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Showing results for "pressure ulcer".
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161. Never Events | PSNet
     psnet.ahrq.gov/primer/never-events
     June 15, 2024 - associated with a  fall  while being cared for in a healthcare setting Any stage 3, stage 4, and unstageable pressure … ulcers acquired after admission/presentation to a healthcare setting Artificial insemination with the … See More About The Topic Sentinel Event Never Events Hospitals Operating Room Pressure … Ulcers View More

162. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45769/psn-pdf
     December 21, 2016 - tract infections, central line–associated bloodstream infections, falls, obstetric adverse events, pressure … ulcers, surgical site infections, ventilator-associated pneumonias, and postoperative venous thromboembolisms

163. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45511/psn-pdf
     July 21, 2017 - Investigators compared a global measure of safety, which included pressure ulcers, venous thromboembolism

164. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44388/psn-pdf
     October 14, 2015 - The study looked at four nursing-sensitive adverse outcomes: pressure ulcers, falls with injuries, catheter-associated

165. The wicked problem of patient misidentification: how could the technological revolution help address patient safety? | PSNet
     psnet.ahrq.gov/issue/wicked-problem-patient-misidentification-how-could-technological-revolution-help-address
     July 10, 2024 - August 7, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis

166. Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool. | PSNet
     psnet.ahrq.gov/issue/exploring-nursing-sensitive-events-home-healthcare-national-multicenter-cohort-study-using
     August 05, 2020 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors?

167. Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis. | PSNet
     psnet.ahrq.gov/issue/effect-nonpayment-hospital-acquired-catheter-associated-urinary-tract-infection-statewide
     October 17, 2017 - February 3, 2011 Success in hospital-acquired pressure ulcer prevention: a tale in two

168. Instruments and warning signs for identifying and evaluating the frequency of adverse events in intermediate and long-term care centres: a narrative systematic review. | PSNet
     psnet.ahrq.gov/issue/instruments-and-warning-signs-identifying-and-evaluating-frequency-adverse-events
     July 20, 2022 - Common adverse events impacting this population include adverse drug events, delirium , malnutrition, pressure … ulcers, and infections.

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43539/psn-pdf
     March 26, 2015 - For example, the PSI for pressure ulcers demonstrated a high false-negative rate, meaning that ICD-10

170. Implementing the Safety Thermometer tool in one NHS trust. | PSNet
     psnet.ahrq.gov/issue/implementing-safety-thermometer-tool-one-nhs-trust
     March 19, 2019 - implementing a patient safety measurement tool that incentivized improvement in four areas: falls, pressure … ulcers, venous thromboembolisms , and catheter-associated urinary tract infections .

171. Adverse Events. | PSNet
     psnet.ahrq.gov/issue/adverse-events
     October 28, 2020 - Quality and Safety Professionals Patients Medication Errors/Preventable Adverse Drug Events Pressure … Ulcers Surgical Complications View More

172. Rethinking hospital restraints. | PSNet
     psnet.ahrq.gov/issue/rethinking-hospital-restraints
     May 04, 2011 - patients from harm, this magazine article highlights risks related to their use—such as increased rates of pressure … ulcers and delirium—and advocates for a more patient-sensitive approach to ensure the safety of both

173. Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. | PSNet
     psnet.ahrq.gov/issue/multimethod-study-large-scale-programme-improve-patient-safety-using-harm-free-care-approach
     January 23, 2019 - improvement project in the United Kingdom to address four patient safety issues: venous thromboembolism , pressure … ulcers , catheter–associated urinary tract infections , and falls .

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45036/psn-pdf
     February 15, 2017 - Nearly half of the events were considered preventable, with the most common types of events including pressure … ulcers, delirium, and medication errors.

175. Finding and Preventing Patient Safety Incidents. | PSNet
     psnet.ahrq.gov/issue/finding-and-preventing-patient-safety-incidents
     October 25, 2013 - to prevent patient harm and estimates that nearly 267,000 preventable patient safety events such as pressure … ulcers and catheter-related bloodstream infections occurred during this period.

176. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery | PSNet
     psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
     January 29, 2021 - Hip fracture and pressure ulcers - the Pan-European Pressure Ulcer Study - intrinsic and extrinsic risk

177. Indiana Medical Error Reporting System. | PSNet
     psnet.ahrq.gov/issue/indiana-medical-error-reporting-system-final-report-2015
     July 15, 2009 - problems in the 279 incidents reported in 2018 -- when the last report was published -- were advanced pressure … ulcers , retained foreign objects, and f alls .

178. From research to practice: factors affecting implementation of prospective targeted injury-detection systems. | PSNet
     psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury-detection
     August 04, 2021 - 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.

179. An integrative review exploring the perceptions of patients and healthcare professionals towards patient involvement in promoting hand hygiene compliance in the hospital setting. | PSNet
     psnet.ahrq.gov/issue/integrative-review-exploring-perceptions-patients-and-healthcare-professionals-towards
     March 06, 2019 - Citation Related Resources From the Same Author(s) Medical device-related pressure … ulcers: a systematic review and meta-analysis.

180. Technical rationality and the decentring of patients and care delivery: a critique of 'unavoidable' in the context of patient harm. | PSNet
     psnet.ahrq.gov/issue/technical-rationality-and-decentring-patients-and-care-delivery-critique-unavoidable-context
     October 08, 2016 - June 14, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis