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481. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836964/psn-pdf
     April 20, 2022 - The most common preventable events were medication events, pressure injuries, and healthcare-associated

482. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50775/psn-pdf
     January 01, 2021 - reports involved interunit/department/team transfers and the majority (69%) of incidents were related to pressure … injuries, falls, medication, and documentation errors.

483. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60228/psn-pdf
     April 15, 2020 - the identified events resulted in a delay in care and 41% resulted in temporary harm (e.g., falls, pressure … injuries, skin tears, abrasions).

484. Chartbook on Hispanic Health Care: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides.html
     March 01, 2020 - Slide 61 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. … Injuries: Any external cause of injury code indicating motor vehicle accident and unintentional injuries

485. Recommendation: Falls Prevention in Community-Dwelling Older Adults: Interventions | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/recommendation/falls-prevention-community-dwelling-older-adults-interventions
     June 04, 2024 - initial assessment of modifiable risk factors for falls (eg, balance, gait, vision, postural blood pressure … Falls are the leading cause of injury-related morbidity and mortality among older adults in the US. … adults 65 years or older reported at least 1 fall in the past year and 10.2% reported a fall-related injury … (170 fall-related injuries per 1000 older adults). … assessment using a combination of various components, such as balance, gait, vision, postural blood pressure

486. Preventing newborn falls and drops. | PSNet
     psnet.ahrq.gov/issue/preventing-newborn-falls-and-drops
     October 10, 2018 - February 21, 2018 Early identification and evaluation of severe pressure injuries. … December 8, 2010 National safety effort targets perinatal injuries.

487. Appendix B1: The FMP Self-Assessment Tool (Text Description) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb1txt.html
     December 01, 2017 - Monthly falls analysis by: location and time of fall shift and day of week type of injury … Monthly falls analysis by # of falls, fallers, patients ≥2 falls, and falls with serious injury?   … of falls high-risk medications, sleep hygiene measures for management of anxiety low blood pressure … care plan include general behavior management strategies and specific interventions to reduce risk of injury … results of fall (BP, BS, mental status, VS, tests ordered, ER or hospital visit) description of injury

488. Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies. | PSNet
     psnet.ahrq.gov/issue/determining-skills-needed-frontline-nhs-staff-deliver-quality-improvement-findings-six-case
     March 30, 2022 - Multifactorial interventions to reduce duration and variability in delays to identification of serious injury … Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

489. Table 12: Outcome Indicators by Use of Selected Home and Community-Based Services 1915(c) Waiver Services, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab12.html
     February 01, 2023 - Composite: ACSC Overall Yes 26,515 17,685 7,028 No 18,855 19,300 20,127 Pressure … 7,404 Composite: ACSC Overall 6,233 33,102 8,819 20,714 16,992 19,479 Pressure

490. Appendix-E-Cdspain-Sample-Clinical-Practice-Guidelines (doc file)
     digital.ahrq.gov/sites/default/files/docs/citation/appendix-e-cdspain-sample-clinical-practice-guidelines.docx
     October 16, 2020 - Pain persisting or recurring for more than 3 to 6 months and can be caused by a disease or condition, injury … an unknown reason.1,2 Acute Pain – Pain that usually starts suddenly and has a known cause, like an injury … tachycardia, myoclonus) First line · Clonidine 0.1-0.2 mg oral every 6-8 hours; hold dose if blood pressure … check 1 hour post dose; obtain daily blood pressure checks; increasing dose requirements additional … blood pressure checks · Re-evaluate in 3-7 days; taper to stop; average duration 15 days Alternatives

491. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840141/psn-pdf
     November 16, 2022 - reporting and improvements in safety culture, as well as decreases in adverse events such as falls, pressure … injuries and healthcare-acquired infections.

492. TeamSTEPPS Core Curriculum. | PSNet
     psnet.ahrq.gov/issue/teamstepps-core-curriculum
     August 01, 2012 - July 12, 2018 Pressure Injury Prevention in Hospitals Training Program.

493. 'The ABC of Handover': impact on shift handover in the emergency department. | PSNet
     psnet.ahrq.gov/issue/abc-handover-impact-shift-handover-emergency-department
     June 17, 2010 - June 17, 2010 Teams under pressure in the emergency department: an interview study. … Settings Help Improve Management of Sepsis May 31, 2023 High delayed and missed injury … rate after inter-hospital transfer of severely injured trauma patients.

