Results

Total Results: 733 records

Showing results for "pressure injuries".
Users also searched for: pressure injury

441. Mental health of staff working in intensive care during COVID-19. | PSNet
     psnet.ahrq.gov/issue/mental-health-staff-working-intensive-care-during-covid-19
     June 02, 2021 - March 21, 2018 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.

442. Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice. | PSNet
     psnet.ahrq.gov/issue/situation-awareness-and-mitigation-risk-associated-patient-deterioration-meta-narrative
     December 08, 2021 - August 3, 2022 Barriers and facilitators to reporting medical device-related pressure … April 29, 2020 A critical review: moral injury in nurses in the aftermath of a patient

443. Investigation of mental and physical health of nurses associated with errors in clinical practice. | PSNet
     psnet.ahrq.gov/issue/investigation-mental-and-physical-health-nurses-associated-errors-clinical-practice
     September 21, 2022 - Related Resources Barriers and facilitators to reporting medical device-related pressure … Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury

444. Unexplained Apnea Under Anesthesia | PSNet
     psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
     December 01, 2005 - 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. … 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 … samples for ABG and serum electrolyte levels Conduct a neurological examination to exclude focal CNS injury

445. E-cigarette Explosion in a Patient Room | PSNet
     psnet.ahrq.gov/web-mm/e-cigarette-explosion-patient-room
     March 15, 2023 - 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 ( … 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.

446. Managing Ascites: Hazards of Fluid Removal | PSNet
     psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
     June 01, 2018 - 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 … Large volume paracentesis is generally safe, but blood pressure may fall and require treatment. … Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma

447. PCA safety data review after clinical decision support and smart pump technology implementation. | PSNet
     psnet.ahrq.gov/issue/pca-safety-data-review-after-clinical-decision-support-and-smart-pump-technology
     October 08, 2016 - From the Same Author(s) Towards international consensus on patient harm: perspectives on pressure … injury policy.

448. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. | PSNet
     psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
     July 02, 2011 - 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 … artery aneurysms. 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

449. Hierarchy and medical error: speaking up when witnessing an error. | PSNet
     psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-when-witnessing-error
     April 14, 2011 - July 19, 2023 Towards international consensus on patient harm: perspectives on pressure … injury policy.

450. Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis. | PSNet
     psnet.ahrq.gov/issue/incidence-never-events-among-weekend-admissions-versus-weekday-admissions-us-hospitals
     November 03, 2015 - September 28, 2023 Towards international consensus on patient harm: perspectives on pressure … injury policy.

451. Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study. | PSNet
     psnet.ahrq.gov/issue/risk-adjusted-survival-adults-following-hospital-cardiac-arrest-day-week-and-time-day
     July 01, 2017 - November 2, 2016 Towards international consensus on patient harm: perspectives on pressure … injury policy.

452. Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? | PSNet
     psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety
     October 23, 2013 - Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure … February 11, 2013 Using root cause analysis to reduce falls with injury in the psychiatric

453. Weighing In on Surgical Safety | PSNet
     psnet.ahrq.gov/web-mm/weighing-surgical-safety
     August 04, 2021 - technical aspects of anesthetic management (e.g., airway intubation, drug distribution and uptake, risk of pressure … injury), but poorly controlled medical comorbidities are probably the most important factors increasing … Nocturnal continuous positive airway pressure (CPAP) therapy should be instituted 4-6 weeks before planned … supine position causes significant increases in oxygen consumption, cardiac output, and pulmonary artery pressure … November 15, 2011 A randomized trial of a multifactorial strategy to prevent serious fall injuries

454. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.407_slideshow.ppt
     May 01, 2017 - On examination, he was afebrile but tachycardic (heart rate 110–120 bpm) and hypertensive (blood pressure … an elevated creatinine level of 1.8 mg/dL (up from a baseline of 1.1 mg/dL), indicating acute kidney injury … Diagnostic Delay (4) Over this period, his heart rate increased to greater than 120 bpm and his blood pressure … provider pursued further imaging, she avoided a contrast study because of the patient's acute kidney injury … Delay (8) At this point, the patient was given aggressive intravenous antihypertensives (his blood pressure

455. Breathe Easy: Safe Tracheostomy Management | PSNet
     psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
     June 07, 2023 - Tracheostomy 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.

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49843/psn-pdf
     October 01, 2018 - His blood pressure was low (80/50 mm Hg), and he was started on intravenous fluids and broad spectrum … antibiotics with some initial improvement in his symptoms and blood pressure. … Laboratory test results revealed a mildly elevated white count, acute kidney injury, and elevated liver … The patient's blood pressure continued to trend downward to 60/40 mm Hg. … elevated white blood cell count) and end-organ dysfunction (elevated liver function tests, acute kidney injury

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49679/psn-pdf
     March 01, 2013 - demonstrates that misuse of an unfamiliar medical device can lead to potentially devastating patient injury … and secondary emotional trauma for the involved health care professional. … In one hospital, direct observation of 50 nurses flushing a CVC with a positive pressure adapter revealed … The guidance is intended to improve the usability of medical devices to reduce user error, injuries … Medical device related deaths and injuries should be reported to the FDA.

458. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. | PSNet
     psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
     August 14, 2024 - prevent the development of hematoma after ACSS. 18 Additionally, maneuvers that transiently raise venous pressure … Early identification is crucial, as airway obstruction may evolve rapidly and hypoxic brain injury follows … C lear steri-strips and pull suture O pen wound – cut skin and platysma stitches O pen wound – … Hypoxic brain injury occurs rapidly after airway obstruction, and prompt recognition and management of … Perforation March 15, 2023 WebM&M Cases Under Pressure

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841566/psn-pdf
     December 14, 2022 - Falls and pressure ulcers also went up – in skilled nursing facilities, we saw rates of falls causing … major injury increase by 17% and pressure ulcers increase by over 40%. … healthcare- acquired infections, complications, medication safety, safety of the EMR, patient falls with injury … , and pressure injuries. … Did you take someone's blood pressure?

460. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy | PSNet
     psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
     September 30, 2020 - SPOTLIGHT CASE Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. … Oxygen saturation <93% Heart rate >110 or <50 beats/min (bpm) Respiratory rate >24 or <10/minute Blood pressure … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy.