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341. 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 .

342. Misdiagnoses: a hidden risk of genetic testing. | PSNet
     psnet.ahrq.gov/issue/misdiagnoses-hidden-risk-genetic-testing
     July 10, 2019 - November 23, 2016 Costs of medical injuries in Utah and Colorado. … November 28, 2016 Medical misdiagnoses put pressure on patients to stay engaged.

343. The optimal use of telehealth to deliver safe patient care. | PSNet
     psnet.ahrq.gov/issue/optimal-use-telehealth-deliver-safe-patient-care
     October 10, 2018 - October 10, 2018 Early identification and evaluation of severe pressure injuries.

344. Proactive prevention of maternal death from maternal hemorrhage. | PSNet
     psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage
     January 15, 2020 - July 31, 2019 Early identification and evaluation of severe pressure injuries.

345. 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

346. The impact of rationing nursing care on patient safety: a systematic review. | PSNet
     psnet.ahrq.gov/issue/impact-rationing-nursing-care-patient-safety-systematic-review
     December 06, 2023 - ) adversely impacts patient safety, contributing to higher incidence of falls, medication errors, pressure … injuries, and healthcare-associated infections.

347. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists | PSNet
     psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
     February 26, 2025 - 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

348. 'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events. | PSNet
     psnet.ahrq.gov/issue/skating-thin-ice-consultant-surgeons-contemporary-experience-adverse-surgical-events
     April 17, 2024 - Production pressures and poor safety culture were among the frequently cited factors predisposing to … August 2, 2015 A randomized trial of a multifactorial strategy to prevent serious fall injuries

349. Limb Loss after Vasopressor Use | PSNet
     psnet.ahrq.gov/web-mm/limb-loss-after-vasopressor-use
     March 14, 2012 - MAS Background: Limb ischemia associated with pressor use In septic shock, vascular endothelial injury … among survivors, there is significant morbidity, including acute or chronic kidney failure, myocardial injury … , and central venous pressure. … High versus low blood-pressure target in patients with septic shock.  … J Wound Care . 2012;21(12):615-619. [ Free full text ] Jones RG, Gardner GP, Morris ME.

350. 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

351. 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

352. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-307
     September 29, 2021 - The most common safety events included pressure injuries or other skin integrity events, falls, and medication-related … Study Communication failures contributing to patient injury in anaesthesia malpractice … Patient falls resulting in injury are considered a never event. … Trauma resuscitation is a complex, specialized process with a high risk for errors. … rate monitors, two-lead electrocardiography, continuous capnography, and non-invasive arterial blood pressure

353. 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.

354. EU to tackle issue of patient safety. | PSNet
     psnet.ahrq.gov/issue/eu-tackle-issue-patient-safety
     September 06, 2023 - March 8, 2023 6-PACK programme to decrease fall injuries in acute hospitals: cluster … October 7, 2020 Air pressure: human factors are the key to a safer flight environment

355. 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

356. 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 - August 25, 2021 Production pressure and its relationship to safety: a systematic review … June 10, 2020 A critical review: moral injury in nurses in the aftermath of a patient

357. 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

358. 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

359. People, processes, health IT and accurate patient identification. | PSNet
     psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification
     April 11, 2018 - April 11, 2018 Early identification and evaluation of severe pressure injuries.

360. Keeping patients on track with preventative care during pandemic. | PSNet
     psnet.ahrq.gov/issue/keeping-patients-track-preventative-care-during-pandemic
     April 11, 2018 - October 10, 2018 Early identification and evaluation of severe pressure injuries.