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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.
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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.
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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.
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psnet.ahrq.gov/issue/nurse-well-being-concept-analysis
August 25, 2021 - March 16, 2022
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.
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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.
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psnet.ahrq.gov/issue/longitudinal-study-multifaceted-intervention-reduce-newborn-falls-while-preserving-rooming
March 20, 2019 - implementation, the hospital achieved one year without any newborn falls and there were no fall-related injuries … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.
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psnet.ahrq.gov/issue/ed-handoffs-observed-practices-and-communication-errors
October 19, 2022 - intensification, missed visits, and scheduled follow-up interval with racial or ethnic disparities in blood pressure … July 21, 2021
High delayed and missed injury rate after inter-hospital transfer of severely … injured trauma patients.
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psnet.ahrq.gov/node/49398/psn-pdf
May 01, 2003 - Patient #1 was in the trauma bay with massive injuries and profuse bleeding. … The blood pressure cuff
(which was partly fabric and partly nylon) was saturated with so much blood … General factors influencing compliance with barrier precautions include time pressures and concerns about … Until the cost-effectiveness of disposable blood pressure cuffs has
been established, we can at least … Situations
Blood Pressure Cuffs
EKG Leads
Pulse Oximetry
Defibrillators
This project was funded
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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.
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psnet.ahrq.gov/node/49410/psn-pdf
July 01, 2003 - 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.
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psnet.ahrq.gov/web-mm/bloody-bp-cuff
June 21, 2016 - Patient #1 was in the trauma bay with massive injuries and profuse bleeding. … The blood pressure cuff (which was partly fabric and partly nylon) was saturated with so much blood that … General factors influencing compliance with barrier precautions include time pressures and concerns about … Until the cost-effectiveness of disposable blood pressure cuffs has been established, we can at least … Situations Blood Pressure Cuffs EKG Leads Pulse Oximetry Defibrillators
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psnet.ahrq.gov/issue/cost-benefit-analysis-support-program-nursing-staff
October 26, 2016 - September 8, 2021
A randomized trial of a multifactorial strategy to prevent serious fall injuries … Are evidence-based practices associated with effective prevention of hospital-acquired pressure … September 28, 2016
Do nurse and patient injuries share common antecedents?
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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.
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psnet.ahrq.gov/web-mm/forgotten-drip
April 01, 2014 - Multiple therapies were initiated to reduce the intracranial pressure and swelling, including intubation … The "Lund protocol," derived in patients with elevated ICP in the setting of head trauma, assumes that … Continuous recording and control of ventricular fluid pressure in neurosurgical practice. … Introduction to cerebral perfusion pressure management. Neurosurg Clin N Am. 1995;6:761-773. … Hyperventilation in head injury: a review. Chest. 2005;127:1812-1827. [go to PubMed] 5.
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psnet.ahrq.gov/issue/top-five-review-post-pandemic-patient-safety-priorities
July 10, 2024 - demands during the crisis to affect falls, medication safety, healthcare associated infections , and pressure … injuries.
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psnet.ahrq.gov/issue/guideline-implementation-team-communication
October 15, 2014 - April 14, 2011
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.
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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?
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psnet.ahrq.gov/issue/cultural-transformation-toward-patient-safety-one-conversation-time
November 16, 2022 - March 7, 2012
Inflammation and the Host Response to Injury, a Large-Scale Collaborative … Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma … December 20, 2023
Assessing patients 2019 experiences with medical injury reconciliation … October 25, 2017
Improving reconciliation following medical injury: a qualitative study … November 12, 2014
Wound-care teams for preventing and treating pressure ulcers.
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psnet.ahrq.gov/issue/5-cataract-surgeries-5-people-blinded-what-went-wrong
June 08, 2011 - Reporting on a series of patient injuries linked to a contracted anesthesiologist at a cataract surgery … center, this news article describes how factors such as production pressure and insufficient assessment
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psnet.ahrq.gov/issue/barriers-and-enablers-affecting-patient-engagement-managing-medications-within-specialty
December 12, 2014 - patient engagement in medication monitoring, ranging from unavailability of clinicians to production pressures … September 14, 2009
Time for a change in injury and trauma care delivery: a trauma death