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psnet.ahrq.gov/issue/economic-measurement-medical-errors
March 23, 2022 - The most common preventable errors were pressure ulcers—considered a never event —and health care–associated
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psnet.ahrq.gov/issue/relationship-staff-information-sharing-and-advice-networks-patient-safety-outcomes
June 22, 2011 - networks on several patient safety outcomes, including medication errors , falls , and hospital-acquired pressure … ulcers, across 24 medical and surgical inpatient units at 3 hospitals.
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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 … subsequent immobilization, which in turn increases the risk of delirium, thromboembolism, pneumonia, pressure … ulcers, and significant functional decline. … outcomes and results in fewer medical complications, including pneumonia, urinary tract infections, pressure … ulcers, and thromboembolic events.
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psnet.ahrq.gov/issue/decade-preventing-harm
July 10, 2008 - The health system sought to prevent pressure ulcers , adverse drug events , falls with injury , health
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psnet.ahrq.gov/issue/saving-lives-and-saving-money-hospital-acquired-conditions-update
May 01, 2017 - events, catheter-associated urinary tract infections, central line–associated bloodstream infections, pressure … ulcers, and surgical site infections.
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psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010-2015-interim-data-national-efforts
December 24, 2008 - tract infections , central line–associated bloodstream infections , falls, obstetric adverse events, pressure … ulcers, surgical site infections, ventilator-associated pneumonias, and postoperative venous thromboembolisms
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psnet.ahrq.gov/issue/human-performance-breakdowns-are-rarely-accidents-they-are-usually-very-poor-choices
September 12, 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/relationship-between-safety-climate-and-occupational-burnout-healthcare-organizations
February 08, 2023 - August 14, 2019
Medical device-related pressure ulcers: a systematic review and meta-analysis
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psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-outside-intensive-care-unit-expanding
January 18, 2023 - August 21, 2018
Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice.
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psnet.ahrq.gov/issue/patient-safety-systems-design-and-ergonomics
February 03, 2021 - September 23, 2020
Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice.
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psnet.ahrq.gov/issue/learning-and-mindfulness-improving-perioperative-patient-safety
January 12, 2022 - January 23, 2008
Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice.
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psnet.ahrq.gov/issue/reliability-uncertainty-and-management-error-new-perspectives-covid-19-era
January 12, 2022 - July 15, 2009
Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice.
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psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
August 01, 2012 - ulcer or were put in physical restraints. … We looked at the outcomes on falls, pressure ulcers, and restraint use. … We didn't find it for pressure ulcers. … ulcers. … But they are mainly medical-based outcomes or process-based outcomes like pressure ulcers, use of restraints
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psnet.ahrq.gov/issue/do-safety-briefings-improve-patient-safety-acute-hospital-setting-systematic-review
August 14, 2024 - July 5, 2017
Wound-care teams for preventing and treating pressure ulcers.
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psnet.ahrq.gov/issue/hybrid-methodology-modeling-risk-adverse-events-complex-health-care-settings
November 11, 2015 - This study aimed to use modeling, a strategy to detect safety hazards , to characterize the risk of pressure … ulcers and catheter-associated infections .
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psnet.ahrq.gov/issue/nurse-reported-bullying-and-documented-adverse-patient-events-exploratory-study-us-hospital
November 11, 2020 - central-line-associated blood stream infections, catheter-associated urinary tract infections, hospital-acquired pressure … ulcers, and ventilator-associated events).
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psnet.ahrq.gov/issue/cognitive-aids-management-clinical-emergencies-systematic-review
January 12, 2022 - August 12, 2020
Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice.
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psnet.ahrq.gov/issue/evaluating-handheld-decision-support-device-pediatric-intensive-care-settings
January 18, 2023 - January 18, 2023
Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice.
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psnet.ahrq.gov/issue/critical-incident-reporting-system-emergency-medicine
August 07, 2019 - 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/issue/implementation-safety-huddle
November 03, 2021 - July 19, 2023
A comprehensive program to reduce rates of hospital-acquired pressure ulcers