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Showing results for "pressure injury".
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441. 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.

442. 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.

443. 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.

444. 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.

445. Breakage of a PICC Line | PSNet
     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

446. 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.

447. Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital: an exploratory study. | PSNet
     psnet.ahrq.gov/issue/visitor-restrictions-during-covid-19-pandemic-and-increased-falls-harm-canadian-hospital
     June 05, 2013 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

448. 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.

449. High Reliability | PSNet
     psnet.ahrq.gov/primer/high-reliability
     January 29, 2020 - reliability organizations cultivate resilience by relentlessly prioritizing safety over other performance pressures … A classic example is that of the military aircraft carrier: despite significant production pressures … A regional health system in Canada reported a decrease in adverse events such as falls, pressure injuries

450. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-320
     November 30, 2021 - This study estimated odds of preventable mortality of older adults with traumatic injuries and identified … type (64%), error in surgical treatment was the most common allegation (87%), and infection, cosmetic injury … , emotional trauma, foreign body, and nosocomial infection were the top 5 injury descriptions. … This study estimated odds of preventable mortality of older adults with traumatic injuries and identified … November 22, 2021 The opioid epidemic has put regulatory and professional pressures

451. 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

452. Psn-Pdf (pdf file)
     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

453. 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

454. Psn-Pdf (pdf file)
     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.

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49843/psn-pdf
     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. … elevated white blood cell count) and end-organ dysfunction (elevated liver function tests, acute kidney injury

456. Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective patient record review study in the Netherlands. | PSNet
     psnet.ahrq.gov/issue/examining-causes-and-prevention-strategies-adverse-events-deceased-hospital-patients
     June 08, 2022 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

457. Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in the United Kingdom and Australia. | PSNet
     psnet.ahrq.gov/issue/identifying-safety-practices-perceived-low-value-exploratory-survey-healthcare-staff-united
     February 03, 2021 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

458. 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.

459. 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.

460. Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. | PSNet
     psnet.ahrq.gov/issue/visitor-behaviors-can-influence-risk-patient-harm-analysis-patient-safety-reports-92
     September 01, 2021 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.