-
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
-
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
-
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.
-
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:
-
psnet.ahrq.gov/issue/challenge-risk-prevention-home-healthcare-interview-study-nurses-municipal-care
August 21, 2024 - Study
The challenge of risk prevention in home healthcare-an interview study with … The challenge of risk prevention in home healthcare—an interview study with nurses in municipal care. … The challenge of risk prevention in home healthcare—an interview study with nurses in municipal care. … More
See More About The Topic
Home Care
Home Nursing
Medical Complications
Pressure … Ulcers
Patient Falls
View More
-
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
-
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
-
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.
-
psnet.ahrq.gov/issue/detection-adverse-events-acute-geriatric-hospital-over-6-year-period-using-global-trigger
March 09, 2022 - attribute improvements to systems strategies, including checklists , safety culture surveys, and prevention … of pressure ulcers and infections . … April 7, 2021
Evaluation of clinical practice guidelines on fall prevention and management
-
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.
-
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
-
psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
January 29, 2021 - 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.
-
psnet.ahrq.gov/issue/patient-safety-moving-bar-prison-health-care-standards
August 28, 2024 - July 29, 2020
Evaluation of clinical practice guidelines on fall prevention and management … January 12, 2022
Are evidence-based practices associated with effective prevention of … hospital-acquired pressure ulcers in US academic medical centers?
-
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
-
psnet.ahrq.gov/issue/defects-value-associated-hospital-acquired-conditions-how-improving-quality-could-save-us
October 30, 2024 - They suggest the investment in HAC prevention would be less than costs associated with treatment, in … October 30, 2024
Are evidence-based practices associated with effective prevention of … hospital-acquired pressure ulcers in US academic medical centers? … December 21, 2017
Complexity bias in the prevention of iatrogenic injury: why specific
-
psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - mobilization
• Prolonged hospital bedrest leads to loss of muscle and bone
mass and increases risk of pressure … ulcers, venous
thromboembolism and hospital acquired-infection … Pressure Ulcer Prevention in the Hospital Setting Using Silicone Foam Dressings.
-
psnet.ahrq.gov/issue/burden-healthcare-utilization-cost-and-mortality-associated-select-surgical-site-infections
October 09, 2024 - October 9, 2024
Are evidence-based practices associated with effective prevention of … hospital-acquired pressure ulcers in US academic medical centers? … December 21, 2017
Complexity bias in the prevention of iatrogenic injury: why specific … Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention … April 22, 2020
Global Guidelines on the Prevention of Surgical Site Infection.
-
psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - 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. … ulcers, and thromboembolic events. … January 31, 2011
WebM&M Cases
An Ounce of Prevention
-
psnet.ahrq.gov/issue/kenneth-w-kizer-md-mph-health-care-quality-evangelist
July 28, 2014 - Conversation With… Christine Cassel, MD
June 1, 2015
Preventing in-facility pressure … ulcers as a patient safety strategy: a systematic review. … March 20, 2013
Inpatient fall prevention programs as a patient safety strategy: a systematic
-
psnet.ahrq.gov/issue/maximizing-smart-pump-technology-enhance-patient-safety
April 25, 2018 - July 13, 2022
Are evidence-based practices associated with effective prevention of hospital-acquired … pressure ulcers in US academic medical centers?