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psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review
May 15, 2013 - severity of harm for specific adverse events including falls , health care–associated infections , pressure … ulcers, and blood product errors.
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psnet.ahrq.gov/issue/trends-adverse-event-rates-hospitalized-patients-2010-2019
June 22, 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
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psnet.ahrq.gov/issue/economic-measurement-medical-errors
March 23, 2022 - The most common preventable errors were pressure ulcers—considered a never event —and health care–associated
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psnet.ahrq.gov/node/49739/psn-pdf
August 21, 2015 - Tracheostomy devices can
cause pressure ulcers, particularly along the inferior aspect of the tracheostomy … skin-barrier dressing
under the tracheostomy faceplate, can reduce the incidence of tracheostomy-related pressure … ulcers.
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psnet.ahrq.gov/issue/decade-preventing-harm
July 10, 2008 - The health system sought to prevent pressure ulcers , adverse drug events , falls with injury , health
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psnet.ahrq.gov/issue/economic-burden-nurse-sensitive-adverse-events-22-medical-surgical-units-retrospective-and
December 15, 2021 - This economic analysis estimated the impact of nurse-sensitive adverse events—including pressure ulcers
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psnet.ahrq.gov/issue/relationship-staff-information-sharing-and-advice-networks-patient-safety-outcomes
June 22, 2011 - networks on several patient safety outcomes, including medication errors , falls , and hospital-acquired pressure … ulcers, across 24 medical and surgical inpatient units at 3 hospitals.
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psnet.ahrq.gov/issue/171-billion-problem-annual-cost-measurable-medical-errors
May 26, 2021 - billion, largely attributable to post-surgical complications, health care–associated infections , and pressure … ulcers.
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psnet.ahrq.gov/issue/how-dangerous-day-hospital-model-adverse-events-and-length-stay-medical-inpatients
February 09, 2012 - authors arrive at estimates of the daily risk of various safety problems, including adverse drug events, pressure … ulcers , and hospital-acquired infections , and also find that the probability of experiencing an adverse
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psnet.ahrq.gov/issue/implementation-centers-medicare-medicaid-services-nonpayment-policy-preventable-hospital
September 16, 2020 - The study looked at four nursing-sensitive adverse outcomes: pressure ulcers, falls with injuries, catheter-associated
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psnet.ahrq.gov/issue/adverse-events-long-term-care-residents-transitioning-hospital-back-nursing-home
April 28, 2021 - Common adverse events included falls , pressure ulcers, health care–associated infections , and adverse
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psnet.ahrq.gov/issue/do-safety-briefings-improve-patient-safety-acute-hospital-setting-systematic-review
August 14, 2024 - July 5, 2017
Wound-care teams for preventing and treating pressure ulcers.
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psnet.ahrq.gov/issue/sources-nurse-sensitive-inpatient-safety-improvement
July 07, 2021 - Increased spending on both improved outcomes in catheter-related blood stream infections, pressure ulcers
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psnet.ahrq.gov/issue/third-annual-report-adverse-health-events-wyoming-healthcare-facilities
October 11, 2016 - Executives and Administrators
Policy Makers
Medication Errors/Preventable Adverse Drug Events
Pressure … Ulcers
View More
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psnet.ahrq.gov/issue/kenneth-w-kizer-md-mph-health-care-quality-evangelist
July 28, 2014 - Conversation With… Christine Cassel, MD
June 1, 2015
Preventing in-facility pressure … ulcers as a patient safety strategy: a systematic review.
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psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-outside-intensive-care-unit-expanding
January 18, 2023 - August 21, 2018
Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice.
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psnet.ahrq.gov/issue/maximizing-smart-pump-technology-enhance-patient-safety
April 25, 2018 - Are evidence-based practices associated with effective prevention of hospital-acquired pressure … ulcers in US academic medical centers?
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psnet.ahrq.gov/issue/cmss-hospital-acquired-condition-lists-link-hospital-payment-patient-safety
May 20, 2009 - September 29, 2017
Preventing in-facility pressure ulcers as a patient safety strategy
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psnet.ahrq.gov/issue/evaluating-handheld-decision-support-device-pediatric-intensive-care-settings
January 18, 2023 - January 18, 2023
Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice.
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psnet.ahrq.gov/issue/critical-incident-reporting-system-emergency-medicine
August 07, 2019 - Related Resources
Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice.