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psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
January 01, 2023 - obstruction (e.g., obstructive
sleep apnea; stridor and air hunger due to vocal cord paralysis or neck trauma … intubate, ventilatory support for
neuromuscular disease, and as an adjunct to head/neck surgery or trauma … fistulas.6,7
– With the use of the Seldinger technique, complications from esophageal or carotid
injuries … Indications, Complications and Risk Factors of Tracheostomy (4)
• Patient-related risk factors that affect wound … blood flow at cuff pressures over 50 cm H20.15
• Stenosis, fistulas, and other tracheal injuries can
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psnet.ahrq.gov/issue/are-evidence-based-practices-associated-effective-prevention-hospital-acquired-pressure
September 23, 2020 - Are evidence-based practices associated with effective prevention of hospital-acquired pressure … Are Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Pressure Ulcers … Are Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Pressure Ulcers … February 17, 2009
A randomized trial of a multifactorial strategy to prevent serious fall injuries … March 7, 2018
Pressure Injury Prevention in Hospitals Training Program.
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psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions
March 10, 2025 - Study
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence. … injuries. … injuries between March and July 2020. … The authors discuss how prior organizational efforts to reduce hospital-acquired pressure injuries allowed
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psnet.ahrq.gov/node/849679/psn-pdf
June 28, 2023 - The patient subsequently underwent surgical repair of the
tracheal injury. … obstruction (e.g., obstructive sleep apnea; stridor and air hunger due
to vocal cord paralysis or neck trauma … intubate, ventilatory support for neuromuscular disease, and as an adjunct to
head/neck surgery or trauma … preventable
through careful procedural and post-placement care.6
Patient-related risk factors that affect wound … capillary blood flow at
cuff pressures over 50 cm H20.
15 Stenosis, fistulas, and other tracheal injuries
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psnet.ahrq.gov/print/pdf/node/74279
January 01, 2022 - Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. … of health care delivery, including how hospitals
prevent common hospital-acquired conditions such as pressure … injuries. … visitation-restrictions-patient-experience-and-safety-outcomes-critical
https://psnet.ahrq.gov/issue/learning-during-crisis-impact-covid-19-hospital-acquired-pressure-injury-incidence
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psnet.ahrq.gov/node/74253/psn-pdf
January 12, 2022 - Injuries
The risk of pressure injuries of the skin and soft tissue has increased during the pandemic … injuries. … the risk of pressure injury
among COVID-19 patients.7
Infections
Among COVID-19 patients in particular … Injury Advisory Panel, and recommendations developed by researchers on the
prevention of pressure injuries … Medical device-related pressure injuries during the COVID-19 pandemic.
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psnet.ahrq.gov/issue/zero-preventable-deaths-after-traumatic-injury-achievable-goal
March 24, 2021 - Commentary
Zero preventable deaths after traumatic injury: an achievable goal. … Zero preventable deaths after traumatic injury. … Zero preventable deaths after traumatic injury. … September 25, 2024
WebM&M Cases
Under Pressure: Delayed … Systems to Achieve Zero Preventable Deaths After Injury.
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psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditionsngtrtd
August 22, 2022 - Study
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence. … injuries. … injuries between March and July 2020. … The authors discuss how prior organizational efforts to reduce hospital-acquired pressure injuries allowed
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psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
January 06, 2018 - Review
Preventing in-facility pressure ulcers as a patient safety strategy: a systematic … Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. … Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. … December 8, 2021
Pressure Injury Prevention in Hospitals Training Program. … injury policy.
