-
psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
December 14, 2022 - pressure ulcers also went up – in skilled nursing facilities, we saw rates of falls causing major injury … healthcare-acquired infections, complications, medication safety, safety of the EMR, patient falls with injury … , and pressure injuries.
-
psnet.ahrq.gov/perspective/measuring-patient-safety
December 14, 2022 - pressure ulcers also went up – in skilled nursing facilities, we saw rates of falls causing major injury … healthcare-acquired infections, complications, medication safety, safety of the EMR, patient falls with injury … , and pressure injuries.
-
psnet.ahrq.gov/perspective/conversation-edwin-loftin-dnp-mba-rn-nea-bc-fache
August 31, 2020 - short, we were treating a 21-year old young man by the name of the Sam who suffered a traumatic brain injury … We were treating Sam like a traumatic brain injury instead of like Sam, a 21- year old man.
-
psnet.ahrq.gov/node/852700/psn-pdf
August 30, 2023 - measures are associated with measuring and reporting
specific harms, such as an infection, falls with injury … what’s troubling our workforce and distinguish among conditions such as burnout, moral distress
and injury
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psnet.ahrq.gov/perspective/safety-across-board
August 31, 2020 - short, we were treating a 21-year old young man by the name of the Sam who suffered a traumatic brain injury … We were treating Sam like a traumatic brain injury instead of like Sam, a 21- year old man.
-
psnet.ahrq.gov/perspective/safety-medical-devices
June 01, 2011 - While the team adjusted the table, it swung loose and the patient fell to the floor but sustained no injury … analysts who see this behavior as a universal law: automobile seat belts actually do reduce deaths and injuries
-
psnet.ahrq.gov/node/49863/psn-pdf
May 01, 2019 - The patient required transfusion of multiple units of blood, and
fortunately the injury was repaired … Paige, MD
Professor of Clinical Surgery
Director of Wound Care
LSU Health New Orleans Health Sciences
-
psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - The misplaced catheter caused trauma to the urethra and blood loss. … The blood clot found in the tubing by the charge nurse may have been related to the trauma of the curled … occurs more frequently in men who perform intermittent catheterizations frequently (e.g., spinal cord injury … J Wound Ostomy Continence Nurs. 2007;24:655-661. [go to PubMed] 2. … Assist in healing of open sacral/perineal wound in incontinent patients.
-
psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
May 28, 2014 - The MA stated that the patient never reported that the wound was red, hot, foul-smelling, swollen, or … dehiscence, or nerve injury. … Minimize tissue trauma and achieve good hemostasis to promote faster healing and reduce the risk of infection … Instruct the patient on proper wound care, including keeping the bandage and wound clean and dry. … More
Related Resources
Identifying resilience: a system safety review of trauma
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psnet.ahrq.gov/web-mm/good-catch-operating-room
August 27, 2017 - The patient required transfusion of multiple units of blood, and fortunately the injury was repaired … Paige, MD Professor of Clinical Surgery Director of Wound Care LSU Health New Orleans Health Sciences
-
psnet.ahrq.gov/node/49677/psn-pdf
February 01, 2013 - The
possibilities for harm are numerous and include accidental trauma to non-venous structures (arteries … , lung,
nerve, visceral organs); bleeding (hematoma, hemothorax, or hemorrhage); operator injury (needle … wire, bloodstream infections, sheared catheter,
dysrhythmias, thrombosis, through-and-through vessel trauma
-
psnet.ahrq.gov/node/49442/psn-pdf
May 01, 2004 - cmd=Retrieve&db=PubMed&list_uids=11446752&dopt=Abstract
Drug-induced lung injury
This project
-
psnet.ahrq.gov/node/33623/psn-pdf
December 01, 2005 - conferences, root cause analyses, and any other professional exchange of information related to a patient's
injury
-
psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
January 01, 2020 - opioid-induced respiratory depression; of those,
77% resulted in severe brain damage or death
– Most injuries
-
psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
April 18, 2018 - infections, such as sepsis, exponentially increases the odds of death. 13 Costs associated with iatrogenic injuries
-
psnet.ahrq.gov/node/49779/psn-pdf
January 01, 2017 - Injuries are caused by a lack of differentiation between the use of infusion devices in hospitals
and
-
psnet.ahrq.gov/node/33638/psn-pdf
August 01, 2006 - chronicled the number of days there had been since
anyone at our plant had lost a day due a work-related injury
-
psnet.ahrq.gov/node/49650/psn-pdf
March 01, 2012 - reported sentinel events,
unexpected occurrences involving death or serious physical or psychological injury
-
psnet.ahrq.gov/node/60547/psn-pdf
May 28, 2020 - Devices that “sustain or support life, are implanted, or present potential high risk of illness
or injury
-
psnet.ahrq.gov/node/49814/psn-pdf
December 01, 2017 - Patterns of communication breakdowns resulting in
injury to surgical patients.