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Showing results for "pressure injuries".
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321. Adverse effects of the Medicare PSI-90 hospital penalty system on revenue-neutral hospital-acquired conditions. | PSNet
     psnet.ahrq.gov/issue/adverse-effects-medicare-psi-90-hospital-penalty-system-revenue-neutral-hospital-acquired
     October 30, 2024 - Overall, HAC rates declined over the 2 years following implementation of the program, with only rates of pressure … Are evidence-based practices associated with effective prevention of hospital-acquired pressure … December 21, 2017 Complexity bias in the prevention of iatrogenic injury: why specific

322. The Danger of 10% Intravenous Calcium Chloride Extravasation. | PSNet
     psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
     April 24, 2024 - Multiple services were contacted to assist with management of this complicated wound. … After conservative treatment for nearly three weeks, the wound did not show any appreciable healing, … To prevent iatrogenic injuries of this type, physicians, nurses, and pharmacists must work together to … When the infusion exceeds this maximum rate, it may cause lowering of blood pressure. 1 Calcium chloride … Management of severe calcium chloride extravasation injury: a case report.

323. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.224_slideshow.ppt
     October 01, 2010 - Falls and fall-related injuries in older dialysis patients. … dialysis centers include: Patient age Total number of co-morbidities Predialysis systolic blood pressure … Falls and fall-related injuries in older dialysis patients. Clin J Am Soc Nephrol. 2006;1:1197-1204. … Falls and fall-related injuries in older dialysis patients. Clin J Am Soc Nephrol. 2006;1:1197-1204.

324. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848109/psn-pdf
     April 26, 2023 - Multiple services were contacted to assist with management of this complicated wound. … After conservative treatment for nearly three weeks, the wound did not show any appreciable healing, … To prevent iatrogenic injuries of this type, physicians, nurses, and pharmacists must work together … When the infusion exceeds this maximum rate, it may cause lowering of blood pressure.1 Calcium chloride … Management of severe calcium chloride extravasation injury: a case report.

325. The Forgotten Drip | PSNet
     psnet.ahrq.gov/web-mm/forgotten-drip
     April 01, 2014 - Multiple therapies were initiated to reduce the intracranial pressure and swelling, including intubation … The "Lund protocol," derived in patients with elevated ICP in the setting of head trauma, assumes that … Continuous recording and control of ventricular fluid pressure in neurosurgical practice. … Introduction to cerebral perfusion pressure management. Neurosurg Clin N Am. 1995;6:761-773. … Hyperventilation in head injury: a review. Chest. 2005;127:1812-1827. [go to PubMed] 5.

326. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33589/psn-pdf
     September 15, 2024 - reliability organizations cultivate resilience by relentlessly prioritizing safety over other performance pressures … A classic example is that of the military aircraft carrier: despite significant production pressures … A regional health system in Canada reported a decrease in adverse events such as falls, pressure injuries

327. Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect? | PSNet
     psnet.ahrq.gov/issue/rates-adverse-events-hospitalized-patients-after-summer-time-resident-changeover-united
     June 22, 2022 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … March 23, 2012 Injury and death associated with incidents reported to the Patient Safety … Hospitals Medicine Medication Errors/Preventable Adverse Drug Events Nosocomial Infections Pressure

328. Patient safety indicators during the initial COVID-19 pandemic surge in the United States. | PSNet
     psnet.ahrq.gov/issue/patient-safety-indicators-during-initial-covid-19-pandemic-surge-united-states
     August 03, 2022 - September 1, 2021 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence. … About The Topic Hospitals Public Health Infectious Diseases Medical Complications Pressure

329. The Ongoing Journey to Prevent Patient Falls | PSNet
     psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
     December 18, 2024 - In hospitals, falls with injuries can lead to other adverse outcomes including pressure injuries or … One study found that providing patients at risk for falls with Smart Socks , which contain pressure … Another example is the CDC’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) initiative , … no injury. … injury to that person and their psyche.

330. Exposure to incivility does not hinder speaking up: a randomised controlled high-fidelity simulation-based study. | PSNet
     psnet.ahrq.gov/issue/exposure-incivility-does-not-hinder-speaking-randomised-controlled-high-fidelity-simulation
     August 24, 2022 - March 30, 2022 Communication failures contributing to patient injury in anaesthesia malpractice … Related Resources Barriers and facilitators to reporting medical device-related pressure … Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury

331. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72614/psn-pdf
     March 01, 2021 - emergencies, eclampsia (convulsions), hypertensive crisis (a severe increase in the mother's blood pressure … decreased to a nadir of 21.8 percent (primary rate below ten percent), there had been no brachial plexus injuries … retrospective observational study found that the program led to a 70 percent reduction in brachial plexus injuries … following shoulder dystocia and the virtual elimination of permanent injuries.6 An additional retrospective … Seton Family of Hospitals: Where the Birth Trauma Rate is Essentially Zero.

332. Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes | PSNet
     psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
     July 23, 2024 - emergencies, eclampsia (convulsions), hypertensive crisis (a severe increase in the mother's blood pressure … decreased to a nadir of 21.8 percent (primary rate below ten percent), there had been no brachial plexus injuries … retrospective observational study found that the program led to a 70 percent reduction in brachial plexus injuries … following shoulder dystocia and the virtual elimination of permanent injuries. 6 An additional retrospective … Seton Family of Hospitals: Where the Birth Trauma Rate is Essentially Zero.

333. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33822/psn-pdf
     January 01, 2017 - The day I arrived at Alcoa, even though they were already in the top 20% or so of avoiding injuries to … 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 … probably no better than average at all the other things they do, like central line infections and pressure

334. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45036/psn-pdf
     February 15, 2017 - provide intensive rehabilitation to patients recovering from hospitalization for an acute illness or injury … Nearly half of the events were considered preventable, with the most common types of events including pressure

335. In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
     psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
     September 24, 2024 - Carole Stockmeier:  Patients come to us with faith, hope, and trust that we will restore health and heal wounds … safety 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

336. Getting rid of "never events" in hospitals. | PSNet
     psnet.ahrq.gov/issue/getting-rid-never-events-hospitals
     April 25, 2016 - Never events are devastating and preventable, and health care organizations are under increasing pressure … September 21, 2005 "Near injury" alters procedures at Virginia Mason.

337. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33722/psn-pdf
     December 01, 2011 - reversible or can be improved with this patient that will not only reduce their fall risk and harm injury … In this area it seems that the pressure for early mobilization seems like a very good idea, but probably … But they should not receive an injury as a result of a fall. … The same as with pressure ulcers. … We have nearly eliminated pressure ulcers here at Ascension, and it was all built around a strategy

338. In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls | PSNet
     psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
     December 18, 2024 - no injury. … injury to that person and their psyche. … I was a site Principal Investigator (PI) for the Strategies to Reduce Injuries and Develop Confidence … In hospitals, falls with injuries can lead to other adverse outcomes including pressure injuries or … One study found that providing patients at risk for falls with Smart Socks , which contain pressure

339. Patient characteristics and the occurrence of never events. | PSNet
     psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events
     February 15, 2011 - October 30, 2024 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence. … From research to practice: factors affecting implementation of prospective targeted injury-detection

340. One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs. | PSNet
     psnet.ahrq.gov/issue/one-size-fits-all-mixed-methods-evaluation-impact-100-single-room-accommodation-staff-and
     July 01, 2016 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … May 11, 2019 A randomized trial of a multifactorial strategy to prevent serious fall injuries