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61. Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed? | PSNet
    psnet.ahrq.gov/issue/ten-years-after-keeping-patients-safe-have-nurses-work-environments-been-transformed
    May 30, 2012 - January 16, 2019 A comprehensive program to reduce rates of hospital-acquired pressure ulcers … October 12, 2016 Organisational strategies to implement hospital pressure ulcer prevention

62. Cracking the code for quality: the interrelationships of culture, nurse demographics, advocacy, and patient outcomes. | PSNet
    psnet.ahrq.gov/issue/cracking-code-quality-interrelationships-culture-nurse-demographics-advocacy-and-patient
    September 21, 2011 - about perceptions on safety culture , patient advocacy, patient experience, and fall and pressure ulcer … Topic Hospitals Operating Room Nurse Managers Medical/Surgical Nursing Pressure Ulcers

63. Microsoft PowerPoint - Spotlight Case_Agitated Delirium_FINAL.pptx (pdf file)
    psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
    January 01, 2023 - secured with only tape.8-10 • However, both systems can be uncomfortable and can cause skin abrasions, ulcers

64. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet
    psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
    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

65. Missed Nursing Care | PSNet
    psnet.ahrq.gov/primer/missed-nursing-care
    September 07, 2019 - delayed or omitted medications or treatments; complications such as atelectasis, deconditioning, pressure ulcers … significant impacts were demonstrated on medication errors, patient falls, nosocomial infections, pressure ulcers

66. Too Many Cooks Spotlight Pdf (pdf file)
    psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
    January 01, 2020 - • Prolonged hospital bedrest leads to loss of muscle and bone mass and increases risk of pressure ulcers … Pressure Ulcer Prevention in the Hospital Setting Using Silicone Foam Dressings.

67. Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance. | PSNet
    psnet.ahrq.gov/issue/optimizing-business-case-safe-health-care-integrated-approach-safety-and-finance
    December 13, 2017 - December 12, 2018 Success in hospital-acquired pressure ulcer prevention: a tale in two

68. Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices. | PSNet
    psnet.ahrq.gov/issue/implementation-mandatory-checklist-protocols-and-objectives-improves-compliance-wide-range
    June 14, 2006 - outcomes, investigators did demonstrate significant improvements in deep vein thrombosis  and stress ulcer … Care Units Health Care Providers Quality and Safety Professionals Critical Care Pressure Ulcers

69. Nurses Transforming Care. | PSNet
    psnet.ahrq.gov/issue/nurses-transforming-care
    November 26, 2014 - October 12, 2016 Organisational strategies to implement hospital pressure ulcer prevention

70. Meeting the Joint Commission's 2013 National Patient Safety Goals. | PSNet
    psnet.ahrq.gov/issue/meeting-joint-commissions-2013-national-patient-safety-goals
    September 26, 2012 - hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers … July 17, 2013 Preventing in-facility pressure ulcers as a patient safety strategy: a

71. Current assessment of patient safety education. | PSNet
    psnet.ahrq.gov/issue/current-assessment-patient-safety-education
    June 27, 2012 - May 22, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis

72. Promoting patient safety in continence care. | PSNet
    psnet.ahrq.gov/issue/promoting-patient-safety-continence-care
    October 11, 2006 - October 3, 2018 Medical device-related pressure ulcers: a systematic review and meta-analysis … June 28, 2017 Organisational strategies to implement hospital pressure ulcer prevention

73. Learning and sharing safety lessons to improve patient care. | PSNet
    psnet.ahrq.gov/issue/learning-and-sharing-safety-lessons-improve-patient-care
    August 07, 2019 - August 7, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis

74. ISMP Long-Term Care Advise-ERR. | PSNet
    psnet.ahrq.gov/issue/ismp-long-term-care-advise-err
    March 04, 2020 - Carayon, PhD and Nicole Werner, PhD November 16, 2022 Accuracy of pressure ulcer

75. In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape don’t dock five-star ratings. | PSNet
    psnet.ahrq.gov/issue/us-nursing-homes-where-covid-19-killed-scores-even-reports-maggots-and-rape-dont-dock-five
    September 22, 2021 - September 14, 2022 Accuracy of pressure ulcer events in US nursing home ratings.

76. Anesthesia Patient Safety Foundation (APSF) Grant Program. | PSNet
    psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-apsf-grant-program
    May 02, 2018 - December 19, 2018 Success in hospital-acquired pressure ulcer prevention: a tale in two

77. Medication competency of nurses according to theoretical and drug calculation online exams: a descriptive correlational study. | PSNet
    psnet.ahrq.gov/issue/medication-competency-nurses-according-theoretical-and-drug-calculation-online-exams
    May 24, 2023 - June 5, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis

78. Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings. | PSNet
    psnet.ahrq.gov/issue/underreporting-quality-measures-and-associated-facility-characteristics-and-racial
    August 09, 2023 - reporting patterns for two measures of nursing home care quality ( falls with major injury and pressure ulcers … August 9, 2023 Accuracy of pressure ulcer events in US nursing home ratings.

79. Supplemental Issue: Quality and Safety Education for Nurses (QSEN) program. | PSNet
    psnet.ahrq.gov/issue/supplemental-issue-quality-and-safety-education-nurses-qsen-program
    August 12, 2009 - June 28, 2017 Organisational strategies to implement hospital pressure ulcer prevention

80. Medical malpractice: why is it so hard for doctors to apologize? | PSNet
    psnet.ahrq.gov/issue/medical-malpractice-why-it-so-hard-doctors-apologize
    August 24, 2011 - February 5, 2020 Accuracy of pressure ulcer events in US nursing home ratings.