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  1. psnet.ahrq.gov/perspective/remote-patient-monitoring
    March 15, 2023 - We monitored the blood pressures of home peritoneal dialysis patients. … We knew their trends and that some of them had typically higher blood pressures and some of them had … typically lower blood pressures, so we created individual thresholds. 1 , 3 , 4 Sarah Mossburg: It … Historically, these are acute problems that arise where there is illness or injury. … We knew there were hospital capacity problems and a lot of different pressures and stakeholders that
  2. psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
    March 15, 2023 - We monitored the blood pressures of home peritoneal dialysis patients. … We knew their trends and that some of them had typically higher blood pressures and some of them had … typically lower blood pressures, so we created individual thresholds. 1 , 3 , 4 Sarah Mossburg: It … Historically, these are acute problems that arise where there is illness or injury. … We knew there were hospital capacity problems and a lot of different pressures and stakeholders that
  3. www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-improvement.html
    May 01, 2024 - Appendix D: Grant Summaries P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury … would improve the use of a hypertension focused clinical decision support to effectively improve blood pressure … support in rural primary care practices to provide evidence-based clinical care recommendations for blood pressure … program that supports patients discharged from the hospital to home after an episode of acute kidney injury … health improvement project in 60 primary care clinics throughout Alabama to improve rates of blood pressure
  4. www.uspreventiveservicestaskforce.org/uspstf/document/draft-research-plan/behavioral-counseling-interventions-promote-healthy-diet-physical-activity-weight-loss-prevent-cardiovascular-disease-adults
    May 18, 2023 - including increased symptoms of depression and anxiety, and body image concerns Exercise-induced injury … Self-reported weight Continuous measures of glucose, blood pressure, or lipid levels Behavioral
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
    July 01, 2023 - interruption to a doctor who is with a patient's family members. 2 Maternal and Perinatal Deaths and Injuries … communication breakdowns are identified as the primary root cause of maternal and perinatal deaths and injuries … Other root causes for maternal and perinatal deaths and injuries are— Assessment (i.e., the adequacy, … Her blood pressures have remained normotensive, and she has had good reflexes throughout the shift. … Her blood pressures have remained normotensive, and she has had good reflexes throughout the shift.” 
  6. www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary27/healthy-diet-and-physical-activity-counseling-for-cvd-prevention-in-adults-2012
    December 15, 2010 - The largest reduction in blood pressures occurred in 3 intensive salt-restriction counseling interventions … No increase in serious injuries occurred from physical activity or unintended adverse changes in dietary … in overweight people with high-normal blood pressure. … Blood pressure, stroke, and coronary heart disease. … Adverse effects of counseling for physical activity include mild muscle fatigue or soreness, injuries
  7. psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
    November 01, 2012 - medicine can be found in the field of neurosurgery where many hospitals refuse to treat closed head injuries … because of liability concerns.( 13 ) In complex patients, vaginal delivery may increase the risk of injury … to the mother or fetus; injuries in this setting often lead to malpractice claims. … Are evidence-based practices associated with effective prevention of hospital-acquired pressure
  8. psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
    July 01, 2017 - this area from personal acquaintance with physicians and understanding their narratives of how legal pressures … That caring relationship doesn't end when an injury occurs, particularly if the injury is our fault. … They reduce the underlying safety problems that can lead to injuries that lead to claims. … Then, we have a few cases in which EHR systems themselves have had problems that have led to injuries … May 20, 2015 Medical monitoring for pharmaceutical injuries: tort law for the public's
  9. psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
    February 23, 2022 - The patient’s blood pressure was 174/101 mmHg, heart rate 126, respiratory rate 26, temperature 37.5 … The patient’s laboratory results were notable for acute kidney injury and metabolic acidosis, with an … only reported in 38 cases, but operator error, distraction, interruption, and emergency or after-hours pressure … December 4, 2024 WebM&M Cases Under Pressure: Tracheostomy
  10. psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
