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Showing results for "pressure ulcer prevention".
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  1. psnet.ahrq.gov/web-mm/easily-forgotten-tube
    June 01, 2016 - a fully closed system that collects and contains liquid or semi-liquid stools and can assist in the prevention
  2. 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
  3. psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
    January 12, 2022 - Our hospitals have great protocols in place for pressure injury prevention, but prone positioning brought … 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 … For example, the Centers for Disease Control and Prevention has produced guidance for optimizing PPE … of pressure injuries , all of which are specifically focused on harm prevention in COVID-19 patients
  4. psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
    January 12, 2022 - For example, the Centers for Disease Control and Prevention has produced guidance for optimizing PPE … of pressure injuries , all of which are specifically focused on harm prevention in COVID-19 patients … Our hospitals have great protocols in place for pressure injury prevention, but prone positioning brought … 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
  5. 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
  6. psnet.ahrq.gov/issue/national-patient-safety-goals
    May 30, 2012 - infections , medication errors, inpatient suicide , and specific clinical harms such as falls and pressureulcers.
  7. psnet.ahrq.gov/issue/instruments-and-warning-signs-identifying-and-evaluating-frequency-adverse-events
    July 20, 2022 - Common adverse events impacting this population include adverse drug events, delirium , malnutrition, pressureulcers, and infections.
  8. psnet.ahrq.gov/issue/impact-team-and-leaders-directed-strategy-improve-nurses-adherence-hand-hygiene-guidelines
    November 19, 2009 - randomised trial on the development and testing of an evidence based inpatient safety program for the prevention … August 27, 2008 Barriers and facilitators to reporting medical device-related pressureulcers: a qualitative exploration of international practice.
  9. psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities
    January 27, 2019 - Related Resources A comprehensive program to reduce rates of hospital-acquired pressureulcers in a system of community hospitals. … influence of organizational context on quality improvement and patient safety efforts in infection prevention
  10. psnet.ahrq.gov/issue/situation-awareness-and-mitigation-risk-associated-patient-deterioration-meta-narrative
    December 08, 2021 - August 3, 2022 Barriers and facilitators to reporting medical device-related pressureulcers: a qualitative exploration of international practice. … November 24, 2021 Prevention of failure to rescue in obstetric patients: a realist review
  11. psnet.ahrq.gov/issue/association-between-hospital-acquired-harm-outcomes-and-membership-national-patient-safety
    June 29, 2022 - September 2, 2020 Evaluation of clinical practice guidelines on fall prevention and management … Children's Hospitals Pediatrics Indwelling Tubes and Catheters Nosocomial Infections PressureUlcers View More
  12. psnet.ahrq.gov/issue/rethinking-hospital-restraints
    May 04, 2011 - patients from harm, this magazine article highlights risks related to their use—such as increased rates of pressureulcers and delirium—and advocates for a more patient-sensitive approach to ensure the safety of both
  13. psnet.ahrq.gov/issue/implementation-centers-medicare-medicaid-services-nonpayment-policy-preventable-hospital
    September 16, 2020 - The study looked at four nursing-sensitive adverse outcomes: pressure ulcers, falls with injuries, catheter-associated
  14. psnet.ahrq.gov/issue/multimethod-study-large-scale-programme-improve-patient-safety-using-harm-free-care-approach
    January 23, 2019 - improvement project in the United Kingdom to address four patient safety issues: venous thromboembolism , pressureulcers , catheter–associated urinary tract infections , and falls .
  15. psnet.ahrq.gov/issue/preventable-and-mitigable-adverse-events-cancer-care-measuring-risk-and-harm-across-continuum
    July 19, 2017 - Adverse events included medication errors and hospital-acquired conditions , such as pressure ulcers
  16. psnet.ahrq.gov/issue/learning-and-mindfulness-improving-perioperative-patient-safety
    January 12, 2022 - January 23, 2008 Barriers and facilitators to reporting medical device-related pressureulcers: a qualitative exploration of international practice.
  17. psnet.ahrq.gov/issue/economic-measurement-medical-errors
    March 23, 2022 - The most common preventable errors were pressure ulcers—considered a never event —and health care–associated
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47328/psn-pdf
    January 01, 2020 - Overall, HAC rates declined over the 2 years following implementation of the program, with only rates of pressureulcers increasing.
  19. psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
    October 01, 2008 - ulcers—that's too much for any human brain to handle. … ulcers, or most falls. … ulcers in addition to stage 3 or 4 ulcers acquired after admission. … ulcer (codes 707.00–707.09). … Our administrative system has a limitation of 15 diagnoses, and it is possible that the decubitus ulcer
  20. psnet.ahrq.gov/issue/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november-2014-november-2015
    July 08, 2021 - report collection explores the data collected on four types of health care–acquired conditions ( pressureulcers , falls, catheter–associated urinary tract infections, and venous thromboembolisms ) in NHS

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