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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-rural-healthcare.pdf
July 01, 2024 - claims.21
At the patient level, it is estimated that 33 percent of diagnostic errors result in patient injury … Rural residents are more susceptible to unintentional injury, as many work in high-risk
occupations
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
January 01, 2003 - As
many as 44,000 to 98,000 hospital patients die each year as a result of iatrogenic
injury.1 The … The trauma
surgery clinical team consisted of four staff attending physicians (all surgeons
trained … in trauma care and general surgery), a chief surgical resident, a senior
surgical resident, one surgical … inpatient floor; intern, student, and resident “scut
work” duties (e.g., checking postoperative surgical wounds … The preventability of medical injury. In:
Bogner MS, ed. Human mistake in medicine.
-
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
-
www.ahrq.gov/downloads/pub/prevent/pdfser/cas/cases.pdf
December 01, 2007 - However, among the RCTs, the VACS reported
surgical complications rates of 3.8% for cranial nerve injuries … (none of these injuries were
permanent), 5.2% for hypotension, and 25% for hypertension.40
Is … Overall = 3.7%
High volume hospital (>100
cases/year) = 3.5%
Low volume hospital = 5.2%
3% HTN
2% wound
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www.ahrq.gov/sites/default/files/wysiwyg/workingforquality/nqsplans.pdf
January 01, 2020 - people and
communities need to protect their health—through health promotion; prevention of disease, injury … Adverse drug events are the leading cause of death and injury in the United States.
-
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
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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/wysiwyg/hai/tools/mrsa/029-hand-hygiene-webinar-slides.pptx
October 01, 2024 - Injury. 2020 Jun;51(6):1250-1257. PMID: 32331847.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14289-Jack-draft-1.pdf
January 19, 2005 - 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/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
-
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
-
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
-
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/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
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14406-Kuo-draft-1.pdf
March 01, 2005 - It is estimated that 770,000 people each year experience adverse drug
events (ADEs) that result in injury
-
www.ahrq.gov/research/findings/studies/index.html?page=19
January 01, 2024 - enzyme inhibitor and angiotensin receptor blocker use, hypertension control, readmissions, acute kidney injury
-
www.ahrq.gov/research/findings/studies/index.html?page=21
January 01, 2024 - collected demographic data, comorbid conditions, and patient-reported outcome measures including the knee injury
-
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