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Showing results for "infections".
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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33748/psn-pdf
    April 01, 2013 - safety field has begun to make measurable inroads in some areas, such as reducing hospital-acquired infections … When there have been focused efforts in particular arenas, certainly catheter-related bloodstream infections

  2. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event | PSNet

    psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
    July 01, 2017 - 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

  3. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication | PSNet

    psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
    August 01, 2012 - time period for ascertainment. 11,14,17,18 The most common complications are wound problems such as infection … or gastric wall ulceration, 6,11,14 tube dislodgement with peritonitis or necrotizing soft tissue infection … When the PEG tube has complications, such as a skin or soft tissue infection, but feeding access is still

  4. Wrong Turn through Colon: Misplaced PEG | PSNet

    psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg
    May 01, 2017 - 72 hours) or late (> 72 hours).( 10 ) Minor complications include tube clogging, superficial wound infection … of PEG patients and may reflect hyperosmolar solutions, medications such as antibiotics or antacids, infection

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49871/psn-pdf
    August 10, 2019 - of bladder decompensation including a large postvoid residual volume, which can also predispose to infection … A urinalysis would have been helpful to assess for the presence of infection or hematuria.(1,4) As

  6. CVC Removal: A Procedure Like Any Other | PSNet

    psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
    October 01, 2018 - removal has not.( 12,13 ) Recently, CVC insertion technique has received renewed attention as part of infection … Perspective Health Care–Acquired Urinary Tract Infection

  7. The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis | PSNet

    psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
    February 26, 2025 - 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.

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49693/psn-pdf
    October 01, 2013 - communities in the US are among the groups at highest risk for human immunodeficiency virus (HIV) infection … .(13) In 2009, the rate of newly identified HIV infection was 2.6% among transgender persons, compared

  9. In Conversation with…Peter J. Pronovost, MD, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
    June 01, 2005 - rotating the antibiotics used in an intensive care unit was associated with a six-fold reduction in infection-related … We know little about other infection control programs introduced at the time, changes to ICU staffing … Infection Control Programme. Lancet. 2000;356:1307-1312. [ go to PubMed ] 9.

  10. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough | PSNet

    psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
    September 01, 2003 - 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

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33848/psn-pdf
    December 01, 2017 - outside the OR, including whether a patient has received appropriate prophylaxis against surgical site infections

  12. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.284_slideshow.ppt
    November 01, 2012 - Background: Transfusion (2) The HIV epidemic in the 1980s brought an increasing concern about blood-borne infections

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49656/psn-pdf
    June 01, 2012 - traditional consultation in patients undergoing arthroplasty, minor complications (e.g., urinary tract infections

  14. Patient Engagement in Safety | PSNet

    psnet.ahrq.gov/perspective/patient-engagement-safety
    January 01, 2018 - safety experiences had no impact on a global measure of safety including outcomes like urinary tract infections

  15. Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. | PSNet

    psnet.ahrq.gov/issue/hospital-board-oversight-quality-and-patient-safety-narrative-review-and-synthesis-recent
    November 13, 2019 - Review Classic Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. Citation Text: Millar R, Mannion R, Freeman T, et al. Hospital board oversight of quality and patient safety: a narrative review…

  16. Voluntary electronic reporting of medical errors and adverse events. | PSNet

    psnet.ahrq.gov/issue/voluntary-electronic-reporting-medical-errors-and-adverse-events
    March 21, 2017 - Study Voluntary electronic reporting of medical errors and adverse events. Citation Text: Milch CE, Salem D, Pauker SG, et al. Voluntary electronic reporting of medical errors and adverse events. An analysis of 92,547 reports from 26 acute care hospitals. J Gen Intern Med. 2006;21(2):1…

  17. Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study. | PSNet

    psnet.ahrq.gov/issue/identifying-understanding-and-overcoming-barriers-medication-error-reporting-hospitals-focus
    March 13, 2015 - Study Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study. Citation Text: Hartnell N, MacKinnon NJ, Sketris I, et al. Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus gr…

  18. Risk of medication safety incidents with antibiotic use measured by defined daily doses. | PSNet

    psnet.ahrq.gov/issue/risk-medication-safety-incidents-antibiotic-use-measured-defined-daily-doses
    July 06, 2022 - Study Risk of medication safety incidents with antibiotic use measured by defined daily doses. Citation Text: Hamad A, Cavell G, Wade P, et al. Risk of medication safety incidents with antibiotic use measured by defined daily doses. Int J Clin Pharm. 2013;35(5):772-9. doi:10.1007/s11096…

  19. Internal reporting system to improve a pharmacy's medication distribution process. | PSNet

    psnet.ahrq.gov/issue/internal-reporting-system-improve-pharmacys-medication-distribution-process
    October 31, 2017 - Study Internal reporting system to improve a pharmacy's medication distribution process. Citation Text: Rickrode GA, Williams-Lowe ME, Rippe JL, et al. Internal reporting system to improve a pharmacy's medication distribution process. Am J Health Syst Pharm. 2007;64(11):1197-202. Cop…

  20. Frequency of HIV-related medication errors and associated risk factors in hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/frequency-hiv-related-medication-errors-and-associated-risk-factors-hospitalized-patients
    April 24, 2018 - Study Frequency of HIV-related medication errors and associated risk factors in hospitalized patients. Citation Text: Pastakia SD, Corbett AH, Raasch RH, et al. Frequency of HIV-related medication errors and associated risk factors in hospitalized patients. Ann Pharmacother. 2008;42(4)…
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