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Showing results for "pressure injury".
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81. Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis | PSNet
    psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
    October 28, 2020 - antibiotics with some initial improvement in his symptoms and blood pressure. … Laboratory test results revealed a mildly elevated white count, acute kidney injury, and elevated liver … The patient's blood pressure continued to trend downward to 60/40 mm Hg. … elevated white blood cell count) and end-organ dysfunction (elevated liver function tests, acute kidney injury … Sight August 1, 2009 WebM&M Cases Missing Trauma

82. Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. | PSNet
    psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
    August 14, 2024 - The cause of death was documented as hip trauma from the fall at the nursing home. … , 1 such as fractures or head trauma, falls can have important psychological impacts on individuals … Likewise, her blood pressure recordings, lying, sitting or standing, were not noted so we don’t know … to risk reduction for this resident might have been to evaluate and monitor lying and standing blood pressures … Concurrent use of prescription gabapentinoids with opioids and risk for fall-related injury among older

83. Crossing the Line | PSNet
    psnet.ahrq.gov/web-mm/crossing-line
    December 01, 2012 - catheterization at the internal jugular site, similar to the ones seen in this case, suggest arterial injury … The timing of this patient's neurologic deterioration favors an arterial injury. … The key to preventing serious injury to the artery is identifying the arterial puncture prior to dilating … The most definitive technique is to attach a pressure transducer to the needle and inspect the waveform … April 15, 2009 A randomized trial of a multifactorial strategy to prevent serious fall injuries

84. In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls | PSNet
    psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
    December 18, 2024 - no injury. … injury to that person and their psyche. … I was a site Principal Investigator (PI) for the Strategies to Reduce Injuries and Develop Confidence … 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

85. An objective framework for evaluating unrecognized bias in medical AI models predicting COVID-19 outcomes. | PSNet
    psnet.ahrq.gov/issue/objective-framework-evaluating-unrecognized-bias-medical-ai-models-predicting-covid-19
    July 22, 2020 - June 16, 2021 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.

86. Adverse patient safety events during the COVID epidemic. | PSNet
    psnet.ahrq.gov/issue/adverse-patient-safety-events-during-covid-epidemic
    May 03, 2023 - June 9, 2021 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence.

87. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet
    psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
    August 01, 2012 - circumstances combine to place the elderly nursing home resident at special risk for preventable drug-related injuries … all of medicine and place older persons residing in nursing homes at substantial risk of iatrogenic injury … We looked at the outcomes on falls, pressure ulcers, and restraint use. … We didn't find it for pressure ulcers. … that many of our readers don't know much about the organizational structure of nursing homes and the pressures

88. Sources of nurse-sensitive inpatient safety improvement. | PSNet
    psnet.ahrq.gov/issue/sources-nurse-sensitive-inpatient-safety-improvement
    July 07, 2021 - Increased spending on both improved outcomes in catheter-related blood stream infections, pressure ulcers … September 24, 2016 Assessment of nursing home reporting of major injury falls for quality

89. Learning from the design, development and implementation of the Medication Safety Thermometer. | PSNet
    psnet.ahrq.gov/issue/learning-design-development-and-implementation-medication-safety-thermometer
    November 02, 2016 - October 30, 2024 Towards international consensus on patient harm: perspectives on pressure … injury policy.

90. Cost–benefit analysis of a support program for nursing staff. | PSNet
    psnet.ahrq.gov/issue/cost-benefit-analysis-support-program-nursing-staff
    October 26, 2016 - September 8, 2021 A randomized trial of a multifactorial strategy to prevent serious fall injuries … Are evidence-based practices associated with effective prevention of hospital-acquired pressure … September 28, 2016 Do nurse and patient injuries share common antecedents?

91. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists | PSNet
    psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
    February 26, 2025 - later, he was seen by the urologist and was found to be tachycardic and febrile, with acute kidney injury … Rectal perforation is an uncommon process, most often related to traumatic injury or associated with … The affected tissue demonstrates markedly compromised integrity and impaired wound healing, which dramatically … increases the risk for complications including leak, inadvertent injury, and failure of surgical repair … Limitations In the past decade, surgical patients have grown increasingly complex, 3 and there is growing pressure

92. Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. | PSNet
    psnet.ahrq.gov/issue/correlates-missed-or-late-versus-timely-diagnosis-dementia-healthcare-settings
    March 09, 2022 - July 1, 2017 Towards international consensus on patient harm: perspectives on pressure … injury policy.

93. Nursing management of medication errors. | PSNet
    psnet.ahrq.gov/issue/nursing-management-medication-errors
    November 02, 2022 - September 19, 2018 System approach to prevent common bile duct injury and enhance performance … January 12, 2011 Interactive effects of nurse-experienced time pressure and burnout on

94. The Top Five: A Review of Post-Pandemic Patient Safety Priorities. | PSNet
    psnet.ahrq.gov/issue/top-five-review-post-pandemic-patient-safety-priorities
    July 10, 2024 - demands during the crisis to affect falls, medication safety, healthcare associated infections , and pressure … injuries.

95. How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? | PSNet
    psnet.ahrq.gov/issue/how-can-interventions-more-directly-address-drivers-unprofessional-behaviour-between
    October 09, 2024 - December 19, 2018 Association of hospital participation in a regional trauma quality … Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries.

96. Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. | PSNet
    psnet.ahrq.gov/issue/adverse-events-rehabilitation-hospitals-national-incidence-among-medicare-beneficiaries
    January 09, 2019 - provide intensive rehabilitation to patients recovering from hospitalization for an acute illness or injury … Nearly half of the events were considered preventable, with the most common types of events including pressure

97. Breakage of a PICC Line | PSNet
    psnet.ahrq.gov/web-mm/breakage-picc-line
    June 21, 2023 - These include injury to vessels or organs during insertion, catheter migration or malposition with extravasation … The study found that the most common complications were wound oozing, phlebitis, occlusion, infection … It seems prudent to avoid flushing catheters under high pressure or using small syringes. … PICC complications include injury to other vessels or organs during insertion, catheter migration or … Caregivers should be warned against flushing PICCs with small-volume syringes or with too much pressure

98. Nursing and Patient Safety | PSNet
    psnet.ahrq.gov/primer/nursing-and-patient-safety
    September 15, 2024 - However, the key findings in a recent integrative review include fewer pressure ulcers and urinary tract … job dissatisfaction and absenteeism for nurses, as well as to medication errors, infections, falls, pressure … injuries, readmissions, and failure to rescue . 10 In addition, If bullying is present within the … and unit culture promote teamwork and lead to nursing job satisfaction that is likely to reduce the pressures … injuries.

99. The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. | PSNet
    psnet.ahrq.gov/issue/burden-healthcare-utilization-cost-and-mortality-associated-select-surgical-site-infections
    October 09, 2024 - Are evidence-based practices associated with effective prevention of hospital-acquired pressure … December 21, 2017 Complexity bias in the prevention of iatrogenic injury: why specific

100. Hierarchy and medical error: speaking up when witnessing an error. | PSNet
     psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-when-witnessing-error
     April 14, 2011 - July 19, 2023 Towards international consensus on patient harm: perspectives on pressure … injury policy.