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121. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
     January 01, 2021 - pertaining to nine patient safety event types that represent the majority of reported preventable injuries … Injuries were divided into three groups: No Injury where the incident did not result in harm, Injury … that they represent minor injuries such as soreness, bumps, and minor abrasions. … Injuries were divided into two groups: Fall considered unassisted and Fall known to be assisted. … the most advanced stage of the pressure ulcer or suspected Deep Tissue Injury being reported?”

122. Zero preventable deaths after traumatic injury: an achievable goal. | PSNet
     psnet.ahrq.gov/issue/zero-preventable-deaths-after-traumatic-injury-achievable-goal
     March 24, 2021 - Commentary Zero preventable deaths after traumatic injury: an achievable goal. … Zero preventable deaths after traumatic injury. … Zero preventable deaths after traumatic injury. … September 25, 2024 WebM&M Cases Under Pressure: Delayed … Systems to Achieve Zero Preventable Deaths After Injury.

123. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/74279
     January 01, 2022 - Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. … of health care delivery, including how hospitals prevent common hospital-acquired conditions such as pressure … injuries. … visitation-restrictions-patient-experience-and-safety-outcomes-critical https://psnet.ahrq.gov/issue/learning-during-crisis-impact-covid-19-hospital-acquired-pressure-injury-incidence

124. Low Tidal Volume (Lung Protective) Ventilation Literature Review | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-lit-review.html
     January 01, 2017 - trial with 20 patients without lung disease, requiring mechanical ventilation admitted to either a trauma … regression analysis adjusted for baseline characteristics and underlying ARDS risk factors (sepsis, trauma … concentrations of TNF-alpha and of slCAM-1; Reductions of V t , with subsequently decreased peak airway pressures … The plateau airway pressures of group PV were lower than those groups of CV+PEEP (p=0.02) and CV+ZEEP … , such as multiple transfusions, trauma, sepsis, or high-risk surgery.

125. Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers in US academic medical centers? | PSNet
     psnet.ahrq.gov/issue/are-evidence-based-practices-associated-effective-prevention-hospital-acquired-pressure
     September 23, 2020 - Are evidence-based practices associated with effective prevention of hospital-acquired pressure … Are Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Pressure Ulcers … Are Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Pressure Ulcers … February 17, 2009 A randomized trial of a multifactorial strategy to prevent serious fall injuries … March 7, 2018 Pressure Injury Prevention in Hospitals Training Program.

126. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74253/psn-pdf
     January 12, 2022 - Injuries The risk of pressure injuries of the skin and soft tissue has increased during the pandemic … injuries. … the risk of pressure injury among COVID-19 patients.7 Infections Among COVID-19 patients in particular … Injury Advisory Panel, and recommendations developed by researchers on the prevention of pressure injuries … Medical device-related pressure injuries during the COVID-19 pandemic.

127. COVID-19 Pandemic Impact on Healthcare Associated Conditions | PSNet
     psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions
     November 03, 2025 - Study Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence. … injuries. … injuries between March and July 2020. … The authors discuss how prior organizational efforts to reduce hospital-acquired pressure injuries allowed

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849679/psn-pdf
     June 28, 2023 - The patient subsequently underwent surgical repair of the tracheal injury. … obstruction (e.g., obstructive sleep apnea; stridor and air hunger due to vocal cord paralysis or neck trauma … intubate, ventilatory support for neuromuscular disease, and as an adjunct to head/neck surgery or trauma … preventable through careful procedural and post-placement care.6 Patient-related risk factors that affect wound … capillary blood flow at cuff pressures over 50 cm H20.15 Stenosis, fistulas, and other tracheal injuries

129. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49615/psn-pdf
     December 01, 2010 - injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure … Int Wound J. 2008;5:315-328. [go to PubMed] 3. Lyder CH. Pressure ulcer prevention and management. … Adv Wound Care. 1999;12:22-30. [go to PubMed] 5. … Guidelines for the prevention of pressure ulcers. Wound Repair Regen. 2008;16:151-168.  … Slough or eschar may be present on some parts of the wound bed.

130. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. | PSNet
     psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
     January 06, 2018 - Review Preventing in-facility pressure ulcers as a patient safety strategy: a systematic … Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. … Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. … December 8, 2021 Pressure Injury Prevention in Hospitals Training Program. … injury policy.

131. The Forgotten Turn | PSNet
     psnet.ahrq.gov/web-mm/forgotten-turn
     August 01, 2018 - injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, … Int Wound J. 2008;5:315-328.  [go to PubMed] 3. Lyder CH. … Adv Wound Care. 1999;12:22-30.  [go to PubMed] 5. … Guidelines for the prevention of pressure ulcers. Wound Repair Regen. 2008;16:151-168.  … Slough or eschar may be present on some parts of the wound bed.

