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1581. Disposition of Comments_Comparative Effectiveness Review No. 249: Malnutrition in Hospitalized Adults: A Systematic Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-249-malnutrition-disposition-comments_0_0.pdf
      October 13, 2021 - injuries (Meehan et al (2016)) and reduced length of stay (Siegel et al (2019)). … intentional and reflective our improved understanding of the immunology and the acute response to injury … trials on the measurement of blood pressure on clinical outcomes? … To the Reviewer's point about blood pressure, many trials are still conducted in which patients are … Still, for KQ1 studies from ICU, traumatic injury and decompensated chronic disease consistently show

1582. Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
      January 01, 2024 - implement interventions to address these.1 Development of the BI-OTT Consistent with the “no preventable injuries … in terms of reported medical expenditures, employment status, or work days missed due to illness or injury … High blood pressure (hypertension)? 11(64.7) 23(67.6) 0.83** d. High cholesterol (hyperlipidemia)? … 18.8) During 2010 about how many days did you miss work at a job or business because of illness or injury … patients in terms of reported medical expenditures, employment status, or days missed due to illness or injury

1583. Recommendation: Tobacco Smoking Cessation in Adults, Including Pregnant Persons: Interventions | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/tobacco-use-in-adults-and-pregnant-women-counseling-and-interventions
      January 19, 2021 - Potential adverse maternal events reported in studies of NRT include slightly increased diastolic blood pressure … Additionally, an outbreak of e-cigarette, or vaping product, use–associated lung injury (EVALI) that … Outbreak of lung injury associated with the use of e-cigarette, or vaping, products. … Blount BC, Karwowski MP, Shields PG, et al; Lung Injury Response Laboratory Working Group. … Practice advisory: lung injury associated with e-cigarettes (“vaping”). Published October 2019.

1584. Readmissions to U.S. Hospitals by Procedure, 2010 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb154.pdf
      March 01, 2013 - undergoing amputation of a lower extremity; 19.1 percent of patients undergoing debridement of a wound … highest readmission rates were for amputation of a lower extremity (22.8 percent); debridement of a wound … or spinal stimulator and injection into spinal canal 6,302 637 10.1 6 Decompression (removing pressure … , infection or burn (surgical removal of foreign material and dead tissue from a wound, infection or … during which a piece of skin is taken from a donor area and surgically grafted at the site of an injury

1585. Final Progress Report: Engineering Safe Care Journeys for Vulnerable Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
      January 01, 2025 - primary complaint of fall occurring within the previous 48 hours; were not categorized as a level 1 trauma … Nurses described challenges with teach back, including time pressure for both themselves and patients … info organized logically, important info on front page • Useful info in AVS (e.g., info on home care (wound … care partner during D/C • ED physician/ APP talking with pt about D/C before ED nurse • Time pressure … Preventable medical injuries in older patients. Arch Intern Med. 2000;160:2717-2728. 14.

1586. Statistical Brief #154
      hcup-us.ahrq.gov/reports/statbriefs/sb154.jsp
      April 01, 2013 - Readmission rates for debridement of a wound, infection, or burn are shown in figure 2. … All-cause 30-day readmission rates for debridement of a wound, infection, or burn by age and insurance … spinal stimulator and injection into spinal canal 6,302 637 10.1 6 Decompression (removing pressure … , infection or burn (surgical removal of foreign material and dead tissue from a wound, infection or … procedure during which a piece of skin is taken from a donor area and surgically grafted at the site of an injury

1587. Fiber Intake and Laxation Outcomes (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/fiber-intake-protocol.pdf
      August 15, 2023 - and related conditions, including type 2 diabetes o Dyslipidemia o Hypertension/high blood pressure … undernutrition, or who have had gut resection or bariatric surgery • Those with acute illness or injury

1588. Development of a Clinical Decision Support Tool for Facilitating Naturalistic Decision-Making and Improving Blood Culture Utilization - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs025238-xie-final-report-2020.pdf
      January 01, 2020 - however, providers rarely use a completely analytic strategy for decision-making because of time pressure … conditions in the PICU, such venous thromboembolism, acute respiratory distress syndrome, traumatic brain injury

1589. High-Hanging Fruit: Improving Transitions in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
      March 27, 2008 - Signovers provide more than information (e.g., name, blood pressure, diagnosis); they also support macrocognitive … Patterns of communication breakdowns resulting in injury to surgical patients.

