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Showing results for "pressure injuries".
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341. Effects of computerized decision support system implementations on patient outcomes in inpatient care: a systematic review. | PSNet
     psnet.ahrq.gov/issue/effects-computerized-decision-support-system-implementations-patient-outcomes-inpatient-care
     November 06, 2019 - effective for managing blood glucose and blood transfusions and for preventing venous thromboembolism , pressure … ulcers , acute kidney injury, and incipient clinical deterioration. … June 28, 2023 Implementation of the World Health Organization Trauma Care Checklist Program

342. Fall Prevention in Hospitals Training Program. | PSNet
     psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program
     May 01, 2017 - July 23, 2019 Pressure Injury Prevention in Hospitals Training Program.

343. IHI Open School Patient Safety Curriculum | PSNet
     psnet.ahrq.gov/issue/patient-safety-curriculum-2nd-edition
     July 12, 2017 - October 24, 2018 Pressure Injury Prevention in Hospitals Training Program.

344. Case studies on medication reconciliation. | PSNet
     psnet.ahrq.gov/issue/case-studies-medication-reconciliation
     February 15, 2023 - June 9, 2021 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.

345. A Little Shuteye | PSNet
     psnet.ahrq.gov/web-mm/little-shuteye
     December 22, 2018 - had heard of the availability of topical skin adhesive that can be used in place of sutures to close wounds … An ophthalmologist evaluated the child the next day, and fortunately, there was no permanent injury. … Proper use of tissue adhesives involves choosing appropriate wounds, as well as patients, for the procedure … Prior to applying the product, hemostasis must be achieved with either pressure or topical application … Tissue adhesives in wound care. Hamilton: B.C. Decker Inc.; 2003. 7.

346. Drill down with root cause analysis. | PSNet
     psnet.ahrq.gov/issue/drill-down-root-cause-analysis
     June 15, 2016 - Related Resources From the Same Author(s) A case of transfusion error in a trauma … May 25, 2022 Root cause analysis for hospital-acquired pressure injury.

347. 'The ABC of Handover': impact on shift handover in the emergency department. | PSNet
     psnet.ahrq.gov/issue/abc-handover-impact-shift-handover-emergency-department
     June 17, 2010 - June 17, 2010 Teams under pressure in the emergency department: an interview study. … Settings Help Improve Management of Sepsis May 31, 2023 High delayed and missed injury … rate after inter-hospital transfer of severely injured trauma patients.

348. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49732/psn-pdf
     May 01, 2015 - 4 mmol/L or hypotension (mean arterial pressure [MAP] 4) In this case, the patient presented to the … mental status Lactate > 2 mmol/L Urinary output Creatinine > 2 mg/dL Worsening hypoxemia Acute lung injury … with PaO2/FiO2 Acute lung injury with PaO2/FiO2 Bilirubin > 2 mg/dL Platelet count 9/L International … normalized ratio > 1.5 Partial thromboplastin time > 60 seconds MAP: mean arterial pressure SBP: … systolic blood pressure Reprinted from (4) with permission from Wolters Kluwer Health, Inc.

349. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet
     psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
     August 01, 2012 - circumstances combine to place the elderly nursing home resident at special risk for preventable drug-related injuries … all of medicine and place older persons residing in nursing homes at substantial risk of iatrogenic injury … We looked at the outcomes on falls, pressure ulcers, and restraint use. … We didn't find it for pressure ulcers. … that many of our readers don't know much about the organizational structure of nursing homes and the pressures

350. Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. | PSNet
     psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
     August 14, 2024 - The cause of death was documented as hip trauma from the fall at the nursing home. … , 1 such as fractures or head trauma, falls can have important psychological impacts on individuals … Likewise, her blood pressure recordings, lying, sitting or standing, were not noted so we don’t know … to risk reduction for this resident might have been to evaluate and monitor lying and standing blood pressures … Concurrent use of prescription gabapentinoids with opioids and risk for fall-related injury among older

351. Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings. | PSNet
     psnet.ahrq.gov/issue/barriers-and-enablers-affecting-patient-engagement-managing-medications-within-specialty
     December 12, 2014 - patient engagement in medication monitoring, ranging from unavailability of clinicians to production pressures … September 14, 2009 Time for a change in injury and trauma care delivery: a trauma death

352. In Conversation With… Ann L. Hendrich, RN, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
     February 26, 2025 - 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 of

353. AHRQ Safety Program for Improving Surgical Care and Recovery. | PSNet
     psnet.ahrq.gov/issue/ahrq-safety-program-improving-surgical-care-and-recovery
     December 24, 2008 - January 31, 2018 Pressure Injury Prevention in Hospitals Training Program.

