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psnet.ahrq.gov/node/861738/psn-pdf
January 31, 2024 - In a study of 165 patients undergoing wound exploration after hand laceration, 32% of tendon injuries … Explore wounds for evidence of arterial bleeding, foreign body,
tendon injury, and arthrotomy. … A blood pressure cuff applied proximal to the wound is another option. … If a tendon injury cannot be ruled out after wound exploration and functional testing, assume an
occult … injury exists.
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psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
September 30, 2010 - Commentary
Preventing pressure ulcers: the goal is zero. … Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10. … Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10. … October 2, 2024
A randomized trial of a multifactorial strategy to prevent serious fall injuries … August 27, 2013
Preventing in-facility pressure ulcers as a patient safety strategy:
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psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings
February 05, 2020 - Accuracy of pressure ulcer events in US nursing home ratings. … This study compared seven years of self-reported pressure ulcer data with claims-based data for pressure … Accuracy of pressure ulcer events in US nursing home ratings. … Related Resources From the Same Author(s)
Assessment of nursing home reporting of major injury … January 17, 2024
Early identification and evaluation of severe pressure injuries.
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psnet.ahrq.gov/issue/are-evidence-based-practices-associated-effective-prevention-hospital-acquired-pressure
September 23, 2020 - Are evidence-based practices associated with effective prevention of hospital-acquired pressure … Are Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Pressure Ulcers … Are Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Pressure Ulcers … February 17, 2009
A randomized trial of a multifactorial strategy to prevent serious fall injuries … March 7, 2018
Pressure Injury Prevention in Hospitals Training Program.
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psnet.ahrq.gov/node/60857/psn-pdf
August 26, 2020 - Arguably the most severe complication of digital tourniquets, ischemic injuries, have two
principal … Excessive tourniquet pressures cause ischemic
injury by vascular compression, which can lead to intimal … First, the use of a self-
made tourniquet likely applied excessive pressure, which caused vascular injury … J Orthop Trauma. 2010 Jun;24(6):387–8.
3. Smith IM, Austin OMB, Knight SL. … J Trauma. 2006 Dec;61(6):1415–8.
15.
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psnet.ahrq.gov/issue/success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets
May 17, 2018 - Success In Hospital-Acquired Pressure Ulcer Prevention: A Tale In Two Data Sets. … Success In Hospital-Acquired Pressure Ulcer Prevention: A Tale In Two Data Sets. … July 2, 2019
Differences in the reporting of care-related patient injuries to existing … injury incidence. … injury policy.
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psnet.ahrq.gov/perspective/are-we-safer-today
February 26, 2025 - Other important factors are nursing-sensitive events, which include things like pressure injuries and … For example, with pressure injuries, wetness in the bed dramatically increases the risk that somebody … will develop a dangerous pressure injury. … Some of these sensors are expensive, but pressure injuries are extremely expensive. … will take a look at your pressure injuries practices and take steps to improve those.
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psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
February 26, 2025 - Other important factors are nursing-sensitive events, which include things like pressure injuries and … For example, with pressure injuries, wetness in the bed dramatically increases the risk that somebody … will develop a dangerous pressure injury. … Some of these sensors are expensive, but pressure injuries are extremely expensive. … will take a look at your pressure injuries practices and take steps to improve those.
