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Showing results for "pressure injuries".
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421. Accuracy of infection reporting in US nursing home ratings. | PSNet
     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

422. High nursing staff turnover in nursing homes offers important quality information. | PSNet
     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

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49748/psn-pdf
     December 01, 2015 - This is because the risk of developing acute kidney injury and/or hepatorenal syndrome is highest in … reduction in right atrial pressure. … The vasodilatation that occurs in the splanchnic bed leads to a lowering of mean arterial pressure and … If a patient develops a large fall in blood pressure, as occasionally occurs, I would give vasopressor … Large volume paracentesis is generally safe, but blood pressure may fall and require treatment.

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49792/psn-pdf
     May 01, 2017 - elevated creatinine level of 1.8 mg/dL (up from a baseline of 1.1 mg/dL), indicating acute kidney injury … 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

425. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. | PSNet
     psnet.ahrq.gov/issue/medication-errors-hospitals-literature-review-disruptions-nursing-practice-during-medication
     August 26, 2015 - August 26, 2015 Towards international consensus on patient harm: perspectives on pressure … injury policy.

426. Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. | PSNet
     psnet.ahrq.gov/issue/effect-systematic-physician-cross-checking-reducing-adverse-events-emergency-department
     November 29, 2023 - In emergency departments (EDs), high medical acuity , incomplete information, and productivity pressures … February 12, 2020 Prevention of fall-related injuries in long-term care: a randomized

427. Dangerous Dialysis | PSNet
     psnet.ahrq.gov/web-mm/dangerous-dialysis
     June 12, 2024 - 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.

428. Another Fall | PSNet
     psnet.ahrq.gov/web-mm/another-fall
     June 01, 2010 - 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.

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49859/psn-pdf
     April 01, 2019 - oxygen requirement at home was 2 liters via nasal cannula, and she used a continuous positive airway pressure … Benowitz, MD This case, of a woman who sustained burn injuries from using an electronic cigarette (e-cigarette … Numerous reports have emerged of fires and explosions caused by e- cigarettes, some resulting in severe injuries … In summary, this case describes a serious injury due to use of an e-cigarette, a known ignition source … Electronic cigarette explosion and burn injuries, US emergency departments 2015–2017.

430. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. | PSNet
     psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
     January 29, 2021 - The patient did not suffer permanent neurological injury from the prolonged hypoxemia, but she did require … Health care providers are frequently under time pressure to bring the next patient to the operating room … Production pressure, medical errors, and the pre-anesthesia checkout. … Production pressures among anaesthesiologists in Singapore. … WebM&M Cases Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846171/psn-pdf
     July 26, 2022 - apparently 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 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.

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49388/psn-pdf
     February 01, 2003 - blockade, aminoglycosides, or intravenous magnesium; and patients with neurological impairment or injury … disabling adverse events, 45% of those events were caused by errors.(6) In a large insurer’s study, injuries … Poor system design also makes errors difficult to intercept before injury occurs. … apnea, muscle weakness, and visual disturbances Extreme or unexpected increase or decrease in blood pressure … carrying the drug Attempt to aspirate or drain the IV tubing to point of injection If there is blood pressure

433. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy | PSNet
     psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
     March 18, 2020 - Anesthetic factors such as difficult intubation , light anesthesia, prolonged surgery duration, or positive pressure … contents in the mouth or airway, other signs of aspiration include persistent hypoxia, high airway pressures … Positive pressure mask ventilation for an aspirating patient is not ideal due to the risk of pushing … July 31, 2024 WebM&M Cases Uterine Artery Injury … WebM&M Cases Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury

434. An objective framework for evaluating unrecognized bias in medical AI models predicting COVID-19 outcomes. | PSNet
     psnet.ahrq.gov/issue/objective-framework-evaluating-unrecognized-bias-medical-ai-models-predicting-covid-19
     July 22, 2020 - June 16, 2021 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.

435. Adverse patient safety events during the COVID epidemic. | PSNet
     psnet.ahrq.gov/issue/adverse-patient-safety-events-during-covid-epidemic
     May 03, 2023 - June 9, 2021 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.

436. The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses. | PSNet
     psnet.ahrq.gov/issue/impacts-using-community-health-volunteers-coach-medication-safety-behaviors-among-rural
     September 15, 2011 - Related Resources From the Same Author(s) System approach to prevent common bile duct injury … September 15, 2011 Interactive effects of nurse-experienced time pressure and burnout

437. A human right-based approach to dealing with adverse events in residential care facilities. | PSNet
     psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities
     May 27, 2011 - June 7, 2023 Accuracy of pressure ulcer events in US nursing home ratings. … March 10, 2021 Assessment of nursing home reporting of major injury falls for quality

438. An organizational assessment of disruptive clinician behavior: findings and implications. | PSNet
     psnet.ahrq.gov/issue/organizational-assessment-disruptive-clinician-behavior-findings-and-implications
     September 09, 2015 - Production pressures and system inefficiencies were identified as a principal factor contributing to … March 5, 2014 Massachusetts Alliance for Communication and Resolution Following Medical Injury

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49653/psn-pdf
     May 01, 2012 - [CVP] above atmospheric pressure). … They should be instructed to perform a Valsalva maneuver or forced expiration (where atmospheric pressure … is less than intrathoracic pressure) during removal, and removal should be followed by applying pressure … sheet or discharge checklist), or a culture that suppresses "unnecessary questions" because of time pressure … Developing policies, training, and a safety culture that reduce the risk of injury by making it easier

440. Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. | PSNet
     psnet.ahrq.gov/issue/correlates-missed-or-late-versus-timely-diagnosis-dementia-healthcare-settings
     March 09, 2022 - July 1, 2017 Towards international consensus on patient harm: perspectives on pressure … injury policy.