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Showing results for "pressure injury".
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  1. Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. | PSNet

    psnet.ahrq.gov/issue/patient-safety-people-experiencing-advanced-dementia-hospital-video-reflexive-ethnography
    November 16, 2022 - July 17, 2024 Early identification and evaluation of severe pressure injuries. … April 6, 2022 Clinical characteristics and short-term outcomes of acute kidney injury

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843054/psn-pdf
    January 25, 2023 - The most common types of nursing-sensitive events were falls, pressure injuries, healthcare-associated

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60027/psn-pdf
    January 01, 2021 - Improvements in medication errors and hospital- acquired pressure injuries were observed, but employee

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73665/psn-pdf
    September 01, 2021 - The most common safety events included pressure injuries or other skin integrity events, falls, and

  5. Interventions to Prevent Falls in Community-Dwelling Older Adults: US Preventive Services Task Force Recommendation Statement (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/gW6MHsqzJ7Nn4a7S6S_9UN
    June 04, 2024 - IMPORTANCE Falls are the leading cause of injury-related morbidity and mortality among older adults in … (170 fall-related injuries per 1000 older adults). … disease events, cardiovascular disease mortality, and all- cause mortality, as well as lower blood pressure … assessment using a com- bination of various components, such as balance, gait, vision, pos- tural blood pressure … initial assessment of modifiable risk factors for falls (eg, balance, gait, vision, postural blood pressure

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60551/psn-pdf
    January 01, 2021 - The authors discuss major CMS payment policy changes and their intersection with the PSI; except for pressure … injuries, the implementation of payment policy reforms did not precede the decline trends in PSI rates

  7. Table 10: Outcome Indicators by Selected Home and Community-Based Services 1915(c) Waiver Services Offered, 2005 | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab10.html
    February 01, 2023 - Composite: ACSC Overall Yes 22,422 20,395 25,160 No 18,138 19,018 17,666 Pressure … 7,607 Composite: ACSC Overall 20,384 19,444 14,877 19,094 19,184 20,443 Pressure

  8. Triggers contributing to health care clinicians' disruptive behaviors. | PSNet

    psnet.ahrq.gov/issue/triggers-contributing-health-care-clinicians-disruptive-behaviors
    June 24, 2020 - The most frequent triggers included pressures from high census; environmental overload; chronic, unresolved … Multifactorial interventions to reduce duration and variability in delays to identification of serious injury … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.

  9. Appendix B1: The FMP Self-Assessment Tool (Text Description) | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb1txt.html
    December 01, 2017 - Monthly falls analysis by: location and time of fall shift and day of week type of injury … Monthly falls analysis by # of falls, fallers, patients ≥2 falls, and falls with serious injury?   … of falls high-risk medications, sleep hygiene measures for management of anxiety low blood pressure … care plan include general behavior management strategies and specific interventions to reduce risk of injury … results of fall (BP, BS, mental status, VS, tests ordered, ER or hospital visit) description of injury

  10. The Hidden Danger of Unseen Intravenous Catheters | PSNet

    psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
    October 04, 2023 - efflux of solutions from a vessel into the surrounding tissue during an infusion” and may cause grave injury … Outcomes and management of peripheral intravenous infiltration injuries. Hand (NY) . … Vascular access, fluid resuscitation, and blood transfusion in pediatric trauma. … June 2, 2015 Implementation of the World Health Organization Trauma Care Checklist Program … WebM&M Cases Intraosseous Line Extravasation in a Pediatric Trauma

  11. Check the Anesthesia Machine | PSNet

    psnet.ahrq.gov/web-mm/check-anesthesia-machine
    August 01, 2006 - are difficult to compare, current estimates put medication error rates at 1 in 100 anesthetics.( 2 ) Injury … from such errors are estimated to occur with 1% of errors.( 3 ) By extrapolation, then, the risk of injury … American Society of Anesthesiologists Closed Claims Project recently presented an update on patient injuries … Medication error etiology is multifactorial and includes a distracting environment and production pressure … Patient injuries from anesthesia gas delivery equipment: a closed claims update.

  12. Resource List - AHRQ Nursing Home Survey (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
    April 01, 2023 - Falls Management Program http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries … Provider Fax Report and Orders http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries … professionals/onthejob/falls.asp http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries … /fallspx/index.html http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries/fallspx … /fallspx/fallspxmanapb10pcp.html http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50775/psn-pdf
    January 01, 2021 - reports involved interunit/department/team transfers and the majority (69%) of incidents were related to pressure … injuries, falls, medication, and documentation errors.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836964/psn-pdf
    April 20, 2022 - The most common preventable events were medication events, pressure injuries, and healthcare-associated

  15. Appendix-E-Cdspain-Sample-Clinical-Practice-Guidelines (doc file)

    digital.ahrq.gov/sites/default/files/docs/citation/appendix-e-cdspain-sample-clinical-practice-guidelines.docx
    October 16, 2020 - Pain persisting or recurring for more than 3 to 6 months and can be caused by a disease or condition, injury … an unknown reason.1,2 Acute Pain – Pain that usually starts suddenly and has a known cause, like an injury … tachycardia, myoclonus) First line · Clonidine 0.1-0.2 mg oral every 6-8 hours; hold dose if blood pressure … check 1 hour post dose; obtain daily blood pressure checks; increasing dose requirements additional … blood pressure checks · Re-evaluate in 3-7 days; taper to stop; average duration 15 days Alternatives

  16. Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/pfp/haccost2017.html
    November 01, 2017 - Comparison to 2010 AHRQ estimates Summary Despite advancements in infection control and injury prevention … can stem from diagnostic or treatment errors (e.g., failure to follow antibiotic protocols); medical injuries … Beginning in 2008, CMS identified the HACs (e.g., CAUTI, falls and trauma, surgical site infection) for … Falls Fall during an inpatient admission, with or without injury, whether or not fall was assisted. … Pressure Ulcers A new pressure ulcer developed during a stay, or Stage 1 or 2 pressure ulcer(s) present

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60228/psn-pdf
    April 15, 2020 - the identified events resulted in a delay in care and 41% resulted in temporary harm (e.g., falls, pressure … injuries, skin tears, abrasions).

  18. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia | PSNet

    psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
    January 29, 2021 - respiratory monitoring for 24 hours after intrathecal morphine injection, and potential neurological injury … ; this change was associated with decreased risk of motor vehicle crash involvement and needlestick injury … Work schedule, needle use, and needlestick injuries among registered nurses. … Can workplace rest breaks prevent work-related injuries related to long working hours? … Effects of coffee on ambulatory blood pressure in older men and women: a randomized controlled trial.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852807/psn-pdf
    August 30, 2023 - respiratory monitoring for 24 hours after intrathecal morphine injection, and potential neurological injury … new-recommendations-duty-hours-acgme-task-force decreased risk of motor vehicle crash involvement and needlestick injury … Simplify the treatment when tired or under time pressure When clinicians are tired or pressured for … Work schedule, needle use, and needlestick injuries among registered nurses. … Can workplace rest breaks prevent work-related injuries related to long working hours?

  20. TeamSTEPPS Core Curriculum. | PSNet

    psnet.ahrq.gov/issue/teamstepps-core-curriculum
    August 01, 2012 - July 12, 2018 Pressure Injury Prevention in Hospitals Training Program.
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