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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865296/psn-pdf
    March 27, 2024 - facilitating clinician communication, as well as preventing hospital-associated infections, falls, pressureulcers, and inpatient suicide.
  2. 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
  3. 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
  4. 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…
  5. Psn-Pdf (pdf file)

    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, pressureulcers, and health care–associated infections) and to improve medication management.
  6. 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/…
  7. 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 pressureulcers and, as may have occurred in this case, aspiration pneumonia.
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865698/psn-pdf
    April 24, 2024 - Although differences have been reported on patient variables like hospital-acquired pressure ulcers,
  9. 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 pressureulcers and falls.
  10. 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 pressureulcers 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
  11. 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 pressureulcers.
  12. Psn-Pdf (pdf file)

    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 …
  13. Psn-Pdf (pdf file)

    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 Decubitusulcer Pressure sores in patients hospitalized for 4 days or longer Discharges with ICD-9-CM code
  14. psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
    September 01, 2012 - They're getting decubitus ulcers.
  15. 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…
  16. 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…
  17. psnet.ahrq.gov/continuing-education
    February 26, 2025 - Delirium (4) Nosocomial Infections (3) Patient Falls (5) PressureUlcers (1) Venous Thrombosis and Thromboembolism (3) Medication Safety
  18. Psn-Pdf (pdf file)

    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., pressureulcers and catheter associated infections, falls, and delirium).
  19. 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, pressureulcers, and health care–associated infections) and to improve medication management.
  20. 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) Pressureulcers See Notes for reference.

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