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Showing results for "pressure injuries".
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201. 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.

202. Too Many Cooks in the Kitchen | PSNet
     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. 

203. Psn-Pdf (pdf file)
     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

204. 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.

205. Psn-Pdf (pdf file)
     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.  

206. Psn-Pdf (pdf file)
     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

207. Psn-Pdf (pdf file)
     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.

208. Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. | PSNet
     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.

209. Psn-Pdf (pdf file)
     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

210. Another fatal failure at King/Drew. | PSNet
     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

211. How real-time data can change the patient safety game. | PSNet
     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.

212. Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patients. | PSNet
     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 .

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48085/psn-pdf
     June 19, 2019 - The health system sought to prevent pressure ulcers, adverse drug events, falls with injury, health … psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals https://psnet.ahrq.gov/issue/success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets

214. People, processes, health IT and accurate patient identification. | PSNet
     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.

215. Keeping patients on track with preventative care during pandemic. | PSNet
     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.

216. Psn-Pdf (pdf file)
     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.

217. Psn-Pdf (pdf file)
     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

218. Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology. | PSNet
     psnet.ahrq.gov/issue/occurrence-no-harm-incidents-and-adverse-events-hospitalized-patients-ischemic-stroke-or-tia
     August 05, 2020 - The most common preventable events were medication events , pressure injuries, and healthcare-associated

219. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia | PSNet
     psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
     January 29, 2021 - respiratory monitoring for 24 hours after intrathecal morphine injection, and potential neurological injury … ; this change was associated with decreased risk of motor vehicle crash involvement and needlestick injury … Work schedule, needle use, and needlestick injuries among registered nurses. … Can workplace rest breaks prevent work-related injuries related to long working hours? … Effects of coffee on ambulatory blood pressure in older men and women: a randomized controlled trial.

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852807/psn-pdf
     August 30, 2023 - respiratory monitoring for 24 hours after intrathecal morphine injection, and potential neurological injury … new-recommendations-duty-hours-acgme-task-force decreased risk of motor vehicle crash involvement and needlestick injury … Simplify the treatment when tired or under time pressure When clinicians are tired or pressured for … Work schedule, needle use, and needlestick injuries among registered nurses. … Can workplace rest breaks prevent work-related injuries related to long working hours?