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381. Appendix F. CAUTI Prevention in Long-Term Care: Frequently Asked Questions | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.html
     March 01, 2017 - Assistance in healing of open pressure ulcers, skin grafts, and stage III or IV perineal and sacral wounds … After having contact with body fluids or excretions, mucous membranes, nonintact skin and wound dressings … or trauma. … Bowel perforation and intra-abdominal injuries are possible during the insertion. … Management of the neurogenic bladder for adults with spinal cord injuries.

382. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.docx
     March 01, 2017 - . · Assistance in healing of open pressure ulcers, skin grafts, and stage III or IV perineal and sacral … wounds for selected residents with urinary incontinence. · To improve comfort for end-of-life care, … Management of the neurogenic bladder for adults with spinal cord injuries. … resident) · After having contact with body fluids or excretions, mucous membranes, nonintact skin and wound … Examples when a suprapubic catheter is used include— · Urethral injuries or trauma · Urethral obstruction

383. Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study. | PSNet
     psnet.ahrq.gov/issue/are-measurements-patient-safety-culture-and-adverse-events-valid-and-reliable-results-cross
     February 04, 2015 - Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … July 1, 2016 Does time pressure have a negative effect on diagnostic accuracy?

384. Telewound Care Network PATIENT ENROLLMENT FORM (pdf file)
     digital.ahrq.gov/sites/default/files/docs/resource/C3_Patient_Enrollment_Form_Blue.pdf
     June 16, 2021 - Currently _ High Cholesterol Yes_ No_ Currently _ Asthma Yes _ No _ Currently _ High Blood Pressure … How long has this wound been present? (circle one) 3. … Cause of wound (circle one) a) 1 month or less a) Injury from bump or fall b) Between 1 and … (approx. date)____________ f) Infection g) Pressure ulcer from laying or sitting 2. … Yes_No _ SITE WHERE PATIENT RECEIVES WOUND CARE PATIENT’S HOME Yes_No _ WOUND CLINIC Yes_No

385. From research to practice: factors affecting implementation of prospective targeted injury-detection systems. | PSNet
     psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury-detection
     August 04, 2021 - From research to practice: factors affecting implementation of prospective targeted injury-detection … From research to practice: factors affecting implementation of prospective targeted injury-detection … five hospitals faced in implementing new systems for prospective detection of adverse drug events and pressure … From research to practice: factors affecting implementation of prospective targeted injury-detection

386. Haste Makes Care Unsafe | PSNet
     psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
     January 07, 2015 - Benefits include measurement of important parameters (e.g., PA occlusion wedge pressure [an indirect … indication of left atrial pressure, a surrogate for left ventricular function], cardiac output, and mixed … hurry-up" situation should be a red flag that leads to recognition of the danger of such production pressures … While it is tempting to look at a case like this and focus only on understaffing or production pressures … Under all perioperative circumstances, but particularly with dangerously increased production pressure

387. 5 cataract surgeries, 5 people blinded: what went wrong? | PSNet
     psnet.ahrq.gov/issue/5-cataract-surgeries-5-people-blinded-what-went-wrong
     June 08, 2011 - 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

388. Chapter 2. Fall Response | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html
     December 01, 2017 - the nurse after a resident falls should include a review of the resident systems and description of injuries … Postural blood pressure and apical heart rate. Finger stick glucose (for diabetics). … The presence or absence of a resultant injury is not a factor in the definition of a fall. … A fall without injury is still a fall.

389. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49701/psn-pdf
     February 01, 2014 - national guidelines, including those from the American College of Gastroenterology (7), the Welsh Wound … the past year; sensitivity or allergies to any of the materials used in the device; rectal or anal injury … An FMS device should not be used for a mobile patient as movement may lead to pressure on the tubing … An FMS is unsuitable for spinal cord injury patients due to the high risk of autonomic dysreflexia that … Wounds UK. 2005;1:3:110-114. [Available at] 7.

390. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73604/psn-pdf
     August 18, 2021 - effect-providing-staff-training-and-enhanced-support-care-homes-care- processes-safety-climate Hospital admissions and preventable adverse events, such as falls and pressure … After 24 months, the safety climate had improved, and both falls and pressure ulcers were reduced. … effect-providing-staff-training-and-enhanced-support-care-homes-care-processes-safety-climate https://psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing-resident

391. Evaluation of AHRQ's On-time Pressure Ulcer Program - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2010
     January 01, 2010 - Evaluation of AHRQ's On-time Pressure Ulcer Program - 2010 Project Name Evaluation … of AHRQ's On-time Pressure Ulcer Program Principal Investigator Hurd, Donna Organization … Substantial research has documented that prevention of pressure ulcers and falls is possible, yet these … Many initiatives to improve quality of pressure ulcer care in nursing homes have been undertaken in the … last decade, including the Agency for Healthcare Research and Quality (AHRQ) funded On-Time Pressure

392. Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. | PSNet
     psnet.ahrq.gov/issue/patient-safety-people-experiencing-advanced-dementia-hospital-video-reflexive-ethnography
     November 16, 2022 - July 17, 2024 Early identification and evaluation of severe pressure injuries. … April 6, 2022 Clinical characteristics and short-term outcomes of acute kidney injury

393. Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies. | PSNet
     psnet.ahrq.gov/issue/determining-skills-needed-frontline-nhs-staff-deliver-quality-improvement-findings-six-case
     March 30, 2022 - Multifactorial interventions to reduce duration and variability in delays to identification of serious injury … Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

394. Low Tidal Volume Ventilation Facts | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-fact-sheet.html
     January 01, 2017 - Emerging evidence links protective tidal ventilation to decreased incidence of acute lung injury (ALI … Use at least 5 cm H2O positive end expiratory pressure (PEEP). Why wait? … not yet have ARDS and particularly those with risk factors to prevent progressive development of lung injury … Ventilator-associated lung injury in patients without acute lung injury at the onset of mechanical ventilation … What tidal volumes should be used in patients without acute lung injury?

395. Appendix D. Falls Engineer Instructions | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapd.html
     December 01, 2017 - Engineer Instructions The Falls Management Program is designed to prevent falls and injuries … Fill to the pressure recommended on the side of the tire. … Instructions: If the brake lever does not bite 1/8 inch into the tire, it may be because the tire pressure

396. Preventing Device-Associated Infections | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
     October 01, 2015 - Assistance with healing of perineal and sacral wounds in incontinent patients. … Required immobilization for trauma or surgery. … Examples include an unstable thoracic or lumbar spine, multiple traumatic injuries such as pelvic fractures … associated with many infectious and noninfectious complications including immobility (with potential pressure … The decision to intubate and mechanically ventilate the patient is made if noninvasive positive pressure

397. Appendix C. Sample Search Strategies | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/appc.html
     March 01, 2017 - ti])) OR iatrogenesis [ti] OR iatrogenic [ti] OR ((medical [ti] OR treatment [ti] OR care [ti]) AND (injury … [ti] OR injuries [ti])) OR mishap* [ti] OR (root [ti] AND cause* [ti]) OR (failure* [ti] AND mode* [ … reducing [ab] OR reduction [ab] OR aged [mh] OR elderly OR geriatric)) OR Decubitus Ulcer [mh] OR ((pressure

398. Documentation and Coding for Patient Safety Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
     March 15, 2016 - PDI 02 Pressure Ulcer Rate (stage III, IV, Unstageable) Diagnosis and site of pressure ulcer must … PSI 18, PSI 19 OB Trauma – Vaginal Delivery With Instrument OB Trauma – Vaginal Delivery Without … X PDI 11 Postoperative Wound Dehiscence Rate X Depth of the wound dehiscence: external/superficial … X PSI 14 Postoperative Wound Dehiscence X Depth of the wound dehiscence: external/superficial vs … PSI 18 PSI 19 OB Trauma – Vaginal Delivery With Instrument OB Trauma – Vaginal Delivery Without

399. Too Many Cooks in the Kitchen | PSNet
     psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
     March 07, 2018 - His initial systolic blood pressure after transfer was 60 mmHg.  … While the injury itself (stable pelvic fracture) is easily survived in most cases, the evident frailty … One of the most insidious iatrogenic insults affecting older patients with serious injuries is the inability … Deviation in the face of production pressure is a recipe for disaster.  … Pressure Ulcer Prevention in the Hospital Setting Using Silicone Foam Dressings. 

400. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
     November 30, 2013 - Major injury Minor injury Non-Fall-Related Injury Major injury Minor injury Musculoskeletal Joint pain … & Skin Cellulitis Edema Infected wound or decubitus Jaundice Rash Treatment Unavailable at Transferring … & Skin Injury: Fall Related Injury : Non-Fall Related Musculoskeletal Abnormal Labs or Anemia Fever/ … or Skin Fall-Related Injury Non-Fall-Related Injury Abnormal Lab Results Fever / Possible Infection … Disease Asthma Circulatory Problems Hypertension or Renal Failure Gastroenteritis Angina Pectoris Falls /Trauma