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341. Safety culture, safety climate, and safety performance in healthcare facilities: a systematic review. | PSNet
     psnet.ahrq.gov/issue/safety-culture-safety-climate-and-safety-performance-healthcare-facilities-systematic-review
     October 20, 2021 - August 25, 2021 Production pressure and its relationship to safety: a systematic review … June 10, 2020 A critical review: moral injury in nurses in the aftermath of a patient

342. Chartbook on Black Health Care: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/qdr-blackhealth-slides.html
     November 01, 2020 - Infant mortality per 1,000 live births (more than 2,499 grams) Worse No Change Birth trauma—injury … Slide 75 Birth trauma—injury to neonate per 1,000 live births, by race/ethnicity, 2004-2013 Image … : Chart shows birth trauma—injury to neonate per 1,000 live births, by race/ethnicity, 2004-2013: … Trends: From 2004 to 2013, birth trauma-neonatal injury rates fell from 2.6 per 1,000 live births … Between 2004 and 2012, birth trauma-neonatal injury rates fell for all racial/ethnic groups.

343. In Conversation With… Nicholas G. Castle, MHA, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
     August 01, 2012 - We didn't find it for pressure ulcers. … that many of our readers don't know much about the organizational structure of nursing homes and the pressures … circumstances combine to place the elderly nursing home resident at special risk for preventable drug-related injuries … all of medicine and place older persons residing in nursing homes at substantial risk of iatrogenic injury … resident-months, of which 40% were considered preventable.( 7 ) Errors associated with preventable drug-related injuries

344. NPSD Data Spotlight: Patterns of Fall Interventions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
     September 01, 2023 - COMMON INTERVENTION(S) IN PLACE FOR PATIENTS WITH DIFFERENT DEMOGRAPHICS OR RISKS OF FALLS OR INJURIES … /Surgical Supply, Fall, Healthcare-Associated Infection, Medication or Other Substance, Perinatal, Pressure … health considerations.1–4 Falls result in significant physical and economic burden, ranging from injuries … Incidence of and county variation in fall injuries in US residents aged 65 years or older, 2016-2019 … Trends in fatal and nonfatal injuries among older Americans, 2004– 2017. Am. J. Prev.

345. Archived: Obesity in Adults: Screening and Management | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/recommendation/obesity-in-adults-screening-and-management-2012
     June 15, 2012 - Behavioral interventions also demonstrated some improvement in intermediate health outcomes, such as blood pressure … weight-loss interventions had a minimal effect on lipid outcomes and showed small reductions in blood pressure … The trials found no evidence that weight-loss interventions are associated with serious injuries or an … Questions and Answers: Orlistat and Severe Liver Injury. Rockville, MD: U.S. … Orlistat and acute kidney injury: an analysis of 953 patients [Letter].

346. Methods – Applying HCUP Quality Indicators (pdf file)
     hcup-us.ahrq.gov/reports/methods/2012_03.pdf
     January 01, 2012 - E Codes: Another issue relates to external cause-of-injury reporting. … data to help identify complications of care or to exclude cases (e.g., poisonings, self-inflicted injury … , delirium and other psychoses, anoxic brain injury; patients with metastatic cancer, lymphoid malignancy … , bone malignancy, and self-inflicted injury; admissions for diseases and disorders of the musculoskeletal … PSI 17 Birth trauma - injury to neonate per 1,000 live births (excluding preterm and osteogenesis imperfecta

347. Effectiveness of Primary Care–Relevant Treatments for Obesity in Adults: A Systematic Evidence Review for the USPSTF (pdf file)
     www.uspreventiveservicestaskforce.org/home/getfilebytoken/hbSopN6uA9u-4EQuKtRGDP
     October 01, 2011 - Increased physical activity did not result in serious adverse effects or injuries over 1- to 2-year inter … Limited data suggested no increased risk for serious injuries or eating disorders. … Safety of strength training in premenopausal wom- en: musculoskeletal injuries from a two-year randomized … Questions and answers: orlistat and severe liver injury. FDA Drug Bulletin. May 26, 2010. … Orlistat and acute kidney injury: an analysis of 953 patients [Letter].

348. On-Time Preventable Hospital and Emergency Department Visits (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
     November 30, 2013 - • Current clinical conditions contributing to transfer risk: use of oxygen, catheter or ostomy, any pressure … and skin, injury (fall related or not fall related), musculoskeletal, abnormal labs or anemia, fever … or skin issues • Fall-related injury • Non-fall-related injury • Abnormal labs • Fever/possible infection … disease • Asthma • Circulatory problems • Hypertension • Gastroenteritis • Angina pectoris • Falls/trauma … obstructive pulmonary disease, asthma, circulatory problems, hypertension, gastroenteritis, angina, falls/trauma

349. The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses. | PSNet
     psnet.ahrq.gov/issue/impacts-using-community-health-volunteers-coach-medication-safety-behaviors-among-rural
     September 15, 2011 - Related Resources From the Same Author(s) System approach to prevent common bile duct injury … September 15, 2011 Interactive effects of nurse-experienced time pressure and burnout

