-
psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - respiratory monitoring for 24 hours after intrathecal morphine injection, and potential neurological injury … ; this change was associated with decreased risk of motor vehicle crash involvement and needlestick injury … Work schedule, needle use, and needlestick injuries among registered nurses. … Can workplace rest breaks prevent work-related injuries related to long working hours? … Effects of coffee on ambulatory blood pressure in older men and women: a randomized controlled trial.
-
psnet.ahrq.gov/node/852807/psn-pdf
August 30, 2023 - respiratory monitoring for 24 hours after intrathecal morphine injection, and potential neurological injury … new-recommendations-duty-hours-acgme-task-force
decreased risk of motor vehicle crash involvement and needlestick injury … Simplify the treatment when tired or under time pressure
When clinicians are tired or pressured for … Work schedule, needle use, and needlestick injuries among
registered nurses. … Can workplace rest breaks prevent work-related injuries related to long
working hours?
-
psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions
July 17, 2024 - Common incidents included pressure injuries, medication errors , and premature discharge. … Long-Term Care
Geriatrics
Discontinuities, Gaps, and Hand-Off Problems
Medical Complications
Pressure
-
psnet.ahrq.gov/issue/teamstepps-core-curriculum
August 01, 2012 - July 12, 2018
Pressure Injury Prevention in Hospitals Training Program.
-
psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
April 24, 2024 - Multiple services were contacted to assist with management of this complicated wound. … After conservative treatment for nearly three weeks, the wound did not show any appreciable healing, … To prevent iatrogenic injuries of this type, physicians, nurses, and pharmacists must work together to … When the infusion exceeds this maximum rate, it may cause lowering of blood pressure. 1
Calcium chloride … Management of severe calcium chloride extravasation injury: a case report.
-
psnet.ahrq.gov/issue/preventing-newborn-falls-and-drops
October 10, 2018 - February 21, 2018
Early identification and evaluation of severe pressure injuries. … December 8, 2010
National safety effort targets perinatal injuries.
-
psnet.ahrq.gov/issue/pros-and-cons-electronic-prescribing-children
October 30, 2024 - November 2, 2016
Towards international consensus on patient harm: perspectives on pressure … injury policy.
-
psnet.ahrq.gov/issue/implementing-standardized-safe-surgery-program-reduces-serious-reportable-events
October 30, 2024 - November 2, 2016
Towards international consensus on patient harm: perspectives on pressure … injury policy.
-
psnet.ahrq.gov/node/73998/psn-pdf
October 27, 2021 - Blood products and intravenous fluids were infused under pressure into the external jugular
intravenous … efflux of solutions from a vessel into the surrounding tissue during
an infusion” and may cause grave injury … If an internal jugular venous catheter is placed, the venous pressure should be
transduced, and the … Outcomes and management of peripheral intravenous infiltration
injuries. Hand (NY). … Vascular access, fluid resuscitation, and blood transfusion in
pediatric trauma.
-
psnet.ahrq.gov/issue/missed-nursing-care-emergency-departments-scoping-review
November 03, 2021 - include overcrowding and patients with complex care needs, which may result in medication errors, pressure … injuries, or patient deterioration. … More About The Topic
Emergency Departments
Emergency Nursing
Administration Errors
Pressure
-
psnet.ahrq.gov/issue/instruments-and-warning-signs-identifying-and-evaluating-frequency-adverse-events
July 20, 2022 - Common adverse events impacting this population include adverse drug events, delirium , malnutrition, pressure … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.
-
psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
May 26, 2016 - Considered a never event for hospitalized patients, falls that result in serious injury remain relatively … October 5, 2015
Preventing in-facility pressure ulcers as a patient safety strategy: … March 13, 2013
Venous thromboembolism after trauma: a never event?
-
psnet.ahrq.gov/issue/inevitability-physician-burnout-implications-interventions
April 17, 2024 - September 18, 2024
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.
-
psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - 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. [go to PubMed] 12. … J Orthop Trauma. 2014;28:e49-e55.
-
psnet.ahrq.gov/node/840141/psn-pdf
November 16, 2022 - reporting and improvements in safety culture, as well as decreases in adverse events such
as falls, pressure … injuries and healthcare-acquired infections.
-
psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
December 18, 2024 - In hospitals, falls with injuries can lead to other adverse outcomes including pressure injuries or … One study found that providing patients at risk for falls with Smart Socks , which contain pressure … Another example is the CDC’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) initiative , … no injury. … injury to that person and their psyche.
-
psnet.ahrq.gov/issue/medical-malpractice-why-it-so-hard-doctors-apologize
August 24, 2011 - August 24, 2011
Assessment of nursing home reporting of major injury falls for quality … February 5, 2020
Accuracy of pressure ulcer events in US nursing home ratings.
-
psnet.ahrq.gov/issue/nurse-practitioner-led-medication-reconciliation-critical-access-hospitals
March 18, 2020 - November 6, 2019
Towards international consensus on patient harm: perspectives on pressure … injury policy.
-
psnet.ahrq.gov/issue/medication-error-identification-rates-pharmacy-medical-and-nursing-students
June 02, 2021 - the Same Author(s)
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.
-
psnet.ahrq.gov/issue/how-medication-prescribing-ceased-systematic-review
June 14, 2019 - June 14, 2019
Towards international consensus on patient harm: perspectives on pressure … injury policy.