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41. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49587/psn-pdf
    May 01, 2009 - for injury or damage.(1) Stedman's Medical Dictionary defines injury as "damage; wound; trauma" and … likewise defines trauma as "wound; an injury inflicted, usually more or less suddenly, by some physical … Other common errors in trauma care involve missed injuries. … In evaluating the extent of injury after penetrating wounds, we continue to be guided by an old saw, … wound.

42. Towards international consensus on patient harm: perspectives on pressure injury policy. | PSNet
    psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy
    September 27, 2016 - Review Towards international consensus on patient harm: perspectives on pressure … injury policy. … Towards international consensus on patient harm: perspectives on pressure injury policy. … Towards international consensus on patient harm: perspectives on pressure injury policy. … March 7, 2018 6-PACK programme to decrease fall injuries in acute hospitals: cluster

43. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/48134/psn-pdf
    August 14, 2019 - Root cause analysis for hospital-acquired pressure injury. August 14, 2019 Black JM. … Root cause analysis for hospital-acquired pressure injury. … J Wound Ostomy Continence Nurs. 2019;46(4):298-304. doi:10.1097/WON.0000000000000546. … https://psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury Pressure injuries … https://psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury https://psnet.ahrq.gov

44. Physiologic Predictors of the Need for Trauma Center Care: A Systematic Review (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/predictors-trauma-care_research-protocol.pdf
    May 31, 2017 - , 2.5 million were due to trauma complications and unspecified injuries.1 Pathways of care for trauma … with severe trauma (injury severity score > 15). … and Injuries"/ 2 (prehospital or trauma or traumatic).mp. 3 exp Emergency Medical Services … and Injuries"/ 2 (prehospital or trauma or traumatic).mp. 3 exp Emergency Medical Services … and Injuries+") S2 (MH "Trauma+") S3 (MH "Prehospital Care") S4 (MH "Emergency Medical Services

45. Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries. | PSNet
    psnet.ahrq.gov/issue/implementing-electronic-root-cause-analysis-reporting-system-decrease-hospital-acquired
    December 22, 2021 - injuries. … injuries. … Healthcare-acquired pressure injuries (HAPI) can result in increased lengths of stay, hospital readmissions … injuries. … January 29, 2020 Root cause analysis for hospital-acquired pressure injury.

46. Early identification and evaluation of severe pressure injuries. | PSNet
    psnet.ahrq.gov/issue/early-identification-and-evaluation-severe-pressure-injuries
    October 10, 2018 - injuries. … Citation Text: Early identification and evaluation of severe pressure injuries. Quick Safety. … Pressure injuries are a significant and preventable patient safety threat. … injuries. … injuries.

47. How To Manage Change
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
    June 02, 2025 - (Tool 2C) Present the assessment of current pressure injury prevention policies and procedures. … Link the Pressure Injury Prevention Program with quality improvement. … Injury Implementation Team Wound Care Team Unit Team 12 Collaborative Relationships Unit-Based Team … Current Pressure Injury Processes Understand current processes in patient care units. … Let’s look at completed Tool 2D now. 19 Assess Pressure Injury Screening Practices Tool 2E 20

48. Appendix E. Sample Participant Agenda | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/ape.html
    October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Appendix E. … Sample Participant Agenda Previous Page Next Page Table of Contents Pressure Injury … Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program … Hospital Practice Insights: Challenges and Solutions Preventing Pressure Injuries in … Module 3: Best Practices in Pressure Injury Prevention QIS/Instructor Implementation Team Leader

49. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73350/psn-pdf
    June 02, 2021 - Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. … 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

50. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. | PSNet
    psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
    March 03, 2021 - cases, have a 15% mortality rate, and account for 81% of trocar injury-related deaths. 3,4 Bowel injuries … wound closure. … Unintended retention of drain material in contaminated wounds is a known problem, but studies documenting … J Trauma . 2007;62(4):1051-1052. [ Available at ] Anagnostakos K, Thiery A, Sahan I. … Retained negative pressure wound therapy foams as a cause of infection persistence.

