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Showing results for "pressure injuries".
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281. Psn-Pdf (pdf file)
     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

282. An Easily Forgotten Tube | PSNet
     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.

283. Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting. | PSNet
     psnet.ahrq.gov/issue/design-and-implementation-infection-prevention-program-risk-management-managing-high-level
     December 18, 2014 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

284. Sins of omission. Getting too little medical care may be the greatest threat to patient safety. | PSNet
     psnet.ahrq.gov/issue/sins-omission-getting-too-little-medical-care-may-be-greatest-threat-patient-safety
     March 06, 2005 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

285. Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. | PSNet
     psnet.ahrq.gov/issue/expressing-concern-and-writing-it-down-experimental-study-investigating-transfer-information
     November 17, 2014 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

286. Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital: an exploratory study. | PSNet
     psnet.ahrq.gov/issue/visitor-restrictions-during-covid-19-pandemic-and-increased-falls-harm-canadian-hospital
     June 05, 2013 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

287. Inadequate hand-off communication. | PSNet
     psnet.ahrq.gov/issue/inadequate-hand-communication
     April 02, 2015 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

288. Nursing and Patient Safety | PSNet
     psnet.ahrq.gov/primer/nursing-and-patient-safety
     September 15, 2024 - However, the key findings in a recent integrative review include fewer pressure ulcers and urinary tract … job dissatisfaction and absenteeism for nurses, as well as to medication errors, infections, falls, pressure … injuries, readmissions, and failure to rescue . 10 In addition, If bullying is present within the … and unit culture promote teamwork and lead to nursing job satisfaction that is likely to reduce the pressures … injuries.

289. The patient's right to safety—improving the quality of care through litigation against hospitals. | PSNet
     psnet.ahrq.gov/issue/patients-right-safety-improving-quality-care-through-litigation-against-hospitals
     February 17, 2011 - interventions coupled with the 100,000 Lives Campaign , suggesting the other half should feel the pressure … February 17, 2011 A randomized trial of a multifactorial strategy to prevent serious fall injuries

290. Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum. | PSNet
     psnet.ahrq.gov/issue/preventable-and-mitigable-adverse-events-cancer-care-measuring-risk-and-harm-across-continuum
     July 19, 2017 - Adverse events included medication errors and hospital-acquired conditions , such as pressure ulcers … September 20, 2017 Injuries before and after diagnosis of cancer: nationwide register

291. Triggers contributing to health care clinicians' disruptive behaviors. | PSNet
     psnet.ahrq.gov/issue/triggers-contributing-health-care-clinicians-disruptive-behaviors
     June 24, 2020 - The most frequent triggers included pressures from high census; environmental overload; chronic, unresolved … Multifactorial interventions to reduce duration and variability in delays to identification of serious injury … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.

292. Exploring stakeholder perceptions around implementation of the Operating Room Black Box for patient safety research: a qualitative study using the theoretical domains framework. | PSNet
     psnet.ahrq.gov/issue/exploring-stakeholder-perceptions-around-implementation-operating-room-black-box-patient
     November 04, 2020 - mostly supportive of the OR Black Box, but several potential barriers were identified, such as time pressures … WebM&M Cases Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury … August 8, 2012 Role of intraoperative cholangiography in avoiding bile duct injury. … March 31, 2010 Laparoscopic bile duct injury: understanding the psychology and heuristics

293. Nurses' use of computerized clinical guidelines to improve patient safety in hospitals. | PSNet
     psnet.ahrq.gov/issue/nurses-use-computerized-clinical-guidelines-improve-patient-safety-hospitals
     June 06, 2018 - February 14, 2024 A randomized trial of a multifactorial strategy to prevent serious fall injuries … May 29, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis

294. Check the Anesthesia Machine | PSNet
     psnet.ahrq.gov/web-mm/check-anesthesia-machine
     August 01, 2006 - 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.

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33580/psn-pdf
     April 01, 2022 - However, the key findings in a recent integrative review include fewer pressure ulcers and urinary tract … job dissatisfaction and absenteeism for nurses, as well as to medication errors, infections, falls, pressure … injuries, readmissions, and failure to rescue.10 In addition, If bullying is present within the workplace … and unit culture promote teamwork and lead to nursing job satisfaction that is likely to reduce the pressures … injuries.

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60268/psn-pdf
     April 29, 2020 - The most common complications of ECMO are bleeding from cannulation sites (15-20%) or surgical wounds … Device operating at proper settings (example: ventilator pressures, pump rpm)        iii. … 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

297. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.197_slideshow.ppt
     April 01, 2009 - pubmed/8333382 * PICCs Can Cause Complications In retrospective series, complications included: Wound … vessel wall, increasing chance of breakage on removal Small syringe used for flushing creates higher pressure … increased stress on catheter * Recommendations for Prevention Avoid flushing PICCs under high pressure … has become increasingly prevalent, including in pediatric inpatients PICC complications include: Injury … fractures Caregivers should be warned against flushing PICCs with small-volume syringes or with too much pressure

298. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73998/psn-pdf
     October 27, 2021 - Blood products and intravenous fluids were infused under pressure into the external jugular intravenous … efflux of solutions from a vessel into the surrounding tissue during an infusion” and may cause grave injury … If an internal jugular venous catheter is placed, the venous pressure should be transduced, and the … Outcomes and management of peripheral intravenous infiltration injuries. Hand (NY). … Vascular access, fluid resuscitation, and blood transfusion in pediatric trauma.

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49601/psn-pdf
     April 01, 2010 - , including self-induced "digital trauma." … Similar to bleeding from other sites, it is most effectively controlled by direct pressure. … Pinching the upper lip "pressure point" also diminishes blood coming in from the upper lip artery. … 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

300. The Hidden Danger of Unseen Intravenous Catheters | PSNet
     psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
     October 04, 2023 - efflux of solutions from a vessel into the surrounding tissue during an infusion” and may cause grave injury … Outcomes and management of peripheral intravenous infiltration injuries. Hand (NY) . … Vascular access, fluid resuscitation, and blood transfusion in pediatric trauma. … June 2, 2015 Implementation of the World Health Organization Trauma Care Checklist Program … WebM&M Cases Intraosseous Line Extravasation in a Pediatric Trauma