1590. Improving the Value of Patient Safety Reporting Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
      June 12, 2008 - identified insufficient staff knowledge as the main cause of events related to the use of intracranial pressure … Severity scoring (i.e., severity of patient injury and frequency of occurrence) is one approach to prioritizing

1591. Prescribing Safety in Ambulatory Care: Physician Perspectives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
      January 01, 2003 - Human: Building a Safer Health System, identified medical errors as a leading cause of death and injury … control … and we’re treating 85-year-olds with drugs that will knock them out just to lower their blood pressure

1592. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
      September 01, 2012 - Adverse event*: Any injury caused by medical care. … include pneumothorax from central venous catheter placement, anaphylaxis to penicillin, postoperative wound … Similarly, postoperative wound infections count as adverse events even if the operation proceeded with … Teamwork training improves the clinical care of trauma patients. … About 30 minutes later, he begins to develop some chest pressure, which he had not noticed before.

1593. Improving Healthcare Safety by Enhancing Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
      June 30, 2025 - Illinois R36 HS23072 [Grant] Using an Electronic Health Record to Examine Nurse Continuity and Pressure … Report Purpose: To examine the influence of nurse continuity on the prevention of hospital- acquired pressure … the dynamic changes in risk and understand the frequency that human attributes and organizational pressures … As hospitals face increasing financial constraints, the pressure to favor productivity and throughput … Examine transition of care factors that contribute to risk and hazards associated with iatrogenic injury

1594. Archived: Evidence Summary: Alcohol Misuse: Screening and Counseling | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/alcohol-misuse-screening-and-counseling-2004
      April 06, 2004 - 54, 58, 59, 61), psychological scores, 54 , 59  and lifestyle improvements or reduced accidents and injuries … Alcohol and non-fatal injury in the U.S. general population: a risk function analysis. … Alcohol interventions in a trauma center [Abstract]. … Alcohol interventions in a trauma center as a means of reducing the risk of injury recurrence. … day TLFB alcohol assessment interview including AUDIT and Q/F questions, laboratory test, and blood pressure

1595. Making Healthcare Safer IV Rapid Review: Prevention in Adults of Infection With Transmission of Multidrug-Resistant Organisms (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-infection-prevention-mdro-rapid-research.pdf
      April 01, 2024 - injuries, inpatient falls) • Clinical outcomes specifically for: o Central-line associated bloodstream … dehiscence, pressure ulcers, and falls/trauma. … ulcers, hemorrhage, thrombosis, and post-operative respiratory failure, and wound dehiscence) after … dehiscence, pressure ulcers, falls/trauma) decreased by 19% (12.3 to 10.0 per 1000 admissions, … Eur J Trauma Emerg Surg. 2021 Aug;47(4):1003-13. doi: 10.1007/s00068-020-01477-z. PMID: 32914198.

1596. 2021 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-datasources.pdf
      December 31, 2021 - state-specific data on preventive health practices and risk behaviors linked to chronic diseases, injuries … patient’s age, gender, 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

1597. Bleeding Risks With Aspirin Use for Primary Prevention in Adults: A Systematic Review for the USPSTF (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/j69Hq5ALvzg74e-ngkzSep
      April 01, 2016 - In an adjusted IPD meta-analysis of trial data (15), current smoking and mean blood pressure (BP) per … (1.08–1.19) Statin – – 0.67 (0.62–0.71) PPI – – 0.84 (0.80–0.88) BMI = body mass index; BP = blood pressure … Clinical features of gastroduodenal injury associated with long-term low-dose aspirin therapy [Editorial … Effects of intensive blood-pressure lowering and low- dose aspirin in patients with hypertension: principal

1598. Single-arm studies in comparative effectiveness reviews (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/single-group-studies_white-paper.pdf
      January 01, 2013 - As an example, the change in blood pressure is assessed in patients with renal artery stenosis before … recruits patients with an incident diagnosis of hypertension may observe an improvement in blood pressure … represented relatively severe cases at the baseline time point and there is natural variation in blood pressure … group studies not Hypothyroidism or explicitly called out Hyperthyroidism Traumatic Brain Injury

1599. Organizational Climate of Staff Working Conditions and Safety—An Integrative Mode (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Stone.pdf
      January 01, 2004 - as likely as nurses on well-staffed and better-organized units to report risk factors, needlestick injuries … Implementing evidence-based medicine: the role of market pressures, compensation incentives, and culture … Effects of hospital staffing and organizational climate on needlestick injuries to nurses.

1600. Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
      June 01, 2023 - transition is prone to technical and diagnostic error due to not only the high patient acuity and time pressure … exposure to unnecessary interventions, and preventable harm.62 During the OR-to-ICU handoff, time pressure … Critical care settings are underrepresented in implementation science literature,84 due in part to time pressure … inherent in caring for critically ill patients.75 Yet it is that time pressure that makes a sustainable … Patterns of communication breakdowns resulting in injury to surgical patients.