132. 065-Dec-Staff-Faqs-Decolonization (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/065-dec-staff-faqs-decolonization.docx
     October 01, 2024 - Be especially thorough if there are any nearby wounds, pressure injuries, or breaks in the skin. … Use the CHG on superficial wounds and stage 1 and 2 pressure injuries. … Wound Cleaning For what types of wounds is CHG safe? … CHG can be applied to any superficial wounds, including stage 1 and 2 pressure injuries, friable skin … and stage 1 and 2 pressure injuries.

133. Statistical Brief #96: Potentially Preventable Hospitalizations among Medicare-Medicaid Dual Eligibles, 2008 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb96.pdf
     September 01, 2010 - eligibles accounted for about one-third of all Medicare hospital stays with a principal diagnosis of pressure … ■ Among the nine selected potentially preventable hospitalizations, stays for pressure ulcers had … Pressure ulcers are a condition that typically results from prolonged periods of uninterrupted pressure … Injurious falls are a common cause of fatal injuries among elderly adults ages 65 years and older. … Common fall-related injuries include fractures, open wounds, and head traumas, and are serious enough

134. Assessment of nursing home reporting of major injury falls for quality measurement on Nursing Home Compare. | PSNet
     psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare
     August 24, 2022 - Emerging Classic Assessment of nursing home reporting of major injury … Assessment of nursing home reporting of major injury falls for quality measurement on nursing home compare … This study compared falls with injury data self-reported by nursing homes against those identified in … Download Citation Related Resources From the Same Author(s) Accuracy of pressure … September 14, 2022 Accuracy of pressure ulcer events in US nursing home ratings.

135. Glasgow Coma Scale for Field Triage of Trauma: A Systematic Review (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/field-triage-glascow_executive.pdf
     January 01, 2017 - ; of these approximately 2.5 million were due to trauma complications and unspecified injuries.3 Approximately … , systolic blood pressure, level of intoxication, type of trauma, intubation or receipt of medications … , systolic blood pressure, level of intoxication, type of trauma, intubation or receipt of medication … , systolic blood pressure, level of intoxication, type of trauma, intubation or receipt of medication … , systolic blood pressure, level of intoxication, type of trauma, intubation or receipt of medication

136. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic | PSNet
     psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
     January 12, 2022 - Injuries The risk of pressure injuries of the skin and soft tissue has increased during the pandemic … Injury Advisory Panel, and recommendations developed by researchers on the prevention of pressure injuries … Medical device-related pressure injuries during the COVID-19 pandemic. … The other thing that we saw related to pressure injuries was a type of skin lesion the National Pressure … COVID skin looks very much like deep tissue injury, or other types of pressure injury, but is actually

137. In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO | PSNet
     psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
     January 12, 2022 - The other thing that we saw related to pressure injuries was a type of skin lesion the National Pressure … COVID skin looks very much like deep tissue injury, or other types of pressure injury, but is actually … Injuries The risk of pressure injuries of the skin and soft tissue has increased during the pandemic … Injury Advisory Panel, and recommendations developed by researchers on the prevention of pressure injuries … Medical device-related pressure injuries during the COVID-19 pandemic.

138. Accuracy of pressure ulcer events in US nursing home ratings. | PSNet
     psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings
     February 05, 2020 - Accuracy of pressure ulcer events in US nursing home ratings. … This study compared seven years of self-reported pressure ulcer data with claims-based data for pressure … Accuracy of pressure ulcer events in US nursing home ratings. … Related Resources From the Same Author(s) Assessment of nursing home reporting of major injury … January 17, 2024 Early identification and evaluation of severe pressure injuries.

139. Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey. | PSNet
     psnet.ahrq.gov/issue/interactive-effects-nurse-experienced-time-pressure-and-burnout-patient-safety-cross
     September 23, 2009 - Study Interactive effects of nurse-experienced time pressure and burnout on patient … Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional … The combination of burnout and time pressures appeared to be associated with patient safety risks, … May 9, 2012 Surgeon commitment to trauma care decreases missed injuries. … May 22, 2013 System approach to prevent common bile duct injury and enhance performance

140. Saworksheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/saworksheet.pdf
     June 02, 2025 - the On-Time electronic reports into current workflow to help inform pressure ulcer wound interventions … Ulcer Healing Tool BWAT – Bates-Jenson Wound Assessment Tool None of the above Other … Injury Alliance’s Prevention and Treatment of Pressure Ulcers Guidelines  Wound, Ostomy, and Continence … Pressure ulcer debridement? Selection of dressings based on wound characteristics? … Wound cleansing? Assessing the resident for pain?