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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
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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.
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psnet.ahrq.gov/node/848036/psn-pdf
April 26, 2023 - Issues identified included medical device-related pressure injuries
and device dislodgement, concerns
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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
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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.
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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.
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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
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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
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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
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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
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psnet.ahrq.gov/node/843054/psn-pdf
January 25, 2023 - The most common types of nursing-sensitive events were falls, pressure injuries, healthcare-associated
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psnet.ahrq.gov/node/60027/psn-pdf
January 01, 2021 - Improvements in medication errors and hospital-
acquired pressure injuries were observed, but employee
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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
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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.
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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
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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.
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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.
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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
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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 pressure … injuries,
falls, medication, and documentation errors.
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psnet.ahrq.gov/node/836964/psn-pdf
April 20, 2022 - The most common
preventable events were medication events, pressure injuries, and healthcare-associated