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Showing results for "pressure injury".
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781. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet
     psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
     September 01, 2011 - Risk managers developed these systems to identify injuries that might lead to litigation and to reduce … issues pertinent to nursing care, such as medication administration errors, falls, IV infiltrations, and pressure

782. EHR Solutions for Accurate Reporting of Data on Interprofessional ICU Rounds - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r01hs023793-gold-final-report-2021.pdf
     January 01, 2021 - For patients with known ARDS, where knowledge of the plateau pressure and tidal volume is central towards … reducing lung injury and improving survival, these data are presented less than 50% of the time.

783. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
     December 01, 2017 - reengineer the system to catch holes before they line up, and end system gaps that lead to a patient injury … It’s tough when the pressure is high and the patient is at risk.

784. Patient-Centered Informatics System to Enhance Health Care in Rural Communities - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs017308-samore-final-report-2011.pdf
     January 01, 2011 - section included a tab for “health management trackers” for monitoring health metrics such as blood pressure … “in the last 12 months, did you phone this provider's office to get an appointment for an illness, injury

785. In Conversation with...Patrick Tighe about Artificial Intelligence | PSNet
     psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
     March 27, 2024 - medication, there may be a risk of respiratory depression, medication addiction or dependence, or kidney injury … likelihood that a patient will decompensate , have an adverse reaction to a medication, or develop a pressure … September 28, 2022 Classifying errors in preventable and potentially preventable trauma

786. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
     May 01, 2017 - Root cause analyses of adverse events and near-misses (events that did not produce patient injury) … The AHRQ Patient Safety Indicator 18 (Obstetric Trauma–Vaginal Delivery with Instrument) decreased … in-house neonatal death, uterine rupture during labor, unplanned maternal admission to ICU, birth trauma … processes at the point of care to include specific maternal parameters, including blood loss, blood pressure … They established a standard process for blood pressure measurement upon admission and during labor

787. Behavioral Counseling Interventions: An Evidence-based Approach | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/behavioral-counseling-interventions-evidence-based-approach
     March 04, 2021 - interventions outside the clinical setting intended to change risky behaviors; reduce specific diseases, injuries … insufficient physical activity, intermediate outcomes may include physiological risk factors, such as blood pressure … utilization or patient satisfaction) (KQ 4), and may also induce adverse effects, such as increased injury … Gender, social pressure, and smoking cessations: The Community Intervention Trial for Smoking Cessation

788. Stimulant Use Disorders and IBH | The Academy
     integrationacademy.ahrq.gov/products/topic-briefs/stimulant-use-disorders-and-behavioral-health-integration
     February 01, 2025 - Effects Generally, stimulants increase alertness and energy, heighten arousal, elevate blood pressure … Methamphetamine intoxication and acute kidney injury: A prospective observational case series.

789. Methods Applying AHRQ Quality Indicators to Healthcare Cost and Utilization Project (HCUP) Data for the 2024 National Healthcare Quality and Disparities Report (NHQDR) (pdf file)
     hcup-us.ahrq.gov/reports/methods/MS2024-01-NHQDRMethodsReport.pdf
     November 25, 2024 - • ED visits for injuries. … ED utilization for injuries was reported by trauma level and by age, sex, community income, urban-rural … with expected low- mortality, age 18 and over or obstetric hospital stays PSI03 Hospital stays with pressure … 1,000 elective-surgery hospitalizations, age 18 and over PSI14 Reclosure of postoperative abdominal wound … - injury to neonate per 1,000 live births PSI18 Obstetric trauma per 1,000 instrument-assisted vaginal

790. 2016 AHRQ Health Information Technology Portfolio Annual Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/2016-ahrq-hit-annual-report.pdf
     January 01, 2016 - The Patient-Centered Postoperative Wound Surveillance Using Current Technology (Grant # R21 HS 023395 … to allow their providers to remotely monitor wound recovery in the transitional period between hospital … Generation and Environments PA-11-199 Gurses, Ayse Pinar Care Transitions and Teamwork in Pediatric Trauma … Optimizing Display of Blood Pressure Data to Support Clinical Decision Making PA-11-198 Manojlovich … Reduction Discussion Tool PA-12-256 Melnick, Edward Clinical Decision Support for Mild Traumatic Brain Injury

791. HF Measures For Public Comment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085maternity.pdf
     February 23, 2012 - Larger infants have increased rates of birth trauma, shoulder dystocia, and cesarean delivery. … delivery are at much higher risk for rehospitalization for uterine infection and obstetrical surgical wound … (ACOG, 2006, Level A)  Median episiotomy is associated with higher rates of injury to the anal sphincter … with episiotomy can be considered worse since some proportion of women who would have had lesser injury … Preventing perineal trauma during childbirth: a systematic review.

