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psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
May 26, 2016 - Considered a never event for hospitalized patients, falls that result in serious injury remain relatively … October 5, 2015
Preventing in-facility pressure ulcers as a patient safety strategy: … March 13, 2013
Venous thromboembolism after trauma: a never event?
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psnet.ahrq.gov/node/867357/psn-pdf
December 18, 2024 - The patient arrived at the ED
with seizures, tachypneic with a respiratory rate of 30, blood pressure … significant reduction in the number of
unrecognized esophageal intubations and cases of hypoxic brain injury … P stands for pneumothorax, which typically occurs in trauma patients with rib fractures or patients … J Trauma Inj. 2019;32(3):136-142. [Free full
text]
7. Xuan Q, Lyu Z, Chen Q, et al. … Continuous positive airway pressure versus high-flow
nasal cannula oxygen therapy for acute hypoxemic
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psnet.ahrq.gov/issue/inevitability-physician-burnout-implications-interventions
April 17, 2024 - September 18, 2024
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.
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psnet.ahrq.gov/issue/pros-and-cons-electronic-prescribing-children
October 30, 2024 - November 2, 2016
Towards international consensus on patient harm: perspectives on pressure … injury policy.
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psnet.ahrq.gov/node/848110/psn-pdf
April 26, 2023 - 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 such … 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 or … risk reduction for this resident might
have been to evaluate and monitor lying and standing blood pressures
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psnet.ahrq.gov/node/74251/psn-pdf
January 26, 2022 - confirming that the tip of the catheter was in the lower half of the superior
vena cava, he closed the wound … operating room, was called to see the patient who
was pale, crying inconsolably, with fluctuating blood pressure … The proceduralist must also be on the lookout for injury to surrounding
structures (such as arteries … In this patient, an injury to the
intercostal artery suggests that the technique utilized to insert … Iatrogenic injury to the intercostal artery: aetiology, diagnosis
and therapeutic intervention.
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psnet.ahrq.gov/issue/how-medication-prescribing-ceased-systematic-review
June 14, 2019 - June 14, 2019
Towards international consensus on patient harm: perspectives on pressure … injury policy.
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psnet.ahrq.gov/issue/medication-error-identification-rates-pharmacy-medical-and-nursing-students
June 02, 2021 - the Same Author(s)
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.
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psnet.ahrq.gov/issue/nurse-practitioner-led-medication-reconciliation-critical-access-hospitals
March 18, 2020 - November 6, 2019
Towards international consensus on patient harm: perspectives on pressure … injury policy.
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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
April 01, 2008 - confirming that the tip of the catheter was in the lower half of the superior vena cava, he closed the wound … operating room, was called to see the patient who was pale, crying inconsolably, with fluctuating blood pressure … The proceduralist must also be on the lookout for injury to surrounding structures (such as arteries, … More posterior approaches increase the risk of intercostal artery injury. 12 Although the method of … Iatrogenic injury to the intercostal artery: aetiology, diagnosis and therapeutic intervention.
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psnet.ahrq.gov/node/61080/psn-pdf
October 28, 2020 - Risk factors associated with rebleeding include high systolic pressure, the presence of an
intracerebral … The clipping of cerebral aneurysms is technically difficult with a
risk of unintentional injury to branch … psnet.ahrq.gov//#18
Neuromonitoring during aneurysm clipping has been shown to reduce the risk of injury … Inflammation as a link between brain injury and heart damage: the model
of subarachnoid hemorrhage. … Intraoperative evoked potential monitoring for detecting cerebral
injury during adult aneurysm clipping
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psnet.ahrq.gov/node/49437/psn-pdf
March 01, 2004 - 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
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psnet.ahrq.gov/issue/implementing-standardized-safe-surgery-program-reduces-serious-reportable-events
October 30, 2024 - November 2, 2016
Towards international consensus on patient harm: perspectives on pressure … injury policy.
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psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
August 01, 2012 - 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 … 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 … resident-months, of which 40% were considered preventable.( 7 ) Errors associated with preventable drug-related injuries
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psnet.ahrq.gov/node/49609/psn-pdf
October 01, 2010 - Risk factors for falls included patient age, number of
comorbidities, having a lower systolic blood pressure … addition, after dialysis sessions, hemodynamic shifts can lead to transient hypotension (low blood pressure … The quality indicators include identification of medical
injuries and medical errors. … Falls and fall-related injuries in older dialysis patients.
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psnet.ahrq.gov/issue/guideline-implementation-team-communication
October 15, 2014 - April 14, 2011
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.
-
psnet.ahrq.gov/node/49582/psn-pdf
April 01, 2009 - These include injury to
vessels or organs during insertion, catheter migration or malposition with extravasation … The study found that the most common
complications were wound oozing, phlebitis, occlusion, infection … It seems prudent to avoid flushing catheters under high pressure
or using small syringes. … PICC complications include injury to other vessels or organs during insertion, catheter migration or … Caregivers should be warned against flushing PICCs with small-volume syringes or with too much
pressure
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psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
March 24, 2019 - The patient arrived at the ED with seizures, tachypneic with a respiratory rate of 30, blood pressure … significant reduction in the number of unrecognized esophageal intubations and cases of hypoxic brain injury … P stands for pneumothorax, which typically occurs in trauma patients with rib fractures or patients … J Trauma Inj . 2019;32(3):136-142. [ Free full text ] Xuan Q, Lyu Z, Chen Q, et al. … Continuous positive airway pressure versus high-flow nasal cannula oxygen therapy for acute hypoxemic
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psnet.ahrq.gov/issue/nurse-interrupted-development-realistic-medication-administration-simulation-undergraduate
September 27, 2016 - September 27, 2016
Towards international consensus on patient harm: perspectives on pressure … injury policy.
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psnet.ahrq.gov/issue/incidence-and-cost-adverse-events-victorian-hospitals-2003-04
July 13, 2010 - June 7, 2018
Towards international consensus on patient harm: perspectives on pressure … injury policy.