-
psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
July 07, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries … Shift‐to‐shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure injuries … which nursing handover interventions result in improved patient outcomes (i.e., patient falls, pressure injuries … Shift‐to‐shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure injuries
-
psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
December 23, 2016 - Sentinel Event Alerts
Preventing falls and fall-related injuries in health care facilities … Citation Text:
Preventing falls and fall-related injuries in health care facilities. … Falls in the hospital are common, particularly among elderly patients , and falls resulting in serious injury … Cite
Citation
Citation Text:
Preventing falls and fall-related injuries
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4a_pdi01-lacerationpuncture-bestpractices.pdf
May 31, 2016 - Workbook for Designing, Implementing, and
Evaluating a Sharps Injury Prevention Program
http://www.cdc.gov … Needlestick Prevention Guide
http://www.nursingworld.org/safeneedles
Tools
• WHO Needlestick Injury … Sharps Injuries in the Operating Room, Massachusetts Sharps Injury Surveillance System
Data, 2004. http … ://www.mass.gov/eohhs/docs/dph/occupational-health/sharps-injuries-
operate-room-04.pdf. … Strategies for preventing sharps injuries in the operating room.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4o_combo_pdi01-lacerationpuncture-bestpractices.pdf
May 31, 2016 - Workbook for Designing, Implementing, and
Evaluating a Sharps Injury Prevention Program
http://www.cdc.gov … Needlestick Prevention Guide
http://www.nursingworld.org/safeneedles
Tools
• WHO Needlestick Injury … Sharps Injuries in the Operating Room, Massachusetts Sharps Injury Surveillance System
Data, 2004. http … ://www.mass.gov/eohhs/docs/dph/occupational-health/sharps-injuries-
operate-room-04.pdf. … Strategies for preventing sharps injuries in the operating room.
-
digital.ahrq.gov/principal-investigator/hook-mary-l
January 01, 2023 - Using nursing practices and health IT to reduce fall-related injuries. … Using nursing practices and health IT to reduce fall-related injuries. … Evidence-Based Nursing Practices and Electronic Health Record Decision Support to Reduce Fall-related Patient Injuries … Evidence-Based Nursing Practices and Electronic Health Record Decision Support to Reduce Fall-related Patient Injuries … Evidence-Based Nursing Practices and Electronic Health Record Decision Support to Reduce Fall-related Patient Injuries
-
psnet.ahrq.gov/issue/nature-adverse-events-hospitalized-patients-results-harvard-medical-practice-study-ii
February 18, 2011 - The authors analyzed the nature of injuries sustained in a cohort of hospitalized patients in New York … Physician reviewers evaluated 1133 injury cases with respect to negligence, errors in management, and … The reviewers found complications from medications were most common, followed by wound infections and … February 18, 2011
The economic consequences of medical injuries: implications for a no-fault … March 20, 2013
Preventing medical injury.
-
psnet.ahrq.gov/node/866261/psn-pdf
July 10, 2024 - However, it is associated
with several positioning injuries. … In rare circumstances, significant hypoperfusion with ischemic injury to the calf
muscles may result … All team members must work together to prevent positioning injuries. … Early evaluation and fasciotomy by an orthopedic or trauma surgeon are key to preventing
permanent injury … Int Wound J. 2008;5(2):315-328. [Free full
text]
