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psnet.ahrq.gov/issue/investigation-mental-and-physical-health-nurses-associated-errors-clinical-practice
September 21, 2022 - Related Resources
Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice.
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psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
December 14, 2022 - addition, CMS works closely with many other Federal partners such as Centers for Disease Control and Prevention … ulcers, and other complications. … Falls and pressure ulcers also went up – in skilled nursing facilities, we saw rates of falls causing … major injury increase by 17% and pressure ulcers increase by over 40%. … ulcers. 14 Healthcare leaders recognize the need to do better.
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psnet.ahrq.gov/perspective/measuring-patient-safety
December 14, 2022 - ulcers. 14 Healthcare leaders recognize the need to do better. … addition, CMS works closely with many other Federal partners such as Centers for Disease Control and Prevention … ulcers, and other complications. … Falls and pressure ulcers also went up – in skilled nursing facilities, we saw rates of falls causing … major injury increase by 17% and pressure ulcers increase by over 40%.
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psnet.ahrq.gov/node/33597/psn-pdf
April 10, 2024 - safety issues were revealed, particularly
around the weakness in nursing home infection control and prevention … the biggest surge
of COVID-19 cases since the end of the pandemic, despite several safeguards and prevention … , including recent programs in response to the COVID-19 pandemic such
as, an infection control and prevention … These
require SNFs to have measures in place to prevent specific clinical harms (such as falls, pressure … ulcers,
and health care–associated infections) and to improve medication management.
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psnet.ahrq.gov/periodic-issue/periodic-issue-394
June 28, 2023 - characteristics and reporting patterns for two measures of nursing home care quality (falls with major injury and pressure … ulcers). … characteristics and reporting patterns for two measures of nursing home care quality (falls with major injury and pressure … ulcers).
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psnet.ahrq.gov/issue/fall-related-injuries-acute-care-reducing-risk-harm
March 28, 2018 - Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention … Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention … July 13, 2011
Guidelines for the prevention of intravascular catheter-related infections … January 25, 2023
Patient activation related to fall prevention: a multisite study … June 5, 2019
Medical device-related pressure ulcers: a systematic review and meta-analysis
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psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety
October 23, 2013 - Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure … ulcers: a systematic review and documentary analysis.
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psnet.ahrq.gov/web-mm/snfs-opening-black-box
August 27, 2012 - can contribute to delirium, hypotension, falls, and immobility along with its complications, such as pressure … ulcers and, as may have occurred in this case, aspiration pneumonia. … August 20, 2018
Evaluation of clinical practice guidelines on fall prevention and management … Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - Prolonged hospital bedrest leads to loss of muscle and bone mass and increases the risk of pressure ulcers … Pressure Ulcer Prevention in the Hospital Setting Using Silicone Foam Dressings.
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psnet.ahrq.gov/node/852699/psn-pdf
August 30, 2023 - Studies show that an
increase in healthcare-acquired infections, falls, and pressure ulcers has occurred … Similar increases were observed in falls and pressure ulcers at skilled nursing facilities
and preventable
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psnet.ahrq.gov/curated-library/medicationdrug-errorsqqrysd
March 12, 2021 - hospital-acquired infections, medication errors, inpatient suicide, and specific clinical harms such as falls and pressure … ulcers. … Twitter
Linkedin
Copy URL
Atlanta, GA: Centers for Disease Control and Prevention
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psnet.ahrq.gov/curated-library/medicationdrug-errors
March 12, 2021 - hospital-acquired infections, medication errors, inpatient suicide, and specific clinical harms such as falls and pressure … ulcers. … Twitter
Linkedin
Copy URL
Atlanta, GA: Centers for Disease Control and Prevention
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psnet.ahrq.gov/issue/one-size-fits-all-mixed-methods-evaluation-impact-100-single-room-accommodation-staff-and
July 01, 2016 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors?
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psnet.ahrq.gov/primer/long-term-care-and-patient-safety
February 24, 2022 - safety issues were revealed, particularly around the weakness in nursing home infection control and prevention … saw the biggest surge of COVID-19 cases since the end of the pandemic, despite several safeguards and prevention … , including recent programs in response to the COVID-19 pandemic such as, an infection control and prevention … These require SNFs to have measures in place to prevent specific clinical harms (such as falls, pressure … ulcers, and health care–associated infections) and to improve medication management.
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psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
January 01, 2023 - • Due to the high incidence of delirium among hospitalized patients, strategies for
surveillance, prevention … , and management should be implemented for older
adults.16,17
• Delirium prevention and care bundles … Delirium in the Acute Care Setting (4)
• Currently, there are no recommended pharmacologic treatments for prevention
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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - 16,17
Due to the high incidence of delirium among hospitalized patients, strategies for surveillance, prevention … , and management should be implemented for older adults. 16,17 Delirium prevention and care bundles, … delirium or worsening agitation. 19
Currently, there are no recommended pharmacologic treatments for prevention
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psnet.ahrq.gov/node/49698/psn-pdf
December 01, 2013 - contribute to delirium, hypotension, falls, and immobility along with its complications, such as pressure … ulcers and, as may have occurred in this case, aspiration pneumonia.
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psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - States, we have since experienced higher rates of preventable infections, as well as increases in pressure … ulcers and falls. … dynamic reality, reorienting focus from performance measures of harm to measures that reflect risk prevention … Studies show that an increase in healthcare-acquired infections, falls, and pressure ulcers has occurred … Similar increases were observed in falls and pressure ulcers at skilled nursing facilities and preventable
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - Studies show that an increase in healthcare-acquired infections, falls, and pressure ulcers has occurred … Similar increases were observed in falls and pressure ulcers at skilled nursing facilities and preventable … States, we have since experienced higher rates of preventable infections, as well as increases in pressure … ulcers and falls. … dynamic reality, reorienting focus from performance measures of harm to measures that reflect risk prevention
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psnet.ahrq.gov/node/50701/psn-pdf
November 26, 2019 - is that there are four risk factors that underlie many of our hospital acquired
conditions, (i.e., pressure … ulcers and catheter associated infections, falls, and delirium). … Whereas, working on mobility, delirium
prevention, skin care, etc. is a more horizontal cross-cutting … In the health system I’m at right
now, we’re increasingly marrying our falls prevention work with our … We placed fall prevention above safe mobility.