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Showing results for "pressure ulcer".
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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. 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

84. 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

85. 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

86. 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

87. 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

88. 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.

89. 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

90. 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.

91. 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

92. In Conversation with…Robert M. Wachter, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
    October 01, 2008 - ulcers—that's too much for any human brain to handle. … ulcers, or most falls. … ulcers in addition to stage 3 or 4 ulcers acquired after admission. … ulcer (codes 707.00–707.09). … Our administrative system has a limitation of 15 diagnoses, and it is possible that the decubitus ulcer

93. 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.

94. 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.

95. 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

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33587/psn-pdf
    June 15, 2024 - include delayed or omitted medications or treatments; complications such as atelectasis, deconditioning, pressure … ulcers, falls, ventilator-associated pneumonia, or other nosocomial infections; increased length of … significant impacts were demonstrated on medication errors, patient falls, nosocomial infections, pressure … ulcers, mortality, and patient satisfaction.

97. 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

98. Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation. | PSNet
    psnet.ahrq.gov/issue/patient-safety-room-horrors-novel-method-assess-medical-students-and-entering-residents
    August 14, 2018 - Students demonstrated a wide range of accuracy in identifying hazards, with fall risk most likely and pressure … ulcer risk least likely to be identified.

99. 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.

100. 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