Results

Total Results: 733 records

Showing results for "pressure injuries".
Users also searched for: pressure injury

161. An integrative review exploring the perceptions of patients and healthcare professionals towards patient involvement in promoting hand hygiene compliance in the hospital setting. | PSNet
     psnet.ahrq.gov/issue/integrative-review-exploring-perceptions-patients-and-healthcare-professionals-towards
     March 06, 2019 - Citation Related Resources From the Same Author(s) Medical device-related pressure … March 6, 2019 A randomized trial of a multifactorial strategy to prevent serious fall injuries … September 27, 2016 Towards international consensus on patient harm: perspectives on pressure … injury policy.

162. The Top Five: A Review of Post-Pandemic Patient Safety Priorities. | PSNet
     psnet.ahrq.gov/issue/top-five-review-post-pandemic-patient-safety-priorities
     July 10, 2024 - demands during the crisis to affect falls, medication safety, healthcare associated infections , and pressure … injuries.

163. Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. | PSNet
     psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project-redde
     November 30, 2022 - Diagnostic errors, including missed diagnoses of adolescent depression, elevated blood pressure, and … included failure to screen for adolescent depression, failure to recognize and act on abnormal blood pressure … August 9, 2011 Delayed or missed diagnosis of cervical spine injuries.

164. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
     January 01, 2024 - wound care and intravenous antibiotics. … Despite animal studies suggesting sealant alone can withstand high hydrostatic pressures,52–54 some remain … Suture Choice in Lumbar Dural Closure Contributes to Variation in Leak Pressures: Experimental Model. … Quantification of leakage pressures after durotomy repairs in the canine. … Occult spinal pseudomeningocele following a trivial injury successfully treated with a lumboperitoneal

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33561/psn-pdf
     September 15, 2024 - , while being cared for in a healthcare setting Care management events Patient death or serious injury … associated with unsafe administration of blood products Maternal death or serious injury associated … of a neonate associated with labor or delivery in a low-risk pregnancy Patient death or serious injury … associated with a fall while being cared for in a healthcare setting Any stage 3, stage 4, and unstageable pressure … Because Never Events are devastating and preventable, health care organizations are under increasing pressure

166. WebM&M: Case Studies | PSNet
     psnet.ahrq.gov/webmm-case-studies
     March 25, 2025 - On arrival at the emergency department, she had severely elevated blood pressure and hypoxemia. … in a motorcycle crash, including head trauma, chest injuries, and spinal fractures. … 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

167. Too Many Cooks Spotlight Pdf (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
     January 01, 2020 - in one hour (versus six hours in this case) • Prolonged operative time is a surrogate for tissue injury … Deviation in the face of production pressure is a recipe for disaster. … Injury. 2018;49(1):130‐134. doi:10.1016/j.injury.2017.09.002 7. … Pressure Ulcer Prevention in the Hospital Setting Using Silicone Foam Dressings. … Injury. 2020;S0020-1383(20)30424-1. doi:10.1016/j.injury.2020.05.017 10.

168. Patient Safety. | PSNet
     psnet.ahrq.gov/issue/patient-safety-1
     April 15, 2020 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

169. Medication Safety Dashboard. | PSNet
     psnet.ahrq.gov/issue/medication-safety-dashboard
     April 15, 2020 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

170. Sign up to Safety. | PSNet
     psnet.ahrq.gov/issue/sign-safety
     April 15, 2020 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60856/psn-pdf
     August 26, 2020 - His initial systolic blood pressure after transfer was 60 mmHg.  … One of the most insidious iatrogenic insults affecting older patients with serious injuries is the inability … Deviation in the face of production pressure is a recipe for disaster.  … Injury. 2018;49(1):130?134. doi:10.1016/j.injury.2017.09.002  7. … Injury. 2020;S0020-1383(20)30424- 1. doi:10.1016/j.injury.2020.05.017  10.

172. The mindful path to nursing accuracy: a quasi-experimental study on minimizing medication administration errors. | PSNet
     psnet.ahrq.gov/issue/mindful-path-nursing-accuracy-quasi-experimental-study-minimizing-medication-administration
     March 03, 2019 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review. … August 26, 2020 Organisational strategies to implement hospital pressure ulcer prevention

173. Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013. | PSNet
     psnet.ahrq.gov/issue/improvement-patient-safety-may-precede-policy-changes-trends-patient-safety-indicators-united
     November 01, 2017 - The authors discuss major CMS payment policy changes and their intersection with the PSI; except for pressure … injuries, the implementation of payment policy reforms did not precede the decline trends in PSI rates … August 10, 2022 Complexity bias in the prevention of iatrogenic injury: why specific … May 13, 2020 Assessment of nursing home reporting of major injury falls for quality measurement

174. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis | PSNet
     psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
     March 09, 2022 - wound care and intravenous antibiotics. … Despite animal studies suggesting sealant alone can withstand high hydrostatic pressures, 52–54 some … Suture Choice in Lumbar Dural Closure Contributes to Variation in Leak Pressures: Experimental Model. … Quantification of leakage pressures after durotomy repairs in the canine. … January 23, 2019 Classifying errors in preventable and potentially preventable trauma

175. A systemwide strategy to embed equity into patient safety event analysis. | PSNet
     psnet.ahrq.gov/issue/systemwide-strategy-embed-equity-patient-safety-event-analysis
     November 16, 2022 - Summary February 26, 2025 Identifying resilience: a system safety review of trauma … Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

176. Cost–benefit analysis of a support program for nursing staff. | PSNet
     psnet.ahrq.gov/issue/cost-benefit-analysis-support-program-nursing-staff
     October 26, 2016 - September 8, 2021 A randomized trial of a multifactorial strategy to prevent serious fall injuries … Are evidence-based practices associated with effective prevention of hospital-acquired pressure … September 28, 2016 Do nurse and patient injuries share common antecedents?

177. Chest Tube Complications | PSNet
     psnet.ahrq.gov/web-mm/chest-tube-complications
     September 27, 2023 - did not recover spontaneous circulation for more than 30 minutes and sustained severe anoxic brain injury … For example, the trauma surgery service did not routinely perform a clamping trial before chest tube … the most common complication), recurrent pneumothorax, infection (including empyema), organ or vessel injury … Complications following thoracic trauma managed with tube thoracostomy. Injury. 2012;43:46-50. … Complications of tube thoracostomy for acute trauma. Am J Surg. 1980;140:738-741.

178. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_mismanagement_of_acute_decompensated_heart_failure_slides_final.pptx
     January 01, 2024 - hypervolemia, leading to mismanagement of her hypertensive emergency, irreversible progression of cardiac injury … to the ED.1 12 12 Background (4) The presence of pulmonary edema with hypoxemia and acute kidney injury … with an especially elevated diastolic pressure.  … nitroglycerin (given that nitroprusside is relatively contraindicated in the setting of acute kidney injury … treating hypertensive emergencies, choosing appropriate antihypertensives for patients with end-organ injury

179. Report on the ISPE Drug Shortages Survey. | PSNet
     psnet.ahrq.gov/issue/report-ispe-drug-shortages-survey
     January 26, 2022 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

180. Eliminating vincristine administration events. | PSNet
     psnet.ahrq.gov/issue/eliminating-vincristine-administration-events
     February 15, 2023 - October 10, 2018 Early identification and evaluation of severe pressure injuries.