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psnet.ahrq.gov/node/861738/psn-pdf
January 31, 2024 - In a study of 165 patients undergoing wound exploration after hand laceration, 32% of tendon injuries … Explore wounds for evidence of arterial bleeding, foreign body,
tendon injury, and arthrotomy. … A blood pressure cuff applied proximal to the wound is another option. … If a tendon injury cannot be ruled out after wound exploration and functional testing, assume an
occult … injury exists.
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psnet.ahrq.gov/node/850159/psn-pdf
June 07, 2023 - characteristics and reporting patterns
for two measures of nursing home care quality (falls with major injury … and pressure ulcers). … does-nursing-home-compare-reflect-patient-safety-nursing-homes
https://psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare … https://psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings
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psnet.ahrq.gov/node/73229/psn-pdf
May 26, 2021 - norepinephrine-dosing-error-associated-multiple-health-system-
vulnerabilities
The Case
A 65-year-old man presented to a Level III trauma … The patient was then
transferred to a Level I trauma center that could provide a higher level of care … that results in wide fluctuation of blood pressure. … The combination of a supraphysiologic blood pressure target and the patient’s altered blood pressure … ’s spinal cord injury.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar4_pu_skinassesst_final.pdf
April 01, 2011 - deep tissue injury
– Preulceration in the diabetic foot
– Inflammation or infection
15
Parameter … – Skin tears (especially forearm of older adults)
– Trauma
• Make sure to get the etiology right … For each patient, record—
• Whether he/she has pressure ulcers
• How many pressure ulcers he/she has … • Highest stage of his/her deepest ulcer
• Treatment for any existing wounds
32
Reporting Results … Wound care essentials: practice principles. 3rd ed.
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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - The Case
A 65-year-old man presented to a Level III trauma center with bilateral lower extremity paralysis … The patient was then transferred to a Level I trauma center that could provide a higher level of care … that results in wide fluctuation of blood pressure. … The combination of a supraphysiologic blood pressure target and the patient’s altered blood pressure … ’s spinal cord injury.
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psnet.ahrq.gov/node/867022/psn-pdf
October 30, 2024 - were worse when supine, but nocturnal headaches can
be the presenting sign of elevated intracranial pressure … keep
patients awake at night should prompt repeat imaging given the concern for elevated intracranial pressure … which allows time for the brain to adapt to
tissue displacement and modestly increased intracranial pressure … Incidence of delayed intracranial hemorrhage in older patients after blunt head trauma. … Trauma Surg Acute Care Open. 2018;3(1):e000129.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar3_pu_staffroles.pdf
January 01, 2014 - Program.
8
Wound Care Team: Roles and Duties
• Serve as your hospital’s content experts on
pressure … ulcer
injury prevention … Nursing 2014 survey results: Wound care and
prevention. … Advances in Skin and Wound Care. 2010; 23(3):120-31.
• Levine J, et al. … Advances in Skin and Wound Care. 2007;
20(1):34-38.
37
Staff Roles and Training forYour Pressure
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psnet.ahrq.gov/node/74252/psn-pdf
January 12, 2022 - Or they were used to a certain type of protective foam to prevent pressure injuries and now they
must … With regard to pressure injuries for patients in the prone position, staff had to think about how to … We saw pressure injuries and as soon as these events occurred, we
saw staff problem-solving and doing … 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
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psnet.ahrq.gov/node/40507/psn-pdf
June 08, 2011 - From research to practice: factors affecting
implementation of prospective targeted injury-detection … From research to practice: factors affecting implementation of
prospective targeted injury-detection … https://psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury … five hospitals faced in implementing new systems for prospective detection
of adverse drug events and pressure … https://psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury-detection
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
October 01, 2011 - year-old man with insulin-dependent diabetes, hypertension, and chronic kidney disease was admitted to a trauma … service after injuries suffered from an assault and battery. … The patient’s injuries included a left shoulder dislocation and a minimally displaced fracture of a thoracic … In reviewing the medical records, the PT noted the initial shoulder injury on admission. … ICU (4)
In addition to providing a general assessment, the PT expressed concern that the shoulder injury
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psnet.ahrq.gov/node/867427/psn-pdf
December 18, 2024 - Centers for Disease Control and Prevention
(CDC) consistently reports falls as the leading cause of injury … The World
Health Organization reports falls as the second leading cause of unintentional injury deaths … A patient fall is defined as “an unplanned descent to the floor with
or without injury to the patient … 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 sensors
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psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
January 01, 2024 - wound. … Trauma-induced coagulopathy: what you need to know. J Trauma Acute Care Surg. 2024;96(2):179-185. … Vascular injury and complication in neurosurgical spine surgery. … Craniomaxillofac Trauma Reconstr. 2013;6(4):257-266. … Hetastarch during initial resuscitation from trauma. J Trauma. 2011;70(5 Suppl):S19-S21.
