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521. 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.

522. 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

523. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73998/psn-pdf
     October 27, 2021 - Blood products and intravenous fluids were infused under pressure into the external jugular intravenous … efflux of solutions from a vessel into the surrounding tissue during an infusion” and may cause grave injury … If an internal jugular venous catheter is placed, the venous pressure should be transduced, and the … Outcomes and management of peripheral intravenous infiltration injuries. Hand (NY). … Vascular access, fluid resuscitation, and blood transfusion in pediatric trauma.

524. 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

525. Inpatient fall prevention programs as a patient safety strategy: a systematic review. | PSNet
     psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
     May 26, 2016 - Considered a never event for hospitalized patients, falls that result in serious injury remain relatively … October 5, 2015 Preventing in-facility pressure ulcers as a patient safety strategy: … March 13, 2013 Venous thromboembolism after trauma: a never event?

526. 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.

527. 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.

528. 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

529. 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.

530. Table 9: Outcome Indicators by Selected Home and Community-Based Services Medicaid State Plan Services Offered, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab9.html
     February 01, 2023 - Overall Yes 18,922 20,115 18,052 19,228 No 28,131 18,583 22,752 19,363 Pressure … Composite: ACSC Overall 19,083 19,110 16,427 19,636 23,560 27,103 21,664 20,810 Pressure

531. 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

532. 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.

533. '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.

534. 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

535. ED handoffs: observed practices and communication errors. | PSNet
     psnet.ahrq.gov/issue/ed-handoffs-observed-practices-and-communication-errors
     October 19, 2022 - intensification, missed visits, and scheduled follow-up interval with racial or ethnic disparities in blood pressure … July 21, 2021 High delayed and missed injury rate after inter-hospital transfer of severely … injured trauma patients.

536. 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,

537. Developing a tool for assessing competency in root cause analysis. | PSNet
     psnet.ahrq.gov/issue/developing-tool-assessing-competency-root-cause-analysis
     May 01, 2014 - May 22, 2019 Fake it 'til you make it: pressures to measure up in surgical training. … Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

538. 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.

539. Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study. | PSNet
     psnet.ahrq.gov/issue/are-measurements-patient-safety-culture-and-adverse-events-valid-and-reliable-results-cross
     February 04, 2015 - Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … July 1, 2016 Does time pressure have a negative effect on diagnostic accuracy?

540. Layout 1 (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/renal-artery-stenosis_executive.pdf
     October 01, 2006 - Renal artery revascularization may provide immediate improvement in kidney function and blood pressure … While there was a benefit in blood pressure after angioplasty, particularly in patients with bilateral … patients, transient deterioration of kidney function in 1 to 13 percent, renal artery or parenchymal injury … are independently associated with direct kidney injury. … Blood pressure Acceptable • The 2 RCTs both found some evidence of greater blood pressure improvement