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Showing results for "pressure injuries".
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301. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39545/psn-pdf
     May 19, 2010 - Surgical robot examined in injuries. May 19, 2010 Carreyrou J. … https://psnet.ahrq.gov/issue/surgical-robot-examined-injuries This newspaper article discusses complications … explains that such errors may have been exacerbated by inadequate clinician training and production pressures … https://psnet.ahrq.gov/issue/surgical-robot-examined-injuries https://psnet.ahrq.gov//#productionpressure

302. Table 15A: Outcome Indicators by County Demographics | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15.html
     February 01, 2023 - 8,997 6,894 8,597 6,888 Composite: ACSC Overall 22,706 18,412 21,951 18,376 Pressure … 10,186 7,869 9,760 7,859 Composite: ACSC Overall 24,978 20,372 24,196 20,327 Pressure … 4,856 4,215 4,625 4,246 Composite: ACSC Overall 14,792 13,022 14,282 13,066 Pressure … 3,483 3,293 3,410 3,308 Composite: ACSC Overall 5,671 5,408 5,482 5,469 Pressure … 7,968 6,752 7,567 6,782 Composite: ACSC Overall 20,938 18,196 19,552 18,470 Pressure

303. Safety climate associated with adverse events in nursing homes: a national VA study. | PSNet
     psnet.ahrq.gov/issue/safety-climate-associated-adverse-events-nursing-homes-national-va-study
     September 08, 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.

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867022/psn-pdf
     October 30, 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.

305. Psn-Pdf (pdf file)
     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.

306. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866839/psn-pdf
     September 25, 2024 - 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 … 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.

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40507/psn-pdf
     June 08, 2011 - From research to practice: factors affecting implementation of prospective targeted injury-detection … From research to practice: factors affecting implementation of prospective targeted injury-detection … https://psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury … five hospitals faced in implementing new systems for prospective detection of adverse drug events and pressure … https://psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury-detection

308. Introduction to the Quality Indicators Best Practices Tool (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
     June 02, 2025 - Best practices forms exist for the following 14 PSIs: • PSI 03 Pressure Ulcer Rate • PSI 05 Retained … Pulmonary Embolism or Deep Vein Thrombosis Rate • PSI 13 Postoperative Sepsis Rate • PSI 14 Postoperative Wound … 03 Neonatal Blood Stream Infection Rate • PDI 01 Accidental Puncture or Laceration Rate • PDI 02 Pressure … Postoperative Respiratory Failure Rate • PDI 10 Postoperative Sepsis Rate • PDI 11 Postoperative Wound … • PSI 17 Birth Trauma Rate―Injury to Neonate: The existing literature on birth trauma and injury

309. An innovative mobile approach for patient safety services: the case of a Taiwan health care provider. | PSNet
     psnet.ahrq.gov/issue/innovative-mobile-approach-patient-safety-services-case-taiwan-health-care-provider
     September 27, 2017 - Citation Related Resources From the Same Author(s) Surgeon commitment to trauma … care decreases missed injuries. … June 15, 2012 System approach to prevent common bile duct injury and enhance performance … August 30, 2023 Interactive effects of nurse-experienced time pressure and burnout on

310. The effects of harm events on 30-day readmission in surgical patients. | PSNet
     psnet.ahrq.gov/issue/effects-harm-events-30-day-readmission-surgical-patients
     July 31, 2019 - The authors found that the harms with the highest 30-day readmission rates were pressure ulcers (45%) … Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure … injuries.

311. The Top Five: A Review of Post-Pandemic Patient Safety Priorities. | PSNet
     psnet.ahrq.gov/issue/top-five-review-post-pandemic-patient-safety-priorities
     July 10, 2024 - demands during the crisis to affect falls, medication safety, healthcare associated infections , and pressure … injuries.

312. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49485/psn-pdf
     August 29, 2024 - The surgery was uncomplicated—her blood pressures intraoperatively were within 20% of her baseline, … CRAO caused by globe compression is usually associated with periorbital trauma (e.g., bruising, proptosis … with other signs of periorbital trauma. … Eye injuries after nonocular surgery. A study of 60,965 anesthetics from 1988 to 1992. … Injuries to the visual system and other sense organs. In: Benumof J, Saidman L, eds.

313. Weight Summary (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/functional-specifications.docx
     February 10, 2014 - The vendor determines the methodology to assign unique IDs to resident wounds. … : · 1, 2, 3, 4, U (Unstageable) or Suspected Deep Tissue Injury (sDTI) Most Recent Assess Ulcer Stage … Display as 1, 2, 3, 4, U (Unstageable) or Suspected Deep Tissue Injury (sDTI) Ulcer Origin Wound Assessment … : Stage 1, 2, 3, 4, U (Unstageable) or Suspected Deep Tissue Injury (sDTI) Ulcer Origin Wound Assessment … Display as 1, 2, 3, 4, U (Unstageable) or Suspected Deep Tissue Injury (sDTI).

314. Social capital and knowledge sharing: effects on patient safety. | PSNet
     psnet.ahrq.gov/issue/social-capital-and-knowledge-sharing-effects-patient-safety
     September 15, 2011 - Related Resources From the Same Author(s) System approach to prevent common bile duct injury … September 15, 2011 Surgeon commitment to trauma care decreases missed injuries. … June 15, 2012 Interactive effects of nurse-experienced time pressure and burnout on patient … January 9, 2011 The culture of a trauma team in relation to human factors.

315. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
     January 01, 2024 - healing.2 17 17 General Approach to Wounds (4) Eliciting the mechanism of injury will identify factors … the possibility of injury to deeper structures causing neurovascular injuries, fractures, or, for the … , arterial injury, open fracture, and foreign material.4,5 19 19 General Approach to Wounds (6) … Wounds should be irrigated with moderate pressure (5-8 psi) irrigant to reduce bacterial counts and flush … Primary closure versus delayed closure for non bite traumatic wounds within 24 hours post injury.

316. Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head | PSNet
     psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
     March 27, 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. [ Free full text ] Borst J, Godat LN, Berndtson AE,

317. Chest Tube Complications | PSNet
     psnet.ahrq.gov/web-mm/chest-tube-complications
     September 27, 2023 - 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 … the 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.

318. The mindful path to nursing accuracy: a quasi-experimental study on minimizing medication administration errors. | PSNet
     psnet.ahrq.gov/issue/mindful-path-nursing-accuracy-quasi-experimental-study-minimizing-medication-administration
     March 03, 2019 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review. … August 26, 2020 Organisational strategies to implement hospital pressure ulcer prevention

319. Applying HFMEA to prevent chemotherapy errors. | PSNet
     psnet.ahrq.gov/issue/applying-hfmea-prevent-chemotherapy-errors
     September 27, 2017 - Citation Related Resources From the Same Author(s) Surgeon commitment to trauma … care decreases missed injuries. … March 9, 2009 System approach to prevent common bile duct injury and enhance performance … May 22, 2013 Interactive effects of nurse-experienced time pressure and burnout on patient

320. Instruments and warning signs for identifying and evaluating the frequency of adverse events in intermediate and long-term care centres: a narrative systematic review. | PSNet
     psnet.ahrq.gov/issue/instruments-and-warning-signs-identifying-and-evaluating-frequency-adverse-events
     July 20, 2022 - Common adverse events impacting this population include adverse drug events, delirium , malnutrition, pressure … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.