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Showing results for "pressure ulcers".
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121. From research to practice: factors affecting implementation of prospective targeted injury-detection systems. | PSNet
     psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury-detection
     August 04, 2021 - five hospitals faced in implementing new systems for prospective detection of adverse drug events and pressure … ulcers, and recommends steps organizations can take to ensure smoother implementation.

122. The wicked problem of patient misidentification: how could the technological revolution help address patient safety? | PSNet
     psnet.ahrq.gov/issue/wicked-problem-patient-misidentification-how-could-technological-revolution-help-address
     July 10, 2024 - August 7, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis

123. 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.

124. Intentional rounding—an integrative literature review. | PSNet
     psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review
     October 08, 2016 - The authors explore areas of impact, including patient satisfaction, falls , and hospital-acquired pressure … ulcers, and conclude that benefits have been realized from enhanced rounding practice, but further research

125. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45769/psn-pdf
     December 21, 2016 - tract infections, central line–associated bloodstream infections, falls, obstetric adverse events, pressure … ulcers, surgical site infections, ventilator-associated pneumonias, and postoperative venous thromboembolisms

126. Psn-Pdf (pdf file)
     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

127. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46404/psn-pdf
     December 07, 2017 - Adverse events included medication errors and hospital-acquired conditions, such as pressure ulcers

128. Missed nursing care in emergency departments: a scoping review. | PSNet
     psnet.ahrq.gov/issue/missed-nursing-care-emergency-departments-scoping-review
     November 03, 2021 - More About The Topic Emergency Departments Emergency Nursing Administration Errors Pressure … Ulcers Monitoring Errors and Failures View More

129. 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

130. Implementing the Safety Thermometer tool in one NHS trust. | PSNet
     psnet.ahrq.gov/issue/implementing-safety-thermometer-tool-one-nhs-trust
     March 19, 2019 - implementing a patient safety measurement tool that incentivized improvement in four areas: falls, pressure … ulcers, venous thromboembolisms , and catheter-associated urinary tract infections .

131. Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010. | PSNet
     psnet.ahrq.gov/issue/review-patient-safety-incidents-reported-critical-care-units-north-west-england-2009-and-2010
     December 02, 2009 - Pressure ulcers were the most common voluntarily reported patient safety issue in intensive care units

132. Adverse Events. | PSNet
     psnet.ahrq.gov/issue/adverse-events
     October 28, 2020 - Quality and Safety Professionals Patients Medication Errors/Preventable Adverse Drug Events Pressure … Ulcers Surgical Complications View More

133. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45595/psn-pdf
     April 19, 2017 - for medical error–related mortality draws attention away from other crucial patient harms, such as pressure … ulcers and medication safety, both of which rarely contribute to mortality but are of high priority

134. Psn-Pdf (pdf file)
     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

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45511/psn-pdf
     July 21, 2017 - Investigators compared a global measure of safety, which included pressure ulcers, venous thromboembolism

136. Finding and Preventing Patient Safety Incidents. | PSNet
     psnet.ahrq.gov/issue/finding-and-preventing-patient-safety-incidents
     October 25, 2013 - to prevent patient harm and estimates that nearly 267,000 preventable patient safety events such as pressure … ulcers and catheter-related bloodstream infections occurred during this period.

137. Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis. | PSNet
     psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions
     July 17, 2024 - Long-Term Care Geriatrics Discontinuities, Gaps, and Hand-Off Problems Medical Complications Pressure … Ulcers View More

138. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49860/psn-pdf
     April 01, 2019 - lower mortality within 12 months and fewer complications (such as pneumonia, urinary tract infections, pressure … ulcers, and thromboembolic events) compared with patients operated on after 48 hours.(7) Surgery for … ulcers, and significant functional decline. … outcomes and results in fewer medical complications, including pneumonia, urinary tract infections, pressure … ulcers, and thromboembolic events.

139. Never Events | PSNet
     psnet.ahrq.gov/primer/never-events
     June 15, 2024 - associated with a  fall  while being cared for in a healthcare setting Any stage 3, stage 4, and unstageable pressure … ulcers acquired after admission/presentation to a healthcare setting Artificial insemination with the … See More About The Topic Sentinel Event Never Events Hospitals Operating Room Pressure … Ulcers View More

140. 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