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Showing results for "pressure injury".
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761. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
     January 01, 2020 - opioid-induced respiratory depression; of those, 77% resulted in severe brain damage or death – Most injuries … should be monitored closely 25 Monitoring Component Assessment Type Vital Signs Heart Rate Blood Pressure

762. The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
     May 01, 2012 - estimated that avoidable medical errors contribute to 44,000–98,000 deaths, and more than a million injuries … Patient safety efforts should focus on medical injuries. JAMA. 2002;287:1993-1997. … detection of adverse events in hospital patients, and it moves patient safety from a retrospective focus on injury … a really important transition to make, and it's going to be hard because it's going to put a lot of pressure

763. In Conversation With…David C. Classen, MD, MS | PSNet
     psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
     May 01, 2012 - detection of adverse events in hospital patients, and it moves patient safety from a retrospective focus on injury … a really important transition to make, and it's going to be hard because it's going to put a lot of pressure … estimated that avoidable medical errors contribute to 44,000–98,000 deaths, and more than a million injuries … Patient safety efforts should focus on medical injuries. JAMA. 2002;287:1993-1997.

764. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61083/psn-pdf
     October 28, 2020 - In putting all of this in place, did you see reductions in harms like pressure injuries, resident falls

765. Privacy or Safety? | PSNet
     psnet.ahrq.gov/web-mm/privacy-or-safety
     December 01, 2011 - patient on the same unit who also happened to have severe cognitive impairment from a traumatic brain injury … Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure

766. Which Line: Ordering Provider or Proceduralist? | PSNet
     psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
     September 16, 2015 - 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

767. Duty to Disclose Someone Else's Error? | PSNet
     psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
     June 01, 2004 - 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

768. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50754/psn-pdf
     December 18, 2019 - an unwanted resuscitation with extreme consequences, including CPR- related fractures, anoxic brain injury … establishing more humane working hours during postgraduate training, residents are still often under great pressure

769. Post-Acute Transitional Services: Safety in Home-Based Care Programs | PSNet
     psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
     April 24, 2024 - low socioeconomic status are at particularly high risk for poor outcomes such as medication errors, injuries … Medicare & Medicaid Services (CMS) defines homebound as being confined to the home due to an illness or injury … Improving blood pressure control using smart technology.

770. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836941/psn-pdf
     April 27, 2022 - low socioeconomic status are at particularly high risk for poor outcomes such as medication errors, injuries … Medicare & Medicaid Services (CMS) defines homebound as being confined to the home due to an illness or injury … Improving blood pressure control using smart technology. Telemed J E Health. 2018;24(3):222-228.

771. Miscommunication During the Interhospital Transport of a Critically Ill Child | PSNet
     psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
     March 27, 2024 - Disconnection in information exchange during pediatric trauma transfers: a qualitative study. … moderator of child’s acute biological response and subsequent posttraumatic stress symptoms in pediatric injury … disorder symptoms and child gender on risk for persistent posttraumatic stress disorder symptoms in child trauma … May 29, 2024 WebM&M Cases Under Pressure: Delayed Diagnosis

772. "Do You Want Everything Done?": Clarifying Code Status | PSNet
     psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
     March 27, 2024 - an unwanted resuscitation with extreme consequences, including CPR-related fractures, anoxic brain injury … establishing more humane working hours during postgraduate training, residents are still often under great pressure … review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma

773. Classics and Emerging Classics | PSNet
     psnet.ahrq.gov/classics
     August 01, 2023 - Complications (93) Nosocomial Infections (50) Patient Falls (8) Pressure … clear limitations, select PSIs have been shown to accurately identify certain accidental inpatient injuries

774. What Was in Those Platelets? | PSNet
     psnet.ahrq.gov/web-mm/what-was-those-platelets
     August 28, 2024 - placed back on the mechanical ventilator), given an infusion of dopamine to maintain adequate blood pressure … transfusion-related deaths reported to the FDA for fiscal years 2005 and 2006 were transfusion-related acute lung injury

775. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49566/psn-pdf
     July 01, 2008 - placed back on the mechanical ventilator), given an infusion of dopamine to maintain adequate blood pressure … transfusion-related deaths reported to the FDA for fiscal years 2005 and 2006 were transfusion-related acute lung injury

776. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836794/psn-pdf
     March 31, 2022 - The patient was hypotensive on arrival, but his blood pressure improved with fluid resuscitation. … Laboratory tests were notable for acute kidney injury, metabolic acidosis, hypomagnesemia, hypophosphatemia

777. In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
     August 01, 2016 - Is it the same kind of pressure that we have in the US? … that a review of the literature ( 2 ) we conducted identified reports of serious lacerations and other injuries

778. Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet) | PSNet
     psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
     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

779. In Conversation With… Brian Jarman, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
     March 01, 2015 - at the beginning of last year to get the head of the NHS to resign, and he did resign as a result of pressure … demonstrate an average or below average R-AHMR, given that most quality problems, while associated with injury

780. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33728/psn-pdf
     May 01, 2012 - of adverse events in hospital patients, and it moves patient safety from a retrospective focus on injury … really important transition to make, and it's going to be hard because it's going to put a lot of pressure