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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan141/obesity-in-children-and-adolescents-screening-june-2017
February 12, 2015 - Analytic Framework
*Blood pressure … Are there effects of screening on cardiometabolic measures (i.e., blood pressure, lipid levels, and insulin … Do weight management interventions affect cardiometabolic measures (i.e., blood pressure, lipid levels … only when weight-related measures are also reported): insulin resistance/blood glucose/diabetes, blood pressure … Stigma or increased body image concerns
Eating disorder
Suppressed growth
Exercise-induced injury
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab8.html
February 01, 2023 - 17,845
Min
7,027
9,302
s
s
s
Max
36,997
40,253
41,379
51,572
s
Pressure … 11,836
6,378
8,163
Max
29,607
39,709
25,788
49,755
49,129
29,454
42,207
Pressure
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
September 01, 2015 - Assistance with healing of perineal and sacral wounds in incontinent patients. … Required immobilization for trauma or surgery. … Examples include an unstable
thoracic or lumbar spine, multiple traumatic injuries such as pelvic fractures … For example, wound care nurses
and physical therapists would discourage UC use to reduce the risk for … Many clinical sites (sputum, urine, wounds, or ulcers) are not sterile.
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www.ahrq.gov/action-alliance/engineering-safety-practice/index.html
April 01, 2025 - that make it more difficult for people to make errors in care delivery or experience a work-related injury … Healthcare Settings includes strategies to identify risks and hazards and prevent/control work-related injury … Healthcare-Associated Infections Program (contains multiple resources and toolkits). * Preventing Pressure
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find5.html
December 01, 2012 - higher rates on all measures other than Short-Term Complications of Diabetes, Bacterial Pneumonia, and Pressure … The exceptions are Pressure Ulcer, which is effectively equal in urban and nonurban areas, and Infection … Rates for women in the Medicaid-only population are always higher than for men except in Pressure Ulcer … The main exception to the county-level age pattern is the Pressure Ulcer measure, for which rates are … The pattern is strong for all conditions except high blood pressure.
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psnet.ahrq.gov/issue/eu-tackle-issue-patient-safety
September 06, 2023 - March 8, 2023
6-PACK programme to decrease fall injuries in acute hospitals: cluster … October 7, 2020
Air pressure: human factors are the key to a safer flight environment
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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - apparently due to miscommunication at change-of-shift, led to more serious consequences from his iatrogenic injury … facial or skull base fractures; head, neck, or esophageal neoplasms; recent upper GI surgery; esophageal trauma … injuries in the intensive care unit showed that 1.6% were caused by NGTs. 13 In a retrospective study … Each attempt at NGT placement presents a risk of complications such as esophageal trauma, tracheal placement … Nursing care guidelines for reducing hospital-acquired nasogastric tube-related pressure injuries.
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan29/diet-behavioral-counseling-primary-care-adults-2003
February 03, 2014 - healthy diet and/or physical activity improve intermediate outcomes associated with CVD (e.g., blood pressure … or impaired fasting glucose, such that >50% of the population is on medication; mean systolic blood pressure … >140 mm Hg, diastolic blood pressure >90 mm Hg, low-density lipoprotein cholesterol >160 mg/dL, or total … CVD, diabetes, hypertension, or hyperlipidemia; mortality)
KQ 2: Intermediate outcomes (blood pressure … outcomes include any harms requiring medical attention (e.g., nutritional deficiencies, musculoskeletal injuries
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary2/healthy-diet-and-physical-activity-counseling-adults-with-high-risk-of-cvd-august-2014
August 26, 2014 - attributed to an increase in physical activity 41 , 55 , 65 , 70 , there were generally no serious injuries … focusing on low-impact activities and increasing activity in small increments can mitigate serious harm or injury … from counseling interventions in older adults or persons at high risk for injury. … Increasing daily walking lowers blood pressure in postmenopausal women. … Blood pressure, stroke, and coronary heart disease.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa6.pdf
January 01, 2018 - - injury to neonate per 1,000 selected live births -7.28 -1.12 HCUP 2016
Reclosure of postoperative … abdominal wound dehiscence per 1,000 abdominopelvic-
surgery admissions of length 2 or more days, adults … or shoulder belts when riding in a car
15.84 2.24 MEPS 2016
Reclosure of postoperative abdominal wound … - injury to neonate per 1,000 selected live births 17.13 2.25 HCUP 2016
Sepsis diagnoses per 1,000 … - injury to neonate per 1,000 selected live births 18.63 2.19 HCUP 2016
Appendix A: List of
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psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification
April 11, 2018 - April 11, 2018
Early identification and evaluation of severe pressure injuries.
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psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
January 29, 2021 - Awareness is also more common during emergency operations for acute trauma. … Trauma anesthesia care has been improving over time; a recent study found that awareness in trauma patients … Her interpretation that the ETT was obstructed by external pressure is very plausible. … Awareness during anesthesia for trauma: has anything changed? … WebM&M Cases
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury
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psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety
October 23, 2013 - Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure … February 11, 2013
Using root cause analysis to reduce falls with injury in the psychiatric
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pptx
January 01, 2020 - Nerve injury not elsewhere classified at birth, and
Birth trauma not elsewhere classified.24
Many … of these injuries to neonates may be preventable.25
41
Birth trauma—injury to neonate per 1,000 … Overall Rate: In 2013, the birth trauma-neonatal injury rate was 1.9 per 1,000 live births. … Between 2004 and 2013, birth trauma-neonatal injury rates fell for all racial/ethnic groups, except for … Birth Trauma Rate—Injury to Neonate: Technical Specifications.
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psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
June 01, 2018 - This is because the risk of developing acute kidney injury and/or hepatorenal syndrome is highest in … reduction in right atrial pressure. … The vasodilatation that occurs in the splanchnic bed leads to a lowering of mean arterial pressure and … Large volume paracentesis is generally safe, but blood pressure may fall and require treatment. … Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma
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digital.ahrq.gov/type-care/pediatrics
January 01, 2023 - procedures, and ensuring timely diagnosis for those at highest risk, ultimately seeking to prevent renal injury … and evidence-based treatment recommendations regarding the recognition and management of high blood pressure
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psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - SPOTLIGHT CASE
Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. … Oxygen saturation <93% Heart rate >110 or <50 beats/min (bpm) Respiratory rate >24 or <10/minute Blood pressure … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy.
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hcup-us.ahrq.gov/toolssoftware/ccs/ccs.jsp
March 01, 2017 - Suicide E codes: Mechanism of Injury:
Suicide E Codes (external cause of injury codes) are assigned … to CCS category 662, "Suicide and Self–Inflicted Injury". … Risk factors for pressure ulcers in acute care hospitals. … Wound repair and regeneration , 16(1):11-8, January-February 2008. … Child and adolescent injury as a result of falls from buildings and structures.
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psnet.ahrq.gov/issue/toward-zero-harm-mackenzie-healths-journey-toward-becoming-high-reliability-organization-and
September 14, 2022 - reporting and improvements in safety culture, as well as decreases in adverse events such as falls, pressure … injuries and healthcare-acquired infections.
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psnet.ahrq.gov/issue/occurrence-no-harm-incidents-and-adverse-events-hospitalized-patients-ischemic-stroke-or-tia
August 05, 2020 - The most common preventable events were medication events , pressure injuries, and healthcare-associated