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Showing results for "pressure injury".
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161. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/864865/psn-pdf
     March 20, 2024 - demands during the crisis to affect falls, medication safety, healthcare associated infections, and pressure … injuries.

162. The impact of dedicated medication nurses on the medication administration error rate: a randomized controlled trial. | PSNet
     psnet.ahrq.gov/issue/impact-dedicated-medication-nurses-medication-administration-error-rate-randomized-controlled
     September 24, 2010 - July 17, 2024 Early identification and evaluation of severe pressure injuries. … March 19, 2019 Detection of missed injuries in a pediatric trauma center with the addition

163. 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.

164. Safety in the Prehospital Emergency Medical Services Setting | PSNet
     psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
     May 01, 2019 - Many calls for EMS assistance involve critical or potentially critical injury or illness like trauma, … Occupational injuries and exposures among emergency medical services workers. … 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

165. 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 - April 21, 2021 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

166. 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.

167. The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England. | PSNet
     psnet.ahrq.gov/issue/effect-providing-staff-training-and-enhanced-support-care-homes-care-processes-safety-climate
     September 15, 2021 - Hospital admissions and preventable adverse events, such as falls and pressure ulcers, are common in … After 24 months, the safety climate had improved, and both falls and pressure ulcers were reduced. … Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries. … See More About The Topic Long-Term Care Quality and Safety Professionals Geriatrics Pressure

168. 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.  

169. 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.

170. 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. 

171. Harm Free Care. | PSNet
     psnet.ahrq.gov/issue/harm-free-care
     April 15, 2020 - This initiative seeks to reduce four key sources of harm in hospitals: pressure ulcers, falls, catheter-associated … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49697/psn-pdf
     December 01, 2013 - are difficult to compare, current estimates put medication error rates at 1 in 100 anesthetics.(2) Injury … from such errors are estimated to occur with 1% of errors.(3) By extrapolation, then, the risk of injury … American Society of Anesthesiologists Closed Claims Project recently presented an update on patient injuries … Medication error etiology is multifactorial and includes a distracting environment and production pressure … Patient injuries from anesthesia gas delivery equipment: a closed claims update.

173. 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

174. WebM&M: Case Studies | PSNet
     psnet.ahrq.gov/webmm-case-studies
     February 26, 2025 - On arrival at the emergency department, she had severely elevated blood pressure and hypoxemia. … A head CT scan was read as normal and he was diagnosed with a minor head injury and discharged without … in a motorcycle crash, including head trauma, chest injuries, and spinal fractures. … 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

175. Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. | PSNet
     psnet.ahrq.gov/issue/achieving-perfect-handoff-patient-transfers-building-teamwork-and-trust
     October 08, 2016 - From the Same Author(s) Towards international consensus on patient harm: perspectives on pressure … injury policy. … December 2, 2020 The road to zero preventable birth injuries.

176. Technical rationality and the decentring of patients and care delivery: a critique of 'unavoidable' in the context of patient harm. | PSNet
     psnet.ahrq.gov/issue/technical-rationality-and-decentring-patients-and-care-delivery-critique-unavoidable-context
     October 08, 2016 - From the Same Author(s) Towards international consensus on patient harm: perspectives on pressure … injury policy. … June 14, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis

177. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.197_slideshow.ppt
     April 01, 2009 - pubmed/8333382 * PICCs Can Cause Complications In retrospective series, complications included: Wound … vessel wall, increasing chance of breakage on removal Small syringe used for flushing creates higher pressure … increased stress on catheter * Recommendations for Prevention Avoid flushing PICCs under high pressure … has become increasingly prevalent, including in pediatric inpatients PICC complications include: Injury … fractures Caregivers should be warned against flushing PICCs with small-volume syringes or with too much pressure

178. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected | PSNet
     psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
     September 25, 2024 - The required insufflation leads to an increase in peak inspiratory pressures, and this increase is more … pronounced during dilation as the balloon pressure increases tracheal stress. … Patient death or serious injury associated with intravascular air embolism that occurs while being cared … If endoscopy is utilized, decreased insufflation and lower dilation pressures may be necessary to avoid … Technical steps like using appropriate monitoring, minimizing insufflation and dilation pressures to

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852449/psn-pdf
     August 16, 2023 - include overcrowding and patients with complex care needs, which may result in medication errors, pressure … injuries, or patient deterioration.

180. Intentional rounding—an integrative literature review. | PSNet
     psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review
     October 08, 2016 - The authors explore areas of impact, including patient satisfaction, falls , and hospital-acquired pressure … From the Same Author(s) Towards international consensus on patient harm: perspectives on pressure … injury policy.