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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/Kizer2.pdf
December 01, 2000 - Excludes deaths resulting from self-
inflicted injuries that were the reason for
admission to the health … Death or significant injury of a
patient or staff member resulting
from a physical assault (i.e., … Adverse describes a negative consequence of care that results in unintended
injury or illness, which … diagnosis, prevention, treatment, rehabilitation,
convalescence, or other care of human illness or injury … A No fault for medical
injury: theory and evidence.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Escobar.pdf
February 01, 2005 - The original outcomes of interest for the study were clinical
situations (e.g., birth injuries or delayed … signatures” for clinical events that
could have a strong association with medical error, such as birth injuries … In another situation, a hospital might be held legally
responsible for the injuries caused by a nonemployee … Principles, pragmatism, and medical injury.
JAMA 2001;286(2):226–8.
40. Liang BA. … No-fault compensation for
medical injuries: the prospect for error prevention.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pukey.html
October 01, 2014 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … Tools 4A-4B
Assessing Current Staff Education and Training
Tool 4C
Defining the Role of the Wound
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep1.html
June 01, 2010 - Effectiveness Reviews
Facilities
Home and Community Resources
Findings Report
Injuries
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/slides.html
September 01, 2017 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … process strategies can be applied to other quality improvement efforts:
Hospital-acquired pressure injuries
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-fullreport.pdf
January 01, 2020 - These
complications include compromised airway, hypoxia leading to central nervous system injury,
and … Atraumatic
headaches are those not associated with trauma occurring in the past 7 days.
1.H. … Atraumatic headaches are those not associated with trauma
occurring in the past 7 days.
1.J. … with subsequent aspiration (inhalation) pneumonia; injury to arteries, veins, or nerves; alterations … Incidental findings in children with blunt head trauma
evaluated with cranial CT scans.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-shoulder-dystocia.html
July 01, 2023 - Effects of shoulder dystocia training on the incidence of brachial plexus injury. … Shoulder dystocia and injuries: prevention and management. … This procedure is considered a heroic measure due to the significant risk of brachial plexus injury associated
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ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/tool.html
June 01, 2017 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-quality-measures.pdf
January 01, 2021 - o Individuals with developmental or intellectual disabilities
o Individuals with an acquired brain injury
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-emergency-dept-webinar-introducing.pdf
March 01, 2020 - D An accident or injury
D A new health problem
D An ongoing health condition or concern
For this
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/briefing_debriefing.docx
December 01, 2017 - and roles of the surgical team
· Antibiotics given, if appropriate
· Patient positioned to prevent injury
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
November 01, 2019 - Acute kidney injury and unnecessary lab tests and imaging could have been avoided 3
Piperacillin/tazobactam … Care
Learning From Antibiotic-Associated Adverse Events
Adverse event: Patient develops acute kidney injury
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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
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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,
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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/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
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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.
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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.
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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
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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.
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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-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