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41. The impossible workload for doctors in training. | PSNet
    psnet.ahrq.gov/issue/impossible-workload-doctors-training
    February 10, 2010 - September 21, 2022 Accuracy of pressure ulcer events in US nursing home ratings.

42. 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
    December 23, 2020 - hospital units that nurses rated as more collaborative had lower rates of both hospital-acquired pressure ulcers … March 27, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis … About The Topic Hospitals Nurses Nurse Managers Medical/Surgical Nursing Pressure Ulcers

43. 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 - homes such as poor staffing and communication with families that contribute to unmanaged pressure ulcers … A WebM&M commentary discussed a case involving a patient who had a pressure ulcer and sepsis in long-term

44. Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries. | PSNet
    psnet.ahrq.gov/issue/implementing-electronic-root-cause-analysis-reporting-system-decrease-hospital-acquired
    December 22, 2021 - December 21, 2022 Barriers and facilitators to reporting medical device-related pressure ulcers … October 12, 2022 Accuracy of pressure ulcer events in US nursing home ratings. … More About The Topic Hospitals Quality and Safety Professionals Nurse Care Pressure Ulcers

45. In Conversation With… Nicholas G. Castle, MHA, PhD | PSNet
    psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
    August 01, 2012 - dementia status, length of time in the facility, and outcomes, such as whether they had a pressure ulcer … We looked at the outcomes on falls, pressure ulcers, and restraint use. … We didn't find it for pressure ulcers. … the nursing home environment good enough that you can make sense of differences in falls and pressure ulcers … But they are mainly medical-based outcomes or process-based outcomes like pressure ulcers, use of restraints

46. 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 … September 14, 2022 Accuracy of pressure ulcer events in US nursing home ratings. … The Topic Long-Term Care Facility and Group Administrators Palliative Care Pressure Ulcers

47. Quality and patient safety teams in the perioperative setting. | PSNet
    psnet.ahrq.gov/issue/quality-and-patient-safety-teams-perioperative-setting
    October 19, 2022 - October 12, 2016 Organisational strategies to implement hospital pressure ulcer prevention

48. Practicing on patients, real and otherwise. | PSNet
    psnet.ahrq.gov/issue/practicing-patients-real-and-otherwise
    October 14, 2009 - September 21, 2022 Accuracy of pressure ulcer events in US nursing home ratings.

49. When the doctor is distressed. | PSNet
    psnet.ahrq.gov/issue/when-doctor-distressed
    February 10, 2010 - September 21, 2022 Accuracy of pressure ulcer events in US nursing home ratings.

50. PowerPoint Presentation (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.332_slideshow.ppt
    September 01, 2014 - 3 3 Case: A Lot of Pain A 58-year-old man was admitted to the hospital with a non-healing foot ulcer … After a surgical amputation to treat the ulcer, his pain worsened to 10/10. 4 4 Background Rates

51. Intentional rounding—an integrative literature review. | PSNet
    psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review
    June 08, 2016 - authors explore areas of impact, including patient satisfaction, falls , and hospital-acquired pressure ulcers … May 1, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis … June 5, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis

52. What is the NHS Safety Thermometer? | PSNet
    psnet.ahrq.gov/issue/what-nhs-safety-thermometer
    November 02, 2016 - describes the design and initial test of a large-scale initiative to track incidents involving pressure ulcers … hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers … suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers

53. The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England. | PSNet
    psnet.ahrq.gov/issue/effect-providing-staff-training-and-enhanced-support-care-homes-care-processes-safety-climate
    June 23, 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. … About The Topic Long-Term Care Quality and Safety Professionals Geriatrics Pressure Ulcers

54. The top patient safety strategies that can be encouraged for adoption now. | PSNet
    psnet.ahrq.gov/issue/top-patient-safety-strategies-can-be-encouraged-adoption-now
    May 25, 2011 - care–associated infections and surgical complications , bundled interventions to reduce falls and pressure ulcers … Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers … March 27, 2013 Preventing in-facility pressure ulcers as a patient safety strategy: a

55. Hip Fractures in Older Patients: the Case for Geriatrics Comanagement | PSNet
    psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
    February 01, 2019 - mortality within 12 months and fewer complications (such as pneumonia, urinary tract infections, pressure ulcers … immobilization, which in turn increases the risk of delirium, thromboembolism, pneumonia, pressure ulcers … and results in fewer medical complications, including pneumonia, urinary tract infections, pressure ulcers

56. Magnet in Support of Patient Safety. | PSNet
    psnet.ahrq.gov/issue/magnet-support-patient-safety
    May 19, 2010 - July 18, 2018 A comprehensive program to reduce rates of hospital-acquired pressure ulcers … October 12, 2016 Organisational strategies to implement hospital pressure ulcer prevention

57. Never Events | PSNet
    psnet.ahrq.gov/primer/never-events
    September 07, 2019 - fall while being cared for in a health care setting Any stage 3, stage 4, or unstageable pressure ulcers … More About The Topic Sentinel Event Never Events Hospitals Operating Room Pressure Ulcers

58. Transfusion Thresholds in Gastrointestinal Bleeding | PSNet
    psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
    September 06, 2023 - Common causes of upper GIB include erosive disease, ulcers, varices, and angioectasias.( 4 ) Common causes … most of the patients included in studies of restrictive transfusion thresholds had upper GIB due to ulcers … other hand, was likely to have small bowel bleeding from a deep, inflammatory bowel disease—related ulcer

59. Why do hundreds of US women die annually in childbirth? | PSNet
    psnet.ahrq.gov/issue/why-do-hundreds-us-women-die-annually-childbirth
    May 22, 2019 - September 28, 2016 Organisational strategies to implement hospital pressure ulcer prevention

60. In Conversation with...Joseph Britto, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
    February 01, 2007 - She says the pain is just like the pain she had when she had her peptic ulcer attack last year. … I bet her ulcer is back! She should have stayed on that omeprazole. … I bet her ulcer is back! She should have stayed on that omeprazole.