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101. Adverse Events. | PSNet
     psnet.ahrq.gov/issue/adverse-events
     October 28, 2020 - June 29, 2016 National Action Plan for Adverse Drug Event Prevention. … Quality and Safety Professionals Patients Medication Errors/Preventable Adverse Drug Events Pressure … Ulcers Surgical Complications View More

102. Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool. | PSNet
     psnet.ahrq.gov/issue/exploring-nursing-sensitive-events-home-healthcare-national-multicenter-cohort-study-using
     August 05, 2020 - December 1, 2021 View More Related Resources The challenge of risk prevention … room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors?

103. The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. | PSNet
     psnet.ahrq.gov/issue/design-safe-or-sorry-study-cluster-randomised-trial-development-and-testing-evidence-based
     May 22, 2013 - randomised trial on the development and testing of an evidence based inpatient safety program for the prevention … randomised trial on the development and testing of an evidence based inpatient safety program for the prevention … implementation of a patient safety program focused on evidence-based guidelines to reduce the incidence of pressure … ulcers , falls , and urinary tract infections . … July 16, 2013 Centers for Disease Control and Prevention Guideline for the Prevention

104. Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical settings. | PSNet
     psnet.ahrq.gov/issue/estimating-economic-cost-nurse-sensitive-adverse-events-amongst-patients-medical-and-surgical
     July 11, 2018 - Root causes of adverse drug events in hospitals and artificial intelligence capabilities for prevention … room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors?

105. Never Events | PSNet
     psnet.ahrq.gov/primer/never-events
     June 15, 2024 - associated with a  fall  while being cared for in a healthcare setting Any stage 3, stage 4, and unstageable pressure … ulcers acquired after admission/presentation to a healthcare setting Artificial insemination with the … April 17, 2013 Prevention of 3 "never events" in the operating room: fires, gossypiboma … See More About The Topic Sentinel Event Never Events Hospitals Operating Room Pressure … Ulcers View More

106. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47434/psn-pdf
     January 21, 2019 - https://psnet.ahrq.gov/issue/estimating-hospital-costs-inpatient-harms Pressure ulcers, surgical site

107. The effects of harm events on 30-day readmission in surgical patients. | PSNet
     psnet.ahrq.gov/issue/effects-harm-events-30-day-readmission-surgical-patients
     July 31, 2019 - The authors found that the harms with the highest 30-day readmission rates were pressure ulcers (45%) … March 12, 2014 Detection and prevention of medication misadventures in general practice … Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention

108. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866261/psn-pdf
     July 10, 2024 - The Prevention of Positioning Injuries during Gynecologic Operations. … Hip fracture and pressure ulcers - the Pan-European Pressure Ulcer Study - intrinsic and extrinsic risk … Prevention of well-leg compartment syndrome following lengthy medical operations in the lithotomy position … Well leg compartment syndrome: pathophysiology, prevention, and treatment.

109. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40390/psn-pdf
     February 03, 2015 - billion, largely attributable to post-surgical complications, health care–associated infections, and pressure … ulcers.

110. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47760/psn-pdf
     February 06, 2019 - highlighted the clinical significance of HACs and described an incident involving a patient who developed a pressure … ulcer while in the hospital.

111. Inpatient fall prevention programs as a patient safety strategy: a systematic review. | PSNet
     psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
     May 26, 2016 - Review Inpatient fall prevention programs as a patient safety strategy: a systematic … Inpatient fall prevention programs as a patient safety strategy: a systematic review. … An institutional approach to fall prevention is discussed in an AHRQ WebM&M perspective . … Inpatient fall prevention programs as a patient safety strategy: a systematic review. … October 5, 2015 Preventing in-facility pressure ulcers as a patient safety strategy:

112. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46404/psn-pdf
     December 07, 2017 - Adverse events included medication errors and hospital-acquired conditions, such as pressure ulcers

113. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49860/psn-pdf
     April 01, 2019 - ulcers, and thromboembolic events) compared with patients operated on after 48 hours.(7) Surgery for … anticoagulation management, early mobilization, and postdischarge care to optimize secondary fracture prevention … ulcers, and significant functional decline. … outcomes and results in fewer medical complications, including pneumonia, urinary tract infections, pressure … ulcers, and thromboembolic events.

114. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39777/psn-pdf
     November 04, 2012 - The most common preventable errors were pressure ulcers—considered a never event—and health care–associated

115. 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

116. The relationship between registered nurses and nursing home quality: an integrative review (2008–2014). | PSNet
     psnet.ahrq.gov/issue/relationship-between-registered-nurses-and-nursing-home-quality-integrative-review-2008-2014
     June 03, 2020 - RN) in a nursing home could affect various quality and safety indicators (such as safety culture , pressure … ulcers, and falls). … Assessing the effectiveness of engaging patients and their families in the three-step fall prevention … process across modalities of an evidence-based fall prevention toolkit: an implementation science study

117. Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. | PSNet
     psnet.ahrq.gov/issue/hospital-organisation-management-and-structure-prevention-health-care-associated-infection
     January 22, 2014 - Review Hospital organisation, management, and structure for prevention of health-care-associated … Hospital organisation, management, and structure for prevention of health-care-associated infection: … room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors? … July 1, 2016 Advances in the Prevention and Control of HAIs.

118. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44388/psn-pdf
     October 14, 2015 - The study looked at four nursing-sensitive adverse outcomes: pressure ulcers, falls with injuries, catheter-associated

119. 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

120. AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2016. | PSNet
     psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-and-preliminary
     October 23, 2019 - HAC reduction efforts resulted in an 8% decrease in events, $2.9 billion dollars in savings, and the prevention … While infections and adverse drug events decreased, pressure ulcers increased and represent an opportunity