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221. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852447/psn-pdf
     August 16, 2023 - palliative care can include inappropriate pain management, preventable hospital (re)admissions, falls, and pressure … injuries.

222. Declines in Hospital-Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac_rates_2019.pdf
     January 01, 2019 - Conditions National efforts to reduce hospital-acquired conditions such as adverse drug events and injuries … Clostridioides difficile Infections -37% Falls -5% Obstetric Adverse Events -5% Pressure

223. Declines in Hospital-Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
     January 01, 2019 - Conditions National efforts to reduce hospital-acquired conditions such as adverse drug events and injuries … CLABSI+ -6% Clostridioides difficile Infections -37% Falls -5% Obstetric Adverse Events -3% Pressure

224. The impact of the use of employee functional flexibility on patient safety. | PSNet
     psnet.ahrq.gov/issue/impact-use-employee-functional-flexibility-patient-safety
     January 12, 2022 - examined the effect of unit-level nursing functional flexibility on the incidence of hospital-acquired pressure … Results indicate that higher use of functionally flexible nurses was associated with a higher number of pressure … Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure … injuries.

225. Statistical Brief #130: Emergency Department Visits and Inpatient Hospital Stays for All-Terrain-Vehicle-Related Injuries, 2009 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb130.pdf
     March 01, 2012 - Introduction All-terrain vehicles (ATVs) are small open motorized vehicles designed with large low-pressure … Annual Report of ATV-Related Deaths and Injuries. … Journal of Trauma-Injury Infection and Critical Care 69(6): 1344–1349. 5 Aitken, M. E., C. J. … ED visits for ATV injuries were more likely to occur on a weekend than the total of other injury-related … Compared with all injury related visits, those for ATV injuries were more likely to be covered by private

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866729/psn-pdf
     September 18, 2024 - compared with privately insured patients, Medicaid patients experienced significantly higher rates of pressure … injuries, catheter-related infections, and six-out-of-seven surgery-related safety indicators.

227. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851158/psn-pdf
     June 28, 2023 - 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

228. Saworksheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/saworksheet.pdf
     June 02, 2025 - the On-Time electronic reports into current workflow to help inform pressure ulcer wound interventions … Ulcer Healing Tool BWAT – Bates-Jenson Wound Assessment Tool None of the above Other … Injury Alliance’s Prevention and Treatment of Pressure Ulcers Guidelines  Wound, Ostomy, and Continence … Pressure ulcer debridement? Selection of dressings based on wound characteristics? … Wound cleansing? Assessing the resident for pain?

229. Appendix C. Case Study and Program Examples | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.html
     December 01, 2017 - She was assessed to have no injuries resulting from the fall. … Physical restraint—increases risk of serious injury. … Full side rails—increase risk of serious injury. … . ___ provide frequent reminders about call bell. ___ conduct trial use of a change in position/pressure … Use of pressure, position alarm. Use of hip protectors. No physical restraint use.

230. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2013-refs.html
     October 01, 2015 - Injury From Falls Barrett JA, Bradshaw M, Hutchinson K, et al. … Fall and injury prevention (Chapter 10). In: Hughes RG, ed. … Preventing falls and eliminating injury at Ascension Health. … Eliminating birth trauma at Ascencion Health. Jt Comm J Qual Patient Saf 2007;33:15-24. … Pressure Ulcers Agency for Healthcare Research and Quality.

231. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2013-ref.html
     December 01, 2014 - Fall and injury prevention (Chapter 10). In: Hughes RG, ed. … Preventing falls and eliminating injury at Ascension Health. … Eliminating birth trauma at Ascencion Health. Jt Comm J Qual Patient Saf 2007;33:15-24. … Pressure Ulcers Agency for Healthcare Research and Quality. … Eliminating facility-acquired pressure ulcers at Ascension Health .

232. 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

233. Declines in Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/infographics/hac-rates_2019.html
     July 01, 2020 - Description: National efforts to reduce hospital-acquired conditions such as adverse drug events and injuries … Pressure ulcers: 6% increase. Surgical site infections: 8% increase.

234. Improving Patient Safety in Nursing Homes: A Resource List (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
     April 01, 2025 - Preventing Falls and Reducing Injury from Falls https://rnao.ca/bpg/guidelines/prevention-falls-and-fall-injuries … Pressure Ulcer Reduction 1. … Pressure Injury Training Modules https://npiap.com/page/TrainingModules The NPIAP Pressure Injury … injuries. 3. … Ulcer Data Collection Tool Instructions Preventing Falls and Reducing Injury from Falls Quality Assurance

235. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73229/psn-pdf
     May 26, 2021 - norepinephrine-dosing-error-associated-multiple-health-system- vulnerabilities The Case A 65-year-old man presented to a Level III trauma … The patient was then transferred to a Level I trauma center that could provide a higher level of care … that results in wide fluctuation of blood pressure. … The combination of a supraphysiologic blood pressure target and the patient’s altered blood pressure … ’s spinal cord injury.

236. Session 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess2.html
     October 01, 2014 - Additional Tools and Resources Limiting Falls that Cause Injury Residents in long-term … However, what we can do is eliminate needless falls and limit the injuries from falls that do occur. … Things about the equipment or care plan (e.g., monitor blood pressure frequently). … Things about equipment or the care plan, including: More frequent blood pressure monitoring. … Relationship between physical restraint removal and falls and injuries among nursing home residents.

237. Skin Substitutes for Treating Chronic Wounds | Effective Health Care (EHC) Program
     effectivehealthcare.ahrq.gov/products/skin-substitutes/protocol

238. A Potent Medication Administered in a Not So Viable Route | PSNet
     psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
     July 20, 2016 - 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 … 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.

239. Dx Pr Grps Formats
     hcup-us.ahrq.gov/db/tools/Dx_Pr_Grps_Formats.TXT
     December 28, 2023 - , subsequent encounter' 'INJ064 ' = 'INJ064 : Other unspecified injuries, subsequent … 'MBD006 : Obsessive-compulsive and related disorders' 'MBD007 ' = 'MBD007 : Trauma … PNL007 : Hemolytic jaundice and perinatal jaundice' 'PNL008 ' = 'PNL008 : Birth trauma … : Anesthesia complications during pregnancy' 'PRG026 ' = 'PRG026 : OB-related trauma … ulcer of skin' 'SKN004 ' = 'SKN004 : Non-pressure ulcer of skin' 'SKN005

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73665/psn-pdf
     September 01, 2021 - The most common safety events included pressure injuries or other skin integrity events, falls, and