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Showing results for "pressure injuries".
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181. How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? | PSNet
     psnet.ahrq.gov/issue/how-can-interventions-more-directly-address-drivers-unprofessional-behaviour-between
     October 09, 2024 - December 19, 2018 Association of hospital participation in a regional trauma quality … Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

182. Patient safety in palliative care at the end of life from the perspective of complex thinking. | PSNet
     psnet.ahrq.gov/issue/patient-safety-palliative-care-end-life-perspective-complex-thinking
     October 05, 2022 - care can include inappropriate pain management , preventable hospital (re)admissions, falls, and pressure … injuries .

183. Long-term Care and Patient Safety | PSNet
     psnet.ahrq.gov/primer/long-term-care-and-patient-safety
     February 24, 2022 - care hospitals, including the ability to care for patients requiring mechanical ventilation, complex wound … Inpatient rehabilitation facilities (IRFs) care for patients recovering from surgery, trauma, or an … daily evaluation by a physician but do require services such as intensive nursing, physical therapy, or wound … injuries) during their stay, half of which were preventable. … injuries, and falls).

184. How safety is compromised when hospital equipment is a poor fit for patients who are obese. | PSNet
     psnet.ahrq.gov/issue/how-safety-compromised-when-hospital-equipment-poor-fit-patients-who-are-obese
     October 07, 2020 - the identified events resulted in a delay in care and 41% resulted in temporary harm (e.g., falls, pressure … injuries, skin tears, abrasions).

185. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866343/psn-pdf
     December 31, 2024 - hypervolemia, leading to mismanagement of her hypertensive emergency, irreversible progression of cardiac injury … patients first present to the ED.1 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

186. Airway Obstruction during Anterior Cervical Spine Surgery | PSNet
     psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
     January 29, 2021 - His peak airway pressures were initially 23-25 cm H 2 O but suddenly increased to 48-52 about 30 minutes … Obesity is often associated with difficult ventilation because high airway pressures are required to … Thirty minutes into the operation the airway pressures suddenly increased from 25 to 50 cm of H 2 O and … Pneumothorax can occur in trauma patients who may have undiagnosed rib fractures. … Airway management in trauma.

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49725/psn-pdf
     January 01, 2015 - Benefits include measurement of important parameters (e.g., PA occlusion wedge pressure [an indirect … indication of left atrial pressure, a surrogate for left ventricular function], cardiac output, and … hurry-up" situation should be a red flag that leads to recognition of the danger of such production pressures … While it is tempting to look at a case like this and focus only on understaffing or production pressures … Under all perioperative circumstances, but particularly with dangerously increased production pressure

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867429/psn-pdf
     December 18, 2024 - 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. … Occult spinal pseudomeningocele following a trivial injury successfully treated with a lumboperitoneal

189. Reducing potential errors associated with insulin administration: an integrative review. | PSNet
     psnet.ahrq.gov/issue/reducing-potential-errors-associated-insulin-administration-integrative-review
     March 31, 2021 - March 31, 2021 Intervention study for the reduction of medication errors in elderly trauma … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

190. Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study. | PSNet
     psnet.ahrq.gov/issue/are-measurements-patient-safety-culture-and-adverse-events-valid-and-reliable-results-cross
     February 04, 2015 - Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … July 1, 2016 Does time pressure have a negative effect on diagnostic accuracy?

191. A decade of preventing harm. | PSNet
     psnet.ahrq.gov/issue/decade-preventing-harm
     July 10, 2008 - The health system sought to prevent pressure ulcers , adverse drug events , falls with injury , health … January 3, 2017 The cost of serious fall-related injuries at three midwestern hospitals

192. Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies. | PSNet
     psnet.ahrq.gov/issue/determining-skills-needed-frontline-nhs-staff-deliver-quality-improvement-findings-six-case
     March 30, 2022 - Multifactorial interventions to reduce duration and variability in delays to identification of serious injury … Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

193. Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. | PSNet
     psnet.ahrq.gov/issue/patient-safety-people-experiencing-advanced-dementia-hospital-video-reflexive-ethnography
     November 16, 2022 - July 17, 2024 Early identification and evaluation of severe pressure injuries. … April 6, 2022 Clinical characteristics and short-term outcomes of acute kidney injury

194. 5 cataract surgeries, 5 people blinded: what went wrong? | PSNet
     psnet.ahrq.gov/issue/5-cataract-surgeries-5-people-blinded-what-went-wrong
     June 08, 2011 - Reporting on a series of patient injuries linked to a contracted anesthesiologist at a cataract surgery … center, this news article describes how factors such as production pressure and insufficient assessment

195. Haste Makes Care Unsafe | PSNet
     psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
     January 07, 2015 - Benefits include measurement of important parameters (e.g., PA occlusion wedge pressure [an indirect … indication of left atrial pressure, a surrogate for left ventricular function], cardiac output, and mixed … hurry-up" situation should be a red flag that leads to recognition of the danger of such production pressures … While it is tempting to look at a case like this and focus only on understaffing or production pressures … Under all perioperative circumstances, but particularly with dangerously increased production pressure

196. Proactive prevention of maternal death from maternal hemorrhage. | PSNet
     psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage
     January 15, 2020 - July 31, 2019 Early identification and evaluation of severe pressure injuries.

197. The impact of rationing nursing care on patient safety: a systematic review. | PSNet
     psnet.ahrq.gov/issue/impact-rationing-nursing-care-patient-safety-systematic-review
     December 06, 2023 - ) adversely impacts patient safety, contributing to higher incidence of falls, medication errors, pressure … injuries, and healthcare-associated infections.

198. From research to practice: factors affecting implementation of prospective targeted injury-detection systems. | PSNet
     psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury-detection
     August 04, 2021 - From research to practice: factors affecting implementation of prospective targeted injury-detection … From research to practice: factors affecting implementation of prospective targeted injury-detection … five hospitals faced in implementing new systems for prospective detection of adverse drug events and pressure … From research to practice: factors affecting implementation of prospective targeted injury-detection

199. Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities. | PSNet
     psnet.ahrq.gov/issue/data-driven-quality-improvement-culture-change-and-high-reliability-journey-special-hospital
     March 24, 2021 - Improvements in medication errors and hospital-acquired pressure injuries were observed, but employee

200. Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. | PSNet
     psnet.ahrq.gov/issue/dashboard-design-identify-and-balance-competing-risk-multiple-hospital-acquired-conditions
     December 16, 2020 - management combining the risks of multiple conditions (catheter-associated urinary tract infections, pressure … injuries, and falls).