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Showing results for "pressure injury".
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321. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33722/psn-pdf
     December 01, 2011 - reversible or can be improved with this patient that will not only reduce their fall risk and harm injury … In this area it seems that the pressure for early mobilization seems like a very good idea, but probably … But they should not receive an injury as a result of a fall. … The same as with pressure ulcers. … We have nearly eliminated pressure ulcers here at Ascension, and it was all built around a strategy

322. Crossing the Line | PSNet
     psnet.ahrq.gov/web-mm/crossing-line
     December 01, 2012 - complications occur more commonly in patients with coagulation abnormalities or elevated central venous pressure … catheterization at the internal jugular site, similar to the ones seen in this case, suggest arterial injury … The timing of this patient's neurologic deterioration favors an arterial injury. … The key to preventing serious injury to the artery is identifying the arterial puncture prior to dilating … The most definitive technique is to attach a pressure transducer to the needle and inspect the waveform

323. The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. | PSNet
     psnet.ahrq.gov/issue/burden-healthcare-utilization-cost-and-mortality-associated-select-surgical-site-infections
     October 09, 2024 - Are evidence-based practices associated with effective prevention of hospital-acquired pressure … December 21, 2017 Complexity bias in the prevention of iatrogenic injury: why specific

324. Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion. | PSNet
     psnet.ahrq.gov/issue/defects-value-associated-hospital-acquired-conditions-how-improving-quality-could-save-us
     October 30, 2024 - Are evidence-based practices associated with effective prevention of hospital-acquired pressure … December 21, 2017 Complexity bias in the prevention of iatrogenic injury: why specific

325. Diagnostic Delay in the Emergency Department | PSNet
     psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
     September 18, 2024 - Over this period, his heart rate increased to greater than 120 bpm and his blood pressure was 175/95 … At this point, the patient was given aggressive intravenous antihypertensives (his blood pressure had … Perhaps when acute kidney injury was identified, along with worsening pain and tachycardia. … include shared decision-making and watchful waiting.( 22 ) Some emergency medicine physicians argue that pressures … Diagnostic error in the emergency department: follow up of patients with minor trauma

326. How safety is compromised when hospital equipment is a poor fit for patients who are obese. | PSNet
     psnet.ahrq.gov/issue/how-safety-compromised-when-hospital-equipment-poor-fit-patients-who-are-obese
     October 07, 2020 - the identified events resulted in a delay in care and 41% resulted in temporary harm (e.g., falls, pressure … injuries, skin tears, abrasions).

327. Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. | PSNet
     psnet.ahrq.gov/issue/adverse-events-rehabilitation-hospitals-national-incidence-among-medicare-beneficiaries
     January 09, 2019 - provide intensive rehabilitation to patients recovering from hospitalization for an acute illness or injury … Nearly half of the events were considered preventable, with the most common types of events including pressure

328. How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? | PSNet
     psnet.ahrq.gov/issue/how-can-interventions-more-directly-address-drivers-unprofessional-behaviour-between
     October 09, 2024 - December 19, 2018 Association of hospital participation in a regional trauma quality … Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

329. Safety culture, safety climate, and safety performance in healthcare facilities: a systematic review. | PSNet
     psnet.ahrq.gov/issue/safety-culture-safety-climate-and-safety-performance-healthcare-facilities-systematic-review
     October 20, 2021 - (Syphilis) is Still Stumping Healthcare Providers May 26, 2021 Production pressure … June 10, 2020 A critical review: moral injury in nurses in the aftermath of a patient

330. The impacts of medication shortages on patient outcomes: a scoping review. | PSNet
     psnet.ahrq.gov/issue/impacts-medication-shortages-patient-outcomes-scoping-review
     March 10, 2021 - February 7, 2024 Impact of time pressure on dentists' diagnostic performance. … March 2, 2016 Learning from no-fault treatment injury claims to improve the safety of

331. Accuracy of infection reporting in US nursing home ratings. | PSNet
     psnet.ahrq.gov/issue/accuracy-infection-reporting-us-nursing-home-ratings
     August 24, 2022 - Download Citation Related Resources From the Same Author(s) Accuracy of pressure … February 10, 2015 Assessment of nursing home reporting of major injury falls for quality

332. High nursing staff turnover in nursing homes offers important quality information. | PSNet
     psnet.ahrq.gov/issue/high-nursing-staff-turnover-nursing-homes-offers-important-quality-information
     September 16, 2020 - June 7, 2023 Accuracy of pressure ulcer events in US nursing home ratings. … May 27, 2020 Assessment of nursing home reporting of major injury falls for quality measurement

333. Legislative Report to the General Assembly: Adverse Event Reporting. | PSNet
     psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting
     May 20, 2009 - The most common adverse events reported were pressure ulcers and fall-related injuries or deaths .

334. Patient Safety Indicators | PSNet
     psnet.ahrq.gov/primer/patient-safety-indicators
     June 15, 2024 - which Brennan and colleagues defined in the Harvard Medical Practice Study in New York State as “an injury … Thoracic Surgeons offers patient safety indicators for adult cardiac surgery, such as deep sternal wound … injuries) and hospital acquired infections (CLABSI, CAUTI). … dehiscence, and obstetric trauma. … deaths due to health care-associated venous thromboembolism, sepsis, or patient falls; in-hospital pressure

335. Hierarchy and medical error: speaking up when witnessing an error. | PSNet
     psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-when-witnessing-error
     April 14, 2011 - July 19, 2023 Towards international consensus on patient harm: perspectives on pressure … injury policy.

336. Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis. | PSNet
     psnet.ahrq.gov/issue/incidence-never-events-among-weekend-admissions-versus-weekday-admissions-us-hospitals
     November 03, 2015 - September 28, 2023 Towards international consensus on patient harm: perspectives on pressure … injury policy.

337. Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study. | PSNet
     psnet.ahrq.gov/issue/risk-adjusted-survival-adults-following-hospital-cardiac-arrest-day-week-and-time-day
     July 01, 2017 - November 2, 2016 Towards international consensus on patient harm: perspectives on pressure … injury policy.

338. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest | PSNet
     psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
     April 01, 2008 - confirming that the tip of the catheter was in the lower half of the superior vena cava, he closed the wound … operating room, was called to see the patient who was pale, crying inconsolably, with fluctuating blood pressure … The proceduralist must also be on the lookout for injury to surrounding structures (such as arteries, … More posterior approaches increase the risk of intercostal artery injury. 12 Although the method of … Iatrogenic injury to the intercostal artery: aetiology, diagnosis and therapeutic intervention. 

339. Reducing potential errors associated with insulin administration: an integrative review. | PSNet
     psnet.ahrq.gov/issue/reducing-potential-errors-associated-insulin-administration-integrative-review
     March 31, 2021 - March 31, 2021 Intervention study for the reduction of medication errors in elderly trauma … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

340. Another fatal failure at King/Drew. | PSNet
     psnet.ahrq.gov/issue/another-fatal-failure-kingdrew
     May 03, 2017 - November 18, 2011 Popular blood thinner causing deaths, injuries in nursing homes. … June 11, 2014 Interactive effects of nurse-experienced time pressure and burnout on patient