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psnet.ahrq.gov/node/43539/psn-pdf
March 26, 2015 - For example, the PSI for pressure ulcers demonstrated a high
false-negative rate, meaning that ICD-10
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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
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psnet.ahrq.gov/node/47328/psn-pdf
January 01, 2020 - Overall, HAC rates declined
over the 2 years following implementation of the program, with only rates of pressure … ulcers increasing.
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psnet.ahrq.gov/issue/integrative-review-exploring-perceptions-patients-and-healthcare-professionals-towards
March 06, 2019 - Citation
Related Resources From the Same Author(s)
Medical device-related pressure … ulcers: a systematic review and meta-analysis.
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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
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psnet.ahrq.gov/issue/exploring-nursing-sensitive-events-home-healthcare-national-multicenter-cohort-study-using
August 05, 2020 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors?
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psnet.ahrq.gov/issue/indiana-medical-error-reporting-system-final-report-2015
July 15, 2009 - problems in the 279 incidents reported in 2018 -- when the last report was published -- were advanced pressure … ulcers , retained foreign objects, and f alls .
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psnet.ahrq.gov/issue/technical-rationality-and-decentring-patients-and-care-delivery-critique-unavoidable-context
October 08, 2016 - June 14, 2019
Medical device-related pressure ulcers: a systematic review and meta-analysis
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psnet.ahrq.gov/issue/what-nhs-safety-thermometer
November 02, 2016 - commentary describes the design and initial test of a large-scale initiative to track incidents involving pressure … ulcers, falls, urinary infections in patients with catheters, and venous thromboembolism in the National
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psnet.ahrq.gov/issue/multimethod-study-large-scale-programme-improve-patient-safety-using-harm-free-care-approach
January 23, 2019 - improvement project in the United Kingdom to address four patient safety issues: venous thromboembolism , pressure … ulcers , catheter–associated urinary tract infections , and falls .
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psnet.ahrq.gov/issue/detection-adverse-events-acute-geriatric-hospital-over-6-year-period-using-global-trigger
March 09, 2022 - improvements to systems strategies, including checklists , safety culture surveys, and prevention of pressure … ulcers and infections .
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psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-and-preliminary
October 23, 2019 - While infections and adverse drug events decreased, pressure ulcers increased and represent an opportunity
-
psnet.ahrq.gov/node/73873/psn-pdf
September 29, 2021 - report major and minor complications (e.g., unplanned re-
operation, infection, medication error, pressure … ulcers).
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psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
October 01, 2008 - ulcers—that's too much for any human brain to handle. … ulcers, or most falls. … ulcers in addition to stage 3 or 4 ulcers acquired after admission. … ulcer (codes 707.00–707.09). … Our administrative system has a limitation of 15 diagnoses, and it is possible that the decubitus ulcer
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psnet.ahrq.gov/issue/estimating-economic-cost-nurse-sensitive-adverse-events-amongst-patients-medical-and-surgical
July 11, 2018 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors?
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psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting
May 20, 2009 - The most common adverse events reported were pressure ulcers and fall-related injuries or deaths .
-
psnet.ahrq.gov/issue/patient-safety-indicators-during-initial-covid-19-pandemic-surge-united-states
August 03, 2022 - About The Topic
Hospitals
Public Health
Infectious Diseases
Medical Complications
Pressure … Ulcers
View More
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psnet.ahrq.gov/issue/effect-world-health-organization-checklist-patient-outcomes-stepped-wedge-cluster-randomized
June 03, 2020 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors?
-
psnet.ahrq.gov/issue/relationship-between-registered-nurses-and-nursing-home-quality-integrative-review-2008-2014
June 03, 2020 - RN) in a nursing home could affect various quality and safety indicators (such as safety culture , pressure … ulcers, and falls).
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psnet.ahrq.gov/issue/effects-computerized-decision-support-system-implementations-patient-outcomes-inpatient-care
November 06, 2019 - effective for managing blood glucose and blood transfusions and for preventing venous thromboembolism , pressure … ulcers , acute kidney injury, and incipient clinical deterioration.