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Showing results for "pressure ulcer".
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101. Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation. | PSNet
     psnet.ahrq.gov/issue/patient-safety-room-horrors-novel-method-assess-medical-students-and-entering-residents
     August 14, 2018 - Students demonstrated a wide range of accuracy in identifying hazards, with fall risk most likely and pressure … ulcer risk least likely to be identified.

102. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47597/psn-pdf
     August 07, 2019 - The authors explore areas of impact, including patient satisfaction, falls, and hospital-acquired pressure … ulcers, and conclude that benefits have been realized from enhanced rounding practice, but further

103. In Conversation with…Robert M. Wachter, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
     October 01, 2008 - ulcers—that's too much for any human brain to handle. … ulcers, or most falls. … ulcers in addition to stage 3 or 4 ulcers acquired after admission. … ulcer (codes 707.00–707.09). … Our administrative system has a limitation of 15 diagnoses, and it is possible that the decubitus ulcer

104. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40507/psn-pdf
     June 08, 2011 - five hospitals faced in implementing new systems for prospective detection of adverse drug events and pressure … ulcers, and recommends steps organizations can take to ensure smoother implementation.

105. Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. | PSNet
     psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
     July 07, 2021 - June 16, 2021 Medical device-related pressure ulcers: a systematic review and meta-analysis

106. Managing medication errors—a qualitative study. | PSNet
     psnet.ahrq.gov/issue/managing-medication-errors-qualitative-study
     December 06, 2023 - December 18, 2017 Organisational strategies to implement hospital pressure ulcer prevention

107. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45289/psn-pdf
     May 03, 2017 - the severity of harm for specific adverse events including falls, health care–associated infections, pressure … ulcers, and blood product errors.

108. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43121/psn-pdf
     April 16, 2014 - implementing a patient safety measurement tool that incentivized improvement in four areas: falls, pressure … ulcers, venous thromboembolisms, and catheter-associated urinary tract infections.

109. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41985/psn-pdf
     October 26, 2016 - The most common adverse events reported were pressure ulcers and fall- related injuries or deaths.

110. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841759/psn-pdf
     December 21, 2022 - Increased spending on both improved outcomes in catheter-related blood stream infections, pressure ulcers

111. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41344/psn-pdf
     June 15, 2012 - issue/review-patient-safety-incidents-reported-critical-care-units-north-west-england- 2009-and-2010 Pressure … ulcers were the most common voluntarily reported patient safety issue in intensive care units in this

112. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837728/psn-pdf
     July 27, 2022 - adverse drug events, hospital-acquired infections, postoperative adverse events, hospital-acquired pressure … ulcers, falls) over time among patients hospitalized for four common conditions – acute myocardial

113. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60846/psn-pdf
     January 01, 2021 - injuries from falls and catheter use, and that environmental safety was associated with lower rates of pressure … ulcers, major injuries from falls, and catheter use.

114. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60616/psn-pdf
     June 24, 2020 - central-line-associated blood stream infections, catheter-associated urinary tract infections, hospital-acquired pressure … ulcers, and ventilator-associated events).

115. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45879/psn-pdf
     July 02, 2017 - This study aimed to use modeling, a strategy to detect safety hazards, to characterize the risk of pressure … ulcers and catheter-associated infections.

116. Identifying Adverse Events Not Present on Admission: Can We Do It? | PSNet
     psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
     October 01, 2008 - ulcers in addition to stage 3 or 4 ulcers acquired after admission. … ulcer (codes 707.00–707.09). … Our administrative system has a limitation of 15 diagnoses, and it is possible that the decubitus ulcer … ulcers—that's too much for any human brain to handle. … ulcers, or most falls.

117. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841144/psn-pdf
     December 07, 2022 - (PSE) reports into eight clinically relevant themes, including testing delays, diagnostic errors, pressure … ulcers, and falls.

118. Differences in the reporting of care-related patient injuries to existing reporting systems. | PSNet
     psnet.ahrq.gov/issue/differences-reporting-care-related-patient-injuries-existing-reporting-systems
     December 12, 2018 - Related Resources From the Same Author(s) Success in hospital-acquired pressure … ulcer prevention: a tale in two data sets.

119. Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. | PSNet
     psnet.ahrq.gov/issue/redesigning-hospital-alarms-patient-safety-alarmed-and-potentially-dangerous
     December 12, 2018 - Related Resources From the Same Author(s) Success in hospital-acquired pressure … ulcer prevention: a tale in two data sets.

120. Missed Nursing Care | PSNet
     psnet.ahrq.gov/primer/missed-nursing-care
     September 15, 2024 - include delayed or omitted medications or treatments; complications such as atelectasis, deconditioning, pressure … ulcers, falls, ventilator-associated pneumonia, or other nosocomial infections; increased length of … Statistically significant impacts were demonstrated on medication errors, patient falls, nosocomial infections, pressure … ulcers, mortality, and patient satisfaction.