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401. Nosy Business | PSNet
     psnet.ahrq.gov/web-mm/nosy-business
     March 01, 2007 - , including self-induced "digital trauma." … Similar to bleeding from other sites, it is most effectively controlled by direct pressure. … Not only do these injuries create additional bleeding sources, they are commonly mistaken for the original … septum to avoid a septal perforation.( 5 ) Moisturizing the nasal cavity is important while the cautery wound … December 1, 2012 WebM&M Cases Missing the Point—Eye Injury

402. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected | PSNet
     psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
     September 25, 2024 - The required insufflation leads to an increase in peak inspiratory pressures, and this increase is more … pronounced during dilation as the balloon pressure increases tracheal stress. … Patient death or serious injury associated with intravascular air embolism that occurs while being cared … If endoscopy is utilized, decreased insufflation and lower dilation pressures may be necessary to avoid … Technical steps like using appropriate monitoring, minimizing insufflation and dilation pressures to

403. Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. | PSNet
     psnet.ahrq.gov/issue/achieving-perfect-handoff-patient-transfers-building-teamwork-and-trust
     October 08, 2016 - From the Same Author(s) Towards international consensus on patient harm: perspectives on pressure … injury policy. … December 2, 2020 The road to zero preventable birth injuries.

404. Microsoft Word - Comp Eff 10.doc (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/ace-inhibitor-arb-2007_research-2007-1.pdf
     January 01, 2007 - hypertension are not on treatment, and two-thirds of hypertensive patients continue to have blood pressures … - When used in pregnancy during the second and third trimesters, ACEIs can cause injury and even … - When used in pregnancy during the second and third trimesters, ACEIs can cause injury and even … - When used in pregnancy during the second and third trimesters, ACEIs can cause injury and … Blood pressure control?

405. Case studies on medication reconciliation. | PSNet
     psnet.ahrq.gov/issue/case-studies-medication-reconciliation
     February 15, 2023 - June 9, 2021 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.

406. Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. | PSNet
     psnet.ahrq.gov/issue/multimethod-study-large-scale-programme-improve-patient-safety-using-harm-free-care-approach
     January 23, 2019 - improvement project in the United Kingdom to address four patient safety issues: venous thromboembolism , pressure … August 5, 2020 Towards international consensus on patient harm: perspectives on pressure … injury policy.

407. QDR 2014: Chartbook for Hispanic Health Care, Part 2 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pdf
     July 01, 2015 - - injury to newborn per 1,000 live births Better No Change Obstetric trauma per 1,000 vaginal deliveries …  Trends: ■ Birth trauma-neonatal injury rates fell from 2.6 per 1,000 live births in 2004 to 1.9 … ■ Between 2004 and 2012, birth trauma-neonatal injury rates fell for all racial/ethnic groups. … Birth trauma—injury to neonate per 1,000 live births, by race/ethnicity, 2004-2012 Key: API = Asian … 2011 2012 R at e p e r 1 ,0 0 0 L iv e B ir th s Total White Black API Hispanic Birth trauma—injury

408. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
     September 01, 2017 - Infected wound or decubitus. Jaundice. Rash. Fall-Related Injury. … Wound or skin issues. Fall-related injury. Non-fall-related injury. Abnormal labs. … Fall/trauma. Anemia. Diabetes. … Wound or skin issues. Fall-related injury. Non-fall-related injury. Abnormal labs. … Fall/trauma. Anemia. Diabetes.

409. NPSD Dashboards | Agency for Healthcare Research and Quality
     www.ahrq.gov/npsd/data/dashboard/index.html
     September 01, 2024 - to falls, the presence of fall assistance, presence of fall assistance by patient harm, type of fall injury … Pressure Ulcer Dashboard Details the documentation of increased risk for pressure ulcer following a risk … assessment; and the timing of the first risk assessment for reported pressure ulcers or sDTIs.  

410. The Anesthesiology Control Tower: Like Air Traffic Control for Operating Rooms | Digital Healthcare Research
     digital.ahrq.gov/2020-year-review/research-summary/anesthesiology-control-tower-air-traffic-control-operating-rooms
     January 01, 2020 - How can we leverage all the data that are collected during surgery—vital signs, heart rate, blood pressure … If you've got a long period with low blood pressure, your risk will go up.” –Dr. Avidan Dr. … rooms improves care Machine learning algorithms for predicting postoperative death, acute kidney injury … compliance with standards of care, as well as with surrogate measures of patient outcome, such as blood pressure

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846169/psn-pdf
     March 15, 2023 - young patients because their strong chest wall muscles can create much higher negative intrathoracic pressures … Succinylcholine is contraindicated in patients with stroke, spinal cord injury, burns, or myotonic dystrophy … inadequate resources such as the broken drug refrigerator otherwise could have led to irreversible injury … Risk of respiratory complications and wound infection in patients undergoing ambulatory surgery: smokers … Negative-pressure pulmonary edema. Chest. 2016;150(4):927-933. [Available at] 14.

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866693/psn-pdf
     September 11, 2024 - Common incidents included pressure injuries, medication errors, and premature discharge.

413. Mobility Lost in the ICU | PSNet
     psnet.ahrq.gov/web-mm/mobility-lost-icu
     August 01, 2018 - year-old man with insulin-dependent diabetes, hypertension, and chronic kidney disease was admitted to a trauma … service after injuries suffered from an assault and battery. … The patient's injuries included a left shoulder dislocation and a minimally displaced fracture of a thoracic … After reviewing the medical records, the PT noted the initial shoulder injury on admission. … In addition to providing a general assessment, the PT expressed concern that the shoulder injury had

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33823/psn-pdf
     January 01, 2017 - The burning platform: the current injury rate and why it must be reduced 2. … A goal for injury reduction as measured by days away from work due to injury on the job; a reasonable … Were there time pressures in the OR to proceed with no help? … Workplace injuries cost healthcare industry billions. Fierce Healthcare. November 12, 2013. … ; MSI: musculoskeletal injury Figures Figure 1.

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866344/psn-pdf
     January 01, 2025 - Rates of three nurse sensitive indicators - falls, healthcare associated pressure injuries, and healthcare

416. Adverse events experienced by homecare patients: a scoping review of the literature. | PSNet
     psnet.ahrq.gov/issue/adverse-events-experienced-homecare-patients-scoping-review-literature
     October 19, 2022 - Categories included adverse drug events and line-related problems as well as the expected focus on wounds … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

417. Patient characteristics and the occurrence of never events. | PSNet
     psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events
     February 15, 2011 - October 30, 2024 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence. … From research to practice: factors affecting implementation of prospective targeted injury-detection

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852449/psn-pdf
     August 16, 2023 - include overcrowding and patients with complex care needs, which may result in medication errors, pressure … injuries, or patient deterioration.

419. Table 17C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17c.html
     February 01, 2023 - 5,049 3,932 Composite: ACSC Overall 15,281 10,642 14,988 12,306 15,447 12,117 Pressure … Falls 76 51 101 45 98 47 Outcome Indicator Prevalence of High Blood Pressure … 4,416 4,102 5,111 4,002 Composite: ACSC Overall 13,885 11,778 15,231 12,519 Pressure

420. Table 17B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17b.html
     February 01, 2023 - 10,530 7,005 Composite: ACSC Overall 24,760 16,334 23,622 19,729 26,330 18,086 Pressure … 397 350 396 366 462 324 Outcome Indicator Prevalence of High Blood Pressure … 8,314 8,522 10,408 7,479 Composite: ACSC Overall 21,408 21,005 25,803 19,316 Pressure