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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/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.
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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.
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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 .
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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/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/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.
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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/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/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/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/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/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/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
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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/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/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/periodic-issue/periodic-issue-445
May 29, 2024 - accurate data capture interventions to improve rates of the composite PSI-90 and three individual PSIs (pressure … ulcers, postoperative PE/DVT, and postoperative sepsis). … Postoperative PE/DVT, postoperative sepsis, and composite PSI-90 all decreased, while pressure ulcer
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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.