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Total Results: 1,399 records

Showing results for "injuries".

1261. Final Progress Report: Improving patient and clinician safety during COVID-19 through a rapidly adaptive simulation intervention (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/evans-report.pdf
      January 01, 2024 - support systems and community of practice, and (3) development of negative emotions and psychological trauma … , including fear, resentment, and moral injury, causing lasting harm. … Psychobiology of PTSD in the acute aftermath of trauma: Integrating research on coping, HPA function

1262. Final Progress Report: Developing a Medical Biometric Identification System with a Secure Database Network That Can Access Electronic Medical Databases (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/sohn-report.pdf
      January 01, 2024 - Commission  as  “an  unexpected  occurrence  involving  death  or  serious  physical  or  psychological  injury

1263. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/029-hand-hygiene-webinar-slides.pptx
      October 01, 2024 - Injury. 2020 Jun;51(6):1250-1257. PMID: 32331847.

1264. Final Progress Report: The Effect of EMR on Medication Safety: A SPUR-Net Study (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/kuo-report.pdf
      January 01, 2024 - It is estimated that 770,000 people each year experience adverse drug events (ADEs) that result in injury

1265. Final Progress Report: Profiling the Needs of Dying Children (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/feudtner-report.pdf
      January 01, 2024 - Final Progress Report, page 5 of 13 Among children who died due to some form of CCC (excluding injury

1266. PowerPoint Presentation: Learn From Defects for Sustainability
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
      December 01, 2017 - If someone is in danger of injury or an emergent procedure is missing a vital resource, we do what needs

1267. Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
      January 01, 2020 - peripheral vascular complication [including pseudoaneurysm, hematoma at catheter insertion site, vascular injury

1268. Hospital Administrative Staff vs. Nursing Staff Responses to the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
      February 24, 2008 - Preventing medical injury. QRB Qual Rev Bull 1993; 19: 144-149. 10.

1269. Final Progress Report: Measurement of Decision Quality in Coronary Artery Disease (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/lin-report.pdf
      January 01, 2024 - symptoms in the short term but carry the potential of periprocedural complications, such as acute kidney injury

1270. Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
      September 01, 2005 - Only a few studies have used medical error data to develop specific interventions to prevent patient injury

1271. Identifying Barriers to the Success of a Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
      March 01, 2004 - system are prompted to submit reports describing situations that could have resulted in an accident, injury

1272. Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Comparative Quality Reports: Effective Use of Explanatory Information | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/public-reporting/guide2.html
      June 01, 2017 - medical errors and does not cause harm," which would include measures such as surgical infection rates or injuries

1273. Patient Safety Learning Pilot: Narratives from the Frontlines (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
      April 21, 2008 - improving patient safety: “We have been analyzing and creating reports of falls with and without injuries

1274. Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/weingart-report.pdf
      January 01, 2024 - We planned to categorize reports by drug, disease, type and severity of injury, and error type.

1275. Common Cause Analysis: Focus on Institutional Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
      January 20, 2008 - patient care will doom subsequent clinicians to initiate the same chain of events, resulting in an injury

1276. Diagnostic error in mental health: a review (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-mental-health-bmjqs.pdf
      April 15, 2024 - J Trauma Dissociation 2017;18:233–47. 31 Sheehan DV, Lecrubier Y, Sheehan KH, et al. … procedures: are diagnosticians influenced by the narrative fallacy when assessing the psychological injuries … of trauma victims Psychol Inj Law 2016;9:265–71. 54 Jenkins MM, Youngstrom EA.

1277. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/corbett.html
      August 01, 2017 - An adverse event is defined as an injury resulting from health care management, rather than the underlying … from a rural hospital recommended “Organize the paperwork with separate categories to clearly define ‘wound

1278. Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
      January 01, 2024 - which can be hard to detect through medical record review alone but are typically biased toward severe injuries … Assessing patient safety risk before the injury occurs: an introduction to sociotechnical probabilistic

1279. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
      January 01, 2024 - Preventable diagnostic errors in fatal cervical spine injuries: a nationwide register-based study from … Diagnostic error in the emergency department: follow up of patients with minor trauma in the outpatient … Scand J Trauma Resusc Emerg Med  2017 Feb 14;25(1):13. … Adv Wound Care (New Rochelle)  2013 Dec;2(10):588-592. … acceptability, and preliminary effect of a novel deliberate practice intervention to reduce diagnostic error in trauma

1280. AHRQ Summit to Address Emergency Department Boarding (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/ed-boarding-summit-report.pdf
      March 01, 2025 - : Boarding increases the risk that clinicians are subject to physical violence, burnout, and moral injury … Morshedi spoke of the moral injury that clinicians experience when making medical decisions they would