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81. Differences in the reporting of care-related patient injuries to existing reporting systems. | PSNet
    psnet.ahrq.gov/issue/differences-reporting-care-related-patient-injuries-existing-reporting-systems
    December 12, 2018 - Commentary Differences in the reporting of care-related patient injuries to existing … Differences in the reporting of care-related patient injuries to existing reporting systems. … Differences in the reporting of care-related patient injuries to existing reporting systems. … Related Resources From the Same Author(s) Success in hospital-acquired pressure

82. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867035/psn-pdf
    October 30, 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 … case or contributed to a worse injury.

83. The impact of dedicated medication nurses on the medication administration error rate: a randomized controlled trial. | PSNet
    psnet.ahrq.gov/issue/impact-dedicated-medication-nurses-medication-administration-error-rate-randomized-controlled
    September 24, 2010 - July 17, 2024 Early identification and evaluation of severe pressure injuries. … March 19, 2019 Detection of missed injuries in a pediatric trauma center with the addition

84. Patient Safety Indicators at an academic veterans affairs hospital: addressing dual goals of clinical care and validity. | PSNet
    psnet.ahrq.gov/issue/patient-safety-indicators-academic-veterans-affairs-hospital-addressing-dual-goals-clinical
    August 09, 2023 - accurate data capture interventions to improve rates of the composite PSI-90 and three individual PSIs ( pressure … Postoperative PE/DVT, postoperative sepsis, and composite PSI-90 all decreased, while pressure ulcer … Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries. … More About The Topic Hospitals Hospital Medicine Nurse Care Nosocomial Infections Pressure

85. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/864865/psn-pdf
    March 20, 2024 - demands during the crisis to affect falls, medication safety, healthcare associated infections, and pressure … injuries.

86. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. | PSNet
    psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
    January 06, 2018 - Review Preventing in-facility pressure ulcers as a patient safety strategy: a systematic … Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. … Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. … December 8, 2021 Pressure Injury Prevention in Hospitals Training Program. … injury policy.

87. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865655/psn-pdf
    April 24, 2024 - His left calf was noted to be very tense; the surgeon confirmed elevated compartment pressures and performed … from fractures or crush injuries. … Unless there is an associated arterial injury, compartment pressure is rarely elevated sufficiently … Interobserver variability in the measurement of lower leg compartment pressures. … J Trauma. 2006;60(5):1037-1040. [ Available at] 14.

88. Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. | PSNet
    psnet.ahrq.gov/issue/delays-diagnosis-treatment-and-surgery-root-causes-actions-taken-and-recommendations
    March 25, 2020 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries. … March 18, 2020 Applying modern error theory to the problem of missed injuries in trauma

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49782/psn-pdf
    January 01, 2017 - Use of vasopressors to raise blood pressure and improve perfusion in fluid refractory shock is considered … standard of care (1), with vasopressors generally titrated to achieve a mean arterial pressure of 65 … Vasopressor medications achieve their desired effects on blood pressure through powerful vasoconstriction … of 49 hours (± 22 hours).( 4) While 2% of patients experienced vasopressor extravasation, no tissue injuries … Management of extravasation injuries: a focused evaluation of noncytotoxic medications.

90. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866693/psn-pdf
    September 11, 2024 - Common incidents included pressure injuries, medication errors, and premature discharge.

91. Harm Free Care. | PSNet
    psnet.ahrq.gov/issue/harm-free-care
    April 15, 2020 - This initiative seeks to reduce four key sources of harm in hospitals: pressure ulcers, falls, catheter-associated … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

92. Zero preventable deaths after traumatic injury: an achievable goal. | PSNet
    psnet.ahrq.gov/issue/zero-preventable-deaths-after-traumatic-injury-achievable-goal
    March 24, 2021 - Commentary Zero preventable deaths after traumatic injury: an achievable goal. … Zero preventable deaths after traumatic injury. … Zero preventable deaths after traumatic injury. … September 25, 2024 WebM&M Cases Under Pressure: Delayed … Systems to Achieve Zero Preventable Deaths After Injury.

93. The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England. | PSNet
    psnet.ahrq.gov/issue/effect-providing-staff-training-and-enhanced-support-care-homes-care-processes-safety-climate
    September 15, 2021 - Hospital admissions and preventable adverse events, such as falls and pressure ulcers, are common in … After 24 months, the safety climate had improved, and both falls and pressure ulcers were reduced. … Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries. … See More About The Topic Long-Term Care Quality and Safety Professionals Geriatrics Pressure

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837675/psn-pdf
    July 13, 2022 - management combining the risks of multiple conditions (catheter-associated urinary tract infections, pressure … injuries, and falls).

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/852449/psn-pdf
    August 16, 2023 - include overcrowding and patients with complex care needs, which may result in medication errors, pressure … injuries, or patient deterioration.

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866344/psn-pdf
    January 01, 2025 - Rates of three nurse sensitive indicators - falls, healthcare associated pressure injuries, and healthcare

97. Never Events | PSNet
    psnet.ahrq.gov/primer/never-events
    June 15, 2024 - , while being cared for in a healthcare setting Care management events Patient death or serious injury … associated with a  fall  while being cared for in a healthcare setting Any stage 3, stage 4, and unstageable pressure … Because Never Events are devastating and preventable, health care organizations are under increasing pressure … Surgery December 15, 2024 Identifying resilience: a system safety review of trauma … See More About The Topic Sentinel Event Never Events Hospitals Operating Room Pressure

98. MR Safety Week. | PSNet
    psnet.ahrq.gov/issue/mr-safety-week
    November 17, 2016 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries. … August 8, 2018 Preventing accidents and injuries in the MRI suite.

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/861288/psn-pdf
    January 24, 2024 - care) adversely impacts patient safety, contributing to higher incidence of falls, medication errors, pressure … injuries, and healthcare-associated infections.

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49862/psn-pdf
     May 01, 2019 - She was admitted to the stroke unit and received aggressive treatment to control her blood pressure. … This powerful attractive force can result in injury to a patient or health care worker from any of various … Direct trauma from the accelerating ferromagnetic object striking the patient or health care worker … To this day, injuries continue to occur in MRI scanners around the globe from ferromagnetic objects … modality—at times with serious, and even fatal, consequences.(6-10) The only way to avoid such events and injuries