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681. AHRQ Quality Indicator-related Publications (pdf file)
     qualityindicators.ahrq.gov/Downloads/Resources/Publications/FullListPublications-508.pdf
     October 09, 2024 - A critical review of patient safety indicators attributed to trauma surgeons. … Injury. 2017 Sep;48(9):1994-8. PMID: 28416153. doi:10.1016/j.injury.2017.03.051. Epub 2017 Apr 1. … Eliminating hospital-acquired pressure ulcers: within our reach. … Adv Skin Wound Care. 2013 Jan;26(1):13-8. … Positive predictive value of the AHRQ Patient Safety Indicator 'postoperative wound dehiscence'.

682. Archived: Final Evidence Summary: Healthy Diet and Physical Activity: Counseling for CVD Prevention in Adults | United States Preventive Services Taskforce
     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

683. Defensive Medicine: "Glowing" with Pain | PSNet
     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

684. What Was in Those Platelets? | PSNet
     psnet.ahrq.gov/web-mm/what-was-those-platelets
     August 28, 2024 - placed back on the mechanical ventilator), given an infusion of dopamine to maintain adequate blood pressure … transfusion-related deaths reported to the FDA for fiscal years 2005 and 2006 were transfusion-related acute lung injury

685. Meeting Minutes, March 2021 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/events/nac/2021-03-nac/nacmtg031821-minutes.html
     July 01, 2021 - revealed improvement in patient safety overall, especially with regard to urinary tract infections and pressure … A health disparity means a higher burden of illness, injury, disability, or mortality experienced by

686. Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? | PSNet
     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

687. Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement | PSNet
     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

688. Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. | PSNet
     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

689. Archived: Evidence Summary: Drug Use, Illicit: Primary Care Interventions for Children and Adolescents | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary24/drug-use-illicit-primary-care-interventions-for-children-and-adolescents-march-2014
     March 11, 2014 - Drug and alcohol use are the primary health risk behaviors that contribute to unintentional injuries, … substance use among girls; building skills for managing stress, conflict, and mood; overcoming peer pressure … or legal outcomes that might relate to drug use among children and adolescents, such as drug-related injuries … Joint session material covered importance of interpersonal relationships, depression from stress or pressure

690. In Conversation with... Kathleen Sanford and Sue Schuelke about Virtual Nursing | PSNet
     psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
     August 30, 2023 - VIC takes some of the pressure off of the nurses on the floor with good catches and error prevention. … Interruptions in workflow for RNs in a Level One Trauma Center. … of Nursing Quality Indicators showed low incidence of catheter-associated urinary tract infections, pressure … injuries, deep vein thrombosis, and central-line associated blood stream infection. 1 In terms of patient

691. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? | PSNet
     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

692. Behavioral Counseling Interventions to Promote a Healthy Diet and Physical Activity for CVD Prevention in Adults Without Known CVD Risk Factors: Updated Evidence Report and Systematic Review for the USPSTF (pdf file)
     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

693. 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

694. Code Status Confusion | PSNet
     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

695. PCIP Evaluation Patient Survey (pdf file)
     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)?

696. A Real Heartache | PSNet
     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.

697. TREAT ECARDS: Translating Evidence into Action: Electronic Clinical Decision Support in ARDS – Final Report (pdf file)
     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

698. High-Priority Evidence Gaps for Clinical Preventive Services Fourth Annual Report to Congress (pdf file)
     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

699. High-Priority Evidence Gaps for Clinical Preventive Services Fourth Annual Report to Congress (pdf file)
     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

700. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. | PSNet
     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