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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/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/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/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/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/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/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/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/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/issue/national-patient-safety-goals
May 30, 2012 - infections , medication errors, inpatient suicide , and specific clinical harms such as falls and pressure … ulcers.
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psnet.ahrq.gov/issue/estimating-hospital-costs-inpatient-harms
February 07, 2024 - Pressure ulcers, surgical site infections , and other hospital-acquired conditions are common preventable
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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/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/wicked-problem-patient-misidentification-how-could-technological-revolution-help-address
July 10, 2024 - August 7, 2019
Medical device-related pressure ulcers: a systematic review and meta-analysis
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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/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/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/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/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?