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psnet.ahrq.gov/node/73604/psn-pdf
August 18, 2021 - effect-providing-staff-training-and-enhanced-support-care-homes-care-
processes-safety-climate
Hospital admissions and preventable adverse events, such as falls and pressure … After 24
months, the safety climate had improved, and both falls and pressure ulcers were reduced. … effect-providing-staff-training-and-enhanced-support-care-homes-care-processes-safety-climate
https://psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing-resident
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psnet.ahrq.gov/node/862983/psn-pdf
February 28, 2024 - His peak airway
pressures were initially 23-25 cm H2O 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 H2O and … Pneumothorax can occur in
trauma patients who may have undiagnosed rib fractures. … Airway management in trauma. Emerg Med Clin North Am. 2018;36(1):61-84. [
Free full text]
5.
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psnet.ahrq.gov/node/49398/psn-pdf
May 01, 2003 - Patient #1 was in the trauma bay with massive injuries and profuse bleeding. … The blood pressure cuff
(which was partly fabric and partly nylon) was saturated with so much blood … General factors influencing compliance with barrier precautions include time pressures and concerns about … Until the cost-effectiveness of disposable blood pressure cuffs has
been established, we can at least … Situations
Blood Pressure Cuffs
EKG Leads
Pulse Oximetry
Defibrillators
This project was funded
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psnet.ahrq.gov/node/49701/psn-pdf
February 01, 2014 - national guidelines, including those from the American College of
Gastroenterology (7), the Welsh Wound … the past year; sensitivity or allergies to any
of the materials used in the device; rectal or anal injury … An FMS device should not be used for a mobile patient as
movement may lead to pressure on the tubing … An FMS is unsuitable for spinal cord injury patients due to the high risk of autonomic
dysreflexia that … Wounds UK. 2005;1:3:110-114.
[Available at]
7.
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - His initial systolic blood pressure after transfer was 60 mmHg. … While the injury itself (stable pelvic fracture) is easily survived in most cases, the evident frailty … 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. … Pressure Ulcer Prevention in the Hospital Setting Using Silicone Foam Dressings.
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psnet.ahrq.gov/node/851099/psn-pdf
June 28, 2023 - and procalcitonin levels were elevated, serum creatinine was 1.5
mg/dL (consistent with acute kidney injury … when the patient is hypotensive.7,8,9
Arterial injection of drugs can cause ischemia by direct vessel injury … https://psnet.ahrq.gov//#29
https://psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient … Display arterial and central venous pressures on the monitor
Displaying the pressure measured at the … Injection injury of an aberrant superficial radial artery requiring surgical
intervention.
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psnet.ahrq.gov/issue/how-real-time-data-can-change-patient-safety-game
July 07, 2021 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.
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psnet.ahrq.gov/node/44845/psn-pdf
July 01, 2016 - room hospital accommodation associated with
differences in healthcare-associated infection, falls,
pressure … room hospital accommodation associated with differences in
healthcare-associated infection, falls, pressure … Falls,
pressure ulcers, and Clostridium difficile infections increased in the older patients' ward after … one-size-fits-all-mixed-methods-evaluation-impact-100-single-room-accommodation-staff-and
https://psnet.ahrq.gov/issue/preventing-falls-injury
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psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification
April 11, 2018 - April 11, 2018
Early identification and evaluation of severe pressure injuries.
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psnet.ahrq.gov/issue/keeping-patients-track-preventative-care-during-pandemic
April 11, 2018 - October 10, 2018
Early identification and evaluation of severe pressure injuries.
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psnet.ahrq.gov/issue/achieving-perfect-handoff-patient-transfers-building-teamwork-and-trust
October 08, 2016 - From the Same Author(s)
Towards international consensus on patient harm: perspectives on pressure … injury policy. … December 2, 2020
The road to zero preventable birth injuries.
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psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
May 01, 2019 - Many calls for EMS assistance involve critical or potentially critical injury or illness like trauma, … Occupational injuries and exposures among emergency medical services workers. … Because they're really focused on the blood pressure and the pulse and the O2 sat [oxygen saturation] … It's just as critical a piece of information as their blood pressure. … "She's hypotensive because she has a gunshot wound in her armpit that I didn't find because I didn't
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psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - culture and found a 37%
increase in reporting, and decreases in preventable harm: 39%
decrease in injuries … with falls, 37% fewer pressure injuries and a
34% reduction in central line-associated blood stream … For
instance, a hospital may focus on eliminating severe pressure
injuries as a preventable harm, but
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psnet.ahrq.gov/issue/assessing-between-and-within-hospital-differences-patient-safety-between-medicaid-and
July 31, 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/issue/another-fatal-failure-kingdrew
May 03, 2017 - November 18, 2011
Popular blood thinner causing deaths, injuries in nursing homes. … June 11, 2014
Interactive effects of nurse-experienced time pressure and burnout on patient
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psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph
May 01, 2019 - Because they're really focused on the blood pressure and the pulse and the O2 sat [oxygen saturation] … It's just as critical a piece of information as their blood pressure. … "She's hypotensive because she has a gunshot wound in her armpit that I didn't find because I didn't … Many calls for EMS assistance involve critical or potentially critical injury or illness like trauma, … Occupational injuries and exposures among emergency medical services workers.
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psnet.ahrq.gov/node/49697/psn-pdf
December 01, 2013 - are difficult to compare, current estimates put
medication error rates at 1 in 100 anesthetics.(2) Injury … from such errors are estimated to occur
with 1% of errors.(3) By extrapolation, then, the risk of injury … American Society of Anesthesiologists Closed Claims Project recently presented an
update on patient injuries … Medication error etiology is multifactorial and includes a distracting environment and production
pressure … Patient injuries from anesthesia gas delivery
equipment: a closed claims update.
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psnet.ahrq.gov/node/49636/psn-pdf
October 01, 2011 - year-old man with insulin-dependent diabetes, hypertension, and chronic kidney disease was
admitted to a trauma … service after injuries suffered from an assault and battery. … The patient's injuries
included a left shoulder dislocation and a minimally displaced fracture of a … After reviewing the medical records, the PT noted the initial shoulder
injury on admission. … In addition to providing a general assessment, the PT expressed concern that the
shoulder injury had
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psnet.ahrq.gov/issue/indiana-medical-error-reporting-system-final-report-2015
July 15, 2009 - problems in the 279 incidents reported in 2018 -- when the last report was published -- were advanced pressure … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.
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psnet.ahrq.gov/issue/er-doctors-misdiagnose-patients-unusual-symptoms
August 05, 2008 - Emergency department safety is challenged by factors such as production pressure, burnout, and overcrowding … May 31, 2023
Non-accidental Injuries in Infants Attending the Emergency Department.