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Showing results for "pressure injuries".
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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836964/psn-pdf
    April 20, 2022 - The most common preventable events were medication events, pressure injuries, and healthcare-associated

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60551/psn-pdf
    January 01, 2021 - The authors discuss major CMS payment policy changes and their intersection with the PSI; except for pressure … injuries, the implementation of payment policy reforms did not precede the decline trends in PSI rates

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866205/psn-pdf
    July 10, 2024 - Ironically for this case, the greatest risk of bleeding from ALIF is usually from injury to a major … the wound. … Trauma-induced coagulopathy: what you need to know. J Trauma Acute Care Surg. 2024;96(2):179-185. … Vascular injury and complication in neurosurgical spine surgery. … Hetastarch during initial resuscitation from trauma. J Trauma. 2011;70(5 Suppl):S19-S21.

  4. Disposition of Comments Report for Pressure Ulcer Risk Assessment and Prevention (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/pressure-ulcer-prevention_disposition-comments.pdf
    May 08, 2013 - There is no discussion of the spinal cord injury population. … Include Deep Tissue Injury. … There are dressings used on the heels to reduce friction injury and the sacrum to reduce shear, pressure … making the side rail ineffective None of the trials of support surfaces/beds reported risk of falls/injuries … A pressure ulcer is localized injury to the skin and/or underlying tissue, usually over a bony prominence

  5. Facts and Figures 2005

    hcup-us.ahrq.gov/reports/factsandfigures/facts_figures_2005.jsp
    January 01, 2005 - ) Pressure sores typically result from prolonged periods of uninterrupted pressure on the skin, … or internal injury 106 16,900 6.7 3.4 Intracranial injury (brain injury) 171 16,500 … causes 102 7,000 3.5 3.3 Open wounds of head, neck, and trunk 38 6,900 2.6 0.6 … (brain injury) 234       Crushing injury or internal injury 235       Open wounds of head, neck, … and trunk 236       Open wounds of extremities (arms and legs) 239       Superficial injury, contusion

  6. The Magnetic Deflection | PSNet

    psnet.ahrq.gov/web-mm/magnetic-deflection
    November 18, 2016 - 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 … These include, among others: Direct trauma from the accelerating ferromagnetic object striking the patient … To this day, injuries continue to occur in MRI scanners around the globe from ferromagnetic objects being … modality—at times with serious, and even fatal, consequences.( 6-10 ) The only way to avoid such events and injuries

  7. worker-health-protocol-150526 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/worker-health_research-protocol.pdf
    May 26, 2015 - Intermediate outcomes (e.g., change in blood pressure, tobacco use, or hazardous exposures) c. … [Mesh] OR “worksite health” AND ((“Health Promotion”[Mesh]) OR “Accident Prevention”[Mesh]) OR “Wounds … and Injuries/prevention and control”[Mesh Humans English language Publication date 1990 to [date … Occupational injury and illness in the United States. … Employer-Reported Workplace Injury and Illness Summary.

  8. Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings. | PSNet

    psnet.ahrq.gov/issue/underreporting-quality-measures-and-associated-facility-characteristics-and-racial
    August 09, 2023 - and pressure ulcers ). … August 9, 2023 Accuracy of pressure ulcer events in US nursing home ratings. … August 24, 2022 Assessment of nursing home reporting of major injury falls for quality … September 14, 2022 Accuracy of pressure ulcer events in US nursing home ratings. … July 15, 2020 Assessment of nursing home reporting of major injury falls for quality

  9. Appendix B25: Ways Families Can Help Reduce Fall Risk | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb8.html
    December 01, 2017 - Help the patient to use low blood pressure precautions Before the resident gets out of bed, ask her

  10. A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. | PSNet

    psnet.ahrq.gov/issue/case-transfusion-error-trauma-patient-subsequent-root-cause-analysis-leading-institutional
    March 30, 2022 - Commentary A case of transfusion error in a trauma patient with subsequent root cause … reviews findings of the subsequent root cause analysis , which determined training weaknesses, time pressures … , and distractions within the team due to the chaotic nature of trauma care . … Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60228/psn-pdf
    April 15, 2020 - the identified events resulted in a delay in care and 41% resulted in temporary harm (e.g., falls, pressure … injuries, skin tears, abrasions).

