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Showing results for "pressure injury".
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461. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841566/psn-pdf
     December 14, 2022 - Falls and pressure ulcers also went up – in skilled nursing facilities, we saw rates of falls causing … major injury increase by 17% and pressure ulcers increase by over 40%. … healthcare- acquired infections, complications, medication safety, safety of the EMR, patient falls with injury … , and pressure injuries. … Did you take someone's blood pressure?

462. Microsoft PowerPoint - Spotlight Case_Agitated Delirium_FINAL.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
     January 01, 2023 - due to miscommunication at change-of-shift, led to more serious consequences from his iatrogenic injury … or skull base fractures; head, neck, or esophageal neoplasms; recent upper GI surgery; esophageal trauma … injuries in the intensive care unit showed that 1.6% were caused by NGTs.13 – In a retrospective … – Each attempt at NGT placement presents a risk of complications such as esophageal trauma, tracheal … Nursing care guidelines for reducing hospital-acquired nasogastric tube-related pressure injuries.

463. ‘You’re going to release him when he was hurting himself?’ | PSNet
     psnet.ahrq.gov/issue/youre-going-release-him-when-he-was-hurting-himself
     May 11, 2022 - August 12, 2020 Preeminent hospitals penalized over rates of patients’ injuries.

464. Bleeding and in pain, a pregnant woman in Louisiana couldn’t get answers. | PSNet
     psnet.ahrq.gov/issue/bleeding-and-pain-pregnant-woman-louisiana-couldnt-get-answers
     January 18, 2023 - January 18, 2023 Preeminent hospitals penalized over rates of patients’ injuries.

465. 'America's other drug problem': copious prescriptions for hospitalized elderly. | PSNet
     psnet.ahrq.gov/issue/americas-other-drug-problem-copious-prescriptions-hospitalized-elderly
     May 12, 2021 - May 12, 2021 Preeminent hospitals penalized over rates of patients’ injuries.

466. The slow, troubling death of the autopsy. | PSNet
     psnet.ahrq.gov/issue/slow-troubling-death-autopsy
     August 19, 2020 - February 17, 2021 Home Health Agencies Failed To Report Over Half of Falls With Major Injury

467. Addiction treatment providers in Pa. face little state scrutiny despite harm to clients. | PSNet
     psnet.ahrq.gov/issue/addiction-treatment-providers-pa-face-little-state-scrutiny-despite-harm-clients
     May 05, 2021 - September 14, 2016 Preeminent hospitals penalized over rates of patients’ injuries.

468. One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs. | PSNet
     psnet.ahrq.gov/issue/one-size-fits-all-mixed-methods-evaluation-impact-100-single-room-accommodation-staff-and
     July 01, 2016 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … May 11, 2019 A randomized trial of a multifactorial strategy to prevent serious fall injuries

469. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.224_slideshow.ppt
     October 01, 2010 - Falls and fall-related injuries in older dialysis patients. … dialysis centers include: Patient age Total number of co-morbidities Predialysis systolic blood pressure … Falls and fall-related injuries in older dialysis patients. Clin J Am Soc Nephrol. 2006;1:1197-1204. … Falls and fall-related injuries in older dialysis patients. Clin J Am Soc Nephrol. 2006;1:1197-1204.

470. The Unfamiliar Catheter | PSNet
     psnet.ahrq.gov/web-mm/unfamiliar-catheter
     November 01, 2006 - demonstrates that misuse of an unfamiliar medical device can lead to potentially devastating patient injury … and secondary emotional trauma for the involved health care professional. … In one hospital, direct observation of 50 nurses flushing a CVC with a positive pressure adapter revealed … Take-Home Points Unfamiliarity with a CVC can lead to a serious patient injury and have a profound … Medical device related deaths and injuries should be reported to the FDA .

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73554/psn-pdf
     July 28, 2021 - correctly and safely, but for a subset of patients experiencing time-sensitive events such as severe trauma … they have to ensure that the right patient is identified or, with time- sensitive conditions like trauma … To assist EMS personnel in decision making in high-pressure situations and to support standardized care … One example is injuries personnel can sustain from slipping or tripping when lifting and moving equipment … and patients.8 An injury can harm not only the worker, but also the patient, if, for example, the patient

472. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49679/psn-pdf
     March 01, 2013 - demonstrates that misuse of an unfamiliar medical device can lead to potentially devastating patient injury … and secondary emotional trauma for the involved health care professional. … In one hospital, direct observation of 50 nurses flushing a CVC with a positive pressure adapter revealed … The guidance is intended to improve the usability of medical devices to reduce user error, injuries … Medical device related deaths and injuries should be reported to the FDA.

473. Where's the Feeding Tube? | PSNet
     psnet.ahrq.gov/web-mm/wheres-feeding-tube
     September 01, 2003 - Case A 13-year-old boy was involved in a motor vehicle collision and experienced a traumatic brain injury … Because of the injuries, he was unable to swallow and had to receive nutrition through a nasojejunal … Perforation March 15, 2023 WebM&M Cases Under Pressure … Post-Tracheostomy Care May 29, 2024 WebM&M Cases Under Pressure

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841139/psn-pdf
     December 14, 2022 - The patient did not suffer permanent neurological injury from the prolonged hypoxemia, but she did require … Health care providers are frequently under time pressure to bring the next patient to the operating room … interpreter), the physician’s error should be fully disclosed, and appropriate compensation for her dental injury … Production pressure, medical errors, and the pre-anesthesia checkout. … Production pressures among anaesthesiologists in Singapore. Singapore Med J. 2018;59(5):271-278.

475. Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members. | PSNet
     psnet.ahrq.gov/issue/clinical-handover-trauma-setting-qualitative-study-paramedics-and-trauma-team-members
     January 28, 2010 - and trauma team members. … Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members. … Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members. … November 16, 2022 High delayed and missed injury rate after inter-hospital transfer … of severely injured trauma patients.

476. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865411/psn-pdf
     March 27, 2024 - Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. … https://psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and … https://psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency … saturation <93% Heart rate >110 or <50 beats/min (bpm) Respiratory rate >24 or <10/minute Blood pressure

477. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49772/psn-pdf
     October 01, 2016 - Upon further evaluation, she was noted to have a rapid heart rate and low blood pressure. … Several hours later, the patient was noted to be lethargic with a low blood pressure. … While the inpatient care team discussed possible causes for her low blood pressure, the microbiology … Automated, electronic alerts for acute kidney injury: a single- blind, parallel-group, randomised controlled

478. Avoiding care during the pandemic could mean life or death. | PSNet
     psnet.ahrq.gov/issue/avoiding-care-during-pandemic-could-mean-life-or-death
     April 09, 2014 - August 26, 2020 Preeminent hospitals penalized over rates of patients’ injuries.

479. Do no unconscious harm. | PSNet
     psnet.ahrq.gov/issue/do-no-unconscious-harm
     October 14, 2020 - January 5, 2012 The nurse's role in the causation of compensable injury.

480. Good Catch in the Operating Room | PSNet
     psnet.ahrq.gov/web-mm/good-catch-operating-room
     August 27, 2017 - About halfway through the procedure, the anesthesiologist noticed that the patient's blood pressure was … anesthesiologist administered a bolus of intravenous fluids, but over the next few minutes the patient's blood pressure … The patient required transfusion of multiple units of blood, and fortunately the injury was repaired … first challenge occurred when the anesthesiologist alerted the surgeon during the initial drop in blood pressure … Paige, MD Professor of Clinical Surgery Director of Wound Care LSU Health New Orleans Health Sciences