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psnet.ahrq.gov/node/33598/psn-pdf
June 15, 2024 - events experienced by Medicare skilled nursing
facility residents were falls resulting in significant injury … More than one-third of in-hospital falls result in injury, including serious injuries such as fractures … and head
trauma. … Death or serious injury resulting from a fall while being cared for in a health care facility is
considered … Falls that do not result in injury can be serious as well.
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psnet.ahrq.gov/issue/no-fault-compensation-medical-injuries-prospect-error-prevention
May 20, 2015 - Commentary
Classic
No-fault compensation for medical injuries … No-Fault Compensation for Medical Injuries. JAMA. 2003;286(2). doi:10.1001/jama.286.2.217. … No-Fault Compensation for Medical Injuries. JAMA. 2003;286(2). doi:10.1001/jama.286.2.217. … Citation
Related Resources From the Same Author(s)
Disclosure of medical injury … February 4, 2015
Beyond negligence: avoidability and medical injury compensation.
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psnet.ahrq.gov/web-mm/dont-bite-your-tongue
September 18, 2024 - . 7 As described in one review, the “severity of oropharyngeal injury ranges from minor hematomas and … Changes in motor evoked potentials can indicate an impending neurologic injury and should trigger an … Dental injury associated with anesthesia: a report of 161,687 anesthetics given over 14 years. … Airway injury during anesthesia: a closed claims analysis. … Cost analysis of intubation-related tracheal injury using a national database.
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psnet.ahrq.gov/issue/implementing-electronic-root-cause-analysis-reporting-system-decrease-hospital-acquired
December 22, 2021 - Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries … Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries … Healthcare-acquired pressure injuries (HAPI) can result in increased lengths of stay, hospital readmissions … Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries … January 29, 2020
Root cause analysis for hospital-acquired pressure injury.
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psnet.ahrq.gov/issue/early-identification-and-evaluation-severe-pressure-injuries
October 10, 2018 - Newspaper/Magazine Article
Early identification and evaluation of severe pressure injuries … Citation Text:
Early identification and evaluation of severe pressure injuries. Quick Safety. … Pressure injuries are a significant and preventable patient safety threat. … Citation
Citation Text:
Early identification and evaluation of severe pressure injuries … Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries
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psnet.ahrq.gov/node/38124/psn-pdf
October 08, 2008 - Missed injuries in trauma patients: a literature review.
October 8, 2008
Pfeifer R, Pape H-C. … Missed injuries in trauma patients: A literature review. Patient Saf Surg. 2008;2:20. … https://psnet.ahrq.gov/issue/missed-injuries-trauma-patients-literature-review
This review found that … missed injuries and delayed diagnoses occur frequently, with many of the missed
injuries being clinically … https://psnet.ahrq.gov/issue/missed-injuries-trauma-patients-literature-review
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psnet.ahrq.gov/issue/incidence-and-predictors-opioid-prescription-discharge-after-traumatic-injury
July 02, 2019 - Incidence and Predictors of Opioid Prescription at Discharge After Traumatic Injury. … This retrospective study of patients who had sustained traumatic injuries examined the relationship between … injury severity and opioid prescribing. … Investigators found that patients with more severe injuries were more likely to be prescribed opioids … Incidence and Predictors of Opioid Prescription at Discharge After Traumatic Injury.
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psnet.ahrq.gov/node/841468/psn-pdf
December 14, 2022 - .7 As described in one review, the
“severity of oropharyngeal injury ranges from minor hematomas and … Several studies have analyzed rates of injury during surgical procedures utilizing TES motor
evoked … Changes in motor evoked potentials can indicate an impending neurologic injury and should trigger
an … Dental injury associated with anesthesia: a report of 161,687
anesthetics given over 14 years. … Cost analysis of intubation-related tracheal injury using a
national database.
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psnet.ahrq.gov/issue/preventing-medical-injury
February 18, 2011 - Study
Classic
Preventing medical injury. … Preventing medical injury. … The authors conclude by proposing areas to target to reduce iatrogenic injury. … Preventing medical injury. … September 7, 2022
Changes in error patterns in unanticipated trauma deaths during 20
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psnet.ahrq.gov/issue/injuries-and-after-diagnosis-cancer-nationwide-register-based-study
May 25, 2022 - Study
Injuries before and after diagnosis of cancer: nationwide register based study … Injuries before and after diagnosis of cancer: nationwide register based study. … have found that patients recently diagnosed with cancer are at elevated risk of suicide and accidental injury … Injuries before and after diagnosis of cancer: nationwide register based study. … November 14, 2011
Framing family conversation after early diagnosis of iatrogenic injury
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psnet.ahrq.gov/issue/patient-risk-factors-medical-injury-case-control-study
April 12, 2011 - Study
Patient risk factors for medical injury: a case–control study. … Patient risk factors for medical injury: a case-control study. … Procedure and medication-related injuries accounted for nearly all cases examined. … Patient risk factors for medical injury: a case-control study. … November 16, 2022
Medical injuries among hospitalized children.
