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Showing results for "pressure injury".
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701. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49593/psn-pdf
     October 01, 2009 - how a safety pin could be aspirated, or a non-deformable endotracheal tube connector might cause a pressure … injury to the nares if left in place for more than a brief period.

702. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-448
     July 10, 2024 - Over the next 14 hours, the patient’s blood pressure remained at or below 90/60 with continued complaints … positioning, and the importance of early identification of compartment syndrome to prevent permanent injury

703. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33645/psn-pdf
     February 01, 2007 - Umpires make crucial split-second decisions under conditions of substantial pressure and uncertainty … Rarely, the error may cause injury or death.

704. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-471
     December 31, 2024 - On arrival at the emergency department, she had severely elevated blood pressure and hypoxemia. … continuing challenge of preventing falls and explores strategies for preventing falls and falls with injury

705. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-469
     December 31, 2024 - On arrival at the emergency department, she had severely elevated blood pressure and hypoxemia. … continuing challenge of preventing falls and explores strategies for preventing falls and falls with injury

706. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49419/psn-pdf
     October 01, 2003 - is increased when multiple procedures are performed on the same patient, when a team is under time pressure … Error disclosure for patients, however, is merely the first step in a long process of adjustment to an injury

707. Microsoft PowerPoint - Spotlight Case_A Missed Bowel Perforation - SLIDES_FINAL.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
     January 01, 2023 - diuresis, diarrhea, and fluid restriction, they ordered blood products and albumin to increase oncotic pressure … responsive to fluid resuscitation,” with the added requirement for vasopressors to maintain a mean arterial pressure … perforations.21 • Other identified risk factors include older age, presence of comorbidities,22 acute kidney injury

708. Coming Undone: Failure of Closure Device | PSNet
     psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
     April 01, 2006 - The bleeding was not stopped by local pressure, and he returned to the hospital, where he was found to … July 10, 2019 Classifying errors in preventable and potentially preventable trauma deaths … WebM&M Cases Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury

709. In Conversation with…Christopher P. Landrigan, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
     April 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 … March 2, 2011 Extended work duration and the risk of self-reported percutaneous injuries

710. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837324/psn-pdf
     July 08, 2022 - A 2014 study of women who gave birth found that 14.8% of respondents perceived pressure from a clinician … riskier.13 Babies delivered via cesarean section are at risk for respiratory problems and surgical injury … www.mayoclinic.org/tests-procedures/c-section/about/pac-20393655#:~:text=A%20C%2Dsection%20might%20increase,Wound … www.mayoclinic.org/tests-procedures/c-section/about/pac-20393655#:~:text=A%20C%2Dsection%20might%20increase,Wound … Patient-perceived pressure from clinicians for labor induction and cesarean delivery: a population-based

711. Reporting of Clinical Adverse Events Scale: a measure of doctor and nurse attitudes to adverse event reporting. | PSNet
     psnet.ahrq.gov/issue/reporting-clinical-adverse-events-scale-measure-doctor-and-nurse-attitudes-adverse-event
     November 12, 2014 - September 8, 2021 A randomized trial of a multifactorial strategy to prevent serious fall injuries … April 26, 2023 Barriers and facilitators to reporting medical device-related pressure

712. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33717/psn-pdf
     September 01, 2011 - Risk managers developed these systems to identify injuries that might lead to litigation and to reduce … pertinent to nursing care, such as medication administration errors, falls, IV infiltrations, and pressure

713. In Conversation with...Joseph Britto, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
     February 01, 2007 - And of course there is increasing pressure on the system to get it right, to not make so many mistakes … Yet the pressures in the market around pay for performance and transparency may conspire to begin stripping … Umpires make crucial split-second decisions under conditions of substantial pressure and uncertainty, … Rarely, the error may cause injury or death.

714. In Conversation with…Peter J. Pronovost, MD, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
     June 01, 2005 - a particular patient safety intervention is going to save large numbers of lives or reduce serious injuries … intervention, they referred to any event that resulted in the emergency team being called—low blood pressure … the error caught by their regular physician, others would experience asymptomatic reduction in blood pressure … July 14, 2010 Measurable outcomes of quality improvement in the trauma intensive care

715. One Bronchoscopy, Two Errors | PSNet
     psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
     December 09, 2020 - Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … Infusion July 31, 2023 WebM&M Cases Under Pressure

716. Two Wrongs Don't Make a Right (Kidney) | PSNet
     psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
     April 01, 2010 - recognized as a sentinel event—an unexpected occurrence involving death or serious physical or psychological injuries … markings, surgeon fatigue, numerous surgeons, multiple procedures on the same patient, atypical time pressures

717. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-293
     May 26, 2021 - 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

718. COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care | PSNet
     psnet.ahrq.gov/primer/covid-19-and-dentistry-challenges-and-opportunities-providing-safe-care
     February 24, 2022 - Dental care providers are advised to: If possible, perform procedures in a negative pressure room … 6 feet apart, especially in counties with substantial or high transmission. 25 Using a negative pressure … create several challenges, including the desire to limit exposure to patients, fatigue, burnout, and pressure … care. 66 Managing necessary deviations from well-rehearsed practice, while under additional budgetary pressures … Remote diagnosis of traumatic dental injuries using digital photographs captured via a mobile phone.

719. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning | PSNet
     psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
     January 29, 2021 - diuresis, diarrhea, and fluid restriction, they ordered blood products and albumin to increase oncotic pressure … responsive to fluid resuscitation,” with the added requirement for vasopressors to maintain a mean arterial pressure … perforations. 21 Other identified risk factors include older age, presence of comorbidities, 22 acute kidney injury

720. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853902/psn-pdf
     September 27, 2023 - diuresis, diarrhea, and fluid restriction, they ordered blood products and albumin to increase oncotic pressure … psnet.ahrq.gov//#8 resuscitation,” with the added requirement for vasopressors to maintain a mean arterial pressure … perforations.21 Other identified risk factors include older age, presence of comorbidities,22 acute kidney injury