Results

Total Results: 733 records

Showing results for "pressure injuries".
Users also searched for: pressure injury

361. Obstetric Quality and Safety. | PSNet
     psnet.ahrq.gov/issue/obstetric-quality-and-safety
     February 25, 2009 - November 10, 2010 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.

362. TeamSTEPPS Core Curriculum. | PSNet
     psnet.ahrq.gov/issue/teamstepps-core-curriculum
     August 01, 2012 - July 12, 2018 Pressure Injury Prevention in Hospitals Training Program.

363. Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record review across nine Swiss hospitals. | PSNet
     psnet.ahrq.gov/issue/validity-16-ahrq-patient-safety-indicators-identify-hospital-complications-medical-record
     November 29, 2023 - The authors attributed low positive predictive value (PPV) in three of the PSIs (pressure injury, falls

364. 'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events. | PSNet
     psnet.ahrq.gov/issue/skating-thin-ice-consultant-surgeons-contemporary-experience-adverse-surgical-events
     April 17, 2024 - Production pressures and poor safety culture were among the frequently cited factors predisposing to … August 2, 2015 A randomized trial of a multifactorial strategy to prevent serious fall injuries

365. Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis | PSNet
     psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
     October 28, 2020 - antibiotics with some initial improvement in his symptoms and blood pressure. … Laboratory test results revealed a mildly elevated white count, acute kidney injury, and elevated liver … The patient's blood pressure continued to trend downward to 60/40 mm Hg. … elevated white blood cell count) and end-organ dysfunction (elevated liver function tests, acute kidney injury … Sight August 1, 2009 WebM&M Cases Missing Trauma

366. Microsoft PowerPoint - Spotlight Case_Agitated Delirium_FINAL.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
     January 01, 2023 - due to miscommunication at change-of-shift, led to more serious consequences from his iatrogenic injury … or skull base fractures; head, neck, or esophageal neoplasms; recent upper GI surgery; esophageal trauma … injuries in the intensive care unit showed that 1.6% were caused by NGTs.13 – In a retrospective … – Each attempt at NGT placement presents a risk of complications such as esophageal trauma, tracheal … Nursing care guidelines for reducing hospital-acquired nasogastric tube-related pressure injuries.

367. Diagnostic Delay in the Emergency Department | PSNet
     psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
     September 18, 2024 - Over this period, his heart rate increased to greater than 120 bpm and his blood pressure was 175/95 … At this point, the patient was given aggressive intravenous antihypertensives (his blood pressure had … Perhaps when acute kidney injury was identified, along with worsening pain and tachycardia. … include shared decision-making and watchful waiting.( 22 ) Some emergency medicine physicians argue that pressures … Diagnostic error in the emergency department: follow up of patients with minor trauma

368. Errors in Sepsis Management | PSNet
     psnet.ahrq.gov/web-mm/errors-sepsis-management
     November 03, 2015 - Her vital signs were notable for a temperature of 38.6° C, heart rate of 115 beats per minute, blood pressure … Septic shock is defined as severe sepsis with lactate ≥ 4 mmol/L or hypotension (mean arterial pressure … 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 … : systolic blood pressure Reprinted from ( 4 ) with permission from Wolters Kluwer Health, Inc.

369. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation | PSNet
     psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
     June 28, 2023 - apparently due to miscommunication at change-of-shift, led to more serious consequences from his iatrogenic injury … facial or skull base fractures; head, neck, or esophageal neoplasms; recent upper GI surgery; esophageal trauma … injuries in the intensive care unit showed that 1.6% were caused by NGTs. 13 In a retrospective study … Each attempt at NGT placement presents a risk of complications such as esophageal trauma, tracheal placement … Nursing care guidelines for reducing hospital-acquired nasogastric tube-related pressure injuries.

370. Pandemic presents new hurdles, and hope, for people struggling with addiction. | PSNet
     psnet.ahrq.gov/issue/pandemic-presents-new-hurdles-and-hope-people-struggling-addiction
     September 01, 2016 - June 27, 2018 More than 750 hospitals face Medicare crackdown on patient injuries. … August 12, 2020 Preeminent hospitals penalized over rates of patients’ injuries.

371. Learning and sharing safety lessons to improve patient care. | PSNet
     psnet.ahrq.gov/issue/learning-and-sharing-safety-lessons-improve-patient-care
     August 07, 2019 - View More Related Resources Root cause analysis for hospital-acquired pressure … injury.

372. Health care management during Covid-19: insights from complexity science. | PSNet
     psnet.ahrq.gov/issue/health-care-management-during-covid-19-insights-complexity-science
     July 22, 2020 - October 26, 2022 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.

373. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846127/psn-pdf
     March 15, 2023 - later, he was seen by the urologist and was found to be tachycardic and febrile, with acute kidney injury … Rectal perforation is an uncommon process, most often related to traumatic injury or associated with … The affected tissue demonstrates markedly compromised integrity and impaired wound healing, which dramatically … increases the risk for complications including leak, inadvertent injury, and failure of surgical repair … Limitations In the past decade, surgical patients have grown increasingly complex,3 and there is growing pressure

374. Nursing management of medication errors. | PSNet
     psnet.ahrq.gov/issue/nursing-management-medication-errors
     November 02, 2022 - September 19, 2018 System approach to prevent common bile duct injury and enhance performance … January 12, 2011 Interactive effects of nurse-experienced time pressure and burnout on

375. To improve health care, focus on fixing systems — not people. | PSNet
     psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people
     September 08, 2021 - October 26, 2022 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.

376. Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010. | PSNet
     psnet.ahrq.gov/issue/review-patient-safety-incidents-reported-critical-care-units-north-west-england-2009-and-2010
     December 02, 2009 - Pressure ulcers were the most common voluntarily reported patient safety issue in intensive care units … November 17, 2010 What’s past is prologue: organizational learning from a serious patient injury

377. Crossing the Line | PSNet
     psnet.ahrq.gov/web-mm/crossing-line
     December 01, 2012 - complications occur more commonly in patients with coagulation abnormalities or elevated central venous pressure … catheterization at the internal jugular site, similar to the ones seen in this case, suggest arterial injury … The timing of this patient's neurologic deterioration favors an arterial injury. … The key to preventing serious injury to the artery is identifying the arterial puncture prior to dilating … The most definitive technique is to attach a pressure transducer to the needle and inspect the waveform

378. Sources of nurse-sensitive inpatient safety improvement. | PSNet
     psnet.ahrq.gov/issue/sources-nurse-sensitive-inpatient-safety-improvement
     July 07, 2021 - Increased spending on both improved outcomes in catheter-related blood stream infections, pressure ulcers … September 24, 2016 Assessment of nursing home reporting of major injury falls for quality

379. High Reliability | PSNet
     psnet.ahrq.gov/primer/high-reliability
     January 29, 2020 - 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

380. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists | PSNet
     psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
     February 26, 2025 - later, he was seen by the urologist and was found to be tachycardic and febrile, with acute kidney injury … Rectal perforation is an uncommon process, most often related to traumatic injury or associated with … The affected tissue demonstrates markedly compromised integrity and impaired wound healing, which dramatically … increases the risk for complications including leak, inadvertent injury, and failure of surgical repair … Limitations In the past decade, surgical patients have grown increasingly complex, 3 and there is growing pressure