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  1. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-394
    June 28, 2023 - reporting patterns for two measures of nursing home care quality (falls with major injury and pressure ulcers … reporting patterns for two measures of nursing home care quality (falls with major injury and pressure ulcers

  2. In Conversation With… Ann L. Hendrich, RN, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
    April 24, 2024 - The same as with pressure ulcers. … We have nearly eliminated pressure ulcers here at Ascension, and it was all built around a strategy of

  3. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-352
    July 08, 2022 - drug events, hospital-acquired infections, postoperative adverse events, hospital-acquired pressure ulcers … drug events, hospital-acquired infections, postoperative adverse events, hospital-acquired pressure ulcers

  4. Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals: an integrative review and synthesis. | PSNet

    psnet.ahrq.gov/issue/nursing-guidelines-comprehensive-harm-prevention-strategies-adult-patients-acute-hospitals
    August 10, 2022 - August 5, 2015 Barriers and facilitators to reporting medical device-related pressure ulcers … June 5, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis

  5. National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia. | PSNet

    psnet.ahrq.gov/issue/national-estimates-adverse-events-during-nonpsychiatric-hospitalizations-persons
    August 09, 2017 - hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers … April 24, 2013 Preventing in-facility pressure ulcers as a patient safety strategy: a

  6. Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety. | PSNet

    psnet.ahrq.gov/issue/saving-lives-studying-deaths-using-standardized-mortality-reviews-improve-inpatient-safety
    August 10, 2011 - hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers … June 12, 2013 Preventing in-facility pressure ulcers as a patient safety strategy: a

  7. Predictors of warfarin-associated adverse events in hospitalized patients: opportunities to prevent patient harm. | PSNet

    psnet.ahrq.gov/issue/predictors-warfarin-associated-adverse-events-hospitalized-patients-opportunities-prevent
    August 03, 2016 - Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers … April 3, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis

  8. Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. | PSNet

    psnet.ahrq.gov/issue/understanding-national-coverage-policies-navigating-maze-hacs-serious-reportable-events-and
    June 28, 2017 - December 21, 2022 Barriers and facilitators to reporting medical device-related pressure ulcers … Hospitals Health Care Executives and Administrators Nosocomial Infections Pressure Ulcers

  9. Preventable Rash | PSNet

    psnet.ahrq.gov/web-mm/preventable-rash
    October 01, 2012 - Preventable Rash Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Catherine McLean, MD | March 1, 2005 View more articles from the same authors. The Case A 35-year-old man with HIV was being followed in an outpatient i…

  10. Dissecting Leapfrog: how well do Leapfrog Safe Practices Scores correlate with Hospital Compare ratings and penalties, and how much do they matter? | PSNet

    psnet.ahrq.gov/issue/dissecting-leapfrog-how-well-do-leapfrog-safe-practices-scores-correlate-hospital-compare
    September 19, 2012 - Hospital Compare data on hospital-acquired conditions like health care–associated infections , pressure ulcers … October 4, 2017 Success in hospital-acquired pressure ulcer prevention: a tale in two

  11. Missed nursing care in emergency departments: a scoping review. | PSNet

    psnet.ahrq.gov/issue/missed-nursing-care-emergency-departments-scoping-review
    November 03, 2021 - About The Topic Emergency Departments Emergency Nursing Administration Errors Pressure Ulcers

  12. Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. | PSNet

    psnet.ahrq.gov/issue/taking-heat-or-taking-temperature-qualitative-study-large-scale-exercise-seeking-measure
    August 01, 2018 - measurement program in the United Kingdom, the NHS Safety Thermometer, which measured incidence of pressure ulcers … More About The Topic Hospitals Physicians Medicine Nosocomial Infections Pressure Ulcers

  13. 12 h shifts and rates of error among nurses: a systematic review. | PSNet

    psnet.ahrq.gov/issue/12-h-shifts-and-rates-error-among-nurses-systematic-review
    October 20, 2021 - February 15, 2017 Barriers and facilitators to reporting medical device-related pressure ulcers … May 1, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis

  14. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-305
    August 25, 2021 - Hospital admissions and preventable adverse events, such as falls and pressure ulcers, are common in … After 24 months, the safety climate had improved, and both falls and pressure ulcers were reduced.

  15. Reporting of health information technology system-related patient safety incidents: the effects of organizational justice. | PSNet

    psnet.ahrq.gov/issue/reporting-health-information-technology-system-related-patient-safety-incidents-effects
    August 19, 2020 - June 24, 2020 Barriers and facilitators to reporting medical device-related pressure ulcers … February 1, 2023 Barriers and facilitators to reporting medical device-related pressure ulcers

  16. Spotlight Case (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
    May 01, 2006 - left-sided hemiparesis, hypertension, coronary artery disease with ischemic cardiomyopathy, peptic ulcer

  17. Too exhausted to act safely? | PSNet

    psnet.ahrq.gov/issue/too-exhausted-act-safely
    June 18, 2008 - November 3, 2021 Accuracy of pressure ulcer events in US nursing home ratings.

  18. Never Events for Hospital Care in Canada: Safer Care for Patients. | PSNet

    psnet.ahrq.gov/issue/never-events-hospital-care-canada-safer-care-patients
    November 25, 2015 - January 23, 2019 Success in hospital-acquired pressure ulcer prevention: a tale in two

  19. Nursing Care Quality at NQF. | PSNet

    psnet.ahrq.gov/issue/nursing-care-quality-nqf
    March 18, 2009 - May 24, 2017 Organisational strategies to implement hospital pressure ulcer prevention

  20. Opening the Door to Change. NHS Safety Culture and the Need for Transformation. | PSNet

    psnet.ahrq.gov/issue/opening-door-change-nhs-safety-culture-and-need-transformation
    February 08, 2017 - January 30, 2019 Success in hospital-acquired pressure ulcer prevention: a tale in two
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