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Showing results for "pressure injuries".
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  1. 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 pressureinjury policy.
  2. 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
  3. Psn-Pdf (pdf file)

    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.
  4. 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
  5. Psn-Pdf (pdf file)

    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.
  6. 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
  7. 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
  8. 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
  9. Psn-Pdf (pdf file)

    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
  10. 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
  11. 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
  12. 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 pressureinjury incidence.
  13. 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 pressureinjury policy.
  14. 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.
  15. 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 pressureinjury policy.
  16. Psn-Pdf (pdf file)

    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
  17. psnet.ahrq.gov/issue/high-nursing-staff-turnover-nursing-homes-offers-important-quality-information
    September 16, 2020 - June 7, 2023 Accuracy of pressure ulcer events in US nursing home ratings. … May 27, 2020 Assessment of nursing home reporting of major injury falls for quality measurement
  18. 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 pressureinjury incidence.
  19. 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
  20. psnet.ahrq.gov/issue/accuracy-infection-reporting-us-nursing-home-ratings
    August 24, 2022 - Download Citation Related Resources From the Same Author(s) Accuracy of pressure … February 10, 2015 Assessment of nursing home reporting of major injury falls for quality

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