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psnet.ahrq.gov/node/46119/psn-pdf
August 15, 2018 - 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 … there is no evidence opioids are beneficial) while
not denying opioids to those in acute pain from trauma
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psnet.ahrq.gov/node/37654/psn-pdf
September 24, 2010 - The road to zero preventable birth injuries. … The road to zero preventable birth injuries. Jt Comm J Qual Patient Saf.
2008;34(4):201-205. … https://psnet.ahrq.gov/issue/road-zero-preventable-birth-injuries
This article reports how a perinatal … safety team, which applied high reliability principles and best practices,
reduced the rate of birth trauma … https://psnet.ahrq.gov/issue/road-zero-preventable-birth-injuries
https://psnet.ahrq.gov//#highreliabilityorganizations
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psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web-based-system
August 04, 2021 - Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … one hospital in Sweden found that the handling, causes, and actions taken to prevent recurrence of injuries … were similar across three severity levels (injuries leading to deaths, permanent harm, or temporary … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.
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psnet.ahrq.gov/issue/administrative-compensation-medical-injuries-lessons-three-foreign-systems
September 29, 2017 - Newspaper/Magazine Article
Administrative compensation for medical injuries: lessons … Administrative compensation for medical injuries: lessons from three foreign systems. … This piece discusses the no-fault medical injury compensation programs of Denmark, Sweden, and New … Administrative compensation for medical injuries: lessons from three foreign systems. … February 17, 2011
Beyond negligence: avoidability and medical injury compensation.
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psnet.ahrq.gov/node/73350/psn-pdf
June 02, 2021 - Learning during crisis: the impact of COVID-19 on
hospital-acquired pressure injury incidence. … 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 … , 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/node/73462/psn-pdf
July 07, 2021 - cause analysis to identify contributing factors for
the development of hospital acquired pressure injuries … cause analysis to identify contributing factors for the development of hospital acquired
pressure injuries … root-cause-analysis-identify-contributing-factors-development-hospital-
acquired-pressure
Hospital-acquired pressure injuries … root-cause-analysis-identify-contributing-factors-development-hospital-acquired-pressure
https://psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury … root-cause-analysis
https://psnet.ahrq.gov/primer/root-cause-analysis
https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
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psnet.ahrq.gov/node/45231/psn-pdf
February 14, 2017 - 6-PACK programme to decrease fall injuries in acute
hospitals: cluster randomised controlled trial. … February 14, 2017
Barker AL, Morello RT, Wolfe R, et al. 6-PACK programme to decrease fall injuries … https://psnet.ahrq.gov/issue/6-pack-programme-decrease-fall-injuries-acute-hospitals-cluster-randomised … source of preventable harm, and the incident is considered a
never event when it results in serious injury … A
WebM&M commentary discussed a case involving a fall resulting in injury.
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psnet.ahrq.gov/cme
February 26, 2025 - CT Head A man in his mid-50s presented to the hospital with a persistent headache after a sledding injury … A head CT scan was read as normal and he was diagnosed with a minor head injury and discharged without … in a motorcycle crash, including head trauma, chest injuries, and spinal fractures. … The commentary highlights the importance of evaluating patient risk of wound infection and poor wound … healing, the role of imaging modalities to help identify foreign material in wounds, and diligent follow-up
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psnet.ahrq.gov/issue/evaluation-patient-centered-fall-prevention-tool-kit-reduce-falls-and-injuries-nonrandomized
February 01, 2023 - Study
Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries … Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized … implementation of Fall TIPS toolkit, there was a 15% reduction in falls and a 35% reduction in falls with injuries … Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized … May 4, 2022
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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psnet.ahrq.gov/issue/excess-mortality-caused-medical-injury
June 29, 2011 - Study
Excess mortality caused by medical injury. … Excess mortality caused by medical injury. Ann Fam Med. 2006;4(5):410-6. … The authors describe a state-based review of discharge diagnoses to identify medical injuries. … Excess mortality caused by medical injury. Ann Fam Med. 2006;4(5):410-6. … June 29, 2011
Medical injuries among hospitalized children.
