-
psnet.ahrq.gov/node/865296/psn-pdf
March 27, 2024 - facilitating clinician communication, as well as preventing hospital-associated infections, falls, pressure … ulcers, and inpatient suicide.
-
psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
January 12, 2022 - We also experienced, as Rhonda mentioned, difficulties with pressure ulcer prevention and timely response
-
psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
January 12, 2022 - We also experienced, as Rhonda mentioned, difficulties with pressure ulcer prevention and timely response
-
psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - SPOTLIGHT CASE
Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation
Citation Text:
Trask J, Carlsen KM, Kuhn BT. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation. PSNet [internet]. Rockville (MD): Agency for Healt…
-
psnet.ahrq.gov/node/33597/psn-pdf
April 10, 2024 - These
require SNFs to have measures in place to prevent specific clinical harms (such as falls, pressure … ulcers,
and health care–associated infections) and to improve medication management.
-
psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Agitated Delirium_FINAL.pptx
Spotlight
Agitated Delirium Contributes to Missed Testing and
Delayed Diagnosis of Gastric Perforation
Source and Credits
• This presentation is based on the March 2023 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/…
-
psnet.ahrq.gov/web-mm/snfs-opening-black-box
August 27, 2012 - can contribute to delirium, hypotension, falls, and immobility along with its complications, such as pressure … ulcers and, as may have occurred in this case, aspiration pneumonia.
-
psnet.ahrq.gov/node/865698/psn-pdf
April 24, 2024 - Although differences have been
reported on patient variables like hospital-acquired pressure ulcers,
-
psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - Studies show that an increase in healthcare-acquired infections, falls, and pressure ulcers has occurred … Similar increases were observed in falls and pressure ulcers at skilled nursing facilities and preventable … States, we have since experienced higher rates of preventable infections, as well as increases in pressure … ulcers and falls.
-
psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - States, we have since experienced higher rates of preventable infections, as well as increases in pressure … ulcers and falls. … Studies show that an increase in healthcare-acquired infections, falls, and pressure ulcers has occurred … Similar increases were observed in falls and pressure ulcers at skilled nursing facilities and preventable
-
psnet.ahrq.gov/curated-library/medicationdrug-errors
March 12, 2021 - hospital-acquired infections, medication errors, inpatient suicide, and specific clinical harms such as falls and pressure … ulcers.
-
psnet.ahrq.gov/node/73642/psn-pdf
August 25, 2021 - Sudden Collapse During Upper Gastrointestinal
Endoscopy: Expect the Unexpected
August 25, 2021
Wieck M. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected. PSNet
[internet]. 2021.
https://psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-
unexpected
…
-
psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - Excludes patients with any diagnosis
code for drug dependence, abuse of drugs, or self-inflicted
injury
Decubitus … ulcer
Pressure sores in patients
hospitalized for 4 days or
longer
Discharges with ICD-9-CM code
-
psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
September 01, 2012 - They're getting decubitus ulcers.
-
psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
February 01, 2007 - Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common?
Mark L. Graber, MD | February 1, 2007
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Graber ML. Diagnostic Errors in Medicine: What Do Doctors and Umpi…
-
psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected
Citation Text:
Wieck M. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 202…
-
psnet.ahrq.gov/continuing-education
February 26, 2025 - Delirium
(4)
Nosocomial Infections
(3)
Patient Falls
(5)
Pressure … Ulcers
(1)
Venous Thrombosis and Thromboembolism
(3)
Medication Safety
-
psnet.ahrq.gov/node/50701/psn-pdf
November 26, 2019 - is that there are four risk factors that underlie many of our hospital acquired
conditions, (i.e., pressure … ulcers and catheter associated infections, falls, and delirium).
-
psnet.ahrq.gov/primer/long-term-care-and-patient-safety
February 24, 2022 - These require SNFs to have measures in place to prevent specific clinical harms (such as falls, pressure … ulcers, and health care–associated infections) and to improve medication management.
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.200_slideshow.ppt
May 01, 2009 - and malnutrition
Aspiration pneumonia
Nosocomial infection (especially due to urinary catheters)
Pressure … ulcers
See Notes for reference.