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www.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/summit-bios.html
November 01, 2021 - Gurwitz has also served on the Steering Committee of STRIDE (STrategies to Reduce Injuries and Develop … Confidence in Elders), a pragmatic clinical trial to reduce the risk of serious fall-related injuries … Her previous research focused on identifying the causes and consequences of falls and fall injuries as
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
June 15, 2005 - Introduction
Thousands of deaths and injuries occur annually in hospitals due to preventable medical
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www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
January 01, 2024 - goals to (1) assess risks and known hazards to patients in the
process of care, leading to preventable injuries
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-31-facilitating-panel-management.pdf
September 01, 2015 - acute care centers—services rendered to
patients needing urgent medical attention (e.g., infection, injuries
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-implementation-guide.pdf
March 01, 2023 - A patient hospitalized for
internal injuries incurred in a
car accident who had
received PTCA 9 months
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
July 17, 2008 - reliability in
hospitals’ medication use practices results in 400,000 preventable medication-related injuries
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
April 01, 2016 - We also don’t know right now if she has
suffered any injury from what happened, but we will check her
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www.ahrq.gov/sites/default/files/2024-11/stewart-report.pdf
January 01, 2024 - To improve patient
safety, defined as “freedom from accidental injury,”1 hospitals and some states
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www.ahrq.gov/patient-safety/reports/liability/crane.html
August 01, 2017 - Patients’ and doctors’ attitudes to amount of information given after unintended injury during treatment
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www.ahrq.gov/sites/default/files/wysiwyg/topics/covid-19/long-covid-summit-report.pdf
February 27, 2023 - multi-disciplinary care models provided during the
Summit included sepsis care, sarcoidosis, and traumatic brain injury
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
January 01, 2004 - A
computer alert system to prevent injury from adverse
drug events: development and evaluation in a
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
March 01, 2004 - Gosbee’s definition of a close call, an “event or situation that could
have resulted in an accident, injury
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Gavin.pdf
January 01, 2001 - reductions (e.g., staff time saved if residents could self-propel, elimination of
repositioning needs, injury
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Pratt.pdf
March 01, 2004 - identification and wrong-site surgery; (3) event
reporting, including near misses; and (4) physical injury
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g2_pdi_specifictoolstosupportchange.pdf
January 01, 2011 - have been identified,
including:
• Hospital-acquired infections:
ventilator-associated pneumonia,
wound … • Obstetrics: birth trauma - injury to
neonate, obstetric trauma - vaginal
delivery, obstetric … trauma - cesarean
section, problems with childbirth
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
January 01, 2011 - indicators have been identified, including:
• Hospital-acquired infections: ventilator
pneumonia, wound … • Obstetrics: birth trauma - injury to neonate,
obstetric trauma - vaginal delivery, obstetric … trauma - cesarean section, problems with
childbirth
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www.ahrq.gov/sites/default/files/2024-07/alexander-report.pdf
January 01, 2024 - Symptoms 14168 797 5.6 5.1
Who Were Physically Restrained 14203 798 0.9 0.7
One or More Falls with Major Injury … Physically Restrained -0.02 -0.02 0.01 0.01 0.01 0.01 0.01 0.00 -0.02 0.00
One or More Falls with Major Injury
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
January 01, 2023 - An
example of additional detail from the Fall module would be the type of injury sustained in a
fall … or stage/category IV or was
unstageable
• A lesion that, on admission, was a suspected Deep Tissue Injury
-
www.ahrq.gov/sites/default/files/2024-05/kobayashi-report.pdf
January 01, 2024 - study site was Rhode Island Hospital, a 719-bed nonprofit tertiary care referral facility
and Level-I trauma … of (de-identified) physiologic datastreams from
thousands of live patients with varying illnesses, injuries
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpra.pdf
March 01, 2012 - environment)
• Prevention of postoperative infection transmission (e.g., dressing the postoperative
wound … Often these settings are emotionally charged, because a patient has experienced a
severe injury at the … Assessing patient safety
risk before the injury occurs: An introduction to
sociotechnical probabilistic