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Showing results for "pressure injuries".
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161. 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 … that outdated design and incorrect assembly, rather than bedrails themselves, contributed to such injuries … The effect of bedrails on falls and injury: a systematic review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.

162. 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.

163. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
     January 01, 2021 - pertaining to nine patient safety event types that represent the majority of reported preventable injuries … Injuries were divided into three groups: No Injury where the incident did not result in harm, Injury … that they represent minor injuries such as soreness, bumps, and minor abrasions. … Injuries were divided into two groups: Fall considered unassisted and Fall known to be assisted. … the most advanced stage of the pressure ulcer or suspected Deep Tissue Injury being reported?”

164. 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.

165. 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

166. 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.

167. 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.

168. 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.

169. On-Time Pressure Ulcer Assessment | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/assessment.html
     December 01, 2017 - On-Time Pressure Ulcer Assessment AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer … Healing The On-Time Pressure Ulcer Assessment incorporates elements from the Bates-Jensen Wound … In partial thickness wounds it can occur throughout the wound bed as well as from the wound edges. … In full thickness wounds it occurs from the edges only. … Stage 4             Unstageable             Suspected Deep Tissue Injury

170. 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.

171. 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.

172. Final Progress Report: Analysis of Factors Associated With Clinical Checklist Compliance (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/sarcevic-report.pdf
     January 01, 2024 - , and (4) patients with external injuries. … 1(0-3) 0(1-3) Injury 0(0-2) 0(0-1) External 0.014 0.053 <.001* <.001* 0.92 0.13 No injury 1(0-1.5) … with penetrating injuries and those with a blunt injury. … Of 187 patients, 111 (59.4%) had external injuries. … without external injuries (p<.001, Table 1).

173. 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

174. Appendix B7: Wheelchair Seating Assessment (Text Description) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manwsa.html
     December 01, 2017 - Skin Breakdown __  Jell or air cushion to assist in healing skin ulcer __  Cushion to distribute pressure … ) thoracic region at most extreme point of scoliotic curve; 2) just under axilla, avoiding axillary pressure

175. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/062-protocol-training-decolonization-with-chg.pptx
     October 01, 2024 - Superficial pressure injuries (stages 1 and 2) CHG should also be applied over sutured or stapled wounds … Clean wound carefully with CHG. … Apply CHG with firm pressure, unless the wound is over a bony prominence. … Using the CHG on superficial wounds, and stage 1 and 2 pressure injuries. … Refer to the slides on Wound Care.

176. 3. What are the best practices in pressure ulcer prevention that we want to use? | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
     October 01, 2014 - Determining the correct etiology of wounds: Many different types of lesions may occur on the skin and … Spinal cord injury: Immobility, incontinence, and impaired sensation may combine to place these patients … The level and completeness of the spinal cord injury is critical in this determination. … Adv Skin Wound Care 2009;22(2):83-92. Magan MA, Maklebust J. … Adv Skin Wound Care 2008;21(3):124-33.

177. 3. What are the best practices in pressure ulcer prevention that we want to use? | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
     October 01, 2014 - Determining the correct etiology of wounds: Many different types of lesions may occur on the skin and … Spinal cord injury: Immobility, incontinence, and impaired sensation may combine to place these patients … The level and completeness of the spinal cord injury is critical in this determination. … Adv Skin Wound Care 2009;22(2):83-92. Magan MA, Maklebust J. … Adv Skin Wound Care 2008;21(3):124-33.

178. Psi90 Factsheet Faq (pdf file)
     qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ.pdf
     August 31, 2016 - In addition, patients with any diagnosis of acute brain and/or spinal injury were removed from the … Puncture/Laceration Rate) were refined so that the indicator focuses on the most serious intraoperative injuries … review and expert opinion from 13 clinical specialists in surgery, internal medicine, nephrology, trauma … when the pressure ulcer developed, due to tissue damage. … PSI 08 30-day readmission for wound infection Hospital readmission for wound infection within 30

179. 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.

180. Psi90 Factsheet Faq V2 (pdf file)
     qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v2.pdf
     October 05, 2016 - ) or Deep Vein Thrombosis (DVT) Rate  PSI 13 Postoperative Sepsis Rate  PSI 14 Postoperative Wound … Puncture/Laceration Rate) were refined so that the indicator focuses on the most serious intraoperative injuries … review and expert opinion from 13 clinical specialists in surgery, internal medicine, nephrology, trauma … 0.208953 -38.2% PSI 13 Postoperative Sepsis Rate 0.057308 0.216046 277.0% PSI 14 Postoperative Wound … when the pressure ulcer developed, due to tissue damage.