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  1. 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
  2. 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 pressureinjuries.
  3. 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
  4. 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
  5. 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 pressureinjuries, catheter-related infections, and six-out-of-seven surgery-related safety indicators.
  6. 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.
  7. 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, pressureinjuries, or patient deterioration. … More About The Topic Emergency Departments Emergency Nursing Administration Errors Pressure
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49862/psn-pdf
    May 01, 2019 - She was admitted to the stroke unit and received aggressive treatment to control her blood pressure. … This powerful attractive force can result in injury to a patient or health care worker from any of various … Direct trauma from the accelerating ferromagnetic object striking the patient or health care worker … To this day, injuries continue to occur in MRI scanners around the globe from ferromagnetic objects … modality—at times with serious, and even fatal, consequences.(6-10) The only way to avoid such events and injuries
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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, pressureinjuries and medication administration errors: an integrative review.
  15. 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
  16. psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare
    August 24, 2022 - Emerging Classic Assessment of nursing home reporting of major injury … Assessment of nursing home reporting of major injury falls for quality measurement on nursing home compare … This study compared falls with injury data self-reported by nursing homes against those identified in … Download Citation Related Resources From the Same Author(s) Accuracy of pressure … September 14, 2022 Accuracy of pressure ulcer events in US nursing home ratings.
  17. 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.
  18. 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
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50775/psn-pdf
    January 01, 2021 - reports involved interunit/department/team transfers and the majority (69%) of incidents were related to pressureinjuries, falls, medication, and documentation errors.
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836964/psn-pdf
    April 20, 2022 - The most common preventable events were medication events, pressure injuries, and healthcare-associated

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