-
psnet.ahrq.gov/node/45769/psn-pdf
December 21, 2016 - tract infections, central line–associated bloodstream infections,
falls, obstetric adverse events, pressure … ulcers, surgical site infections, ventilator-associated pneumonias,
and postoperative venous thromboembolisms
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psnet.ahrq.gov/issue/can-patient-involvement-improve-patient-safety-cluster-randomised-control-trial-patient
December 21, 2016 - Investigators compared a global measure of safety, which included pressure ulcers , venous thromboembolism … June 26, 2019
Making infection prevention and control everyone's business?
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psnet.ahrq.gov/issue/cost-benefit-analysis-support-program-nursing-staff
October 26, 2016 - July 29, 2020
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/covid-19-related-negative-emotions-and-emotional-suppression-are-associated-greater-risk
November 17, 2021 - July 20, 2022
Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice. … Related Resources
Perspectives on Safety
Suicide Prevention
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psnet.ahrq.gov/node/45036/psn-pdf
February 15, 2017 - Nearly half of the events were considered preventable,
with the most common types of events including pressure … ulcers, delirium, and medication errors.
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psnet.ahrq.gov/node/48130/psn-pdf
August 07, 2019 - Common adverse events included falls, pressure
ulcers, health care–associated infections, and adverse
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psnet.ahrq.gov/node/33722/psn-pdf
December 01, 2011 - Let's shift a little bit to other proposed prevention
strategies, particularly in environmental ones … The same as with pressure ulcers. … We have nearly eliminated pressure ulcers here at
Ascension, and it was all built around a strategy
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psnet.ahrq.gov/issue/communication-failures-patient-sign-out-and-suggestions-improvement-critical-incident
April 16, 2008 - October 19, 2022
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/theoretical-framework-and-competency-based-approach-improving-handoffs
March 28, 2011 - October 19, 2022
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/utility-adding-retrospective-medication-profiling-computerized-provider-order-entry
October 04, 2011 - September 23, 2020
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/perspective/conversation-ann-l-hendrich-rn-phd
February 26, 2025 - Let's shift a little bit to other proposed prevention strategies, particularly in environmental ones, … The same as with pressure ulcers. … We have nearly eliminated pressure ulcers here at Ascension, and it was all built around a strategy of … Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/node/33561/psn-pdf
September 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 … serious harm or death, easily identifiable and
https://psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
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psnet.ahrq.gov/issue/make-or-buy-patient-safety-solutions-resource-dependence-and-transaction-cost-economics
April 08, 2008 - December 30, 2014
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/use-report-cards-and-outcome-measurements-improve-safety-surgical-care-american-college
May 26, 2016 - January 25, 2017
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/impact-laws-aimed-healthcare-associated-infection-reduction-qualitative-study
December 23, 2020 - Related Resources From the Same Author(s)
Home health staff perspectives on infection prevention … room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors?
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psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review
October 08, 2016 - The authors explore areas of impact, including patient satisfaction, falls , and hospital-acquired pressure … ulcers, and conclude that benefits have been realized from enhanced rounding practice, but further research
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psnet.ahrq.gov/issue/indiana-medical-error-reporting-system-final-report-2015
July 15, 2009 - problems in the 279 incidents reported in 2018 -- when the last report was published -- were advanced pressure … ulcers , retained foreign objects, and f alls .
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psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
June 07, 2023 - Tracheostomy devices can cause pressure ulcers, particularly along the inferior aspect of the tracheostomy … skin-barrier dressing under the tracheostomy faceplate, can reduce the incidence of tracheostomy-related pressure … ulcers. … September 23, 2020
Patient and caregiver perspectives on causes and prevention of ambulatory
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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.
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psnet.ahrq.gov/primer/nursing-and-patient-safety
September 15, 2024 - However, the key findings in a recent integrative review include fewer pressure ulcers and urinary tract … workplace, more nurses are likely to self-report missed nursing care. 11 When evaluating cause and prevention … included patient-centered outcomes considered to be markers of nursing care quality (such as falls and pressure … ulcers) and system-related measures including nursing skill mix, nursing care hours, measures of the