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Showing results for "pressure injuries".
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661. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning | PSNet
     psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
     January 29, 2021 - diuresis, diarrhea, and fluid restriction, they ordered blood products and albumin to increase oncotic pressure … responsive to fluid resuscitation,” with the added requirement for vasopressors to maintain a mean arterial pressure … perforations. 21 Other identified risk factors include older age, presence of comorbidities, 22 acute kidney injury

662. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49765/psn-pdf
     August 21, 2016 - The patient ultimately regained a pulse but required two vasopressors to maintain her blood pressure … Bedside cannulation of the central circulation for measurement of central venous pressure and for vasopressor … The patient immediately responded, with improved oxygenation and blood pressure. … radiograph provided reassurance that the central line was in the correct position without evidence of lung injury … Relative value of central-venous-pressure monitoring and blood-volume measurement in the management

663. In Conversation With... James Augustine, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-james-augustine-md
     July 28, 2021 - we have different approaches to care that can take place for MIs [myocardial infarctions], strokes, trauma … What if that trauma patient all of a sudden decompensated? … To assist EMS personnel in decision making in high-pressure situations and to support standardized care … One example is injuries personnel can sustain from slipping or tripping when lifting and moving equipment … and patients. 8 An injury can harm not only the worker, but also the patient, if, for example, the

664. Policies and practices related to the role of board certification and recertification of pediatricians in hospital privileging. | PSNet
     psnet.ahrq.gov/issue/policies-and-practices-related-role-board-certification-and-recertification-pediatricians
     February 03, 2011 - September 29, 2017 Medical injuries among hospitalized children.

665. In Conversation With... Freya Spielberg, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
     September 28, 2022 - A big step was just educating people that, in fact, they have high blood pressure and how they can take … As part of this education, the community health worker would give a patient a blood pressure monitor … so they could take their own blood pressure at different times during the day and see for themselves … that since hypertension is such a huge issue in these populations, everybody should have a home blood pressure … AHRQ’s broad definition of patient safety includes “prevention of diagnostic errors, medical errors, injury

666. Remote Patient Monitoring | PSNet
     psnet.ahrq.gov/perspective/remote-patient-monitoring
     March 15, 2023 - We monitored the blood pressures of home peritoneal dialysis patients. … We knew their trends and that some of them had typically higher blood pressures and some of them had … typically lower blood pressures, so we created individual thresholds. 1 , 3 , 4 Sarah Mossburg: It … Historically, these are acute problems that arise where there is illness or injury. … We knew there were hospital capacity problems and a lot of different pressures and stakeholders that

667. In Conversation with... Dr. Neal Sikka and Dr. Colton Hood about Remote Patient Monitoring | PSNet
     psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
     March 15, 2023 - We monitored the blood pressures of home peritoneal dialysis patients. … We knew their trends and that some of them had typically higher blood pressures and some of them had … typically lower blood pressures, so we created individual thresholds. 1 , 3 , 4 Sarah Mossburg: It … Historically, these are acute problems that arise where there is illness or injury. … We knew there were hospital capacity problems and a lot of different pressures and stakeholders that

668. An Incomplete Anesthesia History Leads to Adverse Outcomes | PSNet
     psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
     January 29, 2021 - The trauma team was called to assist and the patient was given additional sedation and opioid analgesia … The trauma surgeon then manipulated both TMJs and was finally able to unloose the locked jaw. … diagnosis and a physician experienced in reducing the TMJ should be consulted to minimize the risk of injury … Placing staff under too much time pressure can, at times, be counterproductive and can adversely affect

669. Good Catch in the Operating Room | PSNet
     psnet.ahrq.gov/web-mm/good-catch-operating-room
     August 27, 2017 - About halfway through the procedure, the anesthesiologist noticed that the patient's blood pressure was … anesthesiologist administered a bolus of intravenous fluids, but over the next few minutes the patient's blood pressure … The patient required transfusion of multiple units of blood, and fortunately the injury was repaired … first challenge occurred when the anesthesiologist alerted the surgeon during the initial drop in blood pressure … Paige, MD Professor of Clinical Surgery Director of Wound Care LSU Health New Orleans Health Sciences

670. Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? | PSNet
     psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
     July 01, 2017 - this area from personal acquaintance with physicians and understanding their narratives of how legal pressures … 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 … May 20, 2015 Medical monitoring for pharmaceutical injuries: tort law for the public's

671. The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy | PSNet
     psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
     April 08, 2019 - The Case A 47-year-old man with paraplegia (secondary to a gunshot wound) and a history of polysubstance … Unfortunately, his cardiac arrest led to an anoxic brain injury, and he remained in a vegetative state … 11  Laboratory test(s) 12  Laboratory value(s)/result(s) 13  Vital signs: height, weight, blood pressure

672. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61083/psn-pdf
     October 28, 2020 - In putting all of this in place, did you see reductions in harms like pressure injuries, resident falls

673. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
     January 01, 2024 - Due to the delayed diagnosis, the patient suffered permanent brain injury requiring around-the-clock … These barriers include professional hierarchy, time pressure, challenging workloads, and inadequate structures

674. Signout Fallout | PSNet
     psnet.ahrq.gov/web-mm/signout-fallout
     November 16, 2022 - sentinel events—defined as "an unexpected occurrence involving death or serious physical or psychological injury … Post-Tracheostomy Care May 29, 2024 WebM&M Cases Under Pressure

675. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49855/psn-pdf
     March 01, 2019 - harmed by having the incorrect catheter placed, but the error was eventually discovered and further injury … The efficacy of self- check is limited by time pressure and by asymmetric knowledge—individuals in the

676. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49624/psn-pdf
     May 01, 2011 - ICU, he was noted to have fixed and dilated pupils on neurologic exam, a sign of serious neurologic injury … Strong psychological pressures accompanying these events (not wanting to admit a mistake) can bias the

677. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49673/psn-pdf
     December 01, 2012 - On physical examination, his initial blood pressure was elevated at 192/100 mm Hg, but his heart rate … Bilateral upper-extremity blood pressures were equal. … oral antacid/anesthetic combination) was given, and the patient reported symptom relief; his blood pressure … ECG interpretation: sinus tachycardia, with posterolateral injury pattern.

678. Cognitive Overload in the ICU | PSNet
     psnet.ahrq.gov/web-mm/cognitive-overload-icu
     June 01, 2005 - The patient ultimately regained a pulse but required two vasopressors to maintain her blood pressure … Bedside cannulation of the central circulation for measurement of central venous pressure and for vasopressor … The patient immediately responded, with improved oxygenation and blood pressure. … radiograph provided reassurance that the central line was in the correct position without evidence of lung injury … Relative value of central-venous-pressure monitoring and blood-volume measurement in the management of

679. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837959/psn-pdf
     August 31, 2022 - The patient developed generalized urticaria, bronchospasm requiring high airway pressures to achieve … Latex is essential to these plants to heal surface injuries and create immune responses against invading … Thus, unexplained hypotension, tachycardia, and high airway pressure for adequate ventilation (due to

680. EMS Patient Safety in the Field | PSNet
     psnet.ahrq.gov/perspective/ems-patient-safety-field
     July 28, 2021 - correctly and safely, but for a subset of patients experiencing time-sensitive events such as severe trauma … To assist EMS personnel in decision making in high-pressure situations and to support standardized care … One example is injuries personnel can sustain from slipping or tripping when lifting and moving equipment … and patients. 8 An injury can harm not only the worker, but also the patient, if, for example, the … What if that trauma patient all of a sudden decompensated?