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psnet.ahrq.gov/node/47434/psn-pdf
January 21, 2019 - https://psnet.ahrq.gov/issue/estimating-hospital-costs-inpatient-harms
Pressure ulcers, surgical site
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psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
January 29, 2021 - The Prevention of Positioning Injuries during Gynecologic Operations. … Hip fracture and pressure ulcers - the Pan-European Pressure Ulcer Study - intrinsic and extrinsic risk … Prevention of well-leg compartment syndrome following lengthy medical operations in the lithotomy position … Well leg compartment syndrome: pathophysiology, prevention, and treatment.
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www.ahrq.gov/patient-safety/settings/hospital/resource/index.html
February 01, 2025 - Improving Patient Safety Systems for Patients with Limited English Proficiency NICU Toolkit Preventing Pressure … Ulcers in Hospitals QI Toolkit for Hospitals RED (Re-Engineered Discharge) Toolkit Universal ICU Decolonization
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psnet.ahrq.gov/issue/using-pharmacogenetics-improve-drug-safety-and-efficacy
November 18, 2016 - October 6, 2021
Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice. … medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention
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www.ahrq.gov/action-alliance/resources/index.html
March 01, 2025 - Falls Healthcare-Associated Infections Maternal Safety Medication Safety Never Events Opioid Safety Pressure … Ulcers Readmissions Sepsis Surgical Safety Transitions in Care Venous Thromboembolism Interested in
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psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
February 26, 2025 - In certain categories, particularly with something like pressure ulcers, there is almost certainly underreporting … Are pressure ulcers not being discovered, or are they not being correctly staged so that people know … ulcers and other errors. … One was a facility that had a high number of pressure ulcers. … As a result of that really concerted effort to identify pressure ulcers, they have identified many ulcers
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psnet.ahrq.gov/issue/culture-civility-positively-impacting-practice-and-patient-safety
July 13, 2022 - July 29, 2015
Are evidence-based practices associated with effective prevention of hospital-acquired … pressure ulcers in US academic medical centers?
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psnet.ahrq.gov/issue/rates-adverse-events-hospitalized-patients-after-summer-time-resident-changeover-united
June 22, 2022 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors? … Hospitals
Medicine
Medication Errors/Preventable Adverse Drug Events
Nosocomial Infections
Pressure … Ulcers
View More
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psnet.ahrq.gov/node/46404/psn-pdf
December 07, 2017 - Adverse
events included medication errors and hospital-acquired conditions, such as pressure ulcers
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psnet.ahrq.gov/node/39777/psn-pdf
November 04, 2012 - The
most common preventable errors were pressure ulcers—considered a never event—and health
care–associated
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psnet.ahrq.gov/node/44388/psn-pdf
October 14, 2015 - The study
looked at four nursing-sensitive adverse outcomes: pressure ulcers, falls with injuries, catheter-associated
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/osteoarthritis-pain_executive.pdf
October 01, 2011 - includes studies of these drugs
for treating osteoarthritis or rheumatoid arthritis and for
cancer prevention … safety in patients with
rheumatoid arthritis or who were taking the drug for
cancer or Alzheimer’s prevention … Much of the evidence for increased risks comes from
two large colon polyp prevention trials. … and 6.7% vs. 8.2% per year,
p<0.0001 for secondary prevention). … An update on the epidemiology of knee
and hip osteoarthritis with a view to prevention.
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psnet.ahrq.gov/issue/cmss-hospital-acquired-condition-lists-link-hospital-payment-patient-safety
May 20, 2009 - September 29, 2017
Preventing in-facility pressure ulcers as a patient safety strategy … March 20, 2013
Inpatient fall prevention programs as a patient safety strategy: a systematic
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psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - ulcers, and thromboembolic events) compared with patients operated on after 48 hours.( 7 ) Surgery for … anticoagulation management, early mobilization, and postdischarge care to optimize secondary fracture prevention … ulcers, and significant functional decline. … ulcers, and thromboembolic events. … January 31, 2011
WebM&M Cases
An Ounce of Prevention
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psnet.ahrq.gov/issue/patient-safety-indicators-during-initial-covid-19-pandemic-surge-united-states
August 03, 2022 - Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention … About The Topic
Hospitals
Public Health
Infectious Diseases
Medical Complications
Pressure … Ulcers
View More
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psnet.ahrq.gov/issue/engagement-leadership-quality-improvement-initiatives-executive-quality-improvement-survey
October 04, 2006 - June 8, 2016
Are evidence-based practices associated with effective prevention of hospital-acquired … pressure ulcers in US academic medical centers?
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psnet.ahrq.gov/issue/improved-outcomes-fewer-cesarean-deliveries-and-reduced-litigation-results-new-paradigm
November 27, 2012 - September 23, 2020
Universal protection: operationalizing infection prevention guidance … November 14, 2018
A comprehensive program to reduce rates of hospital-acquired pressure … ulcers in a system of community hospitals.
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psnet.ahrq.gov/node/47760/psn-pdf
February 06, 2019 - highlighted the clinical significance of HACs and described an
incident involving a patient who developed a pressure … ulcer while in the hospital.
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psnet.ahrq.gov/node/49701/psn-pdf
February 01, 2014 - fully closed system that collects and contains liquid or semi-liquid stools and can assist
in the prevention
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psnet.ahrq.gov/issue/hospital-progress-reducing-error-impact-external-interventions
December 04, 2016 - June 8, 2016
Are evidence-based practices associated with effective prevention of hospital-acquired … pressure ulcers in US academic medical centers?