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psnet.ahrq.gov/node/34692/psn-pdf
February 10, 2011 - The economic consequences of medical injuries:
implications for a no-fault insurance plan. … The economic consequences of medical injuries.
Implications for a no-fault insurance plan. … https://psnet.ahrq.gov/issue/economic-consequences-medical-injuries-implications-no-fault-insurance-plan … Using data from a random sample of 794 patients who suffered iatrogenic injury in New York
hospitals … https://psnet.ahrq.gov/issue/economic-consequences-medical-injuries-implications-no-fault-insurance-plan
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psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis
March 10, 2021 - This systematic review and meta-analysis found a pooled incidence of 12% for pressure injuries related … April 24, 2019
A randomized trial of a multifactorial strategy to prevent serious fall injuries … 27, 2016
Towards international consensus on patient harm: perspectives on pressure injury … June 9, 2021
Root cause analysis for hospital-acquired pressure injury. … 24, 2017
Towards international consensus on patient harm: perspectives on pressure injury
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psnet.ahrq.gov/node/37012/psn-pdf
February 17, 2011 - Needlestick injuries among surgeons in training. … Needlestick injuries among surgeons in training. N Engl J
Med. 2007;356(26):2693-9. … https://psnet.ahrq.gov/issue/needlestick-injuries-among-surgeons-training
This survey revealed that … nearly all surgical residents experience a needlestick injury during their training,
but the majority … https://psnet.ahrq.gov/issue/needlestick-injuries-among-surgeons-training
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psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
April 28, 2021 - bowel injuries as a cause of death in laparoscopic surgery. … of underreporting of vascular injury. … How can this type of injury be prevented? … Three spectra of laparoscopic entry access injuries. … Major vascular injuries during laparoscopic procedures.
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psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
January 01, 2022 - shock or from traumatic brain injury … needles should not be placed in an extremity with a long bone fracture, in
an extremity with a vascular injury … , or through skin with overlying infection or
burn injury … because of poor flow given the small size of the marrow cavity
and the higher risk of great vessel injury … transferred to the OR
for surgical exploration, debridement, and possible closure of her
traumatic wounds
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psnet.ahrq.gov/node/45554/psn-pdf
October 19, 2016 - Injuries before and after diagnosis of cancer: nationwide
register based study. … Injuries before and after diagnosis of cancer: nationwide register based
study. … https://psnet.ahrq.gov/issue/injuries-and-after-diagnosis-cancer-nationwide-register-based-study
Patients … Moreover, patients were more likely to experience other types of injuries as well, corroborating
prior … found that patients recently diagnosed with cancer are at elevated risk of suicide
and accidental injury
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psnet.ahrq.gov/issue/extended-work-duration-and-risk-self-reported-percutaneous-injuries-interns
January 07, 2011 - Study
Extended work duration and the risk of self-reported percutaneous injuries … Extended work duration and the risk of self-reported percutaneous injuries in interns. … interns prior to the 2003 policies limiting work hours, compared the rates of self-reported percutaneous injuries … Percutaneous injuries were more frequent during extended work shifts as well as during night duties. … Extended work duration and the risk of self-reported percutaneous injuries in interns.
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psnet.ahrq.gov/node/867035/psn-pdf
October 30, 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 … 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/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
July 07, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries … Shift‐to‐shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure injuries … which nursing handover interventions result in improved patient outcomes (i.e., patient falls, pressure injuries … Shift‐to‐shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure injuries
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psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
December 23, 2016 - Sentinel Event Alerts
Preventing falls and fall-related injuries in health care facilities … Citation Text:
Preventing falls and fall-related injuries in health care facilities. … Falls in the hospital are common, particularly among elderly patients , and falls resulting in serious injury … Cite
Citation
Citation Text:
Preventing falls and fall-related injuries