  12. Sampleransferandintakenotes (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/sampleransferandintakenotes.pdf
    June 02, 2025 - disorders/neurological/psychological, gastrointestinal/genitourinary, endocrine/nutritional/metabolic, wound … infection Endocrine/Nutritional/Metabolic  Dehydration  Malnutrition  Uncontrolled diabetes Wound … & Skin  Cellulitis  Edema  Infected wound or decubitus  Jaundice  Rash Fall-Related Injury …  Major injury  Minor injury Non-Fall-Related Injury  Major injury  Minor injury Musculoskeletal … Medication reaction  Mental status change  Mental disorder/psychosis  Neoplasm  Pneumonia  Pressure

  13. Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool. | PSNet

    psnet.ahrq.gov/issue/exploring-nursing-sensitive-events-home-healthcare-national-multicenter-cohort-study-using
    August 05, 2020 - The most common types of nursing-sensitive events were falls , pressure injuries, healthcare-associated … room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure

  14. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. | PSNet

    psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
    October 31, 2023 - wound. … Trauma-induced coagulopathy: what you need to know. … Vascular injury and complication in neurosurgical spine surgery. … Hetastarch during initial resuscitation from trauma. … J Trauma . 2011;70(5 Suppl):S19-S21. [ Available at ] Hahn RG.

  15. ROI for a fall prevention intervention: invest a little, save a lot. | PSNet

    psnet.ahrq.gov/issue/roi-fall-prevention-intervention-invest-little-save-lot
    September 13, 2017 - Falls and falls with injury are significant sources of morbidity and mortality and can have substantial … This study showed  that after implementing the Fall TIPS program, falls and falls with injury decreased … November 3, 2021 Trauma resuscitation errors and computer-assisted decision support. … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

  16. Har 2005 (pdf file)

    hcup-us.ahrq.gov/reports/annualreport/HAR_2005.pdf
    January 01, 2005 - or internal injury Intracranial injury (brain injury) Superficial injury, contusion (bruise) Fracture … (arms and legs) Open wounds of head, neck, and trunk Joint disorders and dislocations, trauma-related … (arms and legs) Open wounds of head, neck, and trunk Joint disorders and dislocations, trauma-related … (brain injury) 234 Crushing injury or internal injury 235 Open wounds of head, neck, and trunk 236 … Open wounds of extremities (arms and legs) 239 Superficial injury, contusion (bruise) 240 Burns

  17. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations | PSNet

    psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
    September 27, 2023 - causing neurovascular injuries, fractures, or, for the torso, hemopneumothorax or intra-abdominal injury … Wounds should be irrigated with moderate pressure (5-8 psi) irrigant to reduce bacterial counts and flush … manage potential foreign bodies, clinicians should have a low threshold for involving an experienced trauma … Consulting Editor, AHRQ’s Patient Safety Network (PSNet) Professor Department of Surgery, Division of Trauma … Primary closure versus delayed closure for non bite traumatic wounds within 24 hours post injury.

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840141/psn-pdf
    November 16, 2022 - reporting and improvements in safety culture, as well as decreases in adverse events such as falls, pressure … injuries and healthcare-acquired infections.

  19. 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.

  20. Using a learning system approach to improve safety for prone-position ventilation patients. | PSNet

    psnet.ahrq.gov/issue/using-learning-system-approach-improve-safety-prone-position-ventilation-patients
    January 10, 2024 - Issues identified included medical device-related pressure injuries and device dislodgement, concerns … March 7, 2018 Information flow during pediatric trauma care transitions: things falling … 2019 Work system barriers and facilitators in inpatient care transitions of pediatric trauma … May 18, 2022 Error reduction in trauma care: lessons from an anonymized, national, multicenter
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