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Showing results for "ulcer".
Users also searched for: pressure ulcer

1. Adverse and Temporary Harm Events in Rehabilitation Hospitals Designated in OIG Report as Clearly Preventable or Likely Preventable by Clinical Category (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/adverse-events-rehab-hospitals.pdf
   July 01, 2016 - catheter with resultant injury and bleeding Excessive bleeding due to medication • Bleeding from gastric ulcers … I pressure ulcer on heel to a stage IV ulcer Venous thromboembolism, DVT, or PE Other patient-care … Urinary retention secondary to antihistamine Temporary Harm Events Related to Patient Care Pressure ulcers … • Multiple, stage I pressure ulcers on sacrum, coccyx and buttocks • Stage I pressure ulcer on buttocks … • Stage I pressure ulcer on heel • Stage I/II pressure ulcer on leg due to poor-fitting prosthesis

2. Adverse and Temporary Harm Events in Long-Term-Care Hospitals (LTCH) Designated in Office of Inspector General Report1 as Clearly Preventable or Likely Preventable, by Clinical Category (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
   January 01, 2019 - Hyperkalemia ultimately treated successfully with fludrocortisone after delayed recognition Pressure ulcers … • New sacrococcygeal pressure ulcer that progressed to stage 4 during LTCH stay • Pressure ulcer of … kidney injury leading to mental status changes Temporary Harm Events Related to Patient Care Pressure ulcers … pressure ulcer • Stage 1 coccygeal pressure ulcer • Stage 1 facial pressure ulcer associated with BiPAP … mask • Stage 1 pressure ulcer heel • Stage 1 pressure ulcer on sacrum • Stage 1 sacral pressure ulcer

3. Strategies to Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
   December 21, 2021 - Institutionalized Older People Summary of Evidence Update (all patients) (Not reviewed) Prevention of Pressure Ulcers