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Total Results: 2,139 records

Showing results for "injuries".

1981. 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

1982. 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

1983. 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

1984. 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.

1985. Final Progress Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
      January 01, 2024 - High-alert medications bear a heightened risk of causing patient injury when they are misused.1 The … Assessing patient safety risk before the injury occurs: an introduction to socio- technical probabilistic

1986. Final Progress Report: Workshop on Consumer Engagement in Selected Patient Safety Topics (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/hatlie-report.pdf
      January 01, 2024 - Both Dan and Sue have experienced health system failure that led to serious injury or death of a family … Jaffe Chicago, IL Lenore Janecek Save the Patient Chicago, IL Linda Kenney Medically Induced Trauma

1987. Chartbook on Effective Treatment: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/effectivetreatment-slides.html
      April 01, 2018 - problem 3.3   Lung/breathing problem 3.1 Respiratory Diseases Fracture/bone/joint injury … Most Costly Conditions, 2013 Condition Total Expenses (Millions) Report Section Trauma-related … Increased risk of death from car crashes and other injuries. … disability of common conditions requiring rehabilitation in the United States: stroke, spinal cord injury … , traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back

1988. 3. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-current-state3.html
      January 01, 2024 - that patients with diagnosis-related claims were  2.33 times more likely to die than to have a minor injury

1989. 3. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state3.html
      January 01, 2024 - that patients with diagnosis-related claims were  2.33 times more likely to die than to have a minor injury

1990. Webinar Transcript - The National Quality Strategy and the Public Sector: Federal Agency Alignment to the Six Priorities | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-federal-agency-alignment-to-the-six-priorities.html
      November 01, 2016 - We work to prevent the leading cause of illness, injury, disability, and death.

1991. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/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

1992. 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

1993. 2.0 Essentials Course (Instructor Guide) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/essentials/ts2-0ltc_essentials_ig.pdf
      July 11, 2017 - Larkin avoided injury and was taken to the hospital before the situation became critical.

1994. Final Progress Report: Building Consensus Among States on Patient Safety Reporting (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/golden-west-report.pdf
      January 01, 2024 - Participants seemed to agree that reporting of major events in which patient injury occurred should

1995. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
      December 01, 2017 - reengineer the system to catch holes before they line up, and end system gaps that lead to a patient injury

1996. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
      December 01, 2017 - reengineer the system to catch holes before they line up, and end system gaps that lead to a patient injury

1997. Methods (continued, 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3a.html
      July 01, 2018 - unanticipated event in a health care setting resulting in death or serious physical or psychological injury

1998. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
      January 01, 2004 - With disease, injury, or illness, the diagnosis is often obvious and may involve no more than simple

1999. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
      January 01, 2003 - Assessing patient safety risk before the injury occurs: an introduction to socio- technical probabilistic

2000. Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Comparative Quality Reports: Effective Use of Explanatory Information (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-2-public-reporting.pdf
      June 01, 2010 - errors and does not cause harm,” which would include measures such as surgical infection rates or injuries