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Showing results for "pressure injury".
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421. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
     July 01, 2003 - At this time, the patient’s blood pressure was 90/palpable, heart rate was 40 and an O2 saturation was … her preference to avoid invasive ventilation, she was started on noninvasive bi-level positive airway pressure … with uncertain outcomes i.e., successful cardiac resuscitation with resultant severe anoxic brain injury

422. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.2_slideshow.ppt
     February 01, 2003 - Neuromuscular blockade overdose Aminoglycosides or intravenous magnesium Neurological impairment or injury … error in drug administration is recognized immediately after injection: Stop the IV If there is blood pressure … apnea, muscle weakness, or visual disturbances Extreme or unexpected increase or decrease in blood pressure

423. Breathe Easy: Safe Tracheostomy Management | PSNet
     psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
     June 07, 2023 - Tracheostomy should be considered around 14 days of intubation in an adult population to avoid laryngotracheal injury … Tracheostomy devices can cause pressure ulcers, particularly along the inferior aspect of the tracheostomy … Steps for tracheostomy wean include: i) wean from positive pressure ventilation, ii) demonstrate that … one wake–sleep cycle (approximately 24 hours), the tracheostomy is removed (decannulation) and the wound … An occlusive dressing is placed to prevent air escape during wound healing.

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33837/psn-pdf
     July 01, 2017 - this area from personal acquaintance with physicians and understanding their narratives of how legal pressures … it would be useful for us to deliberate about what we think the value of different common types of injuries … That caring relationship doesn't end when an injury occurs, particularly if the injury is our fault. … They reduce the underlying safety problems that can lead to injuries that lead to claims. … Then, we have a few cases in which EHR systems themselves have had problems that have led to injuries

425. Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. | PSNet
     psnet.ahrq.gov/issue/effect-systematic-physician-cross-checking-reducing-adverse-events-emergency-department
     November 29, 2023 - In emergency departments (EDs), high medical acuity , incomplete information, and productivity pressures … February 12, 2020 Prevention of fall-related injuries in long-term care: a randomized

426. Intraoperative Awareness during Rhinoplasty | PSNet
     psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
     January 29, 2021 - Awareness is also more common during emergency operations for acute trauma. … Trauma anesthesia care has been improving over time; a recent study found that awareness in trauma patients … Her interpretation that the ETT was obstructed by external pressure is very plausible. … Awareness during anesthesia for trauma: has anything changed? … WebM&M Cases Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury

427. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. | PSNet
     psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
     August 14, 2024 - prevent the development of hematoma after ACSS. 18 Additionally, maneuvers that transiently raise venous pressure … Early identification is crucial, as airway obstruction may evolve rapidly and hypoxic brain injury follows … C lear steri-strips and pull suture O pen wound – cut skin and platysma stitches O pen wound – … Hypoxic brain injury occurs rapidly after airway obstruction, and prompt recognition and management of … Perforation March 15, 2023 WebM&M Cases Under Pressure

428. What are the experiences of team members involved in root cause analysis? A qualitative study. | PSNet
     psnet.ahrq.gov/issue/what-are-experiences-team-members-involved-root-cause-analysis-qualitative-study
     August 16, 2023 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

429. Registration-associated patient misidentification in an academic medical center: causes and corrections. | PSNet
     psnet.ahrq.gov/issue/registration-associated-patient-misidentification-academic-medical-center-causes-and
     September 02, 2020 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

430. Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. | PSNet
     psnet.ahrq.gov/issue/differences-hospitals-workplace-violence-incident-reporting-practices-mixed-methods-study
     January 19, 2022 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

431. Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. | PSNet
     psnet.ahrq.gov/issue/antimicrobial-residual-drug-error-intensive-care-unit-single-blinded-prospective
     November 21, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

432. Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review. | PSNet
     psnet.ahrq.gov/issue/sustaining-improvement-hospital-wide-initiative-patient-safety-and-quality-systematic-scoping
     September 01, 2021 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

433. Root causes of adverse drug events in hospitals and artificial intelligence capabilities for prevention. | PSNet
     psnet.ahrq.gov/issue/root-causes-adverse-drug-events-hospitals-and-artificial-intelligence-capabilities-prevention
     May 20, 2020 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

434. Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project. | PSNet
     psnet.ahrq.gov/issue/improving-communication-hospital-skilled-nursing-facility-through-standardized-hand-quality
     September 08, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

435. Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. | PSNet
     psnet.ahrq.gov/issue/expressing-concern-and-writing-it-down-experimental-study-investigating-transfer-information
     November 17, 2014 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

436. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
     June 01, 2012 - They had taken her to the operating room, but she developed low blood pressure before the case and the … An evaluation of compliance with practice guidelines on interhospital trauma transfer. … An evaluation of compliance with practice guidelines on interhospital trauma transfer. … Injury. 2005;36:1051-1057. http://www.ncbi.nlm.nih.gov/pubmed/16098332 Warren J, Fromm RE Jr, Orr RA, … An evaluation of compliance with practice guidelines on interhospital trauma transfer.

437. Weighing In on Surgical Safety | PSNet
     psnet.ahrq.gov/web-mm/weighing-surgical-safety
     August 04, 2021 - technical aspects of anesthetic management (e.g., airway intubation, drug distribution and uptake, risk of pressure … injury), but poorly controlled medical comorbidities are probably the most important factors increasing … Nocturnal continuous positive airway pressure (CPAP) therapy should be instituted 4-6 weeks before planned … supine position causes significant increases in oxygen consumption, cardiac output, and pulmonary artery pressure … November 15, 2011 A randomized trial of a multifactorial strategy to prevent serious fall injuries

438. Managing Ascites: Hazards of Fluid Removal | PSNet
     psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
     June 01, 2018 - 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 … Large volume paracentesis is generally safe, but blood pressure may fall and require treatment. … Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma

439. Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. | PSNet
     psnet.ahrq.gov/issue/adverse-events-and-their-contributors-among-older-adults-during-skilled-nursing-stays
     February 17, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

440. Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013-20: an observational study of NHS privatisation. | PSNet
     psnet.ahrq.gov/issue/outsourcing-health-care-services-private-sector-and-treatable-mortality-rates-england-2013-20
     October 21, 2020 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.