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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.
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psnet.ahrq.gov/issue/preventing-newborn-falls-and-drops
October 10, 2018 - February 21, 2018
Early identification and evaluation of severe pressure injuries. … December 8, 2010
National safety effort targets perinatal injuries.
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psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare
August 24, 2022 - Emerging Classic
Assessment of nursing home reporting of major injury … Assessment of nursing home reporting of major injury falls for quality measurement on nursing home compare … This study compared falls with injury data self-reported by nursing homes against those identified in … Download Citation
Related Resources From the Same Author(s)
Accuracy of pressure … September 14, 2022
Accuracy of pressure ulcer events in US nursing home ratings.
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psnet.ahrq.gov/issue/adverse-events-experienced-homecare-patients-scoping-review-literature
October 19, 2022 - Categories included adverse drug events and line-related problems as well as the expected focus on wounds … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.
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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
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psnet.ahrq.gov/node/836964/psn-pdf
April 20, 2022 - The most common
preventable events were medication events, pressure injuries, and healthcare-associated
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psnet.ahrq.gov/node/50775/psn-pdf
January 01, 2021 - reports involved
interunit/department/team transfers and the majority (69%) of incidents were related to pressure … injuries,
falls, medication, and documentation errors.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man4.html
December 01, 2017 - If there is a drop of 20 mm Hg or more in the resident's systolic pressure 1 minute after standing, the … Use of pressure, position, seat belt or other alarm. … Room sensors to detect resident movement; position or pressure alarms on the bed, chair or wheelchair … Trying to climb over bedrails may well result in a serious fall related injury. … For residents who are in danger of head injury, a helmet can provide protection.
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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.
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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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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
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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
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effectivehealthcare.ahrq.gov/health-topics/spine-injuries-and-disorders
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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
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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - The Case
A 65-year-old man presented to a Level III trauma center with bilateral lower extremity paralysis … 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.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt1.html
December 01, 2017 - ___ Psychiatric evaluation
Orthostatic Hypotension
___ Reduction of ≥20 mm Hg in systolic pressure
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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
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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.
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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).
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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.