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Showing results for "pressure injuries".
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101. The impact of the use of employee functional flexibility on patient safety. | PSNet
     psnet.ahrq.gov/issue/impact-use-employee-functional-flexibility-patient-safety
     January 12, 2022 - examined the effect of unit-level nursing functional flexibility on the incidence of hospital-acquired pressure … Results indicate that higher use of functionally flexible nurses was associated with a higher number of pressure … Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure … injuries.

102. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44388/psn-pdf
     October 14, 2015 - The study looked at four nursing-sensitive adverse outcomes: pressure ulcers, falls with injuries, catheter-associated … hospitals had significantly fewer of these hospital-acquired conditions, except for patient falls with injury … medicares-policy-not-pay-treating-hospital-acquired-conditions-impact https://psnet.ahrq.gov/issue/preventing-falls-injury

103. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851158/psn-pdf
     June 28, 2023 - Left ventricular pressures can be measured with a catheter advanced across the aortic valve. … instance, the operator was falsely reassured by the presence of a normal pressure reading, suggesting … that the tip of the catheter was not against the wall, when in fact, the pressure sensor was likely … Radiology technologists and nurses, who should be reviewing images and pressures during the case, can … Immediate recognition of iatrogenic injuries during cardiac catheterization enables more timely and

104. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866729/psn-pdf
     September 18, 2024 - compared with privately insured patients, Medicaid patients experienced significantly higher rates of pressure … injuries, catheter-related infections, and six-out-of-seven surgery-related safety indicators.

105. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73229/psn-pdf
     May 26, 2021 - norepinephrine-dosing-error-associated-multiple-health-system- vulnerabilities The Case A 65-year-old man presented to a Level III trauma … The patient was then transferred to a Level I trauma center that could provide a higher level of care … that results in wide fluctuation of blood pressure. … The combination of a supraphysiologic blood pressure target and the patient’s altered blood pressure … ’s spinal cord injury.

106. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848036/psn-pdf
     April 26, 2023 - Issues identified included medical device-related pressure injuries and device dislodgement, concerns

107. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852447/psn-pdf
     August 16, 2023 - palliative care can include inappropriate pain management, preventable hospital (re)admissions, falls, and pressure … injuries.

108. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49524/psn-pdf
     November 01, 2006 - LMA use have been reported.(6) The most common complications include aspiration and unintended local trauma … with LMAs and high peak inspiratory pressures, allowing for inspired gases to insufflate the stomach … LMA use can also lead to injuries secondary to high cuff pressure and volume during prolonged procedures … These increased intra-cuff pressures can cause a significant damage to surrounding tissues. … the pyriform sinus, which is where the recurrent laryngeal nerve enters, rendering it vulnerable to injury

109. A Potent Medication Administered in a Not So Viable Route | PSNet
     psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
     July 20, 2016 - Use of vasopressors to raise blood pressure and improve perfusion in fluid refractory shock is considered … standard of care ( 1 ), with vasopressors generally titrated to achieve a mean arterial pressure of … Vasopressor medications achieve their desired effects on blood pressure through powerful vasoconstriction … of 49 hours (± 22 hours).( 4 ) While 2% of patients experienced vasopressor extravasation, no tissue injuries … Management of extravasation injuries: a focused evaluation of noncytotoxic medications.

110. Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis. | PSNet
     psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions
     July 17, 2024 - Common incidents included pressure injuries, medication errors , and premature discharge. … Long-Term Care Geriatrics Discontinuities, Gaps, and Hand-Off Problems Medical Complications Pressure

111. Missed nursing care in emergency departments: a scoping review. | PSNet
     psnet.ahrq.gov/issue/missed-nursing-care-emergency-departments-scoping-review
     November 03, 2021 - include overcrowding and patients with complex care needs, which may result in medication errors, pressure … injuries, or patient deterioration. … More About The Topic Emergency Departments Emergency Nursing Administration Errors Pressure

112. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
     January 01, 2024 - wound.  … Trauma-induced coagulopathy: what you need to know. J Trauma Acute Care Surg. 2024;96(2):179-185. … Vascular injury and complication in neurosurgical spine surgery.  … Craniomaxillofac Trauma Reconstr. 2013;6(4):257-266. … Hetastarch during initial resuscitation from trauma. J Trauma. 2011;70(5 Suppl):S19-S21.

113. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60027/psn-pdf
     January 01, 2021 - Improvements in medication errors and hospital- acquired pressure injuries were observed, but employee

114. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/843054/psn-pdf
     January 25, 2023 - The most common types of nursing-sensitive events were falls, pressure injuries, healthcare-associated

115. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73665/psn-pdf
     September 01, 2021 - The most common safety events included pressure injuries or other skin integrity events, falls, and

116. Blind Spot | PSNet
     psnet.ahrq.gov/web-mm/blind-spot
     July 30, 2020 - The surgery was uncomplicated—her blood pressures intraoperatively were within 20% of her baseline, and … other signs of periorbital trauma. … Eye injuries after nonocular surgery. A study of 60,965 anesthetics from 1988 to 1992. … Injuries to the visual system and other sense organs. In: Benumof J, Saidman L, eds. … COVID-19: Team and Human Factors to Improve Safety July 30, 2020 Injury

117. Continuing Education | PSNet
     psnet.ahrq.gov/continuing-education
     February 26, 2025 - in a motorcycle crash, including head trauma, chest injuries, and spinal fractures. … A man in his mid-50s presented to the hospital with a persistent headache after a sledding injury … A head CT scan was read as normal and he was diagnosed with a minor head injury and discharged without … The commentary highlights the importance of evaluating patient risk of wound infection and poor wound … healing, the role of imaging modalities to help identify foreign material in wounds, and diligent follow-up

118. Preventing newborn falls and drops. | PSNet
     psnet.ahrq.gov/issue/preventing-newborn-falls-and-drops
     October 10, 2018 - February 21, 2018 Early identification and evaluation of severe pressure injuries. … December 8, 2010 National safety effort targets perinatal injuries.

119. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866205/psn-pdf
     July 10, 2024 - Ironically for this case, the greatest risk of bleeding from ALIF is usually from injury to a major … the wound. … Trauma-induced coagulopathy: what you need to know. J Trauma Acute Care Surg. 2024;96(2):179-185. … Vascular injury and complication in neurosurgical spine surgery. … Hetastarch during initial resuscitation from trauma. J Trauma. 2011;70(5 Suppl):S19-S21.

120. Adverse events experienced by homecare patients: a scoping review of the literature. | PSNet
     psnet.ahrq.gov/issue/adverse-events-experienced-homecare-patients-scoping-review-literature
     October 19, 2022 - Categories included adverse drug events and line-related problems as well as the expected focus on wounds … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.