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Showing results for "pressure injury".
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381. Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities. | PSNet
     psnet.ahrq.gov/issue/data-driven-quality-improvement-culture-change-and-high-reliability-journey-special-hospital
     March 24, 2021 - Improvements in medication errors and hospital-acquired pressure injuries were observed, but employee

382. Optimizing medication safety in the home. | PSNet
     psnet.ahrq.gov/issue/optimizing-medication-safety-home
     August 24, 2015 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

383. Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. | PSNet
     psnet.ahrq.gov/issue/redesigning-hospital-alarms-patient-safety-alarmed-and-potentially-dangerous
     December 12, 2018 - Related Resources From the Same Author(s) Success in hospital-acquired pressure … December 12, 2018 Differences in the reporting of care-related patient injuries to existing

384. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49601/psn-pdf
     April 01, 2010 - , including self-induced "digital trauma." … Similar to bleeding from other sites, it is most effectively controlled by direct pressure. … Pinching the upper lip "pressure point" also diminishes blood coming in from the upper lip artery. … Not only do these injuries create additional bleeding sources, they are commonly mistaken for the original … septum to avoid a septal perforation.(5) Moisturizing the nasal cavity is important while the cautery wound

385. Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patients. | PSNet
     psnet.ahrq.gov/issue/assessing-between-and-within-hospital-differences-patient-safety-between-medicaid-and
     July 31, 2024 - compared with privately insured patients, Medicaid patients experienced significantly higher rates of pressure … injuries, catheter-related infections, and six-out-of-seven surgery-related safety indicators .

386. Review: bringing patient safety to the forefront through structured computerisation during clinical handover. | PSNet
     psnet.ahrq.gov/issue/review-bringing-patient-safety-forefront-through-structured-computerisation-during-clinical
     January 13, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

387. 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

388. Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. | PSNet
     psnet.ahrq.gov/issue/dashboard-design-identify-and-balance-competing-risk-multiple-hospital-acquired-conditions
     December 16, 2020 - management combining the risks of multiple conditions (catheter-associated urinary tract infections, pressure … injuries, and falls).

389. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet
     psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
     August 01, 2012 - circumstances combine to place the elderly nursing home resident at special risk for preventable drug-related injuries … all of medicine and place older persons residing in nursing homes at substantial risk of iatrogenic injury … We looked at the outcomes on falls, pressure ulcers, and restraint use. … We didn't find it for pressure ulcers. … that many of our readers don't know much about the organizational structure of nursing homes and the pressures

390. The patient's right to safety—improving the quality of care through litigation against hospitals. | PSNet
     psnet.ahrq.gov/issue/patients-right-safety-improving-quality-care-through-litigation-against-hospitals
     February 17, 2011 - interventions coupled with the 100,000 Lives Campaign , suggesting the other half should feel the pressure … February 17, 2011 A randomized trial of a multifactorial strategy to prevent serious fall injuries

391. Investigation of mental and physical health of nurses associated with errors in clinical practice. | PSNet
     psnet.ahrq.gov/issue/investigation-mental-and-physical-health-nurses-associated-errors-clinical-practice
     September 21, 2022 - Related Resources Barriers and facilitators to reporting medical device-related pressure … Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury

392. Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice. | PSNet
     psnet.ahrq.gov/issue/situation-awareness-and-mitigation-risk-associated-patient-deterioration-meta-narrative
     December 08, 2021 - August 3, 2022 Barriers and facilitators to reporting medical device-related pressure … April 29, 2020 A critical review: moral injury in nurses in the aftermath of a patient

393. Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safety events. | PSNet
     psnet.ahrq.gov/issue/machine-learning-evaluation-inequities-and-disparities-associated-nurse-sensitive-indicator
     July 19, 2023 - Rates of three nurse sensitive indicators - falls , healthcare associated pressure injuries, and healthcare

394. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867357/psn-pdf
     December 18, 2024 - The patient arrived at the ED with seizures, tachypneic with a respiratory rate of 30, blood pressure … significant reduction in the number of unrecognized esophageal intubations and cases of hypoxic brain injury … P stands for pneumothorax, which typically occurs in trauma patients with rib fractures or patients … J Trauma Inj. 2019;32(3):136-142. [Free full text] 7. Xuan Q, Lyu Z, Chen Q, et al. … Continuous positive airway pressure versus high-flow nasal cannula oxygen therapy for acute hypoxemic

395. Overdose on Oxygen? | PSNet
     psnet.ahrq.gov/web-mm/overdose-oxygen
     August 02, 2023 - Oxygen tensions above about 50 mm Hg (saturation above about 85%) will protect patients from hypoxic injury … 2019 A randomized trial of a multifactorial strategy to prevent serious fall injuries … October 6, 2021 Implementation of the World Health Organization Trauma Care Checklist … mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism in trauma … March 27, 2024 WebM&M Cases Uterine Artery Injury

396. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. | PSNet
     psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
     July 02, 2011 - 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 … artery aneurysms. 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

397. Patient Safety Indicators | PSNet
     psnet.ahrq.gov/primer/patient-safety-indicators
     September 07, 2019 - 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

398. Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology. | PSNet
     psnet.ahrq.gov/issue/occurrence-no-harm-incidents-and-adverse-events-hospitalized-patients-ischemic-stroke-or-tia
     August 05, 2020 - The most common preventable events were medication events , pressure injuries, and healthcare-associated

399. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/weekly-resource-0
     October 30, 2024 - Organizational factors, including workload and time pressure, were identified in 93% of studies. … in a motorcycle crash, including head trauma, chest injuries, and spinal fractures. … 2024 A man in his mid-50s presented to the hospital with a persistent headache after a sledding injury … A head CT scan was read as normal and he was diagnosed with a minor head injury and discharged without … The commentary summarizes risk factors for fall injuries among high-risk populations (such as older adults

400. Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis | PSNet
     psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
     October 28, 2020 - antibiotics with some initial improvement in his symptoms and blood pressure. … Laboratory test results revealed a mildly elevated white count, acute kidney injury, and elevated liver … The patient's blood pressure continued to trend downward to 60/40 mm Hg. … elevated white blood cell count) and end-organ dysfunction (elevated liver function tests, acute kidney injury … Sight August 1, 2009 WebM&M Cases Missing Trauma