients, and it moves patient safety from a retrospective focus on injury … really
important transition to make, and it's going to be hard because it's going to put a lot of pressure
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psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
August 30, 2023 - VIC takes some of the pressure off of the nurses on the floor with good catches and error prevention. … Interruptions in workflow for RNs in a Level One Trauma Center. … of Nursing Quality Indicators showed low incidence of catheter-associated urinary tract infections, pressure … injuries, deep vein thrombosis, and central-line associated blood stream infection. 1 In terms of patient
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psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
August 30, 2023 - of Nursing Quality Indicators showed low incidence of catheter-associated urinary tract infections, pressure … injuries, deep vein thrombosis, and central-line associated blood stream infection. 1 In terms of patient … VIC takes some of the pressure off of the nurses on the floor with good catches and error prevention. … Interruptions in workflow for RNs in a Level One Trauma Center.
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psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
March 01, 2015 - demonstrate an average or below average R-AHMR, given that most quality problems, while associated with injury … at the beginning of last year to get the head of the NHS to resign, and he did resign as a result of pressure
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psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
July 08, 2022 - The patient was hypotensive on arrival, but his blood pressure improved with fluid resuscitation. … Laboratory tests were notable for acute kidney injury, metabolic acidosis, hypomagnesemia, hypophosphatemia
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psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
March 25, 2020 - This time pressure likely contributed to the team forgetting to check that the cardioverter/defibrillator … Related Resources
WebM&M Cases
Uterine Artery Injury
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
December 01, 2017 - If someone is in danger of injury or an emergent procedure is missing a vital resource, we do what needs … Were decisions made under pressure, despite distractions, or without appropriate knowledge of case or
-
www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
December 01, 2017 - If someone is in danger of injury or an emergent procedure is missing a vital resource, we do what needs … Were decisions made under pressure, despite distractions, or without appropriate knowledge of case or
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/workforce-pcr.pptx
August 01, 2024 - develop, retain, and grow this workforce and to further understanding and improvement of burnout, moral injury … burden, patient wait times, how time is spent in a limited primary care patient visit, impact of time pressure
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psnet.ahrq.gov/node/838220/psn-pdf
September 27, 2019 - AHRQ’s broad definition of patient safety
includes “prevention of diagnostic errors, medical errors, injury … /psnet.ahrq.gov//#_edn20
screenings for symptoms of chronic health conditions, such as high blood pressure
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digital.ahrq.gov/sites/default/files/docs/publication/u18hs016970-bates-final-report-2012.pdf
January 01, 2012 - Objective: 1) to characterize challenges facing physicians in their efforts to control blood pressure … Continuation Format Page
Scope
Background/context: “Care-gaps” exist in the management of blood pressure … , we used diagnoses from
the problem list in the EHR, augmented by additional assessment of blood pressure … We measured rates of testing for lipid levels and renal function, levels of blood pressure and lipid … For new or worsening symptoms
(possible ADEs), adjudicators decided whether the injury was related to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-casereport.pdf
September 05, 2017 - Recent illness or tissue injury, and chronic inflammation
from arthritis can increase CRP levels and … electrolyte levels may be a sign of dehydration,
kidney disease, liver disease, heart failure, high blood
pressure … AST & ALT Injury to cells releases these enzymes into the blood. … Liver
disease and heart attacks, as well as serious physical injury
can cause elevation of these … Levels can be elevated with age, as a result of injury, sexual
activity (ejaculation), inflammation
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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - in 2014 looked at the frequency of diagnostic errors in specific clinical settings, such as missed injuries … in pediatric trauma . … Another study reported that 8% of deaths at a Level 1 trauma center were definitely or potentially preventable … I study errors in primary care and find that there are many current pressures on primary care clinicians
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/patient-monitoring-systems-appendix-c.xlsx
January 01, 2024 - signs could include any of the following: heart rate; respiratory rate; temperature; SpO2; and blood pressure … Derived indices such as cardiac indices and mean arterial pressure could also be included; however, indices … providing continuous measurements of respiratory frequency, heart rate, systolic and diastolic blood pressure … Adjusted Factors
Rowland, 2024 Arm 1 -Usual care/In person Standard intermittent monitoring Acute kideny injury … NR NR Reference Propensity matching
Rowland, 2024 Arm 2 Continuous wireless monitoring Acute kideny injury
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-datasources.pdf
October 01, 2019 - State-specific data on preventive health practices
and risk behaviors linked to chronic diseases, injuries … are patient’s age, sex, race, and
ethnicity; patient’s expressed reason for visit; intentionality of injury … include mode of arrival, waiting time,
duration of time in the ED, initial vital signs, and cause of injury … The examination includes physical measurements, such as
blood pressure and dental examinations, and … from each family in the house and collects data on topics including health status
and limitations, injuries