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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.
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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.
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psnet.ahrq.gov/issue/nexus-nursing-leadership-and-culture-safer-patient-care
January 18, 2018 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.
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psnet.ahrq.gov/issue/intervention-enhance-nursing-staff-teamwork-and-engagement
June 21, 2010 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.
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psnet.ahrq.gov/issue/nurses-discuss-bedside-handover-and-using-written-handover-sheets
January 24, 2018 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.
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psnet.ahrq.gov/node/33823/psn-pdf
January 01, 2017 - The burning platform: the current injury rate and why it must be reduced
2. … A goal for injury reduction as measured by days away from work due to injury on the job; a
reasonable … Were there time pressures in the OR to proceed with no help? … Workplace injuries cost healthcare industry billions. Fierce Healthcare. November 12, 2013. … ; MSI: musculoskeletal injury
Figures
Figure 1.
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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
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psnet.ahrq.gov/issue/patient-safety-moving-bar-prison-health-care-standards
August 28, 2024 - September 21, 2005
A randomized trial of a multifactorial strategy to prevent serious fall injuries … Are evidence-based practices associated with effective prevention of hospital-acquired pressure
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - High risk of errors, preventable death : Multidisciplinary trauma teams face tremendous time pressures … , and specialty situations (neurotrauma, burns, spinal cord injury, and orthopedic trauma). … For example, prompts might remind staff working with a patient with abnormally low blood pressure to … The program had a particularly large impact on the use of pressure dressings to control hemorrhage (p … Missed injuries in a level I trauma center. J Trauma. 2002 Apr;52(4):715-9.
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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
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psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - High risk of errors, preventable death: Multidisciplinary trauma teams face tremendous time
pressures … , and specialty situations
(neurotrauma, burns, spinal cord injury, and orthopedic trauma). … For example, prompts might remind staff
working with a patient with abnormally low blood pressure to … The program had a particularly
large impact on the use of pressure dressings to control hemorrhage ( … Missed injuries in a level I trauma center. J Trauma. 2002
Apr;52(4):715-9.
2.
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psnet.ahrq.gov/issue/nurses-experience-decision-making-processes-missed-nursing-care-qualitative-study
May 11, 2022 - May 19, 2021
Surgeon commitment to trauma care decreases missed injuries. … September 27, 2017
Organisational strategies to implement hospital pressure ulcer prevention
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psnet.ahrq.gov/perspective/workplace-safety-health-care
January 01, 2017 - Were there time pressures in the OR to proceed with no help? … their workforce, I announced we should be an injury-free workplace. … And over the 13 years I was there we got close to achieving zero injuries. … safety, namely to identify as quickly as possible anything gone wrong—including medication errors, pressure … are probably no better than average at all the other things they do, like central line infections and pressure
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psnet.ahrq.gov/web-mm/easily-forgotten-tube
June 01, 2016 - 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/node/852280/psn-pdf
August 09, 2023 - Veterans Health
Administration (VHA) hospital, this study found that use of SmartSocks – socks containing pressure … assessment-wearable-fall-prevention-system-veterans-health-administration-hospital
https://psnet.ahrq.gov/primer/falls
https://psnet.ahrq.gov/issue/preventing-falls-injury
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psnet.ahrq.gov/issue/redesigning-hospital-alarms-patient-safety-alarmed-and-potentially-dangerous
December 12, 2018 - Related Resources From the Same Author(s)
Success in hospital-acquired pressure … December 12, 2018
Differences in the reporting of care-related patient injuries to existing
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psnet.ahrq.gov/issue/identifying-safety-practices-perceived-low-value-exploratory-survey-healthcare-staff-united
February 03, 2021 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.
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psnet.ahrq.gov/issue/adverse-events-and-their-contributors-among-older-adults-during-skilled-nursing-stays
February 17, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.
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psnet.ahrq.gov/issue/visitor-behaviors-can-influence-risk-patient-harm-analysis-patient-safety-reports-92
September 01, 2021 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.
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psnet.ahrq.gov/issue/examining-causes-and-prevention-strategies-adverse-events-deceased-hospital-patients
June 08, 2022 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.