-
psnet.ahrq.gov/node/49860/psn-pdf
April 01, 2019 - improved
functional independence at 4 and 12 months.(12-14)
Hip fracture is a common and serious injury … , which in turn increases the risk of delirium, thromboembolism, pneumonia,
pressure ulcers, and significant … Injury. 2018;49:1458-1460. [go to
PubMed]
2. Cummings SR, Black DM, Rubin SM. … J Orthop Trauma.
2006;20:172-180. … J Orthop Trauma. 2014;28:e49-e55.
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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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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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psnet.ahrq.gov/node/848036/psn-pdf
April 26, 2023 - Issues identified included medical device-related pressure injuries
and device dislodgement, concerns
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psnet.ahrq.gov/node/852447/psn-pdf
August 16, 2023 - palliative care can include inappropriate pain management, preventable hospital
(re)admissions, falls, and pressure … injuries.
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psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
January 01, 2017 - their workforce, I announced we should be an injury-free workplace. … And over the 13 years I was there we got close to achieving zero injuries. … safety, namely to identify as quickly as possible anything gone wrong—including medication errors, pressure … are probably no better than average at all the other things they do, like central line infections and pressure … Were there time pressures in the OR to proceed with no help?
-
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
-
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
-
psnet.ahrq.gov/node/866729/psn-pdf
September 18, 2024 - compared with privately insured patients, Medicaid patients experienced significantly
higher rates of pressure … injuries, catheter-related infections, and six-out-of-seven surgery-related safety
indicators.
-
psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
January 29, 2021 - chest wall muscles can create much higher negative intrathoracic pressures than those of elderly patients … 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.
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psnet.ahrq.gov/issue/implementation-centers-medicare-medicaid-services-nonpayment-policy-preventable-hospital
September 16, 2020 - The study looked at four nursing-sensitive adverse outcomes: pressure ulcers, falls with injuries, catheter-associated … hospitals had significantly fewer of these hospital-acquired conditions, except for patient falls with injury
-
psnet.ahrq.gov/issue/ahrq-safety-program-improving-surgical-care-and-recovery
December 24, 2008 - January 31, 2018
Pressure Injury Prevention in Hospitals Training Program.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
January 01, 2006 - Hospitals
►Moving, Transferring, or Lifting Residents
►Medication errors
►Falls
►Pressure ulcers
►Sanitation … Patient Safety Culture in Nursing Homes
• Safety culture influences staff as well as residents
► Overall injury
-
psnet.ahrq.gov/issue/supporting-perioperative-safety-during-disaster-through-clinical-crisis-education
July 05, 2017 - August 12, 2020
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence. … January 15, 2025
Identifying resilience: a system safety review of trauma and orthopaedic
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psnet.ahrq.gov/issue/exposure-incivility-does-not-hinder-speaking-randomised-controlled-high-fidelity-simulation
August 24, 2022 - March 30, 2022
Communication failures contributing to patient injury in anaesthesia malpractice … Related Resources
Barriers and facilitators to reporting medical device-related pressure … Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury
-
psnet.ahrq.gov/issue/patient-safety-people-experiencing-advanced-dementia-hospital-video-reflexive-ethnography
November 16, 2022 - July 17, 2024
Early identification and evaluation of severe pressure injuries. … April 6, 2022
Clinical characteristics and short-term outcomes of acute kidney injury
-
hcup-us.ahrq.gov/datainnovations/clinicaldata/ExampleofUsingPOA-CMSHACsusingall-payerdata.jsp
August 01, 2011 - Falls and trauma: private insurance: 0.37; Medicaid: 0.41. … Stage 3 and 4 pressure ulcers: private insurance: 0.32; Medicaid: 1.25. … Falls and trauma: 45-64 year olds: 2.12; 65-84 year olds: 4.35; 85 years and older: 5.80. … Ulcers are:
707.23, pressure ulcer, stage III
707.24, pressure ulcer, stage IV
The ICD-9- … 830-839.99, dislocation
850-854.99, intracranial injury
925-929.99, crushing injury
940-949.99
-
psnet.ahrq.gov/node/45036/psn-pdf
February 15, 2017 - provide intensive
rehabilitation to patients recovering from hospitalization for an acute illness or injury … Nearly half of the events were considered preventable,
with the most common types of events including pressure
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-1-tables-1-5.pdf
June 02, 2025 - thunderclap 339.43
Other complicated 339.44
Other
Post-traumatic headache 339.2x
Acute pain due to trauma … seizure 780.33
Other convulsions 780.39
4
Table 4 [=IMG9]: ICD-9-CM Codes to Identify Head Trauma … 852.x
Other/unspecified intracranial hemorrhage following injury 853.x
Intracranial injury of other … 61106
Twist drill hole for subdural or ventricular puncture; for implanting ventricular catheter or pressure … excision of foreign body from brain 61570
Craniectomy or craniotomy; with treatment of penetrating wound
-
psnet.ahrq.gov/issue/exploring-stakeholder-perceptions-around-implementation-operating-room-black-box-patient
November 04, 2020 - mostly supportive of the OR Black Box, but several potential barriers were identified, such as time pressures … WebM&M Cases
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury … August 8, 2012
Role of intraoperative cholangiography in avoiding bile duct injury. … March 31, 2010
Laparoscopic bile duct injury: understanding the psychology and heuristics