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Showing results for "injuries".

1241. Case Scenarios: Handling Challenging Communications | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.html
      August 01, 2022 - CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury … Over the next few days, it is clear that he has suffered a significant brain injury due to the lack of

1242. New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - Zebrak (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/new-sops-workplace-safety-zebrak.pdf
      July 22, 2022 - “The use of multiple wires and cords for equipment pose the greatest threat for injury in this hospital … I tripped over a wire…which caused [an injury] that took over a year to heal.” 35 Supervisor,

1243. Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Aydin_2.pdf
      January 01, 2021 - Patient outcome variables Patient falls and injury falls • Patient falls/1,000 patient days. … • Injury falls/1,000 patient days. … • Percent of patients with suspected deep tissue injury. 3 Table 1. … • Percent of patients with hospital-acquired suspected deep tissue injury. … percent of patients with hospital-acquired pressure ulcers stages III and IV, as well as fall and injury

1244. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pptx
      January 01, 2020 - Nerve injury not elsewhere classified at birth, and Birth trauma not elsewhere classified.24 Many … of these injuries to neonates may be preventable.25 41 Birth trauma—injury to neonate per 1,000 … Overall Rate: In 2013, the birth trauma-neonatal injury rate was 1.9 per 1,000 live births. … Between 2004 and 2013, birth trauma-neonatal injury rates fell for all racial/ethnic groups, except for … Birth Trauma Rate—Injury to Neonate: Technical Specifications.

1245. Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
      July 01, 2004 - Webster’s New World Dictionary defines safety as “the condition of being free from harm, injury, or … examining the second most frequent postoperative complication, the first and most frequent, postoperative wound … care postoperative stays has shifted the diagnostic location for a large percentage of postoperative wound … reliable proxies for this event in the administrative claims, our ability to identify postoperative wound … A study of medical injury and medical malpractice: an overview.

1246. FileNewTemplate
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module5.pptx
      January 01, 1995 - or unfolding error An opportunity to interrupt or correct an action or event before there is harm or injury … It allows for one to take steps to interrupt or correct an action or event before there is harm or injury

1247. Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/crane.html
      August 01, 2017 - Patients’ and doctors’ attitudes to amount of information given after unintended injury during treatment

1248. 2.0 Essentials Course (Instructor Guide) (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/essentials/ts2-0ltc_essentials_ig.pdf
      July 11, 2017 - Larkin avoided injury and was taken to the hospital before the situation became critical.

1249. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
      December 01, 2017 - reengineer the system to catch holes before they line up, and end system gaps that lead to a patient injury

1250. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
      January 01, 2003 - Assessing patient safety risk before the injury occurs: an introduction to socio- technical probabilistic

1251. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
      January 01, 2004 - With disease, injury, or illness, the diagnosis is often obvious and may involve no more than simple

1252. Paul Tedrick (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-transcript.doc
      April 08, 2014 - The fourth indication is the healing of open wounds that are close to the groin area. … , such as a motor vehicle accident where they have an injury to the spinal cord. … Assisting healing with a perineal or sacral wound in certain patients. … or multiple traumatic injuries, such as multiple fractures, and you worry that, again, movement will … Wound care nurses, we talked about, the pressure associated with the Foley catheter is helping.

1253. Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Webcast Transcript (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/ascwebcast0715_transcript.pdf
      September 01, 2015 - our overall efforts in patient safety, and as part of the National Action Plan for health-associated injuries

1254. Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
      June 04, 2008 - Paul Barach, BSc, MD, MPH Abstract There is growing recognition that the risks and hazards of injury … of hospital physical environments contributes to medical errors, increased rates of infection and injuries … design of the physical environment is a contributing factor, have a substantial cost in lives and injury … For damages and injuries resulting from structural failures, water migration (mold and mildew), and

1255. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/corbett.html
      August 01, 2017 - An adverse event is defined as an injury resulting from health care management, rather than the underlying … from a rural hospital recommended “Organize the paperwork with separate categories to clearly define ‘wound

1256. Children With Disabilities Algorithm (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-144-fullreport.pdf
      January 01, 2020 - practitioners may devote a visit to evaluating highly concerning conditions (e.g., traumatic brain injury … Motor scores on the functional independence measure after pediatric spinal cord injury.

1257. References | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
      January 01, 2024 - Preventable diagnostic errors in fatal cervical spine injuries: a nationwide register-based study from … Diagnostic error in the emergency department: follow up of patients with minor trauma in the outpatient … Scand J Trauma Resusc Emerg Med  2017 Feb 14;25(1):13. … Adv Wound Care (New Rochelle)  2013 Dec;2(10):588-592. … acceptability, and preliminary effect of a novel deliberate practice intervention to reduce diagnostic error in trauma

1258. Barriers Associated with Medication Information Handoffs (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
      January 01, 2004 - This reflects their focus on immediate treatment and stabilization of an acute illness or injury.

1259. Webinar Transcript - The National Quality Strategy and the Public Sector: Federal Agency Alignment to the Six Priorities | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/workingforquality/events/webinar-federal-agency-alignment-to-the-six-priorities.html
      November 01, 2016 - We work to prevent the leading cause of illness, injury, disability, and death.

1260. Methods (continued, 2) | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3a.html
      July 01, 2018 - unanticipated event in a health care setting resulting in death or serious physical or psychological injury