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Showing results for "pressure injury".
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681. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49518/psn-pdf
     August 01, 2006 - add-on visits, and unexpected staff absences could all have increased the day's workload and production pressure … Insulin errors and injuries are common among hospitalized patients.(4-9) The risk of treatment-related

682. 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 .

683. 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?

684. 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.

685. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33611/psn-pdf
     July 01, 2005 - However, if you believe that these kinds of schedules actually prevent injuries due to medical errors … There has been pressure within the nursing community to keep shifts limited because of data, going back

686. Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit | PSNet
     psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
     December 01, 2012 - , and worse long-term brain function [ 5 ]), it is worth thinking about delirium as an "acute brain injury … " similar to other end-organ injuries (e.g., heart attack, acute kidney injury). … As with these other important end-organ injuries, delirium is a clinical event for which prevention and … spontaneous breathing trials (SBT, defined as turning the ventilator settings to continuous positive airway pressure … My criteria for neuroimaging are that if someone has a history of head trauma or evidence of bruising

687. Spinal Epidural Abscess | PSNet
     psnet.ahrq.gov/web-mm/spinal-epidural-abscess
     November 13, 2019 - The most common risk factors for SEA are diabetes mellitus, intravenous drug use, trauma, and alcohol … Yi Lu, MD, PhD Director, Neurosurgical Trauma Co-director, Adult Deformity and Scoliosis Surgery Assistant … March 1, 2005 WebM&M Cases Missing the Point—Eye Injury … More Related Resources WebM&M Cases Under Pressure … Pitfalls February 1, 2010 WebM&M Cases Missing Trauma

688. Premature Closure: Was It Just Syncope? | PSNet
     psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
     April 27, 2022 - His initial vital signs in the ED were notable for a systolic blood pressure in the 100s and a heart … This suggests that the clinicians initially considered trauma but prematurely narrowed their focus to … additional history-taking may have revealed the patient’s recent history of falls with repeated closed head injuries … “Has this patient suffered recent head trauma or is this patient at increased risk of head trauma?”) … June 14, 2023 WebM&M Cases Under Pressure: Delayed

689. In Conversation With… Vineet Chopra, MD, MSc | PSNet
     psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
     February 28, 2024 - lines, you don't have to go anywhere near the great vessels of the neck or the chest, so you avoid injury … You avoid injury to the lung—that dreaded complication of pneumothorax. … You just put pressure at that site in the arm and compress the vessel against the underlying humerus. … Think about it: when you insert a PICC, your needle causes endothelial injury, in a patient that's hypercoaguable

690. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? | PSNet
     psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
     March 01, 2004 - preoperative period but suffered a pulseless electrical activity arrest in the operating room at the time of wound … 1997 data from the National Inpatient Sample Excludes patients with any code for cancer, trauma … Excludes patients with any diagnosis code for drug dependence, abuse of drugs, or self-inflicted injury … Decubitus ulcer Pressure sores in patients hospitalized for 4 days or longer Discharges … diagnosis among all surgical discharges Excludes patients who have principal diagnosis codes for trauma

691. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-350
     July 08, 2022 - management combining the risks of multiple conditions (catheter-associated urinary tract infections, pressure … injuries, and falls). … Involvement in serious adverse events can cause clinicians to feel significant and ongoing emotional trauma

692. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/857059/psn-pdf
     November 29, 2023 - complications and the time period for ascertainment.11,14,17,18 The most common complications are wound … bumper” syndrome occurs in about 1-4% of cases6,9,14 when the PEG tube’s internal bumper causes focal pressure … Liver injury during PEG tube placement: report of two cases. … Trauma transitional care coordination: a mature system at work. … J Trauma Acute Care Surg. 2018;84(5):711-717. [Available at 48.

693. WebM&M Cases & Commentaries | PSNet
     psnet.ahrq.gov/Webmm
     May 01, 2021 - (13) Venous Thrombosis and Thromboembolism (8) Patient Falls (5) Delirium (4) Pressure … type 2 diabetes mellitus, hypertension, and coronary artery disease was transferred from a Level III trauma … center to a Level I trauma center with lower extremity paralysis after a ground level fall complicated … by a 9-cm abdominal aortic aneurysm and cervical spinal cord injury. … norepinephrine was initiated to maintain adequate spinal cord perfusion, with a target mean arterial pressure

694. Webmm
     psnet.ahrq.gov/webmm
     May 01, 2021 - (13) Venous Thrombosis and Thromboembolism (8) Patient Falls (5) Delirium (4) Pressure … type 2 diabetes mellitus, hypertension, and coronary artery disease was transferred from a Level III trauma … center to a Level I trauma center with lower extremity paralysis after a ground level fall complicated … by a 9-cm abdominal aortic aneurysm and cervical spinal cord injury. … norepinephrine was initiated to maintain adequate spinal cord perfusion, with a target mean arterial pressure

695. Central Line Clot | PSNet
     psnet.ahrq.gov/web-mm/central-line-clot
     August 04, 2021 - A full code ensued and after a brief time, the patient was stabilized with a blood pressure of 95/55, … or more risk factors identified only one patient with a DVT.( 9 ) A retrospective study of pediatric trauma … Assistant Professor of Pediatrics (Anaesthesia), Harvard Medical School Chair, Pediatric Acute Lung Injury … Deep venous thrombosis in the pediatric trauma population: an unusual event: report of three cases.

696. Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy | PSNet
     psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
     July 08, 2022 - The patient developed generalized urticaria, bronchospasm requiring high airway pressures to achieve … Latex is essential to these plants to heal surface injuries and create immune responses against invading … Thus, unexplained hypotension, tachycardia, and high airway pressure for adequate ventilation (due to … WebM&M Cases Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury

697. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33769/psn-pdf
     June 01, 2014 - saw a flurry of new patient organizations, among them the Josie King Foundation, Medically Induced Trauma … advocates, too, have generally concentrated their efforts on hospitals, where the most devastating patient injuries … Laaser U, Senault R, Viefhues H, German Society for Social Medicine, German Institute for High Blood Pressure … Medically Induced Trauma Support Services. [Available at] 18. Mothers Against Medical Error.

698. The Physical Environment: An Often Unconsidered Patient Safety Tool | PSNet
     psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
     November 21, 2018 - single-bed patient rooms with high-efficiency particulate air filters and with negative or positive pressure … and the design and location of hazards like furniture—can contribute to patient falls and associated injuries

699. It's All in the Syringe | PSNet
     psnet.ahrq.gov/web-mm/its-all-syringe
     February 01, 2013 - add-on visits, and unexpected staff absences could all have increased the day's workload and production pressure … Insulin errors and injuries are common among hospitalized patients.( 4-9 ) The risk of treatment-related

700. The PSNet Collection | PSNet
     psnet.ahrq.gov/psnet-collection
     January 15, 2024 - Delirium (23) Nosocomial Infections (812) Patient Falls (241) Pressure … Delirium (23) Nosocomial Infections (812) Patient Falls (241) Pressure … care) adversely impacts patient safety, contributing to higher incidence of falls, medication errors, pressure … injuries, and healthcare-associated infections.