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81. The mindful path to nursing accuracy: a quasi-experimental study on minimizing medication administration errors. | PSNet
    psnet.ahrq.gov/issue/mindful-path-nursing-accuracy-quasi-experimental-study-minimizing-medication-administration
    March 03, 2019 - August 26, 2020 Organisational strategies to implement hospital pressure ulcer prevention

82. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47093/psn-pdf
    July 02, 2019 - effective for managing blood glucose and blood transfusions and for preventing venous thromboembolism, pressure … ulcers, acute kidney injury, and incipient clinical deterioration.

83. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41367/psn-pdf
    May 09, 2012 - psnet.ahrq.gov/issue/harm-free-care This initiative seeks to reduce four key sources of harm in hospitals: pressure … ulcers, falls, catheter- associated urinary tract infections, and vascular thrombotic events.

84. Front Line of Defense: The Role of Nurses in Preventing Sentinel Events. Third Edition. | PSNet
    psnet.ahrq.gov/issue/front-line-defense-role-nurses-preventing-sentinel-events-third-edition
    November 27, 2018 - December 15, 2017 Organisational strategies to implement hospital pressure ulcer prevention

85. Adverse effects of the Medicare PSI-90 hospital penalty system on revenue-neutral hospital-acquired conditions. | PSNet
    psnet.ahrq.gov/issue/adverse-effects-medicare-psi-90-hospital-penalty-system-revenue-neutral-hospital-acquired
    October 30, 2024 - Overall, HAC rates declined over the 2 years following implementation of the program, with only rates of pressure … ulcers increasing. … Are evidence-based practices associated with effective prevention of hospital-acquired pressure … ulcers in US academic medical centers?

86. Nursing Care Quality at NQF. | PSNet
    psnet.ahrq.gov/issue/nursing-care-quality-nqf
    September 06, 2011 - View More Related Resources Organisational strategies to implement hospital pressure … ulcer prevention programmes: findings from a national survey.

87. Medical malpractice: why is it so hard for doctors to apologize? | PSNet
    psnet.ahrq.gov/issue/medical-malpractice-why-it-so-hard-doctors-apologize
    August 24, 2011 - February 5, 2020 Accuracy of pressure ulcer events in US nursing home ratings.

88. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41882/psn-pdf
    November 28, 2012 - 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

89. The impact of hospital-acquired conditions on Medicare program payments. | PSNet
    psnet.ahrq.gov/issue/impact-hospital-acquired-conditions-medicare-program-payments
    November 18, 2016 - evaluated costs related to the index hospitalization and 90 days following discharge of six HACs—severe pressure … ulcers, fractures, catheter-associated urinary tract infections, venous catheter-related infections, … Severe pressure ulcers and orthopedic surgical site infections resulted in an average increase in payments

90. Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. | PSNet
    psnet.ahrq.gov/issue/patient-safety-palliative-care-mixed-methods-study-reports-national-database-serious
    May 16, 2018 - They found that pressure ulcers, medication errors, and falls were the most frequently reported types … More About The Topic Long-Term Care Facility and Group Administrators Palliative Care Pressure … Ulcers Patient Falls View More

91. AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. | PSNet
    psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-and-preliminary-0
    October 23, 2019 - highlighted the clinical significance of HACs and described an incident involving a patient who developed a pressure … ulcer while in the hospital.

92. In-facility delirium programs as a patient safety strategy: a systematic review. | PSNet
    psnet.ahrq.gov/issue/facility-delirium-programs-patient-safety-strategy-systematic-review
    March 13, 2013 - January 6, 2018 Preventing in-facility pressure ulcers as a patient safety strategy: … May 1, 2016 Preventing in-facility pressure ulcers as a patient safety strategy: a systematic

93. Harm Free Care. | PSNet
    psnet.ahrq.gov/issue/harm-free-care
    April 15, 2020 - This initiative seeks to reduce four key sources of harm in hospitals: pressure ulcers, falls, catheter-associated

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46892/psn-pdf
    June 13, 2018 - While infections and adverse drug events decreased, pressure ulcers increased and represent an opportunity

95. Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries. | PSNet
    psnet.ahrq.gov/issue/implementing-electronic-root-cause-analysis-reporting-system-decrease-hospital-acquired
    December 22, 2021 - See More About The Topic Hospitals Quality and Safety Professionals Nurse Care Pressure … Ulcers Latent Errors View More

96. Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. | PSNet
    psnet.ahrq.gov/issue/learning-during-crisis-impact-covid-19-hospital-acquired-pressure-injury-incidence
    August 25, 2021 - Intensive Care Units Quality and Safety Professionals Public Health Infectious Diseases Pressure … Ulcers View More

97. Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect? | PSNet
    psnet.ahrq.gov/issue/rates-adverse-events-hospitalized-patients-after-summer-time-resident-changeover-united
    June 22, 2022 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors? … Hospitals Medicine Medication Errors/Preventable Adverse Drug Events Nosocomial Infections Pressure … Ulcers View More

98. In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape don’t dock five-star ratings. | PSNet
    psnet.ahrq.gov/issue/us-nursing-homes-where-covid-19-killed-scores-even-reports-maggots-and-rape-dont-dock-five
    December 22, 2021 - March 29, 2023 Accuracy of pressure ulcer events in US nursing home ratings.

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43492/psn-pdf
    September 03, 2014 - from harm, this magazine article highlights risks related to their use—such as increased rates of pressure … ulcers and delirium—and advocates for a more patient-sensitive approach to ensure the safety of both

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35088/psn-pdf
     January 01, 2025 - hospital-acquired infections, medication errors, inpatient suicide, and specific clinical harms such as falls and pressure … ulcers.