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21. A Laceration that Needed a Proper Exam, Not an X-Ray | PSNet
    psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
    November 25, 2020 - In a study of 165 patients undergoing wound exploration after hand laceration, 32% of tendon injuries … Explore wounds for evidence of arterial bleeding, foreign body, tendon injury, and arthrotomy. … A blood pressure cuff applied proximal to the wound is another option. … If a tendon injury cannot be ruled out after wound exploration and functional testing, assume an occult … Medico-legal risks associated to hand and wrist trauma.

22. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49644/psn-pdf
    December 01, 2011 - Although intraocular pressure might be lowered in penetrating globe injury, ocular pressure assessment … (tonometry) should not be performed, and any maneuvers that potentially increase intraocular pressure … Lacerations and wounds involving the eyelid must be carefully evaluated for possible globe and intracranial … Work-related eye injuries treated in hospital emergency departments in the US. … Computed tomography in the diagnosis and prognosis of open-globe injuries.

23. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/48134/psn-pdf
    August 14, 2019 - Root cause analysis for hospital-acquired pressure injury. August 14, 2019 Black JM. … Root cause analysis for hospital-acquired pressure injury. … J Wound Ostomy Continence Nurs. 2019;46(4):298-304. doi:10.1097/WON.0000000000000546. … https://psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury Pressure injuries … https://psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury https://psnet.ahrq.gov

24. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837898/psn-pdf
    August 24, 2022 - Preventing patient positioning injuries in the nonoperating room setting. … Preventing patient positioning injuries in the nonoperating room setting. … pressure injuries are considered a never event. … This review presents strategies to prevent pressure injuries in the nonoperating room anesthesia (NORA … https://psnet.ahrq.gov/issue/preventing-patient-positioning-injuries-nonoperating-room-setting https:

25. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866261/psn-pdf
    July 10, 2024 - However, it is associated with several positioning injuries. … In rare circumstances, significant hypoperfusion with ischemic injury to the calf muscles may result … Pressures above 30 mm Hg are worrisome, but the diagnosis can be easily missed if the pressure is measured … Early evaluation and fasciotomy by an orthopedic or trauma surgeon are key to preventing permanent injury … Int Wound J. 2008;5(2):315-328. [Free full text] 6. Matsen FA 3rd.

26. Intraosseous Line Extravasation in a Pediatric Trauma Patient | PSNet
    psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
    September 29, 2021 - Her wounds led to significant blood loss. … arterial blood pressure. 23 Elevated compartment pressure leads initially to venous congestion, then … transferred to the OR for surgical exploration, debridement, and possible closure of her traumatic wounds … Injury . 2017;48:S22–S25. [ Available at ] Shuler MS, Reisman WM, Kinsey TL, et al. … Injury . 1994;25(6):379–81. [ Free full text ] Günal I, Köse N, Gürer D.

27. Towards international consensus on patient harm: perspectives on pressure injury policy. | PSNet
    psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy
    September 27, 2016 - Review Towards international consensus on patient harm: perspectives on pressure … injury policy. … Towards international consensus on patient harm: perspectives on pressure injury policy. … Towards international consensus on patient harm: perspectives on pressure injury policy. … March 7, 2018 6-PACK programme to decrease fall injuries in acute hospitals: cluster

28. COVID-19 Pandemic Impact on Healthcare Associated Conditions | PSNet
    psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions
    July 21, 2025 - Study Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence. … injuries. … injuries between March and July 2020. … The authors discuss how prior organizational efforts to reduce hospital-acquired pressure injuries allowed

29. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73363/psn-pdf
    June 09, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review. … shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure injuries … identify which nursing handover interventions result in improved patient outcomes (i.e., patient falls, pressure … injuries, medication administration errors).

30. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery | PSNet
    psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
    January 29, 2021 - However, it is associated with several positioning injuries. … In rare circumstances, significant hypoperfusion with ischemic injury to the calf muscles may result … Pressures above 30 mm Hg are worrisome, but the diagnosis can be easily missed if the pressure is measured … Early evaluation and fasciotomy by an orthopedic or trauma surgeon are key to preventing permanent injury … Int Wound J . 2008;5(2):315-328. [ Free full text ] Matsen FA 3rd.

31. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74253/psn-pdf
    January 12, 2022 - Injuries The risk of pressure injuries of the skin and soft tissue has increased during the pandemic … injuries. … the risk of pressure injury among COVID-19 patients.7 Infections Among COVID-19 patients in particular … Injury Advisory Panel, and recommendations developed by researchers on the prevention of pressure injuries … Medical device-related pressure injuries during the COVID-19 pandemic.

32. Preventing patient positioning injuries in the nonoperating room setting. | PSNet
    psnet.ahrq.gov/issue/preventing-patient-positioning-injuries-nonoperating-room-setting
    November 21, 2012 - Commentary Preventing patient positioning injuries in the nonoperating room setting … Preventing patient positioning injuries in the nonoperating room setting. … Hospital-acquired pressure injuries are considered a never event . … This review presents strategies to prevent pressure injuries in the nonoperating room anesthesia (NORA … Preventing patient positioning injuries in the nonoperating room setting.

33. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867805/psn-pdf
    February 26, 2025 - Other important factors are nursing-sensitive events, which include things like pressure injuries and … For example, with pressure injuries, wetness in the bed dramatically increases the risk that somebody … will develop a dangerous pressure injury. … Some of these sensors are expensive, but pressure injuries are extremely expensive. … will take a look at your pressure injuries practices and take steps to improve those.

34. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/836976/psn-pdf
    April 27, 2022 - Her wounds led to significant blood loss. … arterial blood pressure.23 Elevated compartment pressure leads initially to venous congestion, then … transferred to the OR for surgical exploration, debridement, and possible closure of her traumatic wounds … Injury. 2017;48:S22–S25. … Injury. 1994;25(6):379–81. [Free full text] 31. Günal I, Köse N, Gürer D.

35. Spotlight (pdf file)
    psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
    January 01, 2022 - shock or from traumatic brain injury … , or through skin with overlying infection or burn injury … mean arterial blood pressure … unreliable and rarely used in pediatrics due to differences in normal resting compartment pressures … transferred to the OR for surgical exploration, debridement, and possible closure of her traumatic wounds

36. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865376/psn-pdf
    March 27, 2024 - She had hypotension, with blood pressure around 80s/50s. … A pressure dressing and splint were applied. … In the meantime, the patient continued to bleed from her right ankle wound. … Retrohepatic IVC and hepatic vein injuries are amongst the most fatal injuries encountered in trauma … Gunshot wounds to the liver: no longer a mandatory operation.

37. In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO | PSNet
    psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
    January 12, 2022 - The other thing that we saw related to pressure injuries was a type of skin lesion the National Pressure … COVID skin looks very much like deep tissue injury, or other types of pressure injury, but is actually … Injuries The risk of pressure injuries of the skin and soft tissue has increased during the pandemic … Injury Advisory Panel, and recommendations developed by researchers on the prevention of pressure injuries … Medical device-related pressure injuries during the COVID-19 pandemic.

38. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic | PSNet
    psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
    January 12, 2022 - Injuries The risk of pressure injuries of the skin and soft tissue has increased during the pandemic … Injury Advisory Panel, and recommendations developed by researchers on the prevention of pressure injuries … Medical device-related pressure injuries during the COVID-19 pandemic. … The other thing that we saw related to pressure injuries was a type of skin lesion the National Pressure … COVID skin looks very much like deep tissue injury, or other types of pressure injury, but is actually

39. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47788/psn-pdf
    March 06, 2019 - Medical device-related pressure ulcers: a systematic review and meta-analysis. … Medical device-related pressure ulcers: A systematic review and meta-analysis. … https://psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis … Hospital-acquired pressure ulcers are considered never events and represent a significant source of … This systematic review and meta-analysis found a pooled incidence of 12% for pressure injuries related

40. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures | PSNet
    psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
    November 27, 2019 - She had hypotension, with blood pressure around 80s/50s. … A pressure dressing and splint were applied. … In the meantime, the patient continued to bleed from her right ankle wound. … Retrohepatic IVC and hepatic vein injuries are amongst the most fatal injuries encountered in trauma … Gunshot wounds to the liver: no longer a mandatory operation.