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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
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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.
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psnet.ahrq.gov/perspective/workplace-safety-health-care
January 01, 2017 - Were there time pressures in the OR to proceed with no help? … their workforce, I announced we should be an injury-free workplace. … And over the 13 years I was there we got close to achieving zero injuries. … safety, namely to identify as quickly as possible anything gone wrong—including medication errors, pressure … are probably no better than average at all the other things they do, like central line infections and pressure
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psnet.ahrq.gov/node/866693/psn-pdf
September 11, 2024 - Common incidents included pressure injuries, medication errors, and premature
discharge.
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psnet.ahrq.gov/node/861288/psn-pdf
January 24, 2024 - care) adversely impacts patient safety, contributing to higher incidence of falls,
medication errors, pressure … injuries, and healthcare-associated infections.
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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.
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psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
January 01, 2017 - their workforce, I announced we should be an injury-free workplace. … And over the 13 years I was there we got close to achieving zero injuries. … safety, namely to identify as quickly as possible anything gone wrong—including medication errors, pressure … are probably no better than average at all the other things they do, like central line infections and pressure … Were there time pressures in the OR to proceed with no help?
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psnet.ahrq.gov/issue/copying-and-pasting-examinations-within-electronic-medical-record
June 12, 2013 - September 9, 2010
A randomized trial of a multifactorial strategy to prevent serious fall injuries … October 12, 2016
Towards international consensus on patient harm: perspectives on pressure … injury policy.
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psnet.ahrq.gov/node/837675/psn-pdf
July 13, 2022 - management combining the risks of multiple
conditions (catheter-associated urinary tract infections, pressure … injuries, and falls).
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psnet.ahrq.gov/node/33823/psn-pdf
January 01, 2017 - The burning platform: the current injury rate and why it must be reduced
2. … A goal for injury reduction as measured by days away from work due to injury on the job; a
reasonable … Were there time pressures in the OR to proceed with no help? … Workplace injuries cost healthcare industry billions. Fierce Healthcare. November 12, 2013. … ; MSI: musculoskeletal injury
Figures
Figure 1.
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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
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psnet.ahrq.gov/issue/decade-preventing-harm
July 10, 2008 - The health system sought to prevent pressure ulcers , adverse drug events , falls with injury , health … January 3, 2017
The cost of serious fall-related injuries at three midwestern hospitals
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psnet.ahrq.gov/node/852447/psn-pdf
August 16, 2023 - palliative care can include inappropriate pain management, preventable hospital
(re)admissions, falls, and pressure … injuries.
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psnet.ahrq.gov/node/848036/psn-pdf
April 26, 2023 - Issues identified included medical device-related pressure injuries
and device dislodgement, concerns
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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.
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psnet.ahrq.gov/issue/mr-safety-week
November 17, 2016 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries. … August 8, 2018
Preventing accidents and injuries in the MRI suite.
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psnet.ahrq.gov/node/49860/psn-pdf
April 01, 2019 - improved
functional independence at 4 and 12 months.(12-14)
Hip fracture is a common and serious injury … , which in turn increases the risk of delirium, thromboembolism, pneumonia,
pressure ulcers, and significant … Injury. 2018;49:1458-1460. [go to
PubMed]
2. Cummings SR, Black DM, Rubin SM. … J Orthop Trauma.
2006;20:172-180. … J Orthop Trauma. 2014;28:e49-e55.
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psnet.ahrq.gov/node/866729/psn-pdf
September 18, 2024 - compared with privately insured patients, Medicaid patients experienced significantly
higher rates of pressure … injuries, catheter-related infections, and six-out-of-seven surgery-related safety
indicators.
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psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program
May 01, 2017 - July 23, 2019
Pressure Injury Prevention in Hospitals Training Program.
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psnet.ahrq.gov/issue/patient-safety-curriculum-2nd-edition
July 12, 2017 - October 24, 2018
Pressure Injury Prevention in Hospitals Training Program.