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Showing results for "pressure injury".
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141. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60846/psn-pdf
     January 01, 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.

142. 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.

143. In Conversation With… Jane Brice, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph
     May 01, 2019 - Because they're really focused on the blood pressure and the pulse and the O2 sat [oxygen saturation] … It's just as critical a piece of information as their blood pressure. … "She's hypotensive because she has a gunshot wound in her armpit that I didn't find because I didn't … Many calls for EMS assistance involve critical or potentially critical injury or illness like trauma, … Occupational injuries and exposures among emergency medical services workers.

144. 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

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49725/psn-pdf
     January 01, 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 … 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

146. 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.

147. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852280/psn-pdf
     August 09, 2023 - Veterans Health Administration (VHA) hospital, this study found that use of SmartSocks – socks containing pressure … assessment-wearable-fall-prevention-system-veterans-health-administration-hospital https://psnet.ahrq.gov/primer/falls https://psnet.ahrq.gov/issue/preventing-falls-injury

148. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862983/psn-pdf
     February 28, 2024 - His peak airway pressures were initially 23-25 cm H2O but suddenly increased to 48-52 about 30 minutes … Obesity is often associated with difficult ventilation because high airway pressures are required to … Thirty minutes into the operation the airway pressures suddenly increased from 25 to 50 cm of H2O and … Pneumothorax can occur in trauma patients who may have undiagnosed rib fractures. … Airway management in trauma. Emerg Med Clin North Am. 2018;36(1):61-84. [ Free full text] 5.

149. Psn-Pdf (pdf file)
     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

150. WebM&M: Case Studies | PSNet
     psnet.ahrq.gov/webmm-case-studies
     March 25, 2025 - On arrival at the emergency department, she had severely elevated blood pressure and hypoxemia. … in a motorcycle crash, including head trauma, chest injuries, and spinal fractures. … A head CT scan was read as normal and he was diagnosed with a minor head injury and discharged without … The commentary highlights the importance of evaluating patient risk of wound infection and poor wound … healing, the role of imaging modalities to help identify foreign material in wounds, and diligent follow-up

151. Using community detection techniques to identify themes in COVID-19-related patient safety event reports. | PSNet
     psnet.ahrq.gov/issue/using-community-detection-techniques-identify-themes-covid-19-related-patient-safety-event
     July 29, 2020 - (PSE) reports into eight clinically relevant themes, including testing delays, diagnostic errors , pressure … June 16, 2021 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.

152. 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

153. 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. 

154. 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

155. Misconnection Leading to Arterial Thrombosis | PSNet
     psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
     January 29, 2021 - and procalcitonin levels were elevated, serum creatinine was 1.5 mg/dL (consistent with acute kidney injury … when the patient is hypotensive. 7,8,9 Arterial injection of drugs can cause ischemia by direct vessel injury … blood pressure.  … Display arterial and central venous pressures on the monitor Displaying the pressure measured at the … Injection injury of an aberrant superficial radial artery requiring surgical intervention.  

156. Nurse burnout syndrome and work environment impact patient safety grade. | PSNet
     psnet.ahrq.gov/issue/nurse-burnout-syndrome-and-work-environment-impact-patient-safety-grade
     August 04, 2021 - August 19, 2020 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence. … Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury

157. Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system. | PSNet
     psnet.ahrq.gov/issue/error-reduction-trauma-care-lessons-anonymized-national-multicenter-mortality-reporting
     March 24, 2021 - J Trauma Acute Care Surg. 2022;92(3):473-480. doi:10.1097/ta.0000000000003485. … J Trauma Acute Care Surg . 2022; 92 (3) :473-480 . … J Trauma Acute Care Surg. 2022;92(3):473-480. doi:10.1097/ta.0000000000003485. … June 30, 2021 Zero preventable deaths after traumatic injury: an achievable goal. … More Related Resources WebM&M Cases Under Pressure

158. Differences in the reporting of care-related patient injuries to existing reporting systems. | PSNet
     psnet.ahrq.gov/issue/differences-reporting-care-related-patient-injuries-existing-reporting-systems
     December 12, 2018 - Commentary Differences in the reporting of care-related patient injuries to existing … Differences in the reporting of care-related patient injuries to existing reporting systems. … Differences in the reporting of care-related patient injuries to existing reporting systems. … Related Resources From the Same Author(s) Success in hospital-acquired pressure

159. Patient Safety Indicators at an academic veterans affairs hospital: addressing dual goals of clinical care and validity. | PSNet
     psnet.ahrq.gov/issue/patient-safety-indicators-academic-veterans-affairs-hospital-addressing-dual-goals-clinical
     August 09, 2023 - accurate data capture interventions to improve rates of the composite PSI-90 and three individual PSIs ( pressure … Postoperative PE/DVT, postoperative sepsis, and composite PSI-90 all decreased, while pressure ulcer … Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries. … More About The Topic Hospitals Hospital Medicine Nurse Care Nosocomial Infections Pressure

160. Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. | PSNet
     psnet.ahrq.gov/issue/barriers-and-facilitators-bedside-nursing-handover-systematic-review-and-meta-synthesis
     August 25, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review. … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.