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ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/index.html
July 01, 2023 - , and obstetric adverse events are responsible for thousands of deaths and hundreds of thousands of injuries
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
January 01, 2003 - addition, case-
crossover studies have been proposed and used to study risk factors for
occupational injuries … .6, 10–12 Injuries to workers result from a causal chain of
events involving both latent and immediate … Indeed, many risk factors for injury that have
been studied in case-crossover studies of injury are … Case-crossover studies of occupational trauma:
methodological caveats. … Injury Prevention
2001;7:Supplement 38–42.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
January 01, 2020 - pertaining to nine patient safety event
types that represent the majority of reported preventable injuries … captures the specific type of physical
injury sustained in the fall as TYPE OF INJURY AS RESULT OF … The second most frequent type of injury reported was Other injury, representing 39.7% (3,268 /
8,229 … that they represent minor injuries such as soreness, bumps, and
minor abrasions. … and the type of the injury.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/sheridan_screening_overuse.pdf
January 01, 2014 - such as physical, emotional/psychological, and costs:
Physical Emotional/Psychological Costs
Injury … from screening
or follow-up testing
Injury from potentially
unnecessary treatment
Stress
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/index.html
September 01, 2021 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/healthit-ed-4.html
February 01, 2021 - facilitate communication about diagnostic testing in adult patients presenting to an ED with minor head injuries
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ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
April 01, 2020 - , and obstetric adverse events are responsible for thousands of deaths and hundreds of thousands of injuries
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-tips/index.html
February 01, 2021 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … Background
Falls are the most common cause of preventable injury.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/implementation-guide_falls.docx
September 01, 2017 - Risk Assessment Tools in Care Planning
Post-Fall Huddles: Reducing Preventable Falls and Fall-Related Injuries … Collect and analyze data to learn about fall rates, fall-related injuries, and causes of falls. … Module 3: Best Practices in Fall Prevention
Hospital: >400 beds
Pilot Units: Ortho/Trauma, Medical/Telemetry … To Implement the Fall Prevention Program in Your Organization
Hospital: >400 beds
Pilot Units: Ortho/Trauma … injury).
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiii.html
June 01, 2010 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries … developmental disabilities, adults with severe and persistent mental illness, adults with acquired brain injuries … incidents of unplanned medical attention sought, law enforcement interventions, abuse/neglect/exploitation, injuries … developmental disabilities, adults with severe and persistent mental illness, adults with acquired brain injuries … Long-Term Care and Other Services, Qualified Providers, Timeliness Populations: Adults with acquired brain injuries
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts.ppt
October 01, 2015 - To rule out any injuries, the patient is sent for a head CT along with a chest CT for the nodules.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3f.docx
January 29, 2013 - Have possible spinal injuries.
Have lower extremity or pelvic fractures.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kleinpeter.pdf
January 01, 2004 - outcomes, we can measure both medical injury and medical
errors. … problem after harm or injury has occurred. … By focusing on injury prevention, the performance improvement team
methodology was successfully used … the ambulatory arena until we reach the goal of elimination of near
misses, medical errors, medical injuries … Patient safety
efforts should focus on medical injury. JAMA 2002
Apr 17;287(15):1993–7.
7.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
January 29, 2008 - percent).5 In terms of overall numbers, preventable
technical complications of surgery (10,891) and wound … Postoperative wound dehiscence
15. Transfusion reaction
Treatment
5. … Birth trauma and obstetric trauma (3 types
related to delivery methods)
Preventive
10. … as “response generalization.”36
This line of OBM research informed an intervention to decrease injuries … Preventing medical injury. Qual Rev Bull 1993; 19:
144-149.
6.
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ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/enhancing-long-desc.html
April 01, 2021 - of skin at risk for developing pressure ulcers (recently renamed by expert organizations as pressure injury … The M-Safety Lab created a patient safety display—a digital bedside display of catheter and wound information … improved provider's awareness of indwelling urinary catheters, central venous catheters, and pressure injuries
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
August 24, 2015 - Assess possible future injuries.
Assess lost income potential, loss of quality of life. … Potential future injuries that may result from the adverse event.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7b.html
October 01, 2014 - If a skin disruption is found, the type of skin injury will need to be identified. … Since there are many different etiologies of skin wounds and ulcers, differential diagnosis of the skin … Wound care team *
Wound Care Physician
Directs patient care, orders tests and treatments, … medical staff, wound team, and unit staff for pressure ulcer practice
Certified Wound Care … Nurse
Assesses wounds, does complex treatments, collaborates with physician for care orders
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Pichert_51.pdf
March 22, 2008 - After all,
given the large numbers of iatrogenic injuries worldwide,13, 14, 15, 16 error-affected patients … unsafe practices,32 recent reports suggest that a majority of claims do
appear to involve patient injuries … bottom line is that many, perhaps most, malpractice claims are reasonably related to medical
management injuries … Factors
that prompted families to file medical malpractice
claims following perinatal injuries.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2024-hcbs-infographic.pdf
January 01, 2024 - respondents
296
Intellectual & Developmental
Disabil ity Program
respondents
304
Acquired Brain Injury
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201702.html
March 01, 2017 - Injuries from falls and immobility.
Obstetrical adverse events.
Pressure ulcers.