792. HF Measures For Public Comment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0082maternity.pdf
     February 23, 2012 - Larger infants have increased rates of birth trauma, shoulder dystocia, and cesarean delivery. … delivery are at much higher risk for rehospitalization for uterine infection and obstetrical surgical wound … (ACOG, 2006, Level A)  Median episiotomy is associated with higher rates of injury to the anal sphincter … with episiotomy can be considered worse since some proportion of women who would have had lesser injury … Preventing perineal trauma during childbirth: a systematic review.

793. HF Measures For Public Comment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0084maternity.pdf
     February 23, 2012 - Larger infants have increased rates of birth trauma, shoulder dystocia, and cesarean delivery. … delivery are at much higher risk for rehospitalization for uterine infection and obstetrical surgical wound … (ACOG, 2006, Level A)  Median episiotomy is associated with higher rates of injury to the anal sphincter … with episiotomy can be considered worse since some proportion of women who would have had lesser injury … Preventing perineal trauma during childbirth: a systematic review.

794. Maternity Care Performance Measurement Set (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-BMI-Maternity-Care-Measures.pdf
     February 23, 2012 - Larger infants have increased rates of birth trauma, shoulder dystocia, and cesarean delivery. … delivery are at much higher risk for rehospitalization for uterine infection and obstetrical surgical wound … (ACOG, 2006, Level A)  Median episiotomy is associated with higher rates of injury to the anal sphincter … with episiotomy can be considered worse since some proportion of women who would have had lesser injury … Preventing perineal trauma during childbirth: a systematic review.

795. HF Measures For Public Comment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085maternitycare.pdf
     February 23, 2012 - Larger infants have increased rates of birth trauma, shoulder dystocia, and cesarean delivery. … delivery are at much higher risk for rehospitalization for uterine infection and obstetrical surgical wound … (ACOG, 2006, Level A)  Median episiotomy is associated with higher rates of injury to the anal sphincter … with episiotomy can be considered worse since some proportion of women who would have had lesser injury … Preventing perineal trauma during childbirth: a systematic review.

796. Artificial Intelligence and Patient Safety: Promise and Challenges | PSNet
     psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
     March 27, 2024 - likelihood that a patient will decompensate , have an adverse reaction to a medication, or develop a pressure … medication, there may be a risk of respiratory depression, medication addiction or dependence, or kidney injury

797. Guide to Reducing Unintended Consequences of Electronic Health Records (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/guide-to-reducing-unintended-consequences-of-electronic-health-records.pdf
     August 01, 2011 - After pressure from the clinical staff mounted, hospital administration made some efforts to streamline … forth from the farthest bed back to the computer to enter information as they obtain it (e.g., blood pressure … A Agency for Healthcare Research and Quality — AHRQ Alert fatigue Adverse drug event — ADE An injury … An event or situation that did not produce patient injury, but only because of chance.

798. In Conversation with Edwin Boudreaux about Suicide Prevention | PSNet
     psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
     March 25, 2025 - For example, tobacco and blood pressure screenings are routine in many healthcare settings to catch hidden … Joint Commission needs to do everything that they can to prevent suicide or serious intentional self-injury … By maintaining empathy and using trauma-informed care approaches, healthcare providers can break down

799. Suicide Prevention | PSNet
     psnet.ahrq.gov/perspective/suicide-prevention
     March 24, 2025 - By maintaining empathy and using trauma-informed care approaches, healthcare providers can break down … For example, tobacco and blood pressure screenings are routine in many healthcare settings to catch hidden … Joint Commission needs to do everything that they can to prevent suicide or serious intentional self-injury

800. Current State of Diagnostic Safety: Implications for Research, Practice, and Policy - Issue Brief (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
     January 01, 2024 - that patients with diagnosis-related claims were 2.33 times more likely to die than to have a minor injury … and have been associated with increased medical errors and stress, anxiety, and burnout.113,114 Time pressure … diagnostic safety found the need to prioritize research on system factors, such as workload, time pressure … Preventable diagnostic errors in fatal cervical spine injuries: a nationwide register-based study from … Adv Wound Care (New Rochelle). 2013 Dec;2(10):588-592. http://www.ncbi.nlm.nih.gov/pmc/articles/pmc3865615