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psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
January 01, 2019 - hospital against medical advice and found dead by a
neighbor the next day from a self-inflected gunshot wound … Suicide Screening
• Centers for Disease Control ranks suicide (intentional self-injury) the
10th leading … Suicide risk factors can be divided into 4 groups
– Static factors (such as a history of childhood trauma
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psnet.ahrq.gov/node/50949/psn-pdf
February 26, 2020 - infections, such as sepsis, exponentially increases
the odds of death.13 Costs associated with iatrogenic injuries
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psnet.ahrq.gov/web-mm/watch-warfarin
December 01, 2013 - Beyond the Hospital: the New Frontier of Patient Safety
August 22, 2014
Injuries
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psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
November 15, 2023 - December 9, 2020
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
June 07, 2023 - Tracheostomy should be considered around 14 days of intubation in an adult population to avoid laryngotracheal injury … one wake–sleep cycle (approximately 24 hours), the tracheostomy is removed (decannulation) and the wound … An occlusive dressing is placed to prevent air escape during wound healing.
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psnet.ahrq.gov/web-mm/double-dose-transfer
November 01, 2012 - 1.82 preventable ADEs per admission among non-obstetrical admissions ( 3 ), and one error resulting in injury
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psnet.ahrq.gov/node/33815/psn-pdf
September 01, 2016 - physicians in a large academic medical center to
manage treatment of children with serious illness or injury
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psnet.ahrq.gov/node/33679/psn-pdf
January 01, 2009 - Disclosure of medical injury to patients:
an improbable risk management strategy.
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psnet.ahrq.gov/node/49730/psn-pdf
April 01, 2015 - dystrophy, hypertension,
and chronic kidney disease was admitted to the hospital with anuric acute kidney injury
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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - recognition of and deterioration
following breakdown of an anastomosis, patient fall risk and staff injury
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.353_slideshow.ppt
August 01, 2015 - patient on the same unit who also happened to have severe cognitive impairment from a traumatic brain injury
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psnet.ahrq.gov/node/49428/psn-pdf
January 01, 2004 - has been
previously appreciated, in which patients receive more aggressive care after an iatrogenic injury
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psnet.ahrq.gov/web-mm/isolated-clot-real-error
December 01, 2013 - is sometimes observed in clinical practice, filters should not be used as a way to prevent VTE after trauma … July 1, 2011
Injuries before and after diagnosis of cancer: nationwide register
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psnet.ahrq.gov/node/867980/psn-pdf
March 25, 2025 - Approximately five years after the first hospitalization, the patient suffered a head injury at work.
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psnet.ahrq.gov/node/84413/psn-pdf
February 23, 2022 - Atlanta, GA: National
Center for Injury Prevention and Control, Division of Unintentional Injury Prevention
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psnet.ahrq.gov/perspective/ems-patient-safety-field
July 28, 2021 - correctly and safely, but for a subset of patients experiencing time-sensitive events such as severe trauma … they have to ensure that the right patient is identified or, with time-sensitive conditions like trauma … One example is injuries personnel can sustain from slipping or tripping when lifting and moving equipment … and patients. 8 An injury can harm not only the worker, but also the patient, if, for example, the … What if that trauma patient all of a sudden decompensated?
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psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
May 01, 2012 - detection of adverse events in hospital patients, and it moves patient safety from a retrospective focus on injury … estimated that avoidable medical errors contribute to 44,000–98,000 deaths, and more than a million injuries … Patient safety efforts should focus on medical injuries. JAMA. 2002;287:1993-1997.
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psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
May 01, 2012 - estimated that avoidable medical errors contribute to 44,000–98,000 deaths, and more than a million injuries … Patient safety efforts should focus on medical injuries. JAMA. 2002;287:1993-1997. … detection of adverse events in hospital patients, and it moves patient safety from a retrospective focus on injury
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psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - Atlanta, GA: National Center for Injury Prevention and Control, Division of Unintentional Injury Prevention
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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - preoperative period but suffered a pulseless electrical activity arrest in the operating room at the time of wound … 1997 data from the National Inpatient Sample Excludes patients with any code for cancer, trauma … Excludes patients with any diagnosis code for drug dependence, abuse of drugs, or self-inflicted injury … diagnosis among all surgical discharges Excludes patients who have principal diagnosis codes for trauma