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psnet.ahrq.gov/node/836976/psn-pdf
April 27, 2022 - Her wounds led to significant blood loss. … In any critical trauma patient, it is essential to perform a primary survey focusing on the ABCs of trauma … transferred to the OR for surgical exploration, debridement, and possible closure of
her traumatic wounds … Injury. 2017;48:S22–S25. … Injury. 1994;25(6):379–81. [Free full text]
31. Günal I, Köse N, Gürer D.
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psnet.ahrq.gov/issue/excess-length-stay-charges-and-mortality-attributable-medical-injuries-during-hospitalization
February 27, 2009 - Classic
Excess length of stay, charges, and mortality attributable to medical injuries … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization … for Healthcare Research and Quality (AHRQ) Patient Safety Indicators , this study identified medial injuries … variability in both the need for extended hospitalization and the associated costs depending on the specific injury … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization
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psnet.ahrq.gov/node/49724/psn-pdf
January 01, 2015 - Bowel Injury After Laparoscopic Surgery
January 1, 2015
Moorthy K. … Bowel Injury After Laparoscopic Surgery. PSNet [internet]. 2015. … https://psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
The Case
A 30-year-old man presented … The injury could be a result of direct injury
during laparoscopic port insertion (access injury) or … One advantage of laparoscopic surgery is that repeat laparoscopy can be performed without much trauma
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psnet.ahrq.gov/issue/identifying-risk-factors-medical-injury
April 12, 2011 - Study
Identifying risk factors for medical injury. … Identifying risk factors for medical injury. Int J Qual Health Care. 2006;18(3):203-10. … more than 550,000 hospital discharges from Wisconsin discharge records data and identified medical injuries … The medical injuries studied were limited to those within specific International Classification of Diseases … April 12, 2011
Medical injuries among hospitalized children.
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psnet.ahrq.gov/issue/case-improving-measurement-intraoperative-iatrogenic-injuries
February 14, 2017 - Commentary
A case for improving measurement of intraoperative iatrogenic injuries … A case for improving measurement of intraoperative iatrogenic injuries. … using surgeon-reported data to determine appropriate variables and narrowing variables to include only injuries … A case for improving measurement of intraoperative iatrogenic injuries.
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psnet.ahrq.gov/issue/evaluation-suitability-root-cause-analysis-frameworks-investigation-community-acquired
June 16, 2021 - July 20, 2022
6-PACK programme to decrease fall injuries in acute hospitals: cluster … Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries … July 7, 2021
Root cause analysis for hospital-acquired pressure injury. … March 6, 2019
Towards international consensus on patient harm: perspectives on pressure injury … October 8, 2016
Wound-care teams for preventing and treating pressure ulcers.
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psnet.ahrq.gov/node/60727/psn-pdf
July 29, 2020 - A randomized trial of a multifactorial strategy to prevent
serious fall injuries. … A randomized trial of a multifactorial strategy to prevent serious fall
injuries. … https://psnet.ahrq.gov/issue/randomized-trial-multifactorial-strategy-prevent-serious-fall-injuries … care systems to evaluate the effectiveness
of a multifactorial intervention to prevent falls with injury … The intervention did not result in a significantly lower rate of
serious fall injury compared to usual
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psnet.ahrq.gov/node/37658/psn-pdf
June 14, 2011 - Applying modern error theory to the problem of missed
injuries in trauma. … Applying modern error theory to the problem of missed injuries
in trauma. … https://psnet.ahrq.gov/issue/applying-modern-error-theory-problem-missed-injuries-trauma
Root cause … explore contributing factors to both active errors and latent errors in the
diagnostic evaluation of trauma … https://psnet.ahrq.gov/issue/applying-modern-error-theory-problem-missed-injuries-trauma
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/it-possible-identify-risks-injurious-falls-hospitalized-patients
December 12, 2012 - Since only about 1 in 10 falls result in injury, some argue that rather than trying to prevent all falls … , a better approach would be to try to prevent injuries from falls. … retrospective study was unable to pinpoint variables that identified patients likely to sustain an injury … December 12, 2012
Venous thromboembolism after trauma: a never event? … February 29, 2012
The cost of serious fall-related injuries at three midwestern hospitals