494. The Forgotten Drip | PSNet
     psnet.ahrq.gov/web-mm/forgotten-drip
     April 01, 2014 - 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.

495. Medical malpractice: why is it so hard for doctors to apologize? | PSNet
     psnet.ahrq.gov/issue/medical-malpractice-why-it-so-hard-doctors-apologize
     August 24, 2011 - August 24, 2011 Assessment of nursing home reporting of major injury falls for quality … February 5, 2020 Accuracy of pressure ulcer events in US nursing home ratings.

496. NASHP Environmental Scan 3-1 to TR v2.xls (pdf file)
     hcup-us.ahrq.gov/reports/race/50StateScan04_26forweb.pdf
     December 01, 2010 - and Illnesses, Census of Fetal Occupational Injuries, Current Population Survey), DPH Infectious … (2008) http://tinyurl.com/ 46tflsy Physical Activity, Mental Health, Tobacco Use, High Blood Pressure … Cancer, Cardiovascular Disease, Diabetes, Obesity, HIV/AIDS, Infant Mortality, Unintentional Injuries … Deaths, Deaths of Children 1-17, Deaths of teens 15-17, Tobacco Use, General Nutrition, Blood Pressure … Diabetes, Stroke, Homicide, Motor Vehicle Deaths, Suicide Deaths, Obesity, Tobacco Use, Blood Pressure

497. Final Research Plan: Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk Factors: Behavioral Counseling Interventions | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/healthy-diet-and-physical-activity-counseling-adults-with-high-risk-of-cvd
     September 13, 2018 - activity for cardiovascular disease (CVD) prevention among adults with hypertension, elevated blood pressure … e.g., morbidity and mortality) in adults with known CVD risk factors (hypertension or elevated blood pressure … glucose, or body mass index) in adults with known CVD risk factors (hypertension or elevated blood pressure … What is the relationship between intermediate outcomes (e.g., blood pressure, lipid levels, blood glucose … Adverse outcomes Harms requiring medical attention (e.g., nutritional deficiency, musculoskeletal injury

498. Final Research Plan: Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Cardiovascular Disease Risk Factors: Behavioral Counseling Interventions | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/healthy-lifestyle-and-physical-activity-for-cvd-prevention-adults-without-known-risk-factors-behavioral-counseling
     June 04, 2020 - Abbreviations: BP=blood pressure; BMI=body mass index; CVD=cardiovascular disease; yr=year. … activity, and reduce sedentary behavior improve intermediate outcomes associated with CVD (g., blood pressure … *CVD risk factors include hypertension or elevated blood pressure, dyslipidemia or elevated lipid levels … intervention (e.g., nutritional deficiencies, disordered eating, symptoms of anxiety, musculoskeletal injuries … † Persons with known traditional CVD risk factors (i.e., hypertension or elevated blood pressure,

499. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.347_slideshow.ppt
     May 01, 2015 - Her vital signs were notable for a temperature of 38.6° C, heart rate of 115 beats per minute, blood pressure … 2 hours despite adequate fluid resuscitation Creatinine > 2 mg/dL Worsening hypoxemia Acute lung injury … with PaO2/FiO2 < 250 in the absence of pneumonia as infection source Acute lung injury with PaO2/FiO2 … Shock Septic shock is defined as severe sepsis with lactate ≥ 4 mmol/L or hypotension (mean arterial pressure … [MAP] < 65 mm Hg; systolic blood pressure < 90 mm Hg) not responsive to a fluid bolus In this case,

500. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49732/psn-pdf
     May 01, 2015 - 4 mmol/L or hypotension (mean arterial pressure [MAP] 4) In this case, the patient presented to the … mental status Lactate > 2 mmol/L Urinary output Creatinine > 2 mg/dL Worsening hypoxemia Acute lung injury … with PaO2/FiO2 Acute lung injury with PaO2/FiO2 Bilirubin > 2 mg/dL Platelet count 9/L International … normalized ratio > 1.5 Partial thromboplastin time > 60 seconds MAP: mean arterial pressure SBP: … systolic blood pressure Reprinted from (4) with permission from Wolters Kluwer Health, Inc.