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Showing results for "pressure ulcer prevention".
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181. A theoretical framework and competency-based approach to improving handoffs. | PSNet
     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?

182. The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program. | PSNet
     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?

183. Rethinking hospital restraints. | PSNet
     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 pressure … ulcers and delirium—and advocates for a more patient-sensitive approach to ensure the safety of both

184. Learning and mindfulness: improving perioperative patient safety. | PSNet
     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 pressure … ulcers: a qualitative exploration of international practice.

185. Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. | PSNet
     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?

186. Instruments and warning signs for identifying and evaluating the frequency of adverse events in intermediate and long-term care centres: a narrative systematic review. | PSNet
     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, pressure … ulcers, and infections.

187. Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. | PSNet
     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 , pressure … ulcers , catheter–associated urinary tract infections , and falls .

188. Psn-Pdf (pdf file)
     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

189. Implementation of the Centers for Medicare & Medicaid Services' nonpayment policy for preventable hospital-acquired conditions in rural and nonrural US hospitals. | PSNet
     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

190. A survey of hospital quality improvement activities. | PSNet
     psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities
     January 27, 2019 - Related Resources A comprehensive program to reduce rates of hospital-acquired pressure … ulcers in a system of community hospitals. … influence of organizational context on quality improvement and patient safety efforts in infection prevention

191. 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 pressure … ulcers increasing.

192. The Economic Measurement of Medical Errors. | PSNet
     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

193. An Easily Forgotten Tube | PSNet
     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

194. In Conversation With… Ann L. Hendrich, RN, PhD | PSNet
     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

195. How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients. | PSNet
     psnet.ahrq.gov/issue/how-dangerous-day-hospital-model-adverse-events-and-length-stay-medical-inpatients
     February 09, 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

196. NHS Safety Thermometer Reports. | PSNet
     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 ( pressure … ulcers , falls, catheter–associated urinary tract infections, and venous thromboembolisms ) in NHS

197. Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines: a cluster randomised trial. | PSNet
     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 pressure … ulcers: a qualitative exploration of international practice.

198. A systematic approach to the identification and classification of near-miss events on labor and delivery in a large, national health care system. | PSNet
     psnet.ahrq.gov/issue/systematic-approach-identification-and-classification-near-miss-events-labor-and-delivery
     May 21, 2019 - May 21, 2019 A comprehensive program to reduce rates of hospital-acquired pressure ulcers

199. Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum. | PSNet
     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

200. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. | PSNet
     psnet.ahrq.gov/issue/national-trends-hospital-acquired-preventable-adverse-events-after-major-cancer-surgery-usa
     September 12, 2016 - policy changes are required to prevent specific adverse events, such as postoperative sepsis and pressure … ulcers .