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psnet.ahrq.gov/issue/preventable-errors-operating-room-part-2-retained-foreign-objects-sharps-injuries-and-wrong
April 25, 2018 - Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries … Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong … Building on part one of this two-part series, the authors discuss wrong-site surgeries and needle stick injuries … Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong … More
Related Resources
Identifying resilience: a system safety review of trauma
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psnet.ahrq.gov/issue/learning-during-crisis-impact-covid-19-hospital-acquired-pressure-injury-incidence
August 25, 2021 - Study
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury … Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. … care delivery, including how hospitals prevent common hospital-acquired conditions such as pressure injuries … data, the authors of this study did not identify a longitudinal increase in hospital-acquired pressure injuries … The authors discuss how prior organizational efforts to reduce hospital-acquired pressure injuries allowed
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psnet.ahrq.gov/issue/cost-serious-fall-related-injuries-three-midwestern-hospitals
January 03, 2017 - Study
The cost of serious fall-related injuries at three midwestern hospitals. … The cost of serious fall-related injuries at three Midwestern hospitals. … In this study, hospitalized patients experiencing serious injuries from falls were associated with … The cost of serious fall-related injuries at three Midwestern hospitals. … June 1, 2011
Patient risk factors for medical injury: a case–control study.
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psnet.ahrq.gov/issue/has-pendulum-swung-too-far-impact-missed-abdominal-injuries-era-nonoperative-management
August 04, 2021 - ; The impact of missed abdominal injuries in the era of nonoperative management. … The impact of missed abdominal injuries in the era of nonoperative management. … This study examines whether delayed surgery in abdominal trauma patients resulted in an increase in … The impact of missed abdominal injuries in the era of nonoperative management. … September 7, 2022
Surgeon commitment to trauma care decreases missed injuries.
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psnet.ahrq.gov/issue/applying-modern-error-theory-problem-missed-injuries-trauma
June 15, 2011 - Study
Applying modern error theory to the problem of missed injuries in trauma. … Applying modern error theory to the problem of missed injuries in trauma. … explore contributing factors to both active errors and latent errors in the diagnostic evaluation of trauma … Applying modern error theory to the problem of missed injuries in trauma. … June 1, 2022
Preventable morbidity and mortality among non-trauma emergency surgery patients
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psnet.ahrq.gov/issue/economic-consequences-medical-injuries-implications-no-fault-insurance-plan
February 18, 2011 - Study
Classic
The economic consequences of medical injuries … The economic consequences of medical injuries. Implications for a no-fault insurance plan. … Using data from a random sample of 794 patients who suffered iatrogenic injury in New York hospitals … The economic consequences of medical injuries. Implications for a no-fault insurance plan. … February 18, 2011
Preventing medical injury.
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psnet.ahrq.gov/issue/randomized-trial-multifactorial-strategy-prevent-serious-fall-injuries
August 04, 2021 - Study
A randomized trial of a multifactorial strategy to prevent serious fall injuries … A randomized trial of a multifactorial strategy to 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 … A randomized trial of a multifactorial strategy to prevent serious fall injuries.
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psnet.ahrq.gov/issue/preventing-patient-positioning-injuries-nonoperating-room-setting
November 21, 2012 - Commentary
Preventing patient positioning injuries in the nonoperating room setting … Preventing patient positioning injuries in the nonoperating room setting. … Hospital-acquired pressure injuries are considered a never event . … This review presents strategies to prevent pressure injuries in the nonoperating room anesthesia (NORA … Preventing patient positioning injuries in the nonoperating room setting.
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psnet.ahrq.gov/issue/prevention-fall-related-injuries-long-term-care-randomized-controlled-trial-staff-education
February 17, 2011 - Study
Prevention of fall-related injuries in long-term care: a randomized controlled … Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education … patient falls but found no evidence that the intervention was effective in preventing fall-related injuries … Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education … March 14, 2022
Relationship between Leapfrog Safe Practices Survey and outcomes in trauma
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psnet.ahrq.gov/node/854638/psn-pdf
October 18, 2023 - Early identification and evaluation of severe pressure
injuries.
October 18, 2023
Quick Safety. … https://psnet.ahrq.gov/issue/early-identification-and-evaluation-severe-pressure-injuries
Pressure injuries … https://psnet.ahrq.gov/issue/early-identification-and-evaluation-severe-pressure-injuries
https://psnet.ahrq.gov … preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - She sustained head trauma, blunt trauma of the cervical spine, right rib fractures, and a right femur … We do not know if the patient’s fall at home resulted in head trauma, which may have predisposed her … second case or contributed to a worse injury. … These individuals need to be assessed thoroughly after a fall for possible injury. … Centers for Disease Control and Prevention, National Center for Injury and Control.
