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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
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psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - SPOTLIGHT CASE
Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. … Oxygen saturation <93% Heart rate >110 or <50 beats/min (bpm) Respiratory rate >24 or <10/minute Blood pressure … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy.
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psnet.ahrq.gov/issue/nursing-handoffs-systematic-review-literature
January 08, 2025 - 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/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.
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psnet.ahrq.gov/web-mm/breakage-picc-line
June 21, 2023 - These include injury to vessels or organs during insertion, catheter migration or malposition with extravasation … The study found that the most common complications were wound oozing, phlebitis, occlusion, infection … It seems prudent to avoid flushing catheters under high pressure or using small syringes. … PICC complications include injury to other vessels or organs during insertion, catheter migration or … Caregivers should be warned against flushing PICCs with small-volume syringes or with too much pressure
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psnet.ahrq.gov/node/33580/psn-pdf
April 01, 2022 - However, the key findings in a recent integrative review
include fewer pressure ulcers and urinary tract … job dissatisfaction and
absenteeism for nurses, as well as to medication errors, infections, falls, pressure … injuries, readmissions,
and failure to rescue.10 In addition, If bullying is present within the workplace … and unit culture promote teamwork and lead to nursing job satisfaction that is
likely to reduce the pressures … injuries.
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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
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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).
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psnet.ahrq.gov/web-mm/another-fall
June 01, 2010 - one of my favorites, because it is a simple and direct maneuver that eliminates the risk of serious trauma … from falls, restraints may also cause injury. … serious problem in the hospital, putting patients at risk for many other problems, including delirium, pressure … hip fractures,( 5 ) but this represents a change in emphasis from fall prevention to attenuation of trauma … Mechanical restraint use and fall related injuries among residents of skilled nursing facilities.
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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.
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psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
March 24, 2019 - 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 ] Xuan Q, Lyu Z, Chen Q, et al. … Continuous positive airway pressure versus high-flow nasal cannula oxygen therapy for acute hypoxemic
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psnet.ahrq.gov/node/49653/psn-pdf
May 01, 2012 - [CVP] above atmospheric pressure). … They should be
instructed to perform a Valsalva maneuver or forced expiration (where atmospheric pressure … is less than
intrathoracic pressure) during removal, and removal should be followed by applying pressure … sheet or discharge checklist), or a culture that
suppresses "unnecessary questions" because of time pressure … Developing policies, training, and a safety culture that reduce the risk of injury by making it easier
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psnet.ahrq.gov/issue/bedside-handover-quality-improvement-strategy-transform-care-bedside
October 27, 2010 - 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/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
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psnet.ahrq.gov/issue/nexus-nursing-leadership-and-culture-safer-patient-care
January 18, 2018 - 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/nursing-surveillance-concept-analysis
May 26, 2021 - 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/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
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psnet.ahrq.gov/node/848110/psn-pdf
April 26, 2023 - The cause of death was documented as hip trauma from the fall at the nursing home. … ,1 such as fractures or head trauma, falls can have important psychological impacts on
individuals such … Likewise, her blood pressure recordings, lying, sitting or
standing, were not noted so we don’t know … whether she also may have suffered a drop in her blood
pressure and experienced lightheadedness or … risk reduction for this resident might
have been to evaluate and monitor lying and standing blood pressures
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psnet.ahrq.gov/node/49748/psn-pdf
December 01, 2015 - This is because the risk of developing
acute kidney injury and/or hepatorenal syndrome is highest in … reduction in right atrial pressure. … The vasodilatation that occurs in the splanchnic
bed leads to a lowering of mean arterial pressure and … If a patient develops a
large fall in blood pressure, as occasionally occurs, I would give vasopressor … Large volume paracentesis is generally safe, but blood pressure may fall and require treatment.
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psnet.ahrq.gov/issue/examining-meaning-language-used-communicate-nursing-hand
July 07, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.