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Showing results for "pressure injury".
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741. In Conversation With... James Augustine, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-james-augustine-md
     July 28, 2021 - we have different approaches to care that can take place for MIs [myocardial infarctions], strokes, trauma … What if that trauma patient all of a sudden decompensated? … 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

742. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression | PSNet
     psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
     May 26, 2021 - depression, of which 77% resulted in severe brain damage or death. 13 Most of these opioid-related injuries … oximetry (SpO 2 ) to monitor patient oxygenation and ventilation. 31 Capnography measures the partial pressure … Opioid PC A Monitoring Component Assessment Types Vital Signs Heart Rate Blood Pressure

743. In Conversation With... Freya Spielberg, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
     September 28, 2022 - A big step was just educating people that, in fact, they have high blood pressure and how they can take … As part of this education, the community health worker would give a patient a blood pressure monitor … so they could take their own blood pressure at different times during the day and see for themselves … that since hypertension is such a huge issue in these populations, everybody should have a home blood pressure … AHRQ’s broad definition of patient safety includes “prevention of diagnostic errors, medical errors, injury

744. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72516/psn-pdf
     November 25, 2020 - 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 … ST-segment abnormalities in a patient with a recent history of head trauma and no chest pain should … “Has this patient suffered recent head trauma or is this patient at increased risk of head trauma?”)

745. Interpreting the Patient Safety Literature | PSNet
     psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
     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

746. Signout Fallout | PSNet
     psnet.ahrq.gov/web-mm/signout-fallout
     November 16, 2022 - sentinel events—defined as "an unexpected occurrence involving death or serious physical or psychological injury … Post-Tracheostomy Care May 29, 2024 WebM&M Cases Under Pressure

747. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
     January 01, 2024 - Due to the delayed diagnosis, the patient suffered permanent brain injury requiring around-the-clock … These barriers include professional hierarchy, time pressure, challenging workloads, and inadequate structures

748. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49855/psn-pdf
     March 01, 2019 - harmed by having the incorrect catheter placed, but the error was eventually discovered and further injury … The efficacy of self- check is limited by time pressure and by asymmetric knowledge—individuals in the

749. An Incomplete Anesthesia History Leads to Adverse Outcomes | PSNet
     psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
     January 29, 2021 - The trauma team was called to assist and the patient was given additional sedation and opioid analgesia … The trauma surgeon then manipulated both TMJs and was finally able to unloose the locked jaw. … diagnosis and a physician experienced in reducing the TMJ should be consulted to minimize the risk of injury … Placing staff under too much time pressure can, at times, be counterproductive and can adversely affect

750. The Empty Bag | PSNet
     psnet.ahrq.gov/web-mm/empty-bag
     June 01, 2018 - these failures are more likely when staff are working under high levels of stress, workload, or time pressure … Injuries are caused by a lack of differentiation between the use of infusion devices in hospitals and

751. Isolated Clot, Real Error | PSNet
     psnet.ahrq.gov/web-mm/isolated-clot-real-error
     December 01, 2013 - is sometimes observed in clinical practice, filters should not be used as a way to prevent VTE after trauma … July 1, 2011 Injuries before and after diagnosis of cancer: nationwide register … More Related Resources WebM&M Cases Under Pressure

752. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49624/psn-pdf
     May 01, 2011 - ICU, he was noted to have fixed and dilated pupils on neurologic exam, a sign of serious neurologic injury … Strong psychological pressures accompanying these events (not wanting to admit a mistake) can bias the

753. The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy | PSNet
     psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
     April 08, 2019 - The Case A 47-year-old man with paraplegia (secondary to a gunshot wound) and a history of polysubstance … Unfortunately, his cardiac arrest led to an anoxic brain injury, and he remained in a vegetative state … 11  Laboratory test(s) 12  Laboratory value(s)/result(s) 13  Vital signs: height, weight, blood pressure

754. Long-Term Care and the Response to COVID-19 | PSNet
     psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
     October 28, 2020 - individuals can gain from social interaction and enhanced mobility, such as reduced risk of falls and pressure … mitigate safety risks associated with usual care needs for this patient population, such as falls and pressure … In putting all of this in place, did you see reductions in harms like pressure injuries, resident falls

755. In Conversation With... Charles A Crecelius, MD, PhD, CMD and Lori L Popejoy, PhD, RN, FAAN | PSNet
     psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
     October 28, 2020 - In putting all of this in place, did you see reductions in harms like pressure injuries, resident falls … individuals can gain from social interaction and enhanced mobility, such as reduced risk of falls and pressure … mitigate safety risks associated with usual care needs for this patient population, such as falls and pressure

756. A Fatal Twist in Pseudohyperkalemia | PSNet
     psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
     February 10, 2021 - On arrival at the ED, he was afebrile, heart rate was 98 beats per minute (bpm), blood pressure was 103 … especially in busy clinical settings such as the ED. 2–4 Hemolysis is defined as a generalized process of injury … WebM&M Cases Intraosseous Line Extravasation in a Pediatric Trauma

757. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865884/psn-pdf
     May 29, 2024 - Due to the delayed diagnosis, the patient suffered permanent brain injury requiring around-the-clock … These barriers include professional hierarchy, time pressure, challenging workloads, and inadequate

758. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866618/psn-pdf
     December 31, 2024 - On arrival at the ED, he was afebrile, heart rate was 98 beats per minute (bpm), blood pressure was … especially in busy clinical settings such as the ED.2–4 Hemolysis is defined as a generalized process of injury

759. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837959/psn-pdf
     August 31, 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

760. EMS Patient Safety in the Field | PSNet
     psnet.ahrq.gov/perspective/ems-patient-safety-field
     July 28, 2021 - correctly and safely, but for a subset of patients experiencing time-sensitive events such as severe 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 … What if that trauma patient all of a sudden decompensated?