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221. Patient safety, systems design and ergonomics. | PSNet
     psnet.ahrq.gov/issue/patient-safety-systems-design-and-ergonomics
     February 03, 2021 - September 23, 2020 Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice.

222. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-305
     August 25, 2021 - Hospital admissions and preventable adverse events, such as falls and pressure ulcers, are common in … After 24 months, the safety climate had improved, and both falls and pressure ulcers were reduced. … Application of human factors methods to ensure appropriate infant identification and abduction prevention

223. Exposure to incivility does not hinder speaking up: a randomised controlled high-fidelity simulation-based study. | PSNet
     psnet.ahrq.gov/issue/exposure-incivility-does-not-hinder-speaking-randomised-controlled-high-fidelity-simulation
     August 24, 2022 - Related Resources Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice.

224. Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review. | PSNet
     psnet.ahrq.gov/issue/impact-interventions-designed-reduce-medication-administration-errors-hospitals-systematic
     April 01, 2015 - September 18, 2013 Preventing in-facility pressure ulcers as a patient safety strategy

225. High nursing staff turnover in nursing homes offers important quality information. | PSNet
     psnet.ahrq.gov/issue/high-nursing-staff-turnover-nursing-homes-offers-important-quality-information
     September 16, 2020 - June 7, 2023 Accuracy of pressure ulcer events in US nursing home ratings.

226. Electronic health record interoperability-why electronically discontinued medications are still dispensed. | PSNet
     psnet.ahrq.gov/issue/electronic-health-record-interoperability-why-electronically-discontinued-medications-are
     August 25, 2021 - patient safety and finances at a community hospital August 25, 2021 Accuracy of pressure … ulcer events in US nursing home ratings.

227. Nurses' use of computerized clinical guidelines to improve patient safety in hospitals. | PSNet
     psnet.ahrq.gov/issue/nurses-use-computerized-clinical-guidelines-improve-patient-safety-hospitals
     June 06, 2018 - May 29, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis

228. Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study. | PSNet
     psnet.ahrq.gov/issue/understanding-causes-intravenous-medication-administration-errors-hospitals-qualitative
     June 25, 2014 - December 18, 2017 View More Related Resources Medical device-related pressure … ulcers: a systematic review and meta-analysis.

229. In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO | PSNet
     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

230. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic | PSNet
     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

231. The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. | PSNet
     psnet.ahrq.gov/issue/effects-leadership-self-worth-inclusion-trust-and-psychological-safety-medical-error
     March 30, 2022 - Related Resources Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice.

232. What methods are used to apply positive deviance within healthcare organisations? A systematic review. | PSNet
     psnet.ahrq.gov/issue/what-methods-are-used-apply-positive-deviance-within-healthcare-organisations-systematic
     July 19, 2019 - April 3, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49653/psn-pdf
     May 01, 2012 - We now know differently: the Centers for Disease Control and Prevention (CDC) recently reported a 58% … systematically addresses most likely areas of risk (e.g., central line infection, urinary infection, delirium, pressure … ulcers), and (iv) using the daily goal sheet to promote ongoing open dialogue. … Centers for Disease Control and Prevention. … Summary of recommendations: guidelines for the prevention of intravascular catheter-related infections

234. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60856/psn-pdf
     August 26, 2020 - Prolonged hospital bedrest leads to loss of muscle and bone mass and increases the risk of pressure … ulcers, venous thromboembolism and  hospital acquired-infection.8  Pneumonia leading to sepsis and organ … Pressure Ulcer Prevention in the Hospital Setting Using Silicone Foam Dressings. 

235. Promoting patient safety in continence care. | PSNet
     psnet.ahrq.gov/issue/promoting-patient-safety-continence-care
     January 21, 2019 - April 10, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis

236. Implementation of the safety huddle. | PSNet
     psnet.ahrq.gov/issue/implementation-safety-huddle
     November 03, 2021 - July 19, 2023 A comprehensive program to reduce rates of hospital-acquired pressure ulcers

237. Critical incident reporting system in emergency medicine. | PSNet
     psnet.ahrq.gov/issue/critical-incident-reporting-system-emergency-medicine
     August 07, 2019 - Related Resources Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice.

238. Evaluating a handheld decision support device in pediatric intensive care settings. | PSNet
     psnet.ahrq.gov/issue/evaluating-handheld-decision-support-device-pediatric-intensive-care-settings
     January 18, 2023 - January 18, 2023 Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice.

239. "SWARMing" to improve patient care: a novel approach to root cause analysis. | PSNet
     psnet.ahrq.gov/issue/swarming-improve-patient-care-novel-approach-root-cause-analysis
     September 23, 2020 - Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure … ulcers: a systematic review and documentary analysis.

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33580/psn-pdf
     April 01, 2022 - 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