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Showing results for "pressure injury".
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161. 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

162. 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.

163. 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

164. 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.

165. 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

166. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49636/psn-pdf
     October 01, 2011 - year-old man with insulin-dependent diabetes, hypertension, and chronic kidney disease was admitted to a trauma … service after injuries suffered from an assault and battery. … The patient's injuries included a left shoulder dislocation and a minimally displaced fracture of a … After reviewing the medical records, the PT noted the initial shoulder injury on admission. … In addition to providing a general assessment, the PT expressed concern that the shoulder injury had

167. Complications of ECMO During Transport | PSNet
     psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
     January 27, 2021 - The most common complications of ECMO are bleeding from cannulation sites (15-20%) or surgical wounds … Brain injury during venovenous extracorporeal membrane oxygenation. … Pressures – does the pump produce a pressure adequate for flow? What are the pressure trends? … Pressures are monitored before (pre-pump pressure), between pump and oxygenator (pre-oxygenator), and … January 11, 2017 Evaluation of wound photography for remote postoperative assessment

168. 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.

169. 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.

170. 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

171. Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. | PSNet
     psnet.ahrq.gov/issue/delays-diagnosis-treatment-and-surgery-root-causes-actions-taken-and-recommendations
     March 25, 2020 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries. … March 18, 2020 Applying modern error theory to the problem of missed injuries in trauma

172. 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.

173. Patient safety indicators during the initial COVID-19 pandemic surge in the United States. | PSNet
     psnet.ahrq.gov/issue/patient-safety-indicators-during-initial-covid-19-pandemic-surge-united-states
     August 03, 2022 - September 1, 2021 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence. … About The Topic Hospitals Public Health Infectious Diseases Medical Complications Pressure

174. The impact of the use of employee functional flexibility on patient safety. | PSNet
     psnet.ahrq.gov/issue/impact-use-employee-functional-flexibility-patient-safety
     January 12, 2022 - examined the effect of unit-level nursing functional flexibility on the incidence of hospital-acquired pressure … Results indicate that higher use of functionally flexible nurses was associated with a higher number of pressure … Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure … injuries.

175. An Easily Forgotten Tube | PSNet
     psnet.ahrq.gov/web-mm/easily-forgotten-tube
     June 01, 2016 - 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.

176. Nosy Business | PSNet
     psnet.ahrq.gov/web-mm/nosy-business
     March 01, 2007 - , including self-induced "digital trauma." … Similar to bleeding from other sites, it is most effectively controlled by direct pressure. … Not only do these injuries create additional bleeding sources, they are commonly mistaken for the original … septum to avoid a septal perforation.( 5 ) Moisturizing the nasal cavity is important while the cautery wound … December 1, 2012 WebM&M Cases Missing the Point—Eye Injury

177. 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

178. 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.

179. Case studies on medication reconciliation. | PSNet
     psnet.ahrq.gov/issue/case-studies-medication-reconciliation
     February 15, 2023 - June 9, 2021 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.

180. Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. | PSNet
     psnet.ahrq.gov/issue/multimethod-study-large-scale-programme-improve-patient-safety-using-harm-free-care-approach
     January 23, 2019 - improvement project in the United Kingdom to address four patient safety issues: venous thromboembolism , pressure … August 5, 2020 Towards international consensus on patient harm: perspectives on pressure … injury policy.