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psnet.ahrq.gov/node/43121/psn-pdf
April 16, 2014 - implementing a patient safety
measurement tool that incentivized improvement in four areas: falls, pressure … ulcers, venous
thromboembolisms, and catheter-associated urinary tract infections.
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psnet.ahrq.gov/node/41985/psn-pdf
October 26, 2016 - The most common adverse events reported were pressure ulcers and fall-
related injuries or deaths.
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psnet.ahrq.gov/issue/economic-burden-nurse-sensitive-adverse-events-22-medical-surgical-units-retrospective-and
December 15, 2021 - This economic analysis estimated the impact of nurse-sensitive adverse events—including pressure ulcers … more than 1300 excess hospital days per year, and they advocate for more resources for adverse event prevention … Root causes of adverse drug events in hospitals and artificial intelligence capabilities for prevention
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psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
February 26, 2025 - In certain categories, particularly with something like pressure ulcers, there is almost certainly underreporting … Are pressure ulcers not being discovered, or are they not being correctly staged so that people know … ulcers and other errors. … One was a facility that had a high number of pressure ulcers. … As a result of that really concerted effort to identify pressure ulcers, they have identified many ulcers
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psnet.ahrq.gov/issue/using-pharmacogenetics-improve-drug-safety-and-efficacy
November 18, 2016 - October 6, 2021
Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice. … medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention
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psnet.ahrq.gov/issue/culture-civility-positively-impacting-practice-and-patient-safety
July 13, 2022 - July 29, 2015
Are evidence-based practices associated with effective prevention of hospital-acquired … pressure ulcers in US academic medical centers?
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psnet.ahrq.gov/issue/finding-and-preventing-patient-safety-incidents
October 25, 2013 - to prevent patient harm and estimates that nearly 267,000 preventable patient safety events such as pressure … ulcers and catheter-related bloodstream infections occurred during this period.
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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
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psnet.ahrq.gov/node/40390/psn-pdf
February 03, 2015 - billion, largely attributable to post-surgical
complications, health care–associated infections, and pressure … ulcers.
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psnet.ahrq.gov/issue/top-patient-safety-strategies-can-be-encouraged-adoption-now
September 20, 2011 - Progress in patient safety improvement has been hindered by a lack of high-quality research on error prevention … care–associated infections and surgical complications , bundled interventions to reduce falls and pressure … ulcers , and interventions to decrease medication errors and improve hand hygiene —are all considered … October 5, 2015
Inpatient fall prevention programs as a patient safety strategy: a systematic
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psnet.ahrq.gov/node/47434/psn-pdf
January 21, 2019 - https://psnet.ahrq.gov/issue/estimating-hospital-costs-inpatient-harms
Pressure ulcers, surgical site
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psnet.ahrq.gov/node/74252/psn-pdf
January 12, 2022 - guidelines that were being changed on a daily basis from
the CDC [Centers for Disease Control and Prevention … Our hospitals have great protocols in place
for pressure injury prevention, but prone positioning brought … staff had to think about how to regularly redistribute pressure, how to use the
equipment they had for prevention … They had been a common
strategy for fall prevention, but with the requirement to put on PPE, there was … We also experienced, as
Rhonda mentioned, difficulties with pressure ulcer prevention and timely response
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psnet.ahrq.gov/node/33675/psn-pdf
October 01, 2008 - myocardial infarct, stroke, and pulmonary
embolism (kappa>0.8) than on the timing of renal failure, decubitus … ulcers in addition to stage 3 or 4 ulcers acquired after admission. … However, only 25% of the last
16 reported patients had an ICD-9-CM secondary diagnosis code of a pressure … ulcer (codes
707.00–707.09). … Our
administrative system has a limitation of 15 diagnoses, and it is possible that the decubitus ulcer
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psnet.ahrq.gov/issue/improved-outcomes-fewer-cesarean-deliveries-and-reduced-litigation-results-new-paradigm
November 27, 2012 - September 23, 2020
Universal protection: operationalizing infection prevention guidance … November 14, 2018
A comprehensive program to reduce rates of hospital-acquired pressure … ulcers in a system of community hospitals.
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psnet.ahrq.gov/issue/engagement-leadership-quality-improvement-initiatives-executive-quality-improvement-survey
October 04, 2006 - June 8, 2016
Are evidence-based practices associated with effective prevention of hospital-acquired … pressure ulcers in US academic medical centers?
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psnet.ahrq.gov/issue/cmss-hospital-acquired-condition-lists-link-hospital-payment-patient-safety
May 20, 2009 - September 29, 2017
Preventing in-facility pressure ulcers as a patient safety strategy … March 20, 2013
Inpatient fall prevention programs as a patient safety strategy: a systematic
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psnet.ahrq.gov/issue/patient-safety-indicators-during-initial-covid-19-pandemic-surge-united-states
August 03, 2022 - Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention … About The Topic
Hospitals
Public Health
Infectious Diseases
Medical Complications
Pressure … Ulcers
View More
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psnet.ahrq.gov/issue/hospital-progress-reducing-error-impact-external-interventions
December 04, 2016 - June 8, 2016
Are evidence-based practices associated with effective prevention of hospital-acquired … pressure ulcers in US academic medical centers?
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psnet.ahrq.gov/node/49701/psn-pdf
February 01, 2014 - fully closed system that collects and contains liquid or semi-liquid stools and can assist
in the prevention
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psnet.ahrq.gov/issue/nurse-reported-bullying-and-documented-adverse-patient-events-exploratory-study-us-hospital
November 11, 2020 - central-line-associated blood stream infections, catheter-associated urinary tract infections, hospital-acquired pressure … ulcers, and ventilator-associated events). … medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention … January 19, 2022
Fall prevention implementation strategies in use at 60 United States