Results

Total Results: 733 records

Showing results for "pressure injury".
Users also searched for: pressure injuries

421. Sins of omission. Getting too little medical care may be the greatest threat to patient safety. | PSNet
     psnet.ahrq.gov/issue/sins-omission-getting-too-little-medical-care-may-be-greatest-threat-patient-safety
     March 06, 2005 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

422. Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting. | PSNet
     psnet.ahrq.gov/issue/design-and-implementation-infection-prevention-program-risk-management-managing-high-level
     December 18, 2014 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

423. 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

424. 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

425. 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.

426. 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

427. 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

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49388/psn-pdf
     February 01, 2003 - blockade, aminoglycosides, or intravenous magnesium; and patients with neurological impairment or injury … disabling adverse events, 45% of those events were caused by errors.(6) In a large insurer’s study, injuries … Poor system design also makes errors difficult to intercept before injury occurs. … apnea, muscle weakness, and visual disturbances Extreme or unexpected increase or decrease in blood pressure … carrying the drug Attempt to aspirate or drain the IV tubing to point of injection If there is blood pressure

429. Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents: an observational study. | PSNet
     psnet.ahrq.gov/issue/strength-safety-measures-introduced-medical-practices-prevent-recurrence-patient-safety
     May 01, 2024 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

430. 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

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49792/psn-pdf
     May 01, 2017 - elevated creatinine level of 1.8 mg/dL (up from a baseline of 1.1 mg/dL), indicating acute kidney injury … 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

432. 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.

433. 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.

434. 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.

435. 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.

436. 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.

437. 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.

438. 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.

439. Spotlight (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.458_slideshow.ppt
     October 01, 2018 - His blood pressure was low (80/50 mm Hg), and he was started on intravenous fluids and broad spectrum … 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. … physicians came to believe that a large AMI was the likely explanation for the patient's low blood pressure

440. 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.