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psnet.ahrq.gov/issue/are-measurements-patient-safety-culture-and-adverse-events-valid-and-reliable-results-cross
February 04, 2015 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors?
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psnet.ahrq.gov/issue/review-patient-safety-incidents-reported-critical-care-units-north-west-england-2009-and-2010
December 02, 2009 - Pressure ulcers were the most common voluntarily reported patient safety issue in intensive care units
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psnet.ahrq.gov/issue/what-nhs-safety-thermometer
November 02, 2016 - commentary describes the design and initial test of a large-scale initiative to track incidents involving pressure … ulcers, falls, urinary infections in patients with catheters, and venous thromboembolism in the National
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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/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/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/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november-2014-november-2015
July 08, 2021 - report collection explores the data collected on four types of health care–acquired conditions ( pressure … ulcers , falls, catheter–associated urinary tract infections, and venous thromboembolisms ) in NHS
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psnet.ahrq.gov/issue/effect-world-health-organization-checklist-patient-outcomes-stepped-wedge-cluster-randomized
June 03, 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/patient-safety-indicators-during-initial-covid-19-pandemic-surge-united-states
August 03, 2022 - About The Topic
Hospitals
Public Health
Infectious Diseases
Medical Complications
Pressure … Ulcers
View More
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psnet.ahrq.gov/node/49644/psn-pdf
December 01, 2011 - Missing the Point—Eye Injury
December 1, 2011
Sharma R, Brunette DD. Missing the Point—Eye Injury. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/missing-point-eye-injury
The Case
A 31-year-old woman presented to the emergency department (ED) after suffering multiple lacerations
during an assault. The pati…
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psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting
May 20, 2009 - The most common adverse events reported were pressure ulcers and fall-related injuries or deaths .
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psnet.ahrq.gov/node/42063/psn-pdf
January 06, 2018 - wide range of
safety threats, including health care–associated infections, medication errors, and pressure … ulcers.
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psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-and-preliminary
October 23, 2019 - While infections and adverse drug events decreased, pressure ulcers increased and represent an opportunity
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psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - ulcers, and thromboembolic events) compared with patients operated on after 48 hours.( 7 ) Surgery for … subsequent immobilization, which in turn increases the risk of delirium, thromboembolism, pneumonia, pressure … ulcers, and significant functional decline. … outcomes and results in fewer medical complications, including pneumonia, urinary tract infections, pressure … ulcers, and thromboembolic events.
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psnet.ahrq.gov/issue/evaluation-association-between-nursing-home-survey-patient-safety-culture-nhsops-measures-and
April 05, 2017 - December 21, 2017
Success in hospital-acquired pressure ulcer prevention: a tale in two
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psnet.ahrq.gov/issue/impact-rudeness-medical-team-performance-randomized-trial
April 24, 2018 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors?
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psnet.ahrq.gov/issue/national-patient-safety-goals
May 30, 2012 - infections , medication errors, inpatient suicide , and specific clinical harms such as falls and pressure … ulcers.
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psnet.ahrq.gov/issue/medical-error-reporting-system-could-boost-patient-safety
December 14, 2022 - From the Same Author(s)
Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice.
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psnet.ahrq.gov/issue/detection-adverse-events-acute-geriatric-hospital-over-6-year-period-using-global-trigger
March 09, 2022 - improvements to systems strategies, including checklists , safety culture surveys, and prevention of pressure … ulcers and infections .
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psnet.ahrq.gov/issue/estimating-hospital-costs-inpatient-harms
February 07, 2024 - Pressure ulcers, surgical site infections , and other hospital-acquired conditions are common preventable