    January 29, 2021 - When continuous positive airway pressure is prescribed for sleep apnea for these patients, it may not … anesthetic with an endotracheal tube was therefore necessary in this case so that positive end expiratory pressure … so quickly. 24 Inserting an airway, applying high flow nasal oxygen or continuous positive airway pressure … April 24, 2024 WebM&M Cases Uterine Artery Injury
  11. psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
    June 24, 2020 - Were there time pressures, organizational or managerial expectations, or protocol or procedures that … October 14, 2009 Laparoscopic bile duct injury: understanding the psychology and heuristics
  12. www.uspreventiveservicestaskforce.org/home/getfilebytoken/UXw277rnvJ8e_Dfsh4V3K3
    July 26, 2022 - increased physical activity, or decreased sedentary time among adults without known elevated blood pressure … (high blood pres- sure stage 1 [systolic blood pressure [SBP] 130 mm Hg or diastolic blood pressure … behavioral outcome (eg, dietary intake, physical activ- ity) or report adverse events (eg, serious harm, injury … nificantly different between groups.29-31,48,56,82 Twelve trials reported the incidence of musculoskeletal injuries … including physical activity counseling reported generally no differences in rates of musculoskeletal injuries
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33578/psn-pdf
    September 15, 2024 - anesthesia were integral to the redesign of anesthesia equipment, significantly reducing the risk of injury … critical system property, reflecting the organization's capacity to bounce back in the face of continuing pressures
  14. psnet.ahrq.gov/web-mm/code-status-confusion
    September 01, 2006 - On physical examination, her blood pressure was 145/85, pulse 85, oxygen saturation of 94%, with a respiratory … At this point, the patient’s blood pressure was 90/palpable with a heart rate of 40 and an O2 saturation … s preference to avoid invasive ventilation, she was started on noninvasive bi-level positive airway pressure … with uncertain outcomes, such as successful cardiac resuscitation with resultant severe anoxic brain injury
  15. digital.ahrq.gov/sites/default/files/docs/survey/pcip-evaluation-patient-survey.pdf
    June 16, 2021 - In the last 6 months, when you needed care for an illness or injury, how often did this doctor's office … never  Sometimes  Usually  Almost always  Always  I did not need care for an illness or injury … Do you have a chronic illness (for example: high blood pressure, diabetes, asthma)?
  16. psnet.ahrq.gov/web-mm/real-heartache
    October 01, 2018 - On physical examination, his initial blood pressure was elevated at 192/100 mm Hg, but his heart rate … Bilateral upper-extremity blood pressures were equal. … oral antacid/anesthetic combination) was given, and the patient reported symptom relief; his blood pressure … ECG interpretation: sinus tachycardia, with posterolateral injury pattern.
  17. digital.ahrq.gov/sites/default/files/docs/citation/r18hs026188-gong-final-report-2022.pdf
    January 01, 2022 - frequent re-admissions, and high costs in the hospital.4 Because ARDS develops after some initial injury … is a major contributor and driver to the mortality reported by better recognized conditions such as trauma … hospital floor, ICU); 3) because ARDS develops acutely and co-exists with other serious conditions like trauma … of mechanical ventilation, Page 10 of 21 Phase 2 involved prevention of complications and lung injury … Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury
  18. www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/annlrpt2014%20(6).pdf
    November 01, 2014 - Injury and Child Maltreatment 7. … Relationship between elevated blood pressure in childhood and hypertension in High blood pressure adulthood … Injury and Child Maltreatment 1. … Other risk factors include childhood trauma; family history of suicide; being discriminated against for … Injury and Child Maltreatment Child maltreatment includes physical, sexual, and emotional abuse, as
  19. www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/annlrpt2014%20(9).pdf
    November 01, 2014 - Injury and Child Maltreatment 7. … Relationship between elevated blood pressure in childhood and hypertension in High blood pressure adulthood … Injury and Child Maltreatment 1. … Other risk factors include childhood trauma; family history of suicide; being discriminated against for … Injury and Child Maltreatment Child maltreatment includes physical, sexual, and emotional abuse, as
  20. psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
    January 23, 2017 - transferred by ambulance to a tertiary Emergency Department (ED) from a referring hospital due to a left leg injury … holding her left hip flexed with significant tenderness on examination, but there were no other signs of trauma … during a diagnostic or therapeutic procedure.” 4,5 Sedation can also ameliorate the psychological trauma … exist when sedation is urgently needed to prevent harm associated with the underlying condition or injury … Blood pressure should be measured frequently, and the electrocardiogram, heart rate, respiratory rate

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