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psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
August 01, 2012 - ulcer or were put in physical restraints. … We looked at the outcomes on falls, pressure ulcers, and restraint use. … We didn't find it for pressure ulcers. … ulcers. … But they are mainly medical-based outcomes or process-based outcomes like pressure ulcers, use of restraints
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psnet.ahrq.gov/issue/missed-nursing-care-emergency-departments-scoping-review
November 03, 2021 - More About The Topic
Emergency Departments
Emergency Nursing
Administration Errors
Pressure … Ulcers
Monitoring Errors and Failures
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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
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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
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psnet.ahrq.gov/issue/effects-harm-events-30-day-readmission-surgical-patients
July 31, 2019 - The authors found that the harms with the highest 30-day readmission rates were pressure ulcers (45%)
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psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review
October 08, 2016 - 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 research
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psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - mobilization
• Prolonged hospital bedrest leads to loss of muscle and bone
mass and increases risk of pressure … ulcers, venous
thromboembolism and hospital acquired-infection … Pressure Ulcer Prevention in the Hospital Setting Using Silicone Foam Dressings.
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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
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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.
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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?
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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 .
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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
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psnet.ahrq.gov/node/866261/psn-pdf
July 10, 2024 - Hip fracture and pressure ulcers - the Pan-European
Pressure Ulcer Study - intrinsic and extrinsic risk
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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.
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psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm
June 01, 2016 - January 23, 2019
Success in hospital-acquired pressure ulcer prevention: a tale in two
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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
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psnet.ahrq.gov/node/47328/psn-pdf
January 01, 2020 - Overall, HAC rates declined
over the 2 years following implementation of the program, with only rates of pressure … ulcers increasing.
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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
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psnet.ahrq.gov/node/73873/psn-pdf
September 29, 2021 - report major and minor complications (e.g., unplanned re-
operation, infection, medication error, pressure … ulcers).
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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 .