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21. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60857/psn-pdf
    August 26, 2020 - Arguably the most severe complication of digital tourniquets, ischemic injuries, have two principal  … Excessive tourniquet pressures cause ischemic injury by vascular compression, which can lead to intimal … First, the use of a self- made tourniquet likely applied excessive pressure, which caused vascular injury … J Orthop Trauma. 2010 Jun;24(6):387–8.   3. Smith IM, Austin OMB, Knight SL. … J Trauma. 2006 Dec;61(6):1415–8.   15.

22. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45202/psn-pdf
    October 08, 2016 - Towards international consensus on patient harm: perspectives on pressure injury policy. … Towards international consensus on patient harm: perspectives on pressure injury policy. … https://psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury … https://psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy … https://psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy

23. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/849317/psn-pdf
    May 24, 2023 - Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure … injuries. … injuries. … injuries (HAPI) can result in increased lengths of stay, hospital readmissions, and lower quality of … https://psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury

24. Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. | PSNet
    psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
    July 07, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review. … injuries and medication administration errors: an integrative review. … injuries, medication administration errors). … injuries and medication administration errors: an integrative review.

25. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865376/psn-pdf
    March 27, 2024 - She had hypotension, with blood pressure around 80s/50s. … A pressure dressing and splint were applied. … In the meantime, the patient continued to bleed from her right ankle wound. … Retrohepatic IVC and hepatic vein injuries are amongst the most fatal injuries encountered in trauma … Gunshot wounds to the liver: no longer a mandatory operation.

26. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46524/psn-pdf
    October 18, 2017 - Pressure Injury Prevention in Hospitals Training Program. … https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program Pressure ulcers are … designed to help hospitals implement practice and process improvements to reduce the occurrence of pressure … https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program https://psnet.ahrq.gov … /issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review https://psnet.ahrq.gov

27. Nothing Called Small Surgery | PSNet
    psnet.ahrq.gov/web-mm/nothing-called-small-surgery
    February 01, 2023 - injury to the skin and soft tissues, and ischemic injury resulting in digital necrosis. … Arguably the most severe complication of digital tourniquets, ischemic injuries, have two principal causes … Excessive tourniquet pressures cause ischemic injury by vascular compression, which can lead to intimal … First, the use of a self-made tourniquet likely applied excessive pressure, which caused vascular injury … J Orthop Trauma. 2010 Jun;24(6):387–8.   Smith IM, Austin OMB, Knight SL.

28. Intraosseous Line Extravasation in a Pediatric Trauma Patient | PSNet
    psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
    September 29, 2021 - Her wounds led to significant blood loss. … arterial blood pressure. 23 Elevated compartment pressure leads initially to venous congestion, then … transferred to the OR for surgical exploration, debridement, and possible closure of her traumatic wounds … Injury . 2017;48:S22–S25. [ Available at ] Shuler MS, Reisman WM, Kinsey TL, et al. … Injury . 1994;25(6):379–81. [ Free full text ] Günal I, Köse N, Gürer D.

29. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures | PSNet
    psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
    November 27, 2019 - She had hypotension, with blood pressure around 80s/50s. … A pressure dressing and splint were applied. … In the meantime, the patient continued to bleed from her right ankle wound. … Retrohepatic IVC and hepatic vein injuries are amongst the most fatal injuries encountered in trauma … Gunshot wounds to the liver: no longer a mandatory operation.

30. Surgeon commitment to trauma care decreases missed injuries. | PSNet
    psnet.ahrq.gov/issue/surgeon-commitment-trauma-care-decreases-missed-injuries
    June 15, 2012 - Study Surgeon commitment to trauma care decreases missed injuries. … Surgeon commitment to trauma care decreases missed injuries. … Surgeon commitment to trauma care decreases missed injuries. … March 9, 2009 Interactive effects of nurse-experienced time pressure and burnout on patient … June 25, 2009 Missed injuries in trauma patients: a literature review.

31. Success in hospital-acquired pressure ulcer prevention: a tale in two data sets. | PSNet
    psnet.ahrq.gov/issue/success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets
    May 17, 2018 - Success In Hospital-Acquired Pressure Ulcer Prevention: A Tale In Two Data Sets. … Success In Hospital-Acquired Pressure Ulcer Prevention: A Tale In Two Data Sets. … July 2, 2019 Differences in the reporting of care-related patient injuries to existing … injury incidence. … injury policy.

32. Wound-care teams for preventing and treating pressure ulcers. | PSNet
    psnet.ahrq.gov/issue/wound-care-teams-preventing-and-treating-pressure-ulcers
    June 05, 2019 - Review Wound-care teams for preventing and treating pressure ulcers. … Wound-care teams for preventing and treating pressure ulcers. … In this systematic review, researchers sought to examine the impact of wound care teams in preventing … Wound-care teams for preventing and treating pressure ulcers. … injury policy.

33. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866261/psn-pdf
    July 10, 2024 - However, it is associated with several positioning injuries. … In rare circumstances, significant hypoperfusion with ischemic injury to the calf muscles may result … Pressures above 30 mm Hg are worrisome, but the diagnosis can be easily missed if the pressure is measured … Early evaluation and fasciotomy by an orthopedic or trauma surgeon are key to preventing permanent injury … Int Wound J. 2008;5(2):315-328. [Free full text] 6. Matsen FA 3rd.

34. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/836976/psn-pdf
    April 27, 2022 - Her wounds led to significant blood loss. … arterial blood pressure.23 Elevated compartment pressure leads initially to venous congestion, then … transferred to the OR for surgical exploration, debridement, and possible closure of her traumatic wounds … Injury. 2017;48:S22–S25. … Injury. 1994;25(6):379–81. [Free full text] 31. Günal I, Köse N, Gürer D.

35. A Laceration that Needed a Proper Exam, Not an X-Ray | PSNet
    psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
    November 25, 2020 - In a study of 165 patients undergoing wound exploration after hand laceration, 32% of tendon injuries … Explore wounds for evidence of arterial bleeding, foreign body, tendon injury, and arthrotomy. … A blood pressure cuff applied proximal to the wound is another option. … If a tendon injury cannot be ruled out after wound exploration and functional testing, assume an occult … Medico-legal risks associated to hand and wrist trauma.

36. Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey. | PSNet
    psnet.ahrq.gov/issue/organisational-strategies-implement-hospital-pressure-ulcer-prevention-programmes-findings
    June 02, 2021 - Study Organisational strategies to implement hospital pressure ulcer prevention programmes … Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a … Hospital-acquired pressure ulcers are considered a never event and can result in loss of payment … injury incidence. … injury.

37. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery | PSNet
    psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
    January 29, 2021 - However, it is associated with several positioning injuries. … In rare circumstances, significant hypoperfusion with ischemic injury to the calf muscles may result … Pressures above 30 mm Hg are worrisome, but the diagnosis can be easily missed if the pressure is measured … Early evaluation and fasciotomy by an orthopedic or trauma surgeon are key to preventing permanent injury … Int Wound J . 2008;5(2):315-328. [ Free full text ] Matsen FA 3rd.

38. Spotlight (pdf file)
    psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
    January 01, 2022 - shock or from traumatic brain injury … , or through skin with overlying infection or burn injury … mean arterial blood pressure … unreliable and rarely used in pediatrics due to differences in normal resting compartment pressures … transferred to the OR for surgical exploration, debridement, and possible closure of her traumatic wounds

39. Spotlight Case July 2008 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.230_slideshow.ppt
    December 01, 2010 - injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, … Slough or eschar may be present on some parts of the wound bed. … Suspected deep tissue injury Purple or maroon localized area of discolored intact skin or blood-filled … Ulcers (2) Skin changes can appear days after the tissue injury Pressure ulcers often cause pain initially—may … Guidelines for the prevention of pressure ulcers. Wound Rep Reg. 2008; 16:151-168.

40. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture | PSNet
    psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
    March 15, 2023 - The patient subsequently underwent surgical repair of the tracheal injury. … obstruction (e.g., obstructive sleep apnea; stridor and air hunger due to vocal cord paralysis or neck trauma … intubate, ventilatory support for neuromuscular disease, and as an adjunct to head/neck surgery or trauma … preventable through careful procedural and post-placement care. 6 Patient-related risk factors that affect wound … injuries can occur due to local tissue damage caused by tissue ischemia at high cuff pressures. 15