354. Medical malpractice: why is it so hard for doctors to apologize? | PSNet
     psnet.ahrq.gov/issue/medical-malpractice-why-it-so-hard-doctors-apologize
     August 24, 2011 - August 24, 2011 Assessment of nursing home reporting of major injury falls for quality … February 5, 2020 Accuracy of pressure ulcer events in US nursing home ratings.

355. Supporting perioperative safety during a disaster through clinical crisis education. | PSNet
     psnet.ahrq.gov/issue/supporting-perioperative-safety-during-disaster-through-clinical-crisis-education
     July 05, 2017 - August 12, 2020 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence. … January 15, 2025 Identifying resilience: a system safety review of trauma and orthopaedic

356. Hip Fractures in Older Patients: the Case for Geriatrics Comanagement | PSNet
     psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
     July 01, 2004 - improved functional independence at 4 and 12 months.( 12-14 ) Hip fracture is a common and serious injury … , which in turn increases the risk of delirium, thromboembolism, pneumonia, pressure ulcers, and significant … Injury. 2018;49:1458-1460. [go to PubMed] 2. Cummings SR, Black DM, Rubin SM. … J Orthop Trauma. 2006;20:172-180. [go to PubMed] 12. … J Orthop Trauma. 2014;28:e49-e55.

357. Microsoft PowerPoint - FINAL Spotlight_Falls in Skilled Nursing Units_04.12.2023.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
     January 01, 2023 - • The cause of death was documented as hip trauma from the fall at the nursing home. 7 Case … ,1 such as fractures or head trauma, falls can have important psychological impacts on individuals … • Likewise, her blood pressure recordings, lying, sitting or standing, were not noted so we don’t … know whether she also may have suffered a drop in her blood pressure and experienced lightheadedness … risk reduction for this resident might have been: – to evaluate and monitor lying and standing blood pressures

358. Microsoft PowerPoint - Spotlight Case_Uterine Artery Injury during Cesarean Delivery - FINAL.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
     January 01, 2024 - Microsoft PowerPoint - Spotlight Case_Uterine Artery Injury during Cesarean Delivery - FINAL.pptx Spotlight … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy … staggering racial and ethnic disparities in maternal morbidity and mortality. 3 UTERINE ARTERY INJURY … survived, she suffered another cardiac arrest with residual cognitive impairment. 8 UTERINE ARTERY INJURY … rate >24 or <10/minuteRespiratory rate Systolic >155 or <80 mm Hg Diastolic >105 or <45 mm Hg Blood pressure

359. ED handoffs: observed practices and communication errors. | PSNet
     psnet.ahrq.gov/issue/ed-handoffs-observed-practices-and-communication-errors
     October 19, 2022 - intensification, missed visits, and scheduled follow-up interval with racial or ethnic disparities in blood pressure … July 21, 2021 High delayed and missed injury rate after inter-hospital transfer of severely … injured trauma patients.

360. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.347_slideshow.ppt
     May 01, 2015 - Her vital signs were notable for a temperature of 38.6° C, heart rate of 115 beats per minute, blood pressure … 2 hours despite adequate fluid resuscitation Creatinine > 2 mg/dL Worsening hypoxemia Acute lung injury … with PaO2/FiO2 < 250 in the absence of pneumonia as infection source Acute lung injury with PaO2/FiO2 … Shock Septic shock is defined as severe sepsis with lactate ≥ 4 mmol/L or hypotension (mean arterial pressure … [MAP] < 65 mm Hg; systolic blood pressure < 90 mm Hg) not responsive to a fluid bolus In this case,