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Showing results for "pressure injury".
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61. The Danger of 10% Intravenous Calcium Chloride Extravasation. | PSNet
    psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
    April 24, 2024 - Multiple services were contacted to assist with management of this complicated wound. … After conservative treatment for nearly three weeks, the wound did not show any appreciable healing, … To prevent iatrogenic injuries of this type, physicians, nurses, and pharmacists must work together to … When the infusion exceeds this maximum rate, it may cause lowering of blood pressure. 1 Calcium chloride … Management of severe calcium chloride extravasation injury: a case report.

62. Long-term Care and Patient Safety | PSNet
    psnet.ahrq.gov/primer/long-term-care-and-patient-safety
    February 24, 2022 - care hospitals, including the ability to care for patients requiring mechanical ventilation, complex wound … Inpatient rehabilitation facilities (IRFs) care for patients recovering from surgery, trauma, or an … daily evaluation by a physician but do require services such as intensive nursing, physical therapy, or wound … injuries) during their stay, half of which were preventable. … injuries, and falls).

63. Bloody BP Cuff | PSNet
    psnet.ahrq.gov/web-mm/bloody-bp-cuff
    June 21, 2016 - Patient #1 was in the trauma bay with massive injuries and profuse bleeding. … The blood pressure cuff (which was partly fabric and partly nylon) was saturated with so much blood that … General factors influencing compliance with barrier precautions include time pressures and concerns about … Until the cost-effectiveness of disposable blood pressure cuffs has been established, we can at least … Situations Blood Pressure Cuffs EKG Leads Pulse Oximetry Defibrillators

64. The Ongoing Journey to Prevent Patient Falls | PSNet
    psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
    December 18, 2024 - In hospitals, falls with injuries can lead to other adverse outcomes including pressure injuries or … One study found that providing patients at risk for falls with Smart Socks , which contain pressure … Another example is the CDC’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) initiative , … no injury. … injury to that person and their psyche.

65. Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. | PSNet
    psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project-redde
    November 30, 2022 - Diagnostic errors, including missed diagnoses of adolescent depression, elevated blood pressure, and … included failure to screen for adolescent depression, failure to recognize and act on abnormal blood pressure … August 9, 2011 Delayed or missed diagnosis of cervical spine injuries.

66. The Forgotten Drip | PSNet
    psnet.ahrq.gov/web-mm/forgotten-drip
    April 01, 2014 - Multiple therapies were initiated to reduce the intracranial pressure and swelling, including intubation … The "Lund protocol," derived in patients with elevated ICP in the setting of head trauma, assumes that … Continuous recording and control of ventricular fluid pressure in neurosurgical practice. … Introduction to cerebral perfusion pressure management. Neurosurg Clin N Am. 1995;6:761-773. … Hyperventilation in head injury: a review. Chest. 2005;127:1812-1827. [go to PubMed] 5.

67. Fall Prevention in Hospitals Training Program. | PSNet
    psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program
    May 01, 2017 - July 23, 2019 Pressure Injury Prevention in Hospitals Training Program.

68. Safety climate associated with adverse events in nursing homes: a national VA study. | PSNet
    psnet.ahrq.gov/issue/safety-climate-associated-adverse-events-nursing-homes-national-va-study
    September 08, 2021 - The survey found that supervisor commitment to safety was associated with lower rates of major injuries … from falls and catheter use, and that environmental safety was associated with lower rates of pressure … ulcers, major injuries from falls, and catheter use.

69. Using a learning system approach to improve safety for prone-position ventilation patients. | PSNet
    psnet.ahrq.gov/issue/using-learning-system-approach-improve-safety-prone-position-ventilation-patients
    January 10, 2024 - Issues identified included medical device-related pressure injuries and device dislodgement, concerns … March 7, 2018 Information flow during pediatric trauma care transitions: things falling … 2019 Work system barriers and facilitators in inpatient care transitions of pediatric trauma … May 18, 2022 Error reduction in trauma care: lessons from an anonymized, national, multicenter

70. Instruments and warning signs for identifying and evaluating the frequency of adverse events in intermediate and long-term care centres: a narrative systematic review. | PSNet
    psnet.ahrq.gov/issue/instruments-and-warning-signs-identifying-and-evaluating-frequency-adverse-events
    July 20, 2022 - Common adverse events impacting this population include adverse drug events, delirium , malnutrition, pressure … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an integrative review.

71. Patient Safety Indicators | PSNet
    psnet.ahrq.gov/primer/patient-safety-indicators
    June 15, 2024 - which Brennan and colleagues defined in the Harvard Medical Practice Study in New York State as “an injury … Thoracic Surgeons offers patient safety indicators for adult cardiac surgery, such as deep sternal wound … injuries) and hospital acquired infections (CLABSI, CAUTI). … dehiscence, and obstetric trauma. … deaths due to health care-associated venous thromboembolism, sepsis, or patient falls; in-hospital pressure

72. Health care management during Covid-19: insights from complexity science. | PSNet
    psnet.ahrq.gov/issue/health-care-management-during-covid-19-insights-complexity-science
    July 22, 2020 - October 26, 2022 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.

73. The effects of harm events on 30-day readmission in surgical patients. | PSNet
    psnet.ahrq.gov/issue/effects-harm-events-30-day-readmission-surgical-patients
    July 31, 2019 - The authors found that the harms with the highest 30-day readmission rates were pressure ulcers (45%) … Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure … injuries.

74. Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool. | PSNet
    psnet.ahrq.gov/issue/exploring-nursing-sensitive-events-home-healthcare-national-multicenter-cohort-study-using
    August 05, 2020 - The most common types of nursing-sensitive events were falls , pressure injuries, healthcare-associated … room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure

75. Inpatient fall prevention programs as a patient safety strategy: a systematic review. | PSNet
    psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
    May 26, 2016 - Considered a never event for hospitalized patients, falls that result in serious injury remain relatively … October 5, 2015 Preventing in-facility pressure ulcers as a patient safety strategy: … March 13, 2013 Venous thromboembolism after trauma: a never event?

76. The inevitability of physician burnout: implications for interventions. | PSNet
    psnet.ahrq.gov/issue/inevitability-physician-burnout-implications-interventions
    April 17, 2024 - September 18, 2024 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.

77. Sleep and circadian misalignment for the hospitalist: a review. | PSNet
    psnet.ahrq.gov/issue/sleep-and-circadian-misalignment-hospitalist-review
    July 15, 2020 - May 14, 2018 Towards international consensus on patient harm: perspectives on pressure … injury policy.

78. Nurse well-being: a concept analysis. | PSNet
    psnet.ahrq.gov/issue/nurse-well-being-concept-analysis
    August 25, 2021 - March 16, 2022 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.

79. Nurse burnout predicts self-reported medication administration errors in acute care hospitals. | PSNet
    psnet.ahrq.gov/issue/nurse-burnout-predicts-self-reported-medication-administration-errors-acute-care-hospitals
    August 25, 2021 - August 25, 2021 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.

80. TeamSTEPPS Core Curriculum. | PSNet
    psnet.ahrq.gov/issue/teamstepps-core-curriculum
    August 01, 2012 - July 12, 2018 Pressure Injury Prevention in Hospitals Training Program.