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psnet.ahrq.gov/web-mm/forgotten-turn
August 01, 2018 - costs, increased length of stay, delay in transfer to acute rehabilitation, increased caregiver burden, infection … , where skin tears, bruises, herpes simplex lesions, incontinence-associated dermatitis, and fungal infections … the tPA
April 1, 2005
Perspective
How Does Infection
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psnet.ahrq.gov/web-mm/easily-forgotten-tube
June 01, 2016 - that is a threat to skin integrity ( 6 ); diarrhea also increases the risk of cross-contamination and infection … events may include loss of anal sphincter muscle tone, pressure necrosis of rectal or anal mucosa, infection
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psnet.ahrq.gov/node/846125/psn-pdf
March 15, 2023 - humidification by switching from passive heat and moisture exchangers, deployed initially because of their
infection … Clinical protocols and practices were revised to prioritize infection control for healthcare
workers
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psnet.ahrq.gov/node/49646/psn-pdf
February 01, 2012 - presented to the emergency department (ED) and was admitted to the hospital
for delirium, an underlying infection … After treatment for his
infection, he returned to his baseline health status and was discharged home
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psnet.ahrq.gov/node/49715/psn-pdf
August 21, 2014 - Contraindications to liver biopsy
Contraindications to liver biopsy
Uncooperative patient
Severe coagulopathy
Infection … Pneumothorax
Hemothorax
Perforation of viscous organs
Inadvertent biopsy of the kidney
Bile peritonitis
Infection
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psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
August 10, 2025 - contributing to the missed diagnosis of strongyloidiasis, potential consequences of a failure to diagnose this infection … , and approaches to identify patients who should be tested for Strongyloides infection.
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psnet.ahrq.gov/perspective/update-safety-culture
January 22, 2020 - Rhode Island intensive care unit (ICU) collaborative that worked on the prevention of central line infections … The units that did so showed significant improvements in safety culture and decreased infection rates
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psnet.ahrq.gov/node/853080/psn-pdf
August 30, 2023 - National Database
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
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psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - with falls, 37% fewer pressure injuries and a
34% reduction in central line-associated blood stream infections … not, and preventability is even harder to
determine for non-fatal harms like healthcare associated
infection
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psnet.ahrq.gov/node/74242/psn-pdf
January 07, 2022 - post-operative complications.10 Outside of the operating rooms, checklists are
known to reduce central line infections … Statewide NICU central-line-associated bloodstream
infection rates decline after bundles and checklists
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psnet.ahrq.gov/node/49851/psn-pdf
January 01, 2019 - medicine.(1) Indications for bronchoscopy include (but are
not restricted to) diagnosis of respiratory infections
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psnet.ahrq.gov/innovation/there-app-mobile-technology-improves-complication-reporting-and-resident-perception
November 28, 2012 - REDCap]) that allowed residents to report major and minor complications (e.g., unplanned re-operation, infection
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psnet.ahrq.gov/issue/negligence-genuine-error-and-litigation
July 10, 2024 - Review
Negligence, genuine error, and litigation.
Citation Text:
Sohn D. Negligence, genuine error, and litigation. Int J Gen Med. 2013. doi:10.2147/ijgm.s24256.
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Format:
DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/issue/influences-observed-incidence-and-reporting-medication-errors-anesthesia
October 19, 2022 - Study
Influences observed on incidence and reporting of medication errors in anesthesia.
Citation Text:
Cooper L, DiGiovanni N, Schultz L, et al. Influences observed on incidence and reporting of medication errors in anesthesia. Can J Anaesth. 2012;59(6):562-70. doi:10.1007/s12630-012-…
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psnet.ahrq.gov/issue/systemic-methodology-risk-management-healthcare-sector
December 23, 2020 - Commentary
A systemic methodology for risk management in healthcare sector.
Citation Text:
Cagliano AC, Grimaldi S, Rafele C. A systemic methodology for risk management in healthcare sector. Saf Sci. 2011;49(5). doi:10.1016/j.ssci.2011.01.006.
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DOI Go…
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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - Let's think about central line–associated bloodstream infections, which we know with good scientific … Pronovost's work in Michigan and other studies in preventing central line–associated bloodstream infections … every doctor or nurse to remember to do these five things to prevent catheter-associated bloodstream infections … Perspective
Health Care–Acquired Urinary Tract Infection
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psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
November 25, 2020 - 2008 - 2017, the causes of death in decreasing frequency were: cardiovascular conditions, hemorrhage, infection … The triad of infection, hemorrhage, and hypertensive disorders previously accounted for more than 90% … status changes included embolism (14.9%), hypertensive crisis (including pre-eclampsia/eclampsia, 9.4%), infection
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psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - remarkable improvement in safety in terms of infectious agents.1 Rates of transfusion-transmitted viral
infections … Prevalence, incidence, and residual risk of human
immunodeficiency virus and hepatitis C virus infections
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psnet.ahrq.gov/node/33793/psn-pdf
November 01, 2015 - So you have surgical problems, medication problems, diagnostic problems, infections,
and so on. … If you've implemented the central line bundle, then you should measure central
line–associated infections
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psnet.ahrq.gov/node/73153/psn-pdf
April 28, 2021 - When she was seen in the office, the physician told her she had a urinary tract infection and placed … forcefully and tightly placed in a cavity, orifice, or wound, usually to control bleeding, aid healing of
infection … forcefully and tightly placed in a cavity, orifice, or wound,
usually to control bleeding, aid healing of infection