-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb10pcptxt.html
December 01, 2017 - ( ) Postural hypotension
≥20 mm Hg drop in systolic pressure with position change
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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
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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.
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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
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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.
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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
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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.
-
psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_delayed_symptomatic_subdural_hematoma_slides.pptx
January 01, 2024 - were worse when supine, but nocturnal headaches can be the presenting sign of elevated intracranial pressure … keep patients awake at night should prompt repeat imaging given the concern for elevated intracranial pressure … which allows time for the brain to adapt to tissue displacement and modestly increased intracranial pressure … Incidence of Delayed Intracranial Hemorrhage in Older Patients After Blunt Head Trauma. … Trauma Surg Acute Care Open. 2018;3(1):e000129.
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effectivehealthcare.ahrq.gov/products/skin-substitutes/protocol
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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
-
psnet.ahrq.gov/node/45251/psn-pdf
August 24, 2016 - Reporting on
a series of patient injuries linked to a contracted anesthesiologist at a cataract surgery … center, this news
article describes how factors such as production pressure and insufficient assessment … advancing-patient-safety-cataract-surgery-betsy-lehman-center-expert-panel-report
https://psnet.ahrq.gov/web-mm/production-pressures
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psnet.ahrq.gov/issue/longitudinal-study-multifaceted-intervention-reduce-newborn-falls-while-preserving-rooming
March 20, 2019 - implementation, the hospital achieved one year without any newborn falls and there were no fall-related injuries … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-handouts.html
June 01, 2017 - disorders/neurological/psychological, gastrointestinal/genitourinary, endocrine/nutritional/metabolic, wound … and 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
|___| Joint pain/joint … status change
|___| Mental disorder/psychosis
|___| Neoplasm
|___| Pneumonia
|___| Pressure
-
psnet.ahrq.gov/web-mm/secured-not-always-safe
October 01, 2015 - use have been reported.( 6 ) The most common complications include aspiration and unintended local trauma … with LMAs and high peak inspiratory pressures, allowing for inspired gases to insufflate the stomach … LMA use can also lead to injuries secondary to high cuff pressure and volume during prolonged procedures … These increased intra-cuff pressures can cause a significant damage to surrounding tissues. … the pyriform sinus, which is where the recurrent laryngeal nerve enters, rendering it vulnerable to injury
-
psnet.ahrq.gov/node/73389/psn-pdf
June 16, 2021 - estimating-economic-cost-nurse-sensitive-adverse-events-amongst-patients-
medical-and-surgical
Some adverse events are sensitive to aspects of nursing care, including pressure … injuries, falls, hospital-
acquired urinary tract infections, and medication administration errors.
-
psnet.ahrq.gov/node/47093/psn-pdf
July 02, 2019 - effective for managing blood glucose and blood transfusions
and for preventing venous thromboembolism, pressure … ulcers, acute kidney injury, and incipient clinical
deterioration. … psnet.ahrq.gov/issue/preventability-hospital-acquired-venous-thromboembolism
https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
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psnet.ahrq.gov/issue/integrative-review-exploring-perceptions-patients-and-healthcare-professionals-towards
March 06, 2019 - Citation
Related Resources From the Same Author(s)
Medical device-related pressure … March 6, 2019
A randomized trial of a multifactorial strategy to prevent serious fall injuries … September 27, 2016
Towards international consensus on patient harm: perspectives on pressure … injury policy.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.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
-
psnet.ahrq.gov/node/850159/psn-pdf
June 07, 2023 - characteristics and reporting patterns
for two measures of nursing home care quality (falls with major injury … and pressure ulcers). … does-nursing-home-compare-reflect-patient-safety-nursing-homes
https://psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare … https://psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings
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psnet.ahrq.gov/node/49796/psn-pdf
June 01, 2017 - did not recover spontaneous circulation for more than 30 minutes and sustained severe anoxic
brain injury … For example, the trauma
surgery service did not routinely perform a clamping trial before chest tube … most common complication),
recurrent pneumothorax, infection (including empyema), organ or vessel injury … Complications following thoracic trauma managed with tube
thoracostomy. Injury. 2012;43:46-50. … Complications of tube thoracostomy for
acute trauma. Am J Surg. 1980;140:738-741.