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321. Disseminating and Implementing Patient-Centered Outcomes Research (PCOR) Evidence into Practice through Interoperable Clinical Decision Support (R18) | Digital Healthcare Research
     digital.ahrq.gov/funding-mechanism/disseminating-and-implementing-patient-centered-outcomes-research-pcor-evidence
     January 01, 2023 - Kawamoto, Kensaku Collaboration-Oriented Approach to Controlling High Blood Pressure … COACH) Description This research will refine an existing interoperable, patient-facing blood pressure … control tool--the Collaboration Oriented Approach to Controlling High Blood Pressure (COACH) application … three diverse clinical settings; conduct a randomized trial to assess its impact on lowering blood pressure … decision support (CDS) tool for prevention of venous thromboembolism (VTE) to those with traumatic brain injury

322. Electronic Reports | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/ereports.html
     December 01, 2017 - This report is helpful for nursing home staff and wound nurses to promote early identification of pressure … These details are available at the time the pressure ulcer is being assessed during wound rounds or during … Information that displays on the Weekly Pressure Ulcer Treatment Summary Report, the Weekly Wound Rounds … Uses DON or ADON, Nurse Manager, Wound Nurse, QI Director Root Cause Analysis for New Pressure … Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, and Pan Pacific Pressure Injury Alliance

323. Outcomes | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/outcomes.html
     Hospital Reduces Emergency Wait Time, Adverse Events Using AHRQ Tools Connecticut Hospital Reduces Pressure … Injuries Using AHRQ Toolkit Georgetown University Family Nurse Practitioner Program Trains Hundreds

324. Safety in the Prehospital Emergency Medical Services Setting | PSNet
     psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
     May 01, 2019 - Many calls for EMS assistance involve critical or potentially critical injury or illness like trauma, … Occupational injuries and exposures among emergency medical services workers. … Because they're really focused on the blood pressure and the pulse and the O2 sat [oxygen saturation] … It's just as critical a piece of information as their blood pressure. … "She's hypotensive because she has a gunshot wound in her armpit that I didn't find because I didn't

325. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60846/psn-pdf
     January 01, 2021 - The survey found that supervisor commitment to safety was associated with lower rates of major injuries … from falls and catheter use, and that environmental safety was associated with lower rates of pressure … ulcers, major injuries from falls, and catheter use.

326. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49701/psn-pdf
     February 01, 2014 - national guidelines, including those from the American College of Gastroenterology (7), the Welsh Wound … the past year; sensitivity or allergies to any of the materials used in the device; rectal or anal injury … An FMS device should not be used for a mobile patient as movement may lead to pressure on the tubing … An FMS is unsuitable for spinal cord injury patients due to the high risk of autonomic dysreflexia that … Wounds UK. 2005;1:3:110-114. [Available at] 7.

327. In Conversation With… Jane Brice, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph
     May 01, 2019 - Because they're really focused on the blood pressure and the pulse and the O2 sat [oxygen saturation] … It's just as critical a piece of information as their blood pressure. … "She's hypotensive because she has a gunshot wound in her armpit that I didn't find because I didn't … Many calls for EMS assistance involve critical or potentially critical injury or illness like trauma, … Occupational injuries and exposures among emergency medical services workers.

328. An innovative mobile approach for patient safety services: the case of a Taiwan health care provider. | PSNet
     psnet.ahrq.gov/issue/innovative-mobile-approach-patient-safety-services-case-taiwan-health-care-provider
     September 27, 2017 - Citation Related Resources From the Same Author(s) Surgeon commitment to trauma … care decreases missed injuries. … June 15, 2012 System approach to prevent common bile duct injury and enhance performance … August 30, 2023 Interactive effects of nurse-experienced time pressure and burnout on

329. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49725/psn-pdf
     January 01, 2015 - Benefits include measurement of important parameters (e.g., PA occlusion wedge pressure [an indirect … indication of left atrial pressure, a surrogate for left ventricular function], cardiac output, and … hurry-up" situation should be a red flag that leads to recognition of the danger of such production pressures … While it is tempting to look at a case like this and focus only on understaffing or production pressures … Under all perioperative circumstances, but particularly with dangerously increased production pressure

330. Final Progress Report: Effects of Patient Turnover on Nursing Care and Patient Outcomes in Acute Care Hospital Settings (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/park-report.pdf
     January 01, 2024 - • Hypothesis 4: Higher unit patient turnover will be associated with more pressure injuries and falls … NDNQI Unit-acquired pressure injury Unit Number of patients who acquired a pressure ulcer after arrival … , Poisson regression modeling for falls and injury falls and logistic regression modeling for pressure … falls, and pressure injuries, as reported by NDNQI. … Unit-level patient outcomes of falls, injury falls, and pressure injuries were not statistically significant

331. Social capital and knowledge sharing: effects on patient safety. | PSNet
     psnet.ahrq.gov/issue/social-capital-and-knowledge-sharing-effects-patient-safety
     September 15, 2011 - Related Resources From the Same Author(s) System approach to prevent common bile duct injury … September 15, 2011 Surgeon commitment to trauma care decreases missed injuries. … June 15, 2012 Interactive effects of nurse-experienced time pressure and burnout on patient … January 9, 2011 The culture of a trauma team in relation to human factors.

332. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852280/psn-pdf
     August 09, 2023 - Veterans Health Administration (VHA) hospital, this study found that use of SmartSocks – socks containing pressure … assessment-wearable-fall-prevention-system-veterans-health-administration-hospital https://psnet.ahrq.gov/primer/falls https://psnet.ahrq.gov/issue/preventing-falls-injury

333. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862983/psn-pdf
     February 28, 2024 - His peak airway pressures were initially 23-25 cm H2O but suddenly increased to 48-52 about 30 minutes … Obesity is often associated with difficult ventilation because high airway pressures are required to … Thirty minutes into the operation the airway pressures suddenly increased from 25 to 50 cm of H2O and … Pneumothorax can occur in trauma patients who may have undiagnosed rib fractures. … Airway management in trauma. Emerg Med Clin North Am. 2018;36(1):61-84. [ Free full text] 5.

334. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45251/psn-pdf
     August 24, 2016 - Reporting on a series of patient injuries linked to a contracted anesthesiologist at a cataract surgery … center, this news article describes how factors such as production pressure and insufficient assessment … advancing-patient-safety-cataract-surgery-betsy-lehman-center-expert-panel-report https://psnet.ahrq.gov/web-mm/production-pressures

335. Sports-Related Emergency Department Visits and Hospital Inpatient Stays, 2013 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb207-Sports-Hospital-Emergency-Department-2013.pdf
     January 01, 2013 - Control and Prevention.2 Sports and recreation-related injuries are a common type of injury seen … (18 percent), and open wounds (12 percent). … Other common, specific types of injuries included open wounds (12 percent) and intracranial injuries … Sprain 24% Fracture 21% Superficial Injury 18% Open Wound 12% Intracranial Injury 5% Other … Open wound Intracranial injury Other injury Other diagnosis Specific Sports Activity b c 12

336. Background for AHRQ Quality Indicators
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pptx
     October 01, 2015 - in October 2015: Addition of information relevant to ambulatory and managed care encounters Expanded injury … Postoperative pulmonary embolism or deep vein thrombosis   PSI 13 Postoperative sepsis   PSI 14 Postoperative wound … dehiscence PSI 15 Accidental puncture or laceration PSI 16 Transfusion reaction PSI 17 Birth trauma-injury … to neonate PSI 18 Obstetric trauma-vaginal delivery with instrument PSI 19 Obstetric trauma-vaginal … PDI 09 Postoperative Respiratory Failure Rate PDI 10 Postoperative Sepsis Rate PDI 11 Postoperative Wound

337. Eliminating Preventable Harms During Pediatric Intubation | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-nishisaki.html
     July 01, 2025 - Advanced Education and Innovation, Children’s Hospital of Philadelphia Chair, Pediatric Acute Lung Injury … experiencing respiratory failure, which is caused by various conditions, including pneumonia, asthma attacks, injuries … in five children who undergo the procedure face complications, including breathing issues, low blood pressure … Nishisaki also serves as Chair of the Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network

338. WebM&M: Case Studies | PSNet
     psnet.ahrq.gov/webmm-case-studies
     March 25, 2025 - On arrival at the emergency department, she had severely elevated blood pressure and hypoxemia. … in a motorcycle crash, including head trauma, chest injuries, and spinal fractures. … A head CT scan was read as normal and he was diagnosed with a minor head injury and discharged without … The commentary highlights the importance of evaluating patient risk of wound infection and poor wound … healing, the role of imaging modalities to help identify foreign material in wounds, and diligent follow-up

339. Using community detection techniques to identify themes in COVID-19-related patient safety event reports. | PSNet
     psnet.ahrq.gov/issue/using-community-detection-techniques-identify-themes-covid-19-related-patient-safety-event
     July 29, 2020 - (PSE) reports into eight clinically relevant themes, including testing delays, diagnostic errors , pressure … June 16, 2021 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.

340. Haste Makes Care Unsafe | PSNet
     psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
     January 07, 2015 - Benefits include measurement of important parameters (e.g., PA occlusion wedge pressure [an indirect … indication of left atrial pressure, a surrogate for left ventricular function], cardiac output, and mixed … hurry-up" situation should be a red flag that leads to recognition of the danger of such production pressures … While it is tempting to look at a case like this and focus only on understaffing or production pressures … Under all perioperative circumstances, but particularly with dangerously increased production pressure