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Showing results for "pressure injuries".
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241. 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

242. 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

243. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected | PSNet
     psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
     September 25, 2024 - The required insufflation leads to an increase in peak inspiratory pressures, and this increase is more … pronounced during dilation as the balloon pressure increases tracheal stress. … Patient death or serious injury associated with intravascular air embolism that occurs while being cared … If endoscopy is utilized, decreased insufflation and lower dilation pressures may be necessary to avoid … Technical steps like using appropriate monitoring, minimizing insufflation and dilation pressures to

244. Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents: an observational study. | PSNet
     psnet.ahrq.gov/issue/strength-safety-measures-introduced-medical-practices-prevent-recurrence-patient-safety
     May 01, 2024 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

245. Putting the "action" in RCA(2): an analysis of intervention strength after adverse events. | PSNet
     psnet.ahrq.gov/issue/putting-action-rca2-analysis-intervention-strength-after-adverse-events
     April 17, 2024 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

246. Developing a tool for assessing competency in root cause analysis. | PSNet
     psnet.ahrq.gov/issue/developing-tool-assessing-competency-root-cause-analysis
     May 01, 2014 - May 22, 2019 Fake it 'til you make it: pressures to measure up in surgical training. … Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

247. Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients? | PSNet
     psnet.ahrq.gov/issue/content-analysis-patient-safety-incident-reports-older-adult-patient-transfers-handovers-and
     December 14, 2022 - reports involved interunit/department/team transfers and the majority (69%) of incidents were related to pressure … injuries, falls, medication, and documentation errors.

248. Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. | PSNet
     psnet.ahrq.gov/issue/toward-zero-harm-mackenzie-healths-journey-toward-becoming-high-reliability-organization-and
     September 14, 2022 - reporting and improvements in safety culture, as well as decreases in adverse events such as falls, pressure … injuries and healthcare-acquired infections.

249. Misconnection Leading to Arterial Thrombosis | PSNet
     psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
     January 29, 2021 - 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 … blood pressure.  … 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.  

250. Mobility Lost in the ICU | PSNet
     psnet.ahrq.gov/web-mm/mobility-lost-icu
     August 01, 2018 - 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 thoracic … 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

251. What can safety cases offer for patient safety? A multisite case study. | PSNet
     psnet.ahrq.gov/issue/what-can-safety-cases-offer-patient-safety-multisite-case-study
     February 07, 2024 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

252. EU to tackle issue of patient safety. | PSNet
     psnet.ahrq.gov/issue/eu-tackle-issue-patient-safety
     September 06, 2023 - March 8, 2023 6-PACK programme to decrease fall injuries in acute hospitals: cluster … October 7, 2020 Air pressure: human factors are the key to a safer flight environment

253. Registration-associated patient misidentification in an academic medical center: causes and corrections. | PSNet
     psnet.ahrq.gov/issue/registration-associated-patient-misidentification-academic-medical-center-causes-and
     September 02, 2020 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

254. A mixed-methods systematic review of interventions to address incivility in nursing. | PSNet
     psnet.ahrq.gov/issue/mixed-methods-systematic-review-interventions-address-incivility-nursing
     December 02, 2020 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

255. Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. | PSNet
     psnet.ahrq.gov/issue/differences-hospitals-workplace-violence-incident-reporting-practices-mixed-methods-study
     January 19, 2022 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

256. Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in radiotherapy department. | PSNet
     psnet.ahrq.gov/issue/crossover-patient-satisfaction-surveys-adverse-events-and-patient-complaints-continuous
     July 27, 2022 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

257. Nursing bedside clinical handover—an integrated review of issues and tools. | PSNet
     psnet.ahrq.gov/issue/nursing-bedside-clinical-handover-integrated-review-issues-and-tools
     July 07, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

258. Examining the meaning of the language used to communicate the nursing hand-off. | PSNet
     psnet.ahrq.gov/issue/examining-meaning-language-used-communicate-nursing-hand
     July 07, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

259. Root causes of adverse drug events in hospitals and artificial intelligence capabilities for prevention. | PSNet
     psnet.ahrq.gov/issue/root-causes-adverse-drug-events-hospitals-and-artificial-intelligence-capabilities-prevention
     May 20, 2020 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

260. Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review. | PSNet
     psnet.ahrq.gov/issue/sustaining-improvement-hospital-wide-initiative-patient-safety-and-quality-systematic-scoping
     September 01, 2021 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.