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101. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4b_pdi02-pressureulcer-bestpractices.pdf
     January 01, 2012 - hospital mattress.7,8-11 o Consider the use of foam overlay to reduce occipital pressures in children … /national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in- terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure … / http://www.npuap.org/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury … / http://www.npuap.org/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury … Medical device related pressure ulcers in hospitalised patients. Int Wound J 2010;7:358-65. 7.

102. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47788/psn-pdf
     March 06, 2019 - Medical device-related pressure ulcers: a systematic review and meta-analysis. … Medical device-related pressure ulcers: A systematic review and meta-analysis. … https://psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis … Hospital-acquired pressure ulcers are considered never events and represent a significant source of … This systematic review and meta-analysis found a pooled incidence of 12% for pressure injuries related

103. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic | PSNet
     psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
     January 12, 2022 - Injuries The risk of pressure injuries of the skin and soft tissue has increased during the pandemic … Injury Advisory Panel, and recommendations developed by researchers on the prevention of pressure injuries … Medical device-related pressure injuries during the COVID-19 pandemic. … 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

104. In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO | PSNet
     psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
     January 12, 2022 - 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 … Injuries The risk of pressure injuries of the skin and soft tissue has increased during the pandemic … Injury Advisory Panel, and recommendations developed by researchers on the prevention of pressure injuries … Medical device-related pressure injuries during the COVID-19 pandemic.

105. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865376/psn-pdf
     March 27, 2024 - She had hypotension, with blood pressure around 80s/50s. … A pressure dressing and splint were applied. … In the meantime, the patient continued to bleed from her right ankle wound. … Retrohepatic IVC and hepatic vein injuries are amongst the most fatal injuries encountered in trauma … Gunshot wounds to the liver: no longer a mandatory operation.

106. Chart Abstraction Form (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-2-tech-specs.pdf
     December 14, 2011 - ulcers and deep tissue injury in critically ill and injured children. … Wound assessment and decision making options. … These patients may be admitted with existing wounds and they may develop impaired skin integrity due … Describes the different types of injuries that critically ill children, including infants, experience … Wound Ostomy and Continence Nurses Society.

107. Pressure-Ulcer-Treatment Executive (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/pressure-ulcer-treatment_executive.pdf
     May 01, 2013 - cord injury), wound environments (e.g., incontinence), and wound healing (e.g., diabetes and vascular … Pressure ulcers are most common in the elderly or people with spinal cord injuries or other conditions … Discolored localized areas of intact skin that may indicate pressure-related injury to subcutaneous … tissue are categorized as suspected deep tissue injuries. … completely healed wounds, and evidence for the benefit of support surfaces in promoting wound improvement

108. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures | PSNet
     psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
     November 27, 2019 - She had hypotension, with blood pressure around 80s/50s. … A pressure dressing and splint were applied. … In the meantime, the patient continued to bleed from her right ankle wound. … Retrohepatic IVC and hepatic vein injuries are amongst the most fatal injuries encountered in trauma … Gunshot wounds to the liver: no longer a mandatory operation.

109. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
     January 01, 2024 - – In a study of 165 patients undergoing wound exploration after hand laceration, 32% of tendon injuries … with the hand in the same position as it was during the injury. – Wounds should be evaluated for active … • A blood pressure cuff applied proximal to the wound is another option. 19 Hand Examination (5 … ● If a tendon injury cannot be ruled out after wound exploration and functional testing, assume an … Medico-legal risks associated to hand and wrist trauma. World J Crit Care Med. 2022;11(1):40- 47.

110. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861738/psn-pdf
     January 31, 2024 - In a study of 165 patients undergoing wound exploration after hand laceration, 32% of tendon injuries … Explore wounds for evidence of arterial bleeding, foreign body, tendon injury, and arthrotomy. … A blood pressure cuff applied proximal to the wound is another option. … If a tendon injury cannot be ruled out after wound exploration and functional testing, assume an occult … injury exists.

111. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
     November 01, 2021 - • Patient safety concerns such as falls, pressure injuries, and adverse medication events were reported … Pressure Injury Among the pressure injury events (n = 10; 3.3%), several records identified the development … of pressure injuries due to the interaction between patient pronation and poor patient mobility. … Four records identified the development of multiple pressure injuries to the lips, tongue, ears, and … The remaining pressure injuries were identified across multiple other contact points such as the coccyx

112. Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers in US academic medical centers? | PSNet
     psnet.ahrq.gov/issue/are-evidence-based-practices-associated-effective-prevention-hospital-acquired-pressure
     September 23, 2020 - Are evidence-based practices associated with effective prevention of hospital-acquired pressure … Are Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Pressure Ulcers … Are Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Pressure Ulcers … February 17, 2009 A randomized trial of a multifactorial strategy to prevent serious fall injuries … March 7, 2018 Pressure Injury Prevention in Hospitals Training Program.

113. Accuracy of pressure ulcer events in US nursing home ratings. | PSNet
     psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings
     February 05, 2020 - Accuracy of pressure ulcer events in US nursing home ratings. … This study compared seven years of self-reported pressure ulcer data with claims-based data for pressure … Accuracy of pressure ulcer events in US nursing home ratings. … Related Resources From the Same Author(s) Assessment of nursing home reporting of major injury … January 17, 2024 Early identification and evaluation of severe pressure injuries.

114. In Conversation with David W. Bates about Are We Safer Today? | PSNet
     psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
     February 26, 2025 - Other important factors are nursing-sensitive events, which include things like pressure injuries and … For example, with pressure injuries, wetness in the bed dramatically increases the risk that somebody … will develop a dangerous pressure injury. … Some of these sensors are expensive, but pressure injuries are extremely expensive. … will take a look at your pressure injuries practices and take steps to improve those.

115. Are We Safer Today? | PSNet
     psnet.ahrq.gov/perspective/are-we-safer-today
     February 26, 2025 - Other important factors are nursing-sensitive events, which include things like pressure injuries and … For example, with pressure injuries, wetness in the bed dramatically increases the risk that somebody … will develop a dangerous pressure injury. … Some of these sensors are expensive, but pressure injuries are extremely expensive. … will take a look at your pressure injuries practices and take steps to improve those.

116. Preventing Falls and Injury While in the Hospital (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/action-fall-prevention-ed-tool.pdf
     June 16, 2021 - Preventing Falls and Injury While in the Hospital Preventing Falls and Injury While in the … factors for falling: R Dizziness or fainting R Seizure disorder R Irregular heartbeats R Low blood pressure … Falls can lead to broken bones and head injuries that can slow your recovery and keep you from returning … R PT recommendations: Keeping you safe if you are forgetful To prevent falls and injuries, your plan … R A low bed helps prevent fall injuries.

117. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60857/psn-pdf
     August 26, 2020 - Arguably the most severe complication of digital tourniquets, ischemic injuries, have two principal  … Excessive tourniquet pressures cause ischemic injury by vascular compression, which can lead to intimal … First, the use of a self- made tourniquet likely applied excessive pressure, which caused vascular injury … J Orthop Trauma. 2010 Jun;24(6):387–8.   3. Smith IM, Austin OMB, Knight SL. … J Trauma. 2006 Dec;61(6):1415–8.   15.

118. Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-fac-guide.html
     February 01, 2017 - There’s also a cyclical type of trauma that occurs, often called “atelectrauma.” … and adjust the ventilator to try to maintain the plateau pressures below 30 centimeters of water; and … There’s some sort of priming insult, such as pneumonia, sepsis, severe trauma, noncardiogenic shock, … Insults secondary to mechanical ventilation include ventilation-induced lung injuries. … Plateau pressures were significantly lower.

119. Preventing pressure ulcers: the goal is zero. | PSNet
     psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
     September 30, 2010 - Commentary Preventing pressure ulcers: the goal is zero. … Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10. … Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10. … October 2, 2024 A randomized trial of a multifactorial strategy to prevent serious fall injuries … August 27, 2013 Preventing in-facility pressure ulcers as a patient safety strategy:

120. Success in hospital-acquired pressure ulcer prevention: a tale in two data sets. | PSNet
     psnet.ahrq.gov/issue/success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets
     May 17, 2018 - Success In Hospital-Acquired Pressure Ulcer Prevention: A Tale In Two Data Sets. … Success In Hospital-Acquired Pressure Ulcer Prevention: A Tale In Two Data Sets. … July 2, 2019 Differences in the reporting of care-related patient injuries to existing … injury incidence. … injury policy.