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psnet.ahrq.gov/issue/measurement-adverse-events-using-incidence-flagged-diagnosis-codes
June 18, 2013 - December 16, 2009
Towards international consensus on patient harm: perspectives on pressure … injury policy.
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psnet.ahrq.gov/issue/sleep-and-circadian-misalignment-hospitalist-review
July 15, 2020 - May 14, 2018
Towards international consensus on patient harm: perspectives on pressure … injury policy.
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psnet.ahrq.gov/issue/nursing-assessment-continuous-vital-sign-surveillance-improve-patient-safety-medicalsurgical
May 01, 2019 - April 12, 2023
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.
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psnet.ahrq.gov/issue/nurse-burnout-predicts-self-reported-medication-administration-errors-acute-care-hospitals
August 25, 2021 - August 25, 2021
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.
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psnet.ahrq.gov/issue/nurse-well-being-concept-analysis
August 25, 2021 - March 16, 2022
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.
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psnet.ahrq.gov/issue/adverse-events-rehabilitation-hospitals-national-incidence-among-medicare-beneficiaries
January 09, 2019 - 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
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psnet.ahrq.gov/issue/safety-culture-safety-climate-and-safety-performance-healthcare-facilities-systematic-review
October 20, 2021 - (Syphilis) is Still Stumping Healthcare Providers
May 26, 2021
Production pressure … June 10, 2020
A critical review: moral injury in nurses in the aftermath of a patient
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psnet.ahrq.gov/issue/young-surgeons-speaking-when-and-how-surgical-trainees-voice-concerns-about-supervisors
April 13, 2017 - April 13, 2017
A randomized trial of a multifactorial strategy to prevent serious fall injuries … October 13, 2018
Fake it 'til you make it: pressures to measure up in surgical training
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psnet.ahrq.gov/node/49739/psn-pdf
August 21, 2015 - should be considered around 14 days of intubation in an adult population to avoid
laryngotracheal injury … Tracheostomy devices can
cause pressure ulcers, particularly along the inferior aspect of the tracheostomy … Steps for tracheostomy wean include: i) wean from positive pressure
ventilation, ii) demonstrate that … one wake–sleep cycle (approximately 24 hours), the tracheostomy is removed
(decannulation) and the wound … An occlusive dressing is placed to prevent
air escape during wound healing.
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psnet.ahrq.gov/web-mm/breakage-picc-line
June 21, 2023 - 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/node/49604/psn-pdf
June 01, 2010 - catheter, was inserted into the lower spinal cord to remove cerebrospinal fluid—these drains
lower pressure … Concerned about causing injury to the patient, he consulted a neurosurgeon who recommended
that further … Luckily, the patient suffered no major consequences, but was at risk for spinal cord injury and had … One barrier is "production pressure," which pushes clinicians to keep the patients moving
through the … But when things generally go
well, and when production pressure is routine, providers can become complacent
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psnet.ahrq.gov/issue/burden-healthcare-utilization-cost-and-mortality-associated-select-surgical-site-infections
October 09, 2024 - 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
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psnet.ahrq.gov/issue/defects-value-associated-hospital-acquired-conditions-how-improving-quality-could-save-us
October 30, 2024 - 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
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psnet.ahrq.gov/issue/effectiveness-root-cause-analysis-what-does-literature-tell-us
February 11, 2013 - March 4, 2020
Root cause analysis for hospital-acquired pressure injury.
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psnet.ahrq.gov/issue/learning-design-development-and-implementation-medication-safety-thermometer
November 02, 2016 - October 30, 2024
Towards international consensus on patient harm: perspectives on pressure … injury policy.
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psnet.ahrq.gov/issue/interventions-improve-hand-hygiene-compliance-icu-systematic-review
January 23, 2019 - June 28, 2017
Towards international consensus on patient harm: perspectives on pressure … injury policy.
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psnet.ahrq.gov/node/33837/psn-pdf
July 01, 2017 - this area from personal acquaintance with physicians and
understanding their narratives of how legal pressures … it would be useful for us to deliberate about what we think the value of different common
types of injuries … That caring relationship doesn't end when an injury occurs,
particularly if the injury is our fault. … They reduce the underlying
safety problems that can lead to injuries that lead to claims. … Then, we have a few
cases in which EHR systems themselves have had problems that have led to injuries
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psnet.ahrq.gov/node/49392/psn-pdf
April 01, 2003 - one of my favorites,
because it is a simple and direct maneuver that eliminates the risk of serious trauma … from falls,
restraints may also cause injury. … serious problem in the
hospital, putting patients at risk for many other problems, including delirium, pressure … hip fractures,(5) but this represents a change in emphasis from fall prevention to
attenuation of trauma … Mechanical restraint use and fall related injuries among residents of
skilled nursing facilities.
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psnet.ahrq.gov/issue/staffing-matters-every-shift
January 20, 2021 - December 12, 2012
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.
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psnet.ahrq.gov/issue/impacts-medication-shortages-patient-outcomes-scoping-review
March 10, 2021 - February 7, 2024
Impact of time pressure on dentists' diagnostic performance. … March 2, 2016
Learning from no-fault treatment injury claims to improve the safety of