Akkeneel Talsma

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BACKGROUND Implementation of the ruling on the Inpatient Prospective Payment System by the Centers for Medicare and Medicaid has challenged nurses to focus on the prevention of pressure ulcers. Despite years of research, pressure ulcers are still one of the most common complications experienced by patients in health care facilities. OBJECTIVE To examine(More)
OBJECTIVES Examine factors associated with opioid adverse drug events (ADE) in children. SPECIFIC AIMS Examine whether adjuvant nonopioid use is associated with a decreased probability of opioid-ADEs and need for rescue. BACKGROUND Opioid-ADEs contribute to serious preventable harm for hospitalized children. Adjuvant nonopioid use may mitigate opioid(More)
The implementation of evidence-based practice guidelines can be influenced by nurses' perceptions of the organizational safety culture. Shift-by-shift management of each nursing unit is designated to a subset of staff nurses (charge nurses), whom are often recruited as champions for change. The findings indicate that compared to charge nurses, noncharge(More)
To the Editor—We report that surgical site infections (SSIs) remain a major problem despite nearly a decade of national efforts to implement various practice-based recommendations targeting SSIs. According to a 2012 US Department of Health and Human Services news release, "Every day, approximately 1 in every 20 patients has an infection related to the(More)
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