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41. Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx (pdf file)
    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

42. Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers in US academic medical centers? | PSNet
    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.

43. COVID-19 Pandemic Impact on Healthcare Associated Conditions | PSNet
    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

44. Psn-Pdf (pdf file)
    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

45. PSNet Curated Library (pdf file)
    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

46. Psn-Pdf (pdf file)
    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.

47. Zero preventable deaths after traumatic injury: an achievable goal. | PSNet
    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.

48. COVID-19 Pandemic Impact on Healthcare Associated Conditions'NGtrtd
    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

49. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. | PSNet
    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.

50. Enhancing Patient Safety and Outcomes: The Safe Patient Handling Connection. | PSNet
    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

51. Never Events | PSNet
    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

52. Accuracy of pressure ulcer events in US nursing home ratings. | PSNet
    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.

53. Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey. | PSNet
    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

54. Assessment of nursing home reporting of major injury falls for quality measurement on Nursing Home Compare. | PSNet
    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.

55. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic | PSNet
    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

56. In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO | PSNet
    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.

57. Psn-Pdf (pdf file)
    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

58. Psn-Pdf (pdf file)
    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.

59. The Forgotten Turn | PSNet
    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.

60. Psn-Pdf (pdf file)
    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.