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Showing results for "pressure injuries".
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61. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49389/psn-pdf
    February 01, 2003 - 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. … underreporting of vascular injury. … How can this type of injury be prevented?

62. Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical settings. | PSNet
    psnet.ahrq.gov/issue/estimating-economic-cost-nurse-sensitive-adverse-events-amongst-patients-medical-and-surgical
    July 11, 2018 - Some adverse events are sensitive to aspects of nursing care , including pressure injuries , falls, … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review. … room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure

63. Spotlight Case [MONTH] 2003 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
    October 01, 2011 - year-old man with insulin-dependent diabetes, hypertension, and chronic kidney disease was admitted to a trauma … service after injuries suffered from an assault and battery. … The patient’s injuries included a left shoulder dislocation and a minimally displaced fracture of a thoracic … In reviewing the medical records, the PT noted the initial shoulder injury on admission. … ICU (4) In addition to providing a general assessment, the PT expressed concern that the shoulder injury

64. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74252/psn-pdf
    January 12, 2022 - Or they were used to a certain type of protective foam to prevent pressure injuries and now they must … With regard to pressure injuries for patients in the prone position, staff had to think about how to … We saw pressure injuries and as soon as these events occurred, we saw staff problem-solving and doing … The other thing that we saw related to pressure injuries was a type of skin lesion the National Pressure … COVID skin looks very much like deep tissue injury, or other types of pressure injury, but is actually

65. Surgical robot examined in injuries. | PSNet
    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

66. Spotlight Case July 2008 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.230_slideshow.ppt
    December 01, 2010 - injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, … Slough or eschar may be present on some parts of the wound bed. … Suspected deep tissue injury Purple or maroon localized area of discolored intact skin or blood-filled … Ulcers (2) Skin changes can appear days after the tissue injury Pressure ulcers often cause pain initially—may … Guidelines for the prevention of pressure ulcers. Wound Rep Reg. 2008; 16:151-168.

67. Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration of international practice. | PSNet
    psnet.ahrq.gov/issue/barriers-and-facilitators-reporting-medical-device-related-pressure-ulcers-qualitative
    April 07, 2019 - Study Barriers and facilitators to reporting medical device-related pressure ulcers … Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration … Hospital-acquired pressure ulcers, categorized as a never event, are underreported , particularly when … Interviews with experts in hospital-acquired pressure ulcers revealed four domains related to reporting … injuries.

68. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45202/psn-pdf
    October 08, 2016 - Towards international consensus on patient harm: perspectives on pressure injury policy. … Towards international consensus on patient harm: perspectives on pressure injury policy. … https://psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury … https://psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy … https://psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy

69. Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals | PSNet
    psnet.ahrq.gov/issue/challenges-and-potential-solutions-patient-safety-infectious-agent-isolation-environment
    October 27, 2021 - The most common safety events included pressure injuries or other skin integrity events, falls, and medication-related … October 13, 2018 Trauma Resuscitation Using in situ Simulation Team Training (TRUST) … July 21, 2021 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.

70. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization | PSNet
    psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
    September 01, 2012 - Left ventricular pressures can be measured with a catheter advanced across the aortic valve. … instance, the operator was falsely reassured by the presence of a normal pressure reading, suggesting … that the tip of the catheter was not against the wall, when in fact, the pressure sensor was likely … Radiology technologists and nurses, who should be reviewing images and pressures during the case, can … Immediate recognition of iatrogenic injuries during cardiac catheterization enables more timely and effective

71. Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. | PSNet
    psnet.ahrq.gov/issue/barriers-and-facilitators-bedside-nursing-handover-systematic-review-and-meta-synthesis
    August 25, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review. … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

72. The effect of bedrails on falls and injury: a systematic review of clinical studies. | PSNet
    psnet.ahrq.gov/issue/effect-bedrails-falls-and-injury-systematic-review-clinical-studies
    March 15, 2016 - The effect of bedrails on falls and injury: a systematic review of clinical studies. … that outdated design and incorrect assembly, rather than bedrails themselves, contributed to such injuries … The effect of bedrails on falls and injury: a systematic review of clinical studies. … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

73. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60846/psn-pdf
    January 01, 2021 - The survey found that supervisor commitment to safety was associated with lower rates of major injuries … from falls and catheter use, and that environmental safety was associated with lower rates of pressure … ulcers, major injuries from falls, and catheter use.

74. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46524/psn-pdf
    October 18, 2017 - Pressure Injury Prevention in Hospitals Training Program. … https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program Pressure ulcers are … designed to help hospitals implement practice and process improvements to reduce the occurrence of pressure … https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program https://psnet.ahrq.gov … /issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review https://psnet.ahrq.gov

75. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49615/psn-pdf
    December 01, 2010 - injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure … Int Wound J. 2008;5:315-328. [go to PubMed] 3. Lyder CH. Pressure ulcer prevention and management. … Adv Wound Care. 1999;12:22-30. [go to PubMed] 5. … Guidelines for the prevention of pressure ulcers. Wound Repair Regen. 2008;16:151-168.  … Slough or eschar may be present on some parts of the wound bed.

76. Don’t Bite Your Tongue. | PSNet
    psnet.ahrq.gov/web-mm/dont-bite-your-tongue
    September 18, 2024 - Changes in motor evoked potentials can indicate an impending neurologic injury and should trigger an … Dental injury associated with anesthesia: a report of 161,687 anesthetics given over 14 years.  … Airway injury during anesthesia: a closed claims analysis.  … Cost analysis of intubation-related tracheal injury using a national database.  … August 1, 2010 WebM&M Cases Under Pressure: Delayed

77. The Forgotten Turn | PSNet
    psnet.ahrq.gov/web-mm/forgotten-turn
    August 01, 2018 - injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, … Int Wound J. 2008;5:315-328.  [go to PubMed] 3. Lyder CH. … Adv Wound Care. 1999;12:22-30.  [go to PubMed] 5. … Guidelines for the prevention of pressure ulcers. Wound Repair Regen. 2008;16:151-168.  … Slough or eschar may be present on some parts of the wound bed.

78. Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. | PSNet
    psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
    November 25, 2020 - His left calf was noted to be very tense; the surgeon confirmed elevated compartment pressures and performed … Pain out of proportion to injury severity is a hallmark sign of CS and should have been investigated … from fractures or crush injuries. … Unless there is an associated arterial injury, compartment pressure is rarely elevated sufficiently to … Interobserver variability in the measurement of lower leg compartment pressures.

79. Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey. | PSNet
    psnet.ahrq.gov/issue/organisational-strategies-implement-hospital-pressure-ulcer-prevention-programmes-findings
    June 02, 2021 - Study Organisational strategies to implement hospital pressure ulcer prevention programmes … Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a … Hospital-acquired pressure ulcers are considered a never event and can result in loss of payment … injury incidence. … injury.

80. A Tale of Two Falls | PSNet
    psnet.ahrq.gov/web-mm/tale-two-falls
    March 27, 2024 - treated with albuterol without improvement, which prompted the initiation of bilevel positive airway pressure … She sustained head trauma, blunt trauma of the cervical spine, right rib fractures, and a right femur … initial ED presentation, she was alert and oriented, and her vital signs were stable, with a blood pressure … We do not know if the patient’s fall at home resulted in head trauma, which may have predisposed her … second case or contributed to a worse injury.