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psnet.ahrq.gov/node/837890/psn-pdf
August 24, 2022 - Accuracy of pressure ulcer events in US nursing home
ratings. … Accuracy of pressure ulcer events in US nursing home ratings. … https://psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings
All nursing homes … This study compared seven years of
self-reported pressure ulcer data with claims-based data for pressure … does-nursing-home-compare-reflect-patient-safety-nursing-homes
https://psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare
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psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
March 27, 2024 - were worse when supine, but nocturnal headaches can be the presenting sign of elevated intracranial pressure … keep patients awake at night should prompt repeat imaging given the concern for elevated intracranial pressure … which allows time for the brain to adapt to tissue displacement and modestly increased intracranial pressure … Incidence of delayed intracranial hemorrhage in older patients after blunt head trauma. … Trauma Surg Acute Care Open . 2018;3(1):e000129. [ Free full text ] Borst J, Godat LN, Berndtson AE,
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qualityindicators.ahrq.gov/Downloads/Modules/V2023/AHRQ_QI_Indicators_List.pdf
October 01, 2023 - • PSI 02 - Death Rate in Low-Mortality Diagnosis Related
Groups (DRGs)
• PSI 03- Pressure … Fracture Rate
• PSI 09- Postoperative Hemorrhage or Hematoma Rate
• PSI 10- Postoperative Acute Kidney Injury … or Deep
Vein Thrombosis (PE/DVT) Rate
• PSI 13- Postoperative Sepsis Rate
• PSI 14 - Postoperative Wound … Rate - Injury to Neonate
• PSI 18 - Obstetric Trauma Rate - Vaginal Delivery with
Instrument
• PSI … 19- Obstetric Trauma Rate - Vaginal Delivery
without Instrument
• PSI 90- Patient Safety and Adverse
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psnet.ahrq.gov/node/73363/psn-pdf
June 09, 2021 - Shift-to-shift nursing handover interventions associated
with improved inpatient outcomes - falls, pressure … injuries and medication administration errors: an
integrative review. … shift nursing handover interventions associated with improved inpatient
outcomes—falls, pressure injuries … identify which nursing handover interventions result in improved
patient outcomes (i.e., patient falls, pressure … injuries, medication administration errors).
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications-notes.docx
April 01, 2022 - Knight is a 25-year-old man who was admitted with acute urinary retention due to a spinal cord injury … the last row on this table), urology consultation should be considered for prostatitis and urethral trauma … Of note, catheters are appropriate in the case of urinary incontinence with open wounds if the urine … cannot be kept from contaminating the wounds using other strategies. … .
· Not all open sacral/hip wounds require an indwelling catheter if the wound can be kept clean by other
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psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
April 28, 2021 - The anesthesiologist then noted a rapid decrease in the patient’s blood pressure and increasing tachycardia … , indicating a possible vascular injury. … Pressure was applied and vascular surgery was consulted. … of underreporting of vascular injury. … How can this type of injury be prevented?
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hcup-us.ahrq.gov/reports/factsandfigures/facts_figures_2005.jsp
January 01, 2005 - )
Pressure sores typically result from prolonged periods of uninterrupted pressure on the skin, … or internal injury
106
16,900
6.7
3.4
Intracranial injury (brain injury)
171
16,500 … causes
102
7,000
3.5
3.3
Open wounds of head, neck, and trunk
38
6,900
2.6
0.6 … (brain injury)
234 Crushing injury or internal injury
235 Open wounds of head, neck, … and trunk
236 Open wounds of extremities (arms and legs)
239 Superficial injury, contusion
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psnet.ahrq.gov/node/49389/psn-pdf
February 01, 2003 - The
anesthesiologist then noted a rapid decrease in the patient’s blood pressure and increasing tachycardia … ,
indicating a possible vascular injury. … Pressure was applied and vascular surgery was consulted. … underreporting of vascular injury. … How can this type of injury be prevented?