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psnet.ahrq.gov/issue/prevention-and-treatment-bile-duct-injuries-during-laparoscopic-cholecystectomy-clinical
May 04, 2012 - Review
Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy … Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice … This guideline reports on recommendations from an expert panel to prevent bile duct injuries during … Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice … May 31, 2017
WebM&M Cases
Bowel Injury After Laparoscopic
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psnet.ahrq.gov/issue/preeminent-hospitals-penalized-over-rates-patients-injuries
January 17, 2018 - Newspaper/Magazine Article
Preeminent hospitals penalized over rates of patients’ injuries … Citation Text:
Preeminent hospitals penalized over rates of patients’ injuries. Rau J. … Citation
Citation Text:
Preeminent hospitals penalized over rates of patients’ injuries … February 16, 2022
More than 750 hospitals face Medicare crackdown on patient injuries
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psnet.ahrq.gov/node/849138/psn-pdf
May 17, 2023 - Non-accidental Injuries in Infants Attending the
Emergency Department. … https://psnet.ahrq.gov/issue/non-accidental-injuries-infants-attending-emergency-department
Misattribution … of child maltreatment injuries can be a serious misdiagnosis affecting families and patients. … safety incident reports from across the British National Health Service to explore
how non-accidental injury … https://psnet.ahrq.gov/issue/non-accidental-injuries-infants-attending-emergency-department
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/38952/psn-pdf
September 16, 2009 - ; The impact of missed
abdominal injuries in the era of nonoperative
management. … The impact of missed
abdominal injuries in the era of nonoperative management. … https://psnet.ahrq.gov/issue/has-pendulum-swung-too-far-impact-missed-abdominal-injuries-era-
nonoperative-management … This study examines whether delayed surgery in abdominal trauma patients resulted in an increase in … https://psnet.ahrq.gov/issue/has-pendulum-swung-too-far-impact-missed-abdominal-injuries-era-nonoperative-management
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psnet.ahrq.gov/node/36027/psn-pdf
March 28, 2011 - Medical injuries among hospitalized children.
March 28, 2011
Meurer JR, Yang H, Guse CE, et al. … Medical injuries among hospitalized children. Qual Saf Health Care.
2006;15(3):202-7. … https://psnet.ahrq.gov/issue/medical-injuries-among-hospitalized-children
This AHRQ–funded study applied … Investigators used the Wisconsin Medical Injury
Prevention Program (WMIPP) screening method to analyze … https://psnet.ahrq.gov/issue/medical-injuries-among-hospitalized-children
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psnet.ahrq.gov/node/41804/psn-pdf
October 31, 2012 - Prevention and treatment of bile duct injuries during
laparoscopic cholecystectomy: the clinical practice … Prevention and treatment of bile duct injuries during laparoscopic
cholecystectomy: the clinical practice … https://psnet.ahrq.gov/issue/prevention-and-treatment-bile-duct-injuries-during-laparoscopic-
cholecystectomy-clinical … This guideline reports on recommendations from an expert panel to prevent bile duct injuries during … https://psnet.ahrq.gov/issue/laparoscopic-bile-duct-injury-understanding-psychology-and-heuristics-error
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psnet.ahrq.gov/node/34112/psn-pdf
February 09, 2011 - Excess length of stay, charges, and mortality attributable
to medical injuries during hospitalization … Excess length of stay, charges, and mortality attributable to medical injuries during
hospitalization … https://psnet.ahrq.gov/issue/excess-length-stay-charges-and-mortality-attributable-medical-injuries-during … 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
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psnet.ahrq.gov/node/37743/psn-pdf
June 06, 2008 - Incidence and prevention of iatrogenic urethral injuries. … Incidence and prevention of iatrogenic urethral injuries. … 300 male patients at this university hospital experienced a urethral injury due to urinary
catheter … A nursing education program significantly reduced the risk of injury. … https://psnet.ahrq.gov/issue/incidence-and-prevention-iatrogenic-urethral-injuries
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psnet.ahrq.gov/node/40662/psn-pdf
March 12, 2016 - Administrative compensation for medical injuries:
lessons from three foreign systems. … Administrative compensation for medical injuries: lessons from three
foreign systems. … https://psnet.ahrq.gov/issue/administrative-compensation-medical-injuries-lessons-three-foreign-systems … This piece discusses the no-fault medical injury compensation programs of Denmark, Sweden, and New … https://psnet.ahrq.gov/issue/no-fault-compensation-medical-injuries-prospect-error-prevention