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Showing results for "pressure injury".
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221. The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy | PSNet
     psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
     April 08, 2019 - The Case A 47-year-old man with paraplegia (secondary to a gunshot wound) and a history of polysubstance … Unfortunately, his cardiac arrest led to an anoxic brain injury, and he remained in a vegetative state … 11  Laboratory test(s) 12  Laboratory value(s)/result(s) 13  Vital signs: height, weight, blood pressure

222. EMS Patient Safety in the Field | PSNet
     psnet.ahrq.gov/perspective/ems-patient-safety-field
     July 28, 2021 - correctly and safely, but for a subset of patients experiencing time-sensitive events such as severe trauma … To assist EMS personnel in decision making in high-pressure situations and to support standardized care … One example is injuries personnel can sustain from slipping or tripping when lifting and moving equipment … and patients. 8 An injury can harm not only the worker, but also the patient, if, for example, the … What if that trauma patient all of a sudden decompensated?

223. Isolated Clot, Real Error | PSNet
     psnet.ahrq.gov/web-mm/isolated-clot-real-error
     December 01, 2013 - is sometimes observed in clinical practice, filters should not be used as a way to prevent VTE after trauma … July 1, 2011 Injuries before and after diagnosis of cancer: nationwide register … More Related Resources WebM&M Cases Under Pressure

224. Miscommunication During the Interhospital Transport of a Critically Ill Child | PSNet
     psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
     March 27, 2024 - Disconnection in information exchange during pediatric trauma transfers: a qualitative study. … moderator of child’s acute biological response and subsequent posttraumatic stress symptoms in pediatric injury … disorder symptoms and child gender on risk for persistent posttraumatic stress disorder symptoms in child trauma … May 29, 2024 WebM&M Cases Under Pressure: Delayed Diagnosis

225. Classics and Emerging Classics | PSNet
     psnet.ahrq.gov/classics
     August 01, 2023 - Complications (93) Nosocomial Infections (50) Patient Falls (8) Pressure … clear limitations, select PSIs have been shown to accurately identify certain accidental inpatient injuries

226. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
     January 01, 2020 - opioid-induced respiratory depression; of those, 77% resulted in severe brain damage or death – Most injuries … should be monitored closely 25 Monitoring Component Assessment Type Vital Signs Heart Rate Blood Pressure

227. Post-Acute Transitional Services: Safety in Home-Based Care Programs | PSNet
     psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
     April 24, 2024 - low socioeconomic status are at particularly high risk for poor outcomes such as medication errors, injuries … Medicare & Medicaid Services (CMS) defines homebound as being confined to the home due to an illness or injury … Improving blood pressure control using smart technology.

228. Which Line: Ordering Provider or Proceduralist? | PSNet
     psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
     September 16, 2015 - harmed by having the incorrect catheter placed, but the error was eventually discovered and further injury … The efficacy of self-check is limited by time pressure and by asymmetric knowledge—individuals in the

229. What Was in Those Platelets? | PSNet
     psnet.ahrq.gov/web-mm/what-was-those-platelets
     August 28, 2024 - placed back on the mechanical ventilator), given an infusion of dopamine to maintain adequate blood pressure … transfusion-related deaths reported to the FDA for fiscal years 2005 and 2006 were transfusion-related acute lung injury

230. In Conversation with... Kathleen Sanford and Sue Schuelke about Virtual Nursing | PSNet
     psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
     August 30, 2023 - VIC takes some of the pressure off of the nurses on the floor with good catches and error prevention. … Interruptions in workflow for RNs in a Level One Trauma Center. … of Nursing Quality Indicators showed low incidence of catheter-associated urinary tract infections, pressure … injuries, deep vein thrombosis, and central-line associated blood stream infection. 1 In terms of patient

231. Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges | PSNet
     psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
     August 30, 2023 - of Nursing Quality Indicators showed low incidence of catheter-associated urinary tract infections, pressure … injuries, deep vein thrombosis, and central-line associated blood stream infection. 1 In terms of patient … VIC takes some of the pressure off of the nurses on the floor with good catches and error prevention. … Interruptions in workflow for RNs in a Level One Trauma Center.

232. Duty to Disclose Someone Else's Error? | PSNet
     psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
     June 01, 2004 - ICU, he was noted to have fixed and dilated pupils on neurologic exam, a sign of serious neurologic injury … Strong psychological pressures accompanying these events (not wanting to admit a mistake) can bias the

233. Diagnostic Errors | PSNet
     psnet.ahrq.gov/perspective/diagnostic-errors
     December 01, 2013 - in 2014 looked at the frequency of diagnostic errors in specific clinical settings, such as missed injuries … in pediatric trauma . … Another study reported that 8% of deaths at a Level 1 trauma center were definitely or potentially preventable … I study errors in primary care and find that there are many current pressures on primary care clinicians

234. Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program? | PSNet
     psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
     March 01, 2015 - demonstrate an average or below average R-AHMR, given that most quality problems, while associated with injury … at the beginning of last year to get the head of the NHS to resign, and he did resign as a result of pressure

235. Primary Care and Patient Safety: Opportunities at the Interface | PSNet
     psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
     September 28, 2022 - AHRQ’s broad definition of patient safety includes “prevention of diagnostic errors, medical errors, injury … solutions may include initial screenings for symptoms of chronic health conditions, such as high blood pressure … A big step was just educating people that, in fact, they have high blood pressure and how they can take … As part of this education, the community health worker would give a patient a blood pressure monitor … so they could take their own blood pressure at different times during the day and see for themselves

236. Beyond the Hospital: the New Frontier of Patient Safety | PSNet
     psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
     August 01, 2014 - events that occur in outpatient settings in the United States, resulting in 4829 serious permanent injuries … annually in the ambulatory setting.( 7 ) If the rate of prescribing errors that have potential for patient injury … RW : In the hospital there are significant pressures and drivers that create a business case to invest

237. Safety In Dentistry | PSNet
     psnet.ahrq.gov/perspective/safety-dentistry
     August 01, 2016 - that a review of the literature ( 2 ) we conducted identified reports of serious lacerations and other injuries … Is it the same kind of pressure that we have in the US?

238. Patient Advocacy in Patient Safety: Have Things Changed? | PSNet
     psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
     June 01, 2014 - saw a flurry of new patient organizations, among them the Josie King Foundation, Medically Induced Trauma … advocates, too, have generally concentrated their efforts on hospitals, where the most devastating patient injuries … Laaser U, Senault R, Viefhues H, German Society for Social Medicine, German Institute for High Blood Pressure … Medically Induced Trauma Support Services. [Available at] 18. Mothers Against Medical Error.

239. Telemedicine and Patient Safety | PSNet
     psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
     September 01, 2016 - physicians in a large academic medical center to manage treatment of children with serious illness or injury … RT : No, being able to have your tablet take your blood pressure and shoot the systolic and diastolic

240. In Conversation with...Lucian Leape, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
     August 01, 2006 - Moreover, the safety gains we have achieved are under constant challenge from the pressures of production … chronicled the number of days there had been since anyone at our plant had lost a day due a work-related injury