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psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
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 … Accordingly, a technological solution might seem to be the desired approach to prevention. … Guideline for the prevention of catheter-associated urinary tract infections.
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psnet.ahrq.gov/node/49737/psn-pdf
June 01, 2015 - because like restraints, catheters
can cause functional impairment leading to emboli, discomfort, and pressure … ulcers. … In a survey distributed to US hospitals about prevention of
hospital–acquired urinary tract infections … Guideline for prevention of catheter–associated urinary tract infections 2009. … ANA CAUTI Prevention Tool. [Available at]
10.
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psnet.ahrq.gov/node/73642/psn-pdf
August 25, 2021 - Sudden Collapse During Upper Gastrointestinal
Endoscopy: Expect the Unexpected
August 25, 2021
Wieck M. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected. PSNet
[internet]. 2021.
https://psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-
unexpected
…
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psnet.ahrq.gov/primers-0
March 15, 2025 - Complications
(10)
Nosocomial Infections
(6)
Patient Falls
(3)
Pressure … Ulcers
(1)
Medication Safety
(12)
Medication Errors/Preventable Adverse … Retained Surgical Items: Causation and Prevention
Verna Gibbs, MD and Patrick Romano, MD, MPH | … RSI prevention efforts should focus on improving surgical item management and enhancing effective communication
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psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
October 28, 2020 - individuals can gain from social interaction and enhanced mobility, such as reduced risk of falls and pressure … ulcers. … mitigate safety risks associated with usual care needs for this patient population, such as falls and pressure … ulcers. … Centers for Disease Control and Prevention. https://www.cdc.gov/covid/risk-factors/?
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psnet.ahrq.gov/node/33753/psn-pdf
August 22, 2013 - of culture comes from the Rhode Island intensive care
unit (ICU) collaborative that worked on the prevention … because they are able to do the basics
every time, like turning patients every 60 minutes to avoid pressure … ulcers, using a central line checklist, or
washing their hands frequently.
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psnet.ahrq.gov/node/33872/psn-pdf
January 01, 2018 - While this
intervention did not reduce safety incidents like pressure ulcers or falls, it did identify
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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - because like restraints, catheters can cause functional impairment leading to emboli, discomfort, and pressure … ulcers. … In a survey distributed to US hospitals about prevention of hospital–acquired urinary tract infections … Guideline for prevention of catheter–associated urinary tract infections 2009. … ANA CAUTI Prevention Tool. [Available at] 10.
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psnet.ahrq.gov/primer/national-patient-safety-goals
January 16, 2025 - facilitating clinician communication, as well as preventing hospital-associated infections, falls, pressure … ulcers, and inpatient suicide.
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psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected
Citation Text:
Wieck M. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 202…
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psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
November 01, 2008 - Accordingly, a technological solution might seem to be the desired approach to prevention. … Prevention of nosocomial catheter-associated urinary tract infections through computerized feedback to … Guideline for the prevention of catheter-associated urinary tract infections. … 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
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psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
October 28, 2020 - individuals can gain from social interaction and enhanced mobility, such as reduced risk of falls and pressure … ulcers. … mitigate safety risks associated with usual care needs for this patient population, such as falls and pressure … ulcers. … Centers for Disease Control and Prevention. https://www.cdc.gov/covid/risk-factors/?
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psnet.ahrq.gov/node/33645/psn-pdf
February 01, 2007 - Diagnostic Errors in Medicine: What Do Doctors and
Umpires Have in Common?
February 1, 2007
Graber ML. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? PSNet
[internet]. 2007.
https://psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
Perspectiv…
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psnet.ahrq.gov/continuing-education
February 26, 2025 - Delirium
(4)
Nosocomial Infections
(3)
Patient Falls
(5)
Pressure … Ulcers
(1)
Venous Thrombosis and Thromboembolism
(3)
Medication Safety
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psnet.ahrq.gov/node/841567/psn-pdf
December 14, 2022 - facilitated real-time assessment of the quality of care being provided to patients.6 This
shift enables prevention … increased with a 40% rise in healthcare-acquired infections and an increase in inpatient falls and
pressure … ulcers.14 Healthcare leaders recognize the need to do better.
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psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
February 01, 2007 - In Conversation with...Joseph Britto, MD
February 1, 2007
Also Read an Essay
Citation Text:
In Conversation with..Joseph Britto, MD. PSNet [internet]. 2007.In Conversation with...Joseph Britto, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research …
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psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
June 01, 2007 - kernicterus) associated with failure to identify and treat hyperbilirubinemia in neonates
Stage 3 or 4 pressure … ulcers acquired after admission to a health care facility
Patient death or serious disability due … February 25, 2015
Exploring the causes of adverse events in hospitals and potential prevention
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psnet.ahrq.gov/node/49522/psn-pdf
November 01, 2006 - Intramuscular injection site injuries masquerading as pressure ulcers. Wounds.
2003;15:302-312. … Smoking cessation advice/counseling
Appropriate Initial Antibiotic Selection
Surgical Infection Prevention
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - Delirium
(6)
Nosocomial Infections
(16)
Patient Falls
(8)
Pressure … Ulcers
(1)
Venous Thrombosis and Thromboembolism
(10)
Medication Safety … injuries among high-risk populations (such as older adults), appropriate use of fall assessment and prevention
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psnet.ahrq.gov/web-mm/hidden-mystery
December 01, 2011 - and pulse oximetry monitoring, wound care, blood draws, intravenous catheter placement, skin care and prevention … of pressure ulcers, respiratory and ventilator support, and correct administration of medications can