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psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
March 15, 2023 - The patient subsequently underwent surgical repair of the tracheal injury. … obstruction (e.g., obstructive sleep apnea; stridor and air hunger due to vocal cord paralysis or neck trauma … intubate, ventilatory support for neuromuscular disease, and as an adjunct to head/neck surgery or trauma … preventable through careful procedural and post-placement care. 6 Patient-related risk factors that affect wound … injuries can occur due to local tissue damage caused by tissue ischemia at high cuff pressures. 15
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psnet.ahrq.gov/node/867427/psn-pdf
December 18, 2024 - Centers for Disease Control and Prevention
(CDC) consistently reports falls as the leading cause of injury … The World
Health Organization reports falls as the second leading cause of unintentional injury deaths … A patient fall is defined as “an unplanned descent to the floor with
or without injury to the patient … 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 sensors
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psnet.ahrq.gov/node/47788/psn-pdf
March 06, 2019 - Medical device-related pressure ulcers: a systematic
review and meta-analysis. … Medical device-related pressure ulcers: A systematic review and
meta-analysis. … https://psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis … Hospital-acquired pressure ulcers are considered never events and represent a significant source of … This systematic review and meta-analysis found a pooled incidence of 12% for pressure injuries
related
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psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
January 01, 2023 - obstruction (e.g., obstructive
sleep apnea; stridor and air hunger due to vocal cord paralysis or neck trauma … intubate, ventilatory support for
neuromuscular disease, and as an adjunct to head/neck surgery or trauma … fistulas.6,7
– With the use of the Seldinger technique, complications from esophageal or carotid
injuries … Indications, Complications and Risk Factors of Tracheostomy (4)
• Patient-related risk factors that affect wound … blood flow at cuff pressures over 50 cm H20.15
• Stenosis, fistulas, and other tracheal injuries can
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psnet.ahrq.gov/web-mm/nothing-called-small-surgery
February 01, 2023 - injury to the skin and soft tissues, and ischemic injury resulting in digital necrosis. … Arguably the most severe complication of digital tourniquets, ischemic injuries, have two principal causes … Excessive tourniquet pressures cause ischemic injury by vascular compression, which can lead to intimal … First, the use of a self-made tourniquet likely applied excessive pressure, which caused vascular injury … J Orthop Trauma. 2010 Jun;24(6):387–8.
Smith IM, Austin OMB, Knight SL.
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psnet.ahrq.gov/issue/wound-care-teams-preventing-and-treating-pressure-ulcers
June 05, 2019 - Review
Wound-care teams for preventing and treating pressure ulcers. … Wound-care teams for preventing and treating pressure ulcers. … In this systematic review, researchers sought to examine the impact of wound care teams in preventing … Wound-care teams for preventing and treating pressure ulcers. … injury policy.
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psnet.ahrq.gov/issue/interactive-effects-nurse-experienced-time-pressure-and-burnout-patient-safety-cross
September 23, 2009 - Study
Interactive effects of nurse-experienced time pressure and burnout on patient … Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional … The combination of burnout and time pressures appeared to be associated with patient safety risks, … May 9, 2012
Surgeon commitment to trauma care decreases missed injuries. … May 22, 2013
System approach to prevent common bile duct injury and enhance performance
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psnet.ahrq.gov/cme
February 26, 2025 - On arrival at the emergency department, she had severely elevated blood pressure and hypoxemia. … A head CT scan was read as normal and he was diagnosed with a minor head injury and discharged without … in a motorcycle crash, including head trauma, chest injuries, and spinal fractures. … The commentary highlights the importance of evaluating patient risk of wound infection and poor wound … healing, the role of imaging modalities to help identify foreign material in wounds, and diligent follow-up
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psnet.ahrq.gov/node/849679/psn-pdf
June 28, 2023 - The patient subsequently underwent surgical repair of the
tracheal injury. … obstruction (e.g., obstructive sleep apnea; stridor and air hunger due
to vocal cord paralysis or neck trauma … intubate, ventilatory support for neuromuscular disease, and as an adjunct to
head/neck surgery or trauma … preventable
through careful procedural and post-placement care.6
Patient-related risk factors that affect wound … capillary blood flow at
cuff pressures over 50 cm H20.15 Stenosis, fistulas, and other tracheal injuries
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psnet.ahrq.gov/print/pdf/node/74279
January 01, 2022 - Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. … of health care delivery, including how hospitals
prevent common hospital-acquired conditions such as pressure … injuries. … visitation-restrictions-patient-experience-and-safety-outcomes-critical
https://psnet.ahrq.gov/issue/learning-during-crisis-impact-covid-19-hospital-acquired-pressure-injury-incidence
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psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
April 28, 2021 - The anesthesiologist then noted a rapid decrease in the patient’s blood pressure and increasing tachycardia … , indicating a possible vascular injury. … Pressure was applied and vascular surgery was consulted. … of underreporting of vascular injury. … How can this type of injury be prevented?
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psnet.ahrq.gov/issue/surgical-robot-examined-injuries
April 27, 2016 - Newspaper/Magazine Article
Surgical robot examined in injuries. … Citation Text:
Surgical robot examined in injuries. Carreyrou J. … explains that such errors may have been exacerbated by inadequate clinician training and production pressures … Cite
Citation
Citation Text:
Surgical robot examined in injuries