350. A human right-based approach to dealing with adverse events in residential care facilities. | PSNet
     psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities
     May 27, 2011 - June 7, 2023 Accuracy of pressure ulcer events in US nursing home ratings. … March 10, 2021 Assessment of nursing home reporting of major injury falls for quality

351. Another Fall | PSNet
     psnet.ahrq.gov/web-mm/another-fall
     June 01, 2010 - one of my favorites, because it is a simple and direct maneuver that eliminates the risk of serious trauma … from falls, restraints may also cause injury. … serious problem in the hospital, putting patients at risk for many other problems, including delirium, pressure … hip fractures,( 5 ) but this represents a change in emphasis from fall prevention to attenuation of trauma … Mechanical restraint use and fall related injuries among residents of skilled nursing facilities.

352. Multiple Chronic Conditions Chartbook (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mccchartbook.pdf
     April 01, 2014 - -4 NO YES 861 HEART & LUNG INJURY -5 NO -4 NO 863 GI TRACT INJURY -4 NO -3 NO 864 LIVER INJURY - … 3 NO -3 NO 869 INTERNAL INJURY NOS -3 NO -3 NO 871 EYEBALL OPEN WOUND -3 NO -4 NO 872 OPEN WOUND OF … OPEN WOUND OF LOWER ARM -5 NO -5 NO 882 OPEN WOUND OF HAND -5 NO -5 NO 883 OPEN WOUND OF FINGER -5 … 893 OPEN WOUND OF TOE -5 NO -5 NO 904 BLOOD VESSEL INJURY NEC -5 NO -4 NO 908 LATE EFF INJURY NEC … TO NERVE NEC/NOS -4 NO -4 NO 958 EARLY COMPLIC OF TRAUMA -4 NO -3 NO 959 INJURY NEC/NOS -4 NO -3 NO

353. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. | PSNet
     psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
     July 02, 2011 - Risk factors associated with rebleeding include high systolic pressure, the presence of an intracerebral … The clipping of cerebral aneurysms is technically difficult with a risk of unintentional injury to branch … artery aneurysms. 18 Neuromonitoring during aneurysm clipping has been shown to reduce the risk of injury … Inflammation as a link between brain injury and heart damage: the model of subarachnoid hemorrhage . … Intraoperative evoked potential monitoring for detecting cerebral injury during adult aneurysm clipping

354. Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities. | PSNet
     psnet.ahrq.gov/issue/data-driven-quality-improvement-culture-change-and-high-reliability-journey-special-hospital
     March 24, 2021 - Improvements in medication errors and hospital-acquired pressure injuries were observed, but employee

355. Table A: Indicator Rates for the HCBS and Full Medicaid Populations (Rates of Admission per 100,000 Persons) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/oirtab.html
     December 01, 2012 - Composite: ACSC Acute Conditions 6,913 2,846 Composite: ACSC Overall 17,971 7,139 Pressure

356. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. | PSNet
     psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
     August 14, 2024 - prevent the development of hematoma after ACSS. 18 Additionally, maneuvers that transiently raise venous pressure … Early identification is crucial, as airway obstruction may evolve rapidly and hypoxic brain injury follows … C lear steri-strips and pull suture O pen wound – cut skin and platysma stitches O pen wound – … Hypoxic brain injury occurs rapidly after airway obstruction, and prompt recognition and management of … Perforation March 15, 2023 WebM&M Cases Under Pressure

357. Archived: Falls Prevention in Community-Dwelling Older Adults: Interventions | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/recommendation/falls-prevention-in-older-adults-interventions-2018
     April 17, 2018 - assessment using a combination of various components, such as balance, gait, vision, postural blood pressure … assessment using a combination of various components, such as balance, gait, vision, postural blood pressure … National Center for Injury Prevention and Control. … J Trauma . 2001;50(1):116-9. 4. Alexander BH, Rivara FP, Wolf ME. … National Center for Injury Prevention and Control.

358. Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice. | PSNet
     psnet.ahrq.gov/issue/situation-awareness-and-mitigation-risk-associated-patient-deterioration-meta-narrative
     December 08, 2021 - August 3, 2022 Barriers and facilitators to reporting medical device-related pressure … April 29, 2020 A critical review: moral injury in nurses in the aftermath of a patient

359. Patient safety in palliative care at the end of life from the perspective of complex thinking. | PSNet
     psnet.ahrq.gov/issue/patient-safety-palliative-care-end-life-perspective-complex-thinking
     October 05, 2022 - care can include inappropriate pain management , preventable hospital (re)admissions, falls, and pressure … injuries .

360. Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST) - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r21hs024581-avidan-final-report-2020.pdf
     January 01, 2020 - was used to develop and validate machine learning algorithms for postoperative death, acute kidney injury … To predict acute kidney injury and respiratory failure, we designed a novel model architecture that … These alerts corresponded to either lapses in monitoring/documentation (e.g., no blood pressure documented … Process measures included time spent with mean arterial pressure < 60 mmHg, proportion of cases lasting … The incidence of postoperative acute kidney injury was 6.1%.