51. Appendix D. Sample Production Agenda for the In-Person Training | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apd.html
    October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Appendix D. … Injury Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program … Hospital Practice Insights: Challenges and Solutions Production Agenda: Pressure Injury … Injury Rates and Pressure Injury Prevention Practices .   25 Measuring pressure injury … Injury Rates and Pressure Injury Prevention Practices 3:50–3:55 5 Closing Evaluation

52. Final Progress Report: Safety Outcomes of Obese Residents in US Nursing Homes (pdf file)
    www.ahrq.gov/sites/default/files/2024-05/felix-report.pdf
    January 01, 2024 - , and pressure injuries. … , pressure injuries and UTIs. … and pressure injuries. … , pressure 10 injuries, or UTIs. … , or 11 pressure injuries.

53. Spotlight (pdf file)
    psnet.ahrq.gov/sites/default/files/2022-10/trocar_injury_final.pdf
    January 01, 2022 - Recognizing Injury (3) 31 • When an operation is completed without any known accompanying injuries, … laparotomy and delayed wound closure … Unintended retention of drain material in contaminated wounds is a known problem, but studies documenting … J Trauma. 2007;62(4):1051-1052. [Available at] 17. Anagnostakos K, Thiery A, Sahan I. … Retained Negative Pressure Wound Therapy Foams as a Cause of Infection Persistence.

54. Module 2: How To Manage Change | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides2.html
    October 01, 2017 - (Tool 2C) Present the assessment of current pressure injury prevention policies and procedures. … Slide 5: Expected Outcomes Begin to write a draft Pressure Injury Prevention Action Plan, tailored … Members who influence the areas involved in pressure injury prevention. … Slide 12: Collaboration Pressure Injury Implementation Team. Wound Care Team. … Wound Care Team: Interdisciplinary group of experts who provide day-to-day care of skin and wound needs

55. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/838900/psn-pdf
    October 27, 2022 - , have a 15% mortality rate, and account for 81% of trocar injury-related deaths.3,4 Bowel injuries … wound closure. … Unintended retention of drain material in contaminated wounds is a known problem, but studies documenting … J Trauma. 2007;62(4):1051-1052. [Available at] 17. Anagnostakos K, Thiery A, Sahan I. … Retained negative pressure wound therapy foams as a cause of infection persistence.

56. Adverse and Temporary Harm Events in Long-Term-Care Hospitals (LTCH) Designated in Office of Inspector General Report1 as Clearly Preventable or Likely Preventable, by Clinical Category (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
    January 01, 2019 - infection and subsequent partial dehiscence due to inadequate wound care • Wound infection of below … 2 nasal pressure ulcer associated with face mask • Deep tissue injuries related to ace wraps • New stage … 2 sacral pressure ulcer • Progression of stage 2 to stage 3 sacral pressure ulcer • Sacral pressure … injury of sacral area • Suspected deep tissue injury of the sacrum • Worsening pressure ulcer of sacrum … Bleeding not directly associated with anticoagulants • Gross hematuria due to trauma from urinary catheter

57. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49644/psn-pdf
    December 01, 2011 - Although intraocular pressure might be lowered in penetrating globe injury, ocular pressure assessment … (tonometry) should not be performed, and any maneuvers that potentially increase intraocular pressure … Lacerations and wounds involving the eyelid must be carefully evaluated for possible globe and intracranial … Work-related eye injuries treated in hospital emergency departments in the US. … Computed tomography in the diagnosis and prognosis of open-globe injuries.

58. Final Progress Report: Reducing the Risk of Preventable Postpartum Lower Extremity Nerve Injuries (pdf file)
    www.ahrq.gov/sites/default/files/2025-03/toledo-report.pdf
    January 01, 2025 - included in the final model were parity, macrosomia, diabetes, percentage change in mean arterial pressure … The median percentage change in mean arterial pressure (MAP)was larger in patients who experienced nerve … (MAP) relative to baseline blood pressure, the total amount of anesthetic medications used, and whether … The median percentage change in mean arterial pressure was larger in patients who experienced nerve … Larger decreases in blood pressure may cause an increased incidence of nerve injury due to decreased

59. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
    January 01, 2012 - o Wound edges. … - terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure- injury/ Staff … Washington, DC: National Pressure Ulcer 5 Tool D.4a http://www.npuap.org/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury … / http://www.npuap.org/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury … / http://www.npuap.org/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury

60. Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis. | PSNet
    psnet.ahrq.gov/issue/evaluation-suitability-root-cause-analysis-frameworks-investigation-community-acquired
    June 16, 2021 - injuries. … injuries. … July 7, 2021 Root cause analysis for hospital-acquired pressure injury. … injury policy. … October 8, 2016 Wound-care teams for preventing and treating pressure ulcers.