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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
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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.
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psnet.ahrq.gov/node/864865/psn-pdf
March 20, 2024 - demands during the crisis to affect falls, medication
safety, healthcare associated infections, and pressure … injuries.
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psnet.ahrq.gov/issue/impact-dedicated-medication-nurses-medication-administration-error-rate-randomized-controlled
September 24, 2010 - July 17, 2024
Early identification and evaluation of severe pressure injuries. … March 19, 2019
Detection of missed injuries in a pediatric trauma center with the addition
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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
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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
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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.
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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
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psnet.ahrq.gov/issue/preeminent-hospitals-penalized-over-rates-patients-injuries
January 17, 2018 - Newspaper/Magazine Article
Preeminent hospitals penalized over rates of patients’ injuries … Citation Text:
Preeminent hospitals penalized over rates of patients’ injuries. Rau J. … Citation
Citation Text:
Preeminent hospitals penalized over rates of patients’ injuries … February 16, 2022
More than 750 hospitals face Medicare crackdown on patient injuries
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psnet.ahrq.gov/node/49559/psn-pdf
April 01, 2008 - Multiple therapies were initiated to reduce the intracranial pressure and swelling, including intubation … The "Lund protocol," derived in patients with elevated ICP in the setting of head trauma, assumes
that … Continuous recording and control of ventricular fluid pressure in neurosurgical practice. … Introduction to cerebral perfusion pressure management. Neurosurg Clin N Am. 1995;6:761-
773. … Hyperventilation in head injury: a review. Chest.
2005;127:1812-1827. [go to PubMed]
5.
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psnet.ahrq.gov/node/60268/psn-pdf
April 29, 2020 - The most common complications of ECMO are bleeding from cannulation sites
(15-20%) or surgical wounds … Device operating at proper settings (example: ventilator pressures, pump rpm)
iii. … Brain injury during
venovenous extracorporeal membrane oxygenation. … Pressures – does the pump produce a pressure adequate for flow? What are the pressure trends? … Pressures are monitored before (pre-pump pressure), between pump and oxygenator (pre-oxygenator),
and
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt2.html
May 01, 2018 - Slide 39
Maternity Care for Hispanics
Note:
Trends: Birth trauma and obstetric trauma were … Slide 43
Birth trauma—injury to neonate per 1,000 live births, by race/ethnicity, 2004-2012
Image … : Graph shows birth trauma—injury to neonate per 1,000 live births:
Year
Total
White
Black … Note:
Trends:
Birth trauma-neonatal injury rates fell from 2.6 per 1,000 live births in 2004 … Between 2004 and 2012, birth trauma-neonatal injury rates fell for all racial/ethnic groups.
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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
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psnet.ahrq.gov/issue/decade-preventing-harm
July 10, 2008 - The health system sought to prevent pressure ulcers , adverse drug events , falls with injury , health … January 3, 2017
The cost of serious fall-related injuries at three midwestern hospitals
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psnet.ahrq.gov/issue/patient-safety-curriculum-2nd-edition
July 12, 2017 - October 24, 2018
Pressure Injury Prevention in Hospitals Training Program.
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psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program
May 01, 2017 - July 23, 2019
Pressure Injury Prevention in Hospitals Training Program.
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www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-fac-guide.html
February 01, 2017 - These included: five falls to knees without injury, four with systolic blood pressure less than 90 mmHg … pressure less than 55 mmHg, and four cases of oxygen desaturation. … Slide 17: Early Mobility in a Trauma and Burns ICU
Say:
Clark et al. performed a retrospective … before and after cohort study, based on chart review, at an academic medical center in a trauma and burns … Slide 23: 5-Year Sustainability of Time to PT Postacute Lung Injury Diagnosis
Say:
In this chart
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psnet.ahrq.gov/issue/copying-and-pasting-examinations-within-electronic-medical-record
June 12, 2013 - September 9, 2010
A randomized trial of a multifactorial strategy to prevent serious fall injuries … October 12, 2016
Towards international consensus on patient harm: perspectives on pressure … injury policy.
-
psnet.ahrq.gov/node/866344/psn-pdf
January 01, 2025 - Rates of three
nurse sensitive indicators - falls, healthcare associated pressure injuries, and healthcare
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-facguide.docx
January 01, 2017 - These included: five falls to knees without injury, four with systolic blood pressure less than 90 mmHg … pressure less than 55 mmHg, and four cases of oxygen desaturation. … Slide 16
Early Mobility in a Trauma and Burns ICU
SAY:
Clark et al. performed a retrospective before … and after cohort study, based on chart review, at an academic medical center in a trauma and burns ICU … Slide 22
5-Year Sustainability of Time to PT Postacute Lung Injury Diagnosis
SAY:
In this chart you