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Showing results for "pressure ulcers".
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61. The impact of the use of employee functional flexibility on patient safety. | PSNet
    psnet.ahrq.gov/issue/impact-use-employee-functional-flexibility-patient-safety
    January 12, 2022 - examined the effect of unit-level nursing functional flexibility on the incidence of hospital-acquired pressure … ulcers . … Results indicate that higher use of functionally flexible nurses was associated with a higher number of pressure … ulcers, but this effect was moderated when coworker support within the unit was high.

62. Avoidable sepsis infections send thousands of seniors to gruesome deaths. | PSNet
    psnet.ahrq.gov/issue/avoidable-sepsis-infections-send-thousands-seniors-gruesome-deaths
    March 27, 2019 - nursing homes such as poor staffing and communication with families that contribute to unmanaged pressure … ulcers and sepsis that result in hospital admissions and death. … A WebM&M commentary discussed a case involving a patient who had a pressure ulcer and sepsis in long-term

63. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42895/psn-pdf
    December 18, 2014 - Some events, such as pressure ulcers in surgical patients, actually increased despite considerable national … https://psnet.ahrq.gov/glossary-0#glossary-heading-term-73754 https://psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero

64. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42423/psn-pdf
    July 17, 2013 - that policy changes are required to prevent specific adverse events, such as postoperative sepsis and pressure … ulcers. … https://psnet.ahrq.gov/issue/postoperative-sepsis-united-states https://psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero

65. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46910/psn-pdf
    January 23, 2019 - measurement program in the United Kingdom, the NHS Safety Thermometer, which measured incidence of pressure … ulcers, harm from falls, catheter-associated urinary tract infection, and venous thromboembolism, with … //psnet.ahrq.gov/primer/measurement-patient-safety https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

66. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73350/psn-pdf
    June 02, 2021 - pressure-injury-prevention-hospitals-training-program https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

67. Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: a cross-sectional study. | PSNet
    psnet.ahrq.gov/issue/inter-and-intra-disciplinary-collaboration-and-patient-safety-outcomes-us-acute-care-hospital
    August 07, 2024 - found hospital units that nurses rated as more collaborative had lower rates of both hospital-acquired pressure … ulcers and falls. … See More About The Topic Hospitals Nurses Nurse Managers Medical/Surgical Nursing Pressure … Ulcers View More

68. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/849317/psn-pdf
    May 24, 2023 - root-cause-analysis-identify-contributing-factors-development-hospital-acquired-pressure https://psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis

69. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42083/psn-pdf
    March 13, 2013 - health care–associated infections and surgical complications, bundled interventions to reduce falls and pressure … ulcers, and interventions to decrease medication errors and improve hand hygiene—are all considered … inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review https://psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero

70. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45533/psn-pdf
    November 02, 2016 - improvement project in the United Kingdom to address four patient safety issues: venous thromboembolism, pressure … ulcers, catheter–associated urinary tract infections, and falls. … preventability-hospital-acquired-venous-thromboembolism https://psnet.ahrq.gov/issue/organisational-strategies-implement-hospital-pressure-ulcer-prevention-programmes-findings

71. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47093/psn-pdf
    July 02, 2019 - effective for managing blood glucose and blood transfusions and for preventing venous thromboembolism, pressure … ulcers, acute kidney injury, and incipient clinical deterioration.

72. Adverse effects of the Medicare PSI-90 hospital penalty system on revenue-neutral hospital-acquired conditions. | PSNet
    psnet.ahrq.gov/issue/adverse-effects-medicare-psi-90-hospital-penalty-system-revenue-neutral-hospital-acquired
    October 30, 2024 - Overall, HAC rates declined over the 2 years following implementation of the program, with only rates of pressure … ulcers increasing. … Are evidence-based practices associated with effective prevention of hospital-acquired pressure … ulcers in US academic medical centers?

73. In Conversation with...Diane Rydrych, MA | PSNet
    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

74. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33651/psn-pdf
    June 01, 2007 - 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

75. The impact of hospital-acquired conditions on Medicare program payments. | PSNet
    psnet.ahrq.gov/issue/impact-hospital-acquired-conditions-medicare-program-payments
    November 18, 2016 - evaluated costs related to the index hospitalization and 90 days following discharge of six HACs—severe pressure … ulcers, fractures, catheter-associated urinary tract infections, venous catheter-related infections, … Severe pressure ulcers and orthopedic surgical site infections resulted in an average increase in payments

76. Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. | PSNet
    psnet.ahrq.gov/issue/patient-safety-palliative-care-mixed-methods-study-reports-national-database-serious
    May 16, 2018 - They found that pressure ulcers, medication errors, and falls were the most frequently reported types … More About The Topic Long-Term Care Facility and Group Administrators Palliative Care Pressure … Ulcers Patient Falls View More

77. Harm Free Care. | PSNet
    psnet.ahrq.gov/issue/harm-free-care
    April 15, 2020 - This initiative seeks to reduce four key sources of harm in hospitals: pressure ulcers, falls, catheter-associated

78. Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect? | PSNet
    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

79. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41367/psn-pdf
    May 09, 2012 - psnet.ahrq.gov/issue/harm-free-care This initiative seeks to reduce four key sources of harm in hospitals: pressure … ulcers, falls, catheter- associated urinary tract infections, and vascular thrombotic events.

80. In-facility delirium programs as a patient safety strategy: a systematic review. | PSNet
    psnet.ahrq.gov/issue/facility-delirium-programs-patient-safety-strategy-systematic-review
    March 13, 2013 - January 6, 2018 Preventing in-facility pressure ulcers as a patient safety strategy: … May 1, 2016 Preventing in-facility pressure ulcers as a patient safety strategy: a systematic