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psnet.ahrq.gov/node/46404/psn-pdf
December 07, 2017 - Adverse
events included medication errors and hospital-acquired conditions, such as pressure ulcers
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psnet.ahrq.gov/issue/factor-structure-and-construct-validity-hospital-survey-patient-safety-culture-using
June 29, 2022 - June 29, 2022
Evaluation of clinical practice guidelines on fall prevention and management … medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention … February 22, 2023
Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice.
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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
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psnet.ahrq.gov/issue/implementation-mandatory-checklist-protocols-and-objectives-improves-compliance-wide-range
September 22, 2010 - Intensive Care Units
Health Care Providers
Quality and Safety Professionals
Critical Care
Pressure … Ulcers
View More
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psnet.ahrq.gov/issue/decade-preventing-harm
July 10, 2008 - The health system sought to prevent pressure ulcers , adverse drug events , falls with injury , health
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psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
August 01, 2012 - ulcer or were put in physical restraints. … We looked at the outcomes on falls, pressure ulcers, and restraint use. … We didn't find it for pressure ulcers. … ulcers. … But they are mainly medical-based outcomes or process-based outcomes like pressure ulcers, use of restraints
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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
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psnet.ahrq.gov/issue/human-performance-breakdowns-are-rarely-accidents-they-are-usually-very-poor-choices
September 12, 2016 - July 10, 2024
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/patient-and-family-centered-care-error-disclosure-and-investigation
July 15, 2009 - January 18, 2023
Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice. … teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention
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psnet.ahrq.gov/issue/cost-effectiveness-quality-improvement-programme-reduce-central-line-associated-bloodstream
January 02, 2017 - February 15, 2011
Are evidence-based practices associated with effective prevention of … hospital-acquired pressure ulcers in US academic medical centers? … , and catheter-associated urinary tract infection (CAUTI): the urgent need to refocus on hardwiring prevention
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psnet.ahrq.gov/issue/slowly-vanishing-prescription-pad
April 08, 2019 - May 25, 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/33676/psn-pdf
November 01, 2008 - We asked him to speak with us about how research on UTI prevention provides broader lessons for
patient … On the one hand, we're trying to get patients up out of bed to prevent deconditioning, decubitus
ulcers … , and pressure sores, but the urinary catheter is tethering them to the bed, preventing them from
getting … learning from your own research and
the broader experience that people have had in the field of infection prevention … SS: Well, I think that infection prevention in many ways is a paradigm for patient safety, at least for
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psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
August 01, 2012 - ulcer or were put in physical restraints. … We looked at the outcomes on falls, pressure ulcers, and restraint use. … We didn't find it for pressure ulcers. … ulcers. … But they are mainly medical-based outcomes or process-based outcomes like pressure ulcers, use of restraints
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psnet.ahrq.gov/issue/good-practice-guides-medication-errors-part-1-and-part-2
August 03, 2016 - Medication Errors: New Eu Good Practice Guide On Risk Minimisation And Error Prevention. … Medication Errors: New Eu Good Practice Guide On Risk Minimisation And Error Prevention. … June 27, 2018
Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare … room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors?
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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.
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psnet.ahrq.gov/issue/saving-lives-and-saving-money-hospital-acquired-conditions-update
May 01, 2017 - events, catheter-associated urinary tract infections, central line–associated bloodstream infections, pressure … ulcers, and surgical site infections. … December 9, 2015
Advances in the Prevention and Control of HAIs.
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psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review
May 15, 2013 - severity of harm for specific adverse events including falls , health care–associated infections , pressure … ulcers, and blood product errors. … October 11, 2023
Effect of computer order entry on prevention of serious medication errors
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psnet.ahrq.gov/issue/health-care-associated-infections-among-hospitalized-patients-covid-19-march-2020-march-2022
May 12, 2021 - Related Resources From the Same Author(s)
Universal protection: operationalizing infection prevention … September 20, 2023
A comprehensive program to reduce rates of hospital-acquired pressure … ulcers in a system of community hospitals. … June 9, 2021
Home health staff perspectives on infection prevention and control: implications
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psnet.ahrq.gov/node/40841/psn-pdf
October 16, 2012 - authors arrive at estimates of the daily risk of various safety problems,
including adverse drug events, pressure … ulcers, and hospital-acquired infections, and also find that the
probability of experiencing an adverse
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psnet.ahrq.gov/node/44658/psn-pdf
November 18, 2015 - (RN) in a nursing home could affect various quality and
safety indicators (such as safety culture, pressure … ulcers, and falls).