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Showing results for "pressure injuries".
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221. Nursing handoffs: a systematic review of the literature. | PSNet
     psnet.ahrq.gov/issue/nursing-handoffs-systematic-review-literature
     January 08, 2025 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

222. ER doctors misdiagnose patients with unusual symptoms. | PSNet
     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.

223. Indiana Medical Error Reporting System. | PSNet
     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.

224. Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safety events. | PSNet
     psnet.ahrq.gov/issue/machine-learning-evaluation-inequities-and-disparities-associated-nurse-sensitive-indicator
     July 19, 2023 - Rates of three nurse sensitive indicators - falls , healthcare associated pressure injuries, and healthcare

225. Copying and pasting of examinations within the electronic medical record. | PSNet
     psnet.ahrq.gov/issue/copying-and-pasting-examinations-within-electronic-medical-record
     June 12, 2013 - September 9, 2010 A randomized trial of a multifactorial strategy to prevent serious fall injuries … October 12, 2016 Towards international consensus on patient harm: perspectives on pressure … injury policy.

226. Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency | PSNet
     psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
     May 01, 2018 - 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

227. Safety in the Prehospital Emergency Medical Services Setting | PSNet
     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

228. Nursing surveillance: a concept analysis | PSNet
     psnet.ahrq.gov/issue/nursing-surveillance-concept-analysis
     May 26, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

229. Review: bringing patient safety to the forefront through structured computerisation during clinical handover. | PSNet
     psnet.ahrq.gov/issue/review-bringing-patient-safety-forefront-through-structured-computerisation-during-clinical
     January 13, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

230. In Conversation With… Jane Brice, MD, MPH | PSNet
     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.

231. Becoming a High Reliability Organization. | PSNet
     psnet.ahrq.gov/issue/becoming-high-reliability-organization
     May 04, 2015 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

232. The optimal use of telehealth to deliver safe patient care. | PSNet
     psnet.ahrq.gov/issue/optimal-use-telehealth-deliver-safe-patient-care
     October 10, 2018 - October 10, 2018 Early identification and evaluation of severe pressure injuries.

233. Implementation of the Centers for Medicare & Medicaid Services' nonpayment policy for preventable hospital-acquired conditions in rural and nonrural US hospitals. | PSNet
     psnet.ahrq.gov/issue/implementation-centers-medicare-medicaid-services-nonpayment-policy-preventable-hospital
     September 16, 2020 - The study looked at four nursing-sensitive adverse outcomes: pressure ulcers, falls with injuries, catheter-associated … hospitals had significantly fewer of these hospital-acquired conditions, except for patient falls with injury

234. Core Elements of Hospital Diagnostic Excellence (DxEx). | PSNet
     psnet.ahrq.gov/issue/core-elements-hospital-diagnostic-excellence-dxex
     April 26, 2023 - March 7, 2018 Pressure Injury Prevention in Hospitals Training Program. … October 18, 2017 Preventing Falls With Injury.

235. Bloody BP Cuff | PSNet
     psnet.ahrq.gov/web-mm/bloody-bp-cuff
     June 21, 2016 - 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 that … 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

236. Complications of ECMO During Transport | PSNet
     psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
     January 27, 2021 - The most common complications of ECMO are bleeding from cannulation sites (15-20%) or surgical wounds … Brain injury during venovenous extracorporeal membrane oxygenation. … Pressures – does the pump produce a pressure adequate for flow? What are the pressure trends? … Pressures are monitored before (pre-pump pressure), between pump and oxygenator (pre-oxygenator), and … January 11, 2017 Evaluation of wound photography for remote postoperative assessment

237. Misdiagnoses: a hidden risk of genetic testing. | PSNet
     psnet.ahrq.gov/issue/misdiagnoses-hidden-risk-genetic-testing
     July 10, 2019 - November 23, 2016 Costs of medical injuries in Utah and Colorado. … November 28, 2016 Medical misdiagnoses put pressure on patients to stay engaged.

238. Nosy Business | PSNet
     psnet.ahrq.gov/web-mm/nosy-business
     March 01, 2007 - , including self-induced "digital trauma." … Similar to bleeding from other sites, it is most effectively controlled by direct pressure. … Not only do these injuries create additional bleeding sources, they are commonly mistaken for the original … septum to avoid a septal perforation.( 5 ) Moisturizing the nasal cavity is important while the cautery wound … December 1, 2012 WebM&M Cases Missing the Point—Eye Injury

239. Legislative Report to the General Assembly: Adverse Event Reporting. | PSNet
     psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting
     May 20, 2009 - The most common adverse events reported were pressure ulcers and fall-related injuries or deaths .

240. Optimizing medication safety in the home. | PSNet
     psnet.ahrq.gov/issue/optimizing-medication-safety-home
     August 24, 2015 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.