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psnet.ahrq.gov/issue/enhancing-patient-safety-and-outcomes-safe-patient-handling-connection
September 23, 2021 - Patient handling can affect the safety of patient mobility , development of pressure ulcers and worker … injury. … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review. … View More
See More About
Online Education
Nursing
Latent Errors
Pressure
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psnet.ahrq.gov/primer/never-events
September 07, 2019 - , while being cared for in a healthcare setting Care management events Patient death or serious injury … associated with a fall while being cared for in a healthcare setting Any stage 3, stage 4, and unstageable pressure … Because Never Events are devastating and preventable, health care organizations are under increasing pressure … Related Resources
Identifying resilience: a system safety review of trauma … See More About The Topic
Sentinel Event
Never Events
Hospitals
Operating Room
Pressure
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psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings
February 05, 2020 - Accuracy of pressure ulcer events in US nursing home ratings. … This study compared seven years of self-reported pressure ulcer data with claims-based data for pressure … Accuracy of pressure ulcer events in US nursing home ratings. … Related Resources From the Same Author(s)
Assessment of nursing home reporting of major injury … January 17, 2024
Early identification and evaluation of severe pressure injuries.
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psnet.ahrq.gov/issue/interactive-effects-nurse-experienced-time-pressure-and-burnout-patient-safety-cross
September 23, 2009 - Study
Interactive effects of nurse-experienced time pressure and burnout on patient … Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional … The combination of burnout and time pressures appeared to be associated with patient safety risks, … May 9, 2012
Surgeon commitment to trauma care decreases missed injuries. … May 22, 2013
System approach to prevent common bile duct injury and enhance performance
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psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare
August 24, 2022 - Emerging Classic
Assessment of nursing home reporting of major injury … Assessment of nursing home reporting of major injury falls for quality measurement on nursing home compare … This study compared falls with injury data self-reported by nursing homes against those identified in … Download Citation
Related Resources From the Same Author(s)
Accuracy of pressure … September 14, 2022
Accuracy of pressure ulcer events in US nursing home ratings.
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psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
January 12, 2022 - Injuries The risk of pressure injuries of the skin and soft tissue has increased during the pandemic … Injury Advisory Panel, and recommendations developed by researchers on the prevention of pressure injuries … Medical device-related pressure injuries during the COVID-19 pandemic. … The other thing that we saw related to pressure injuries was a type of skin lesion the National Pressure … COVID skin looks very much like deep tissue injury, or other types of pressure injury, but is actually
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psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
January 12, 2022 - The other thing that we saw related to pressure injuries was a type of skin lesion the National Pressure … COVID skin looks very much like deep tissue injury, or other types of pressure injury, but is actually … Injuries The risk of pressure injuries of the skin and soft tissue has increased during the pandemic … Injury Advisory Panel, and recommendations developed by researchers on the prevention of pressure injuries … Medical device-related pressure injuries during the COVID-19 pandemic.
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psnet.ahrq.gov/node/47093/psn-pdf
July 02, 2019 - effective for managing blood glucose and blood transfusions
and for preventing venous thromboembolism, pressure … ulcers, acute kidney injury, and incipient clinical
deterioration. … psnet.ahrq.gov/issue/preventability-hospital-acquired-venous-thromboembolism
https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
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psnet.ahrq.gov/node/49615/psn-pdf
December 01, 2010 - injury to the skin
and/or underlying tissue usually over a bony prominence, as a result of pressure … Int Wound J. 2008;5:315-328. [go to PubMed]
3. Lyder CH. … Adv Wound Care. 1999;12:22-30. [go to
PubMed]
5. … Guidelines for the prevention of pressure ulcers. Wound
Repair Regen. 2008;16:151-168. … Slough or eschar may
be present on some parts of the wound bed.
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psnet.ahrq.gov/web-mm/forgotten-turn
August 01, 2018 - injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, … Int Wound J. 2008;5:315-328. [go to PubMed]
3. Lyder CH. … Adv Wound Care. 1999;12:22-30. [go to PubMed]
5. … Guidelines for the prevention of pressure ulcers. Wound Repair Regen. 2008;16:151-168. … Slough or eschar may be present on some parts of the wound bed.
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psnet.ahrq.gov/node/867805/psn-pdf
February 26, 2025 - Other important factors are
nursing-sensitive events, which include things like pressure injuries and … For example, with pressure injuries, wetness
in the bed dramatically increases the risk that somebody … will develop a dangerous pressure injury. … Some of these sensors are expensive, but pressure injuries are extremely expensive. … will take a look at your pressure injuries practices and take steps to improve those.