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281. Staffing matters—every shift. | PSNet
     psnet.ahrq.gov/issue/staffing-matters-every-shift
     January 20, 2021 - December 12, 2012 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72614/psn-pdf
     March 01, 2021 - emergencies, eclampsia (convulsions), hypertensive crisis (a severe increase in the mother's blood pressure … decreased to a nadir of 21.8 percent (primary rate below ten percent), there had been no brachial plexus injuries … retrospective observational study found that the program led to a 70 percent reduction in brachial plexus injuries … following shoulder dystocia and the virtual elimination of permanent injuries.6 An additional retrospective … Seton Family of Hospitals: Where the Birth Trauma Rate is Essentially Zero.

283. Developing a tool for assessing competency in root cause analysis. | PSNet
     psnet.ahrq.gov/issue/developing-tool-assessing-competency-root-cause-analysis
     May 01, 2014 - May 22, 2019 Fake it 'til you make it: pressures to measure up in surgical training. … Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

284. Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes | PSNet
     psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
     July 23, 2024 - emergencies, eclampsia (convulsions), hypertensive crisis (a severe increase in the mother's blood pressure … decreased to a nadir of 21.8 percent (primary rate below ten percent), there had been no brachial plexus injuries … retrospective observational study found that the program led to a 70 percent reduction in brachial plexus injuries … following shoulder dystocia and the virtual elimination of permanent injuries. 6 An additional retrospective … Seton Family of Hospitals: Where the Birth Trauma Rate is Essentially Zero.

285. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49732/psn-pdf
     May 01, 2015 - 4 mmol/L or hypotension (mean arterial pressure [MAP] 4) In this case, the patient presented to the … mental status Lactate > 2 mmol/L Urinary output Creatinine > 2 mg/dL Worsening hypoxemia Acute lung injury … with PaO2/FiO2 Acute lung injury with PaO2/FiO2 Bilirubin > 2 mg/dL Platelet count 9/L International … normalized ratio > 1.5 Partial thromboplastin time > 60 seconds MAP: mean arterial pressure SBP: … systolic blood pressure Reprinted from (4) with permission from Wolters Kluwer Health, Inc.

286. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. | PSNet
     psnet.ahrq.gov/issue/nursing-assessment-continuous-vital-sign-surveillance-improve-patient-safety-medicalsurgical
     May 01, 2019 - April 12, 2023 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.

287. Nurse interrupted: development of a realistic medication administration simulation for undergraduate nurses. | PSNet
     psnet.ahrq.gov/issue/nurse-interrupted-development-realistic-medication-administration-simulation-undergraduate
     September 27, 2016 - September 27, 2016 Towards international consensus on patient harm: perspectives on pressure … injury policy.

288. The incidence and cost of adverse events in Victorian hospitals 2003-04. | PSNet
     psnet.ahrq.gov/issue/incidence-and-cost-adverse-events-victorian-hospitals-2003-04
     July 13, 2010 - June 7, 2018 Towards international consensus on patient harm: perspectives on pressure … injury policy.

289. Measurement of adverse events using "incidence flagged" diagnosis codes. | PSNet
     psnet.ahrq.gov/issue/measurement-adverse-events-using-incidence-flagged-diagnosis-codes
     June 18, 2013 - December 16, 2009 Towards international consensus on patient harm: perspectives on pressure … injury policy.

290. Learning from the design, development and implementation of the Medication Safety Thermometer. | PSNet
     psnet.ahrq.gov/issue/learning-design-development-and-implementation-medication-safety-thermometer
     November 02, 2016 - October 30, 2024 Towards international consensus on patient harm: perspectives on pressure … injury policy.

291. The effectiveness of root cause analysis: what does the literature tell us? | PSNet
     psnet.ahrq.gov/issue/effectiveness-root-cause-analysis-what-does-literature-tell-us
     February 11, 2013 - March 4, 2020 Root cause analysis for hospital-acquired pressure injury.

292. Interventions to improve hand hygiene compliance in the ICU: a systematic review. | PSNet
     psnet.ahrq.gov/issue/interventions-improve-hand-hygiene-compliance-icu-systematic-review
     January 23, 2019 - June 28, 2017 Towards international consensus on patient harm: perspectives on pressure … injury policy.

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846127/psn-pdf
     March 15, 2023 - later, he was seen by the urologist and was found to be tachycardic and febrile, with acute kidney injury … Rectal perforation is an uncommon process, most often related to traumatic injury or associated with … The affected tissue demonstrates markedly compromised integrity and impaired wound healing, which dramatically … increases the risk for complications including leak, inadvertent injury, and failure of surgical repair … Limitations In the past decade, surgical patients have grown increasingly complex,3 and there is growing pressure

294. Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study. | PSNet
     psnet.ahrq.gov/issue/are-measurements-patient-safety-culture-and-adverse-events-valid-and-reliable-results-cross
     February 04, 2015 - Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … July 1, 2016 Does time pressure have a negative effect on diagnostic accuracy?

295. Long-term Care and Patient Safety | PSNet
     psnet.ahrq.gov/primer/long-term-care-and-patient-safety
     February 24, 2022 - care hospitals, including the ability to care for patients requiring mechanical ventilation, complex wound … Inpatient rehabilitation facilities (IRFs) care for patients recovering from surgery, trauma, or an … daily evaluation by a physician but do require services such as intensive nursing, physical therapy, or wound … injuries) during their stay, half of which were preventable. … injuries, and falls).

296. Sources of nurse-sensitive inpatient safety improvement. | PSNet
     psnet.ahrq.gov/issue/sources-nurse-sensitive-inpatient-safety-improvement
     July 07, 2021 - Increased spending on both improved outcomes in catheter-related blood stream infections, pressure ulcers … September 24, 2016 Assessment of nursing home reporting of major injury falls for quality

297. A Little Shuteye | PSNet
     psnet.ahrq.gov/web-mm/little-shuteye
     December 22, 2018 - had heard of the availability of topical skin adhesive that can be used in place of sutures to close wounds … An ophthalmologist evaluated the child the next day, and fortunately, there was no permanent injury. … Proper use of tissue adhesives involves choosing appropriate wounds, as well as patients, for the procedure … Prior to applying the product, hemostasis must be achieved with either pressure or topical application … Tissue adhesives in wound care. Hamilton: B.C. Decker Inc.; 2003. 7.

298. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61080/psn-pdf
     October 28, 2020 - Risk factors associated with rebleeding include high systolic pressure, the presence of an intracerebral … The clipping of cerebral aneurysms is technically difficult with a risk of unintentional injury to branch … psnet.ahrq.gov//#18 Neuromonitoring during aneurysm clipping has been shown to reduce the risk of injury … Inflammation as a link between brain injury and heart damage: the model of subarachnoid hemorrhage. … Intraoperative evoked potential monitoring for detecting cerebral injury during adult aneurysm clipping

299. Nursing management of medication errors. | PSNet
     psnet.ahrq.gov/issue/nursing-management-medication-errors
     November 02, 2022 - September 19, 2018 System approach to prevent common bile duct injury and enhance performance … January 12, 2011 Interactive effects of nurse-experienced time pressure and burnout on

300. The mindful path to nursing accuracy: a quasi-experimental study on minimizing medication administration errors. | PSNet
     psnet.ahrq.gov/issue/mindful-path-nursing-accuracy-quasi-experimental-study-minimizing-medication-administration
     March 03, 2019 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review. … August 26, 2020 Organisational strategies to implement hospital pressure ulcer prevention