6. Matsen FA 3rd.
-
psnet.ahrq.gov/node/849317/psn-pdf
May 24, 2023 - Implementing an electronic root cause analysis reporting
system to decrease hospital-acquired pressure injuries … Implementing an electronic root cause analysis reporting system to decrease hospital-
acquired pressure injuries … implementing-electronic-root-cause-analysis-reporting-system-decrease-
hospital-acquired
Healthcare-acquired pressure injuries … medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis
https://psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
-
psnet.ahrq.gov/issue/popular-blood-thinner-causing-deaths-injuries-nursing-homes
May 03, 2017 - Newspaper/Magazine Article
Popular blood thinner causing deaths, injuries in nursing
-
psnet.ahrq.gov/node/72546/psn-pdf
December 09, 2020 - Analysis of incidents
resulting in patient injuries in a web-based system in
Swedish health care. … Analysis of incidents
resulting in patient injuries in a web-based system in Swedish health care. … https://psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web … one hospital in Sweden found that
the handling, causes, and actions taken to prevent recurrence of injuries … were similar across three severity
levels (injuries leading to deaths, permanent harm, or temporary
-
psnet.ahrq.gov/node/837898/psn-pdf
August 24, 2022 - Preventing patient positioning injuries in the
nonoperating room setting. … Preventing patient positioning injuries in the nonoperating room setting. … pressure injuries are considered a never event. … This review presents strategies to
prevent pressure injuries in the nonoperating room anesthesia (NORA … https://psnet.ahrq.gov/issue/preventing-patient-positioning-injuries-nonoperating-room-setting
https:
-
digital.ahrq.gov/2018-year-review/research-summary/when-costly-and-potentially-harmful-ct-scans-are-not-necessary
January 01, 2018 - fewer CTs ordered, higher physician trust, and higher patient knowledge in cases involving minor head injuries … Aligning best practices for CT scans for patients with minor head injuries. … “About 1 out of every 3 CT scans that are performed in the ER for minor head injury are not clinically … The team’s overall goal was to better prepare clinicians to guide patients with minor head injuries on … While development of CDS for minor head injuries increased the likelihood of clinically appropriate CT
-
qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1A_Details_of_literature_review.pdf
January 01, 2012 - Other Injuries
• One review article examined the prevalence of injury in people with intellectual and … Fire injuries were the second leading cause of home injury death
across all older adult age groups. … Other Injuries
• One review examined prevention of injury in people with intellectual disabilities. … Frequency of Admission for Injury Events in HCBS Populations
Accidental Injuries
29
• In South … Potentially Due to Neglect
“wounds and injuries”[MeSH] OR “accidental injury”[MeSH]
“accidental falls
-
hcup-us.ahrq.gov/reports/statbriefs/sb286-ED-Frequent-Conditions-2018.pdf
January 01, 2018 - The two most
common general reasons for
these visits were (1) injuries and
poisonings and (2) symptoms … ‡ This primarily includes unspecified injury of the head as well as unspecified injury of other body … Six of the 20 most common conditions involved injury—superficial injuries,
sprains and strains, open … wounds to limbs, unspecified injuries, open wounds of head and neck, and
fracture of the upper limb … Three conditions—open wounds to limbs, skin
and subcutaneous tissue infections, and open wounds of head
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Masheter.pdf
March 01, 2004 - Detection of Inpatient Health Care Associated Injuries: Comparing Two ICD-9-CM Code Classifications … specific
kinds of AEs: new acute pulmonary embolism, acute myocardial infarction, and
postoperative wound … poisoning
(E-codes) in three categories: three obstetric or birth trauma indicators, eight
medical … Of particular
interest is obstetric (OB) vaginal trauma with instrument (26.517 percent for
UTIDs versus … highest values for both samples (11.132 percent for UTIDs versus 17.424 percent
for NIS), and OB vaginal trauma
-
psnet.ahrq.gov/node/49551/psn-pdf
December 01, 2007 - Commonly used agents that cause severe extravasation injuries include
antineoplastic, inotropic, or … Use to Promote Wound Healing
In contrast, the wound healing literature generally supports the use of … systematic review (3) found that
infection rates were lower and oxygen tension higher in acute and chronic wounds … Treating chronic and acute wounds with warming: review of the science and
practice implications. … Local heat increases blood flow and oxygen tension in wounds. Arch Surg.
1987;122:221-225.
-
psnet.ahrq.gov/issue/reducing-falls-and-fall-related-injuries-mental-health-1-year-multihospital-falls
January 25, 2023 - Commentary
Reducing falls and fall-related injuries in mental health: a 1-year multihospital … Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative … Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative … November 18, 2015
Using root cause analysis to reduce falls with injury in the psychiatric
-
psnet.ahrq.gov/node/72519/psn-pdf
December 02, 2020 - Evaluation of a patient-centered fall-prevention tool kit to
reduce falls and injuries: a nonrandomized … Evaluation of a patient-centered fall-prevention tool kit to reduce
falls and injuries: a nonrandomized … https://psnet.ahrq.gov/issue/evaluation-patient-centered-fall-prevention-tool-kit-reduce-falls-and-injuries … implementation of Fall TIPS toolkit, there was a 15% reduction in falls and a 35% reduction in
falls with injuries … https://psnet.ahrq.gov/issue/evaluation-patient-centered-fall-prevention-tool-kit-reduce-falls-and-injuries-nonrandomized
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb17.html
December 01, 2017 - One in every ten residents has a serious injury from a fall, such as a fracture, laceration, or serious … head injury. … One of the most serious injuries from falls is hip fracture.
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
August 01, 2017 - Adv Wound Care 1995;8:34-48. … A pressure injury/ulcer is a sterile wound.
3. … Wounds that become chronic are frequently stalled in the inflammatory phase of healing.
… A pressure injury/ulcer is a sterile wound.
False
3. … Wounds that become chronic are frequently stalled in the inflammatory phase of healing.