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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
August 01, 2017 - Adv Wound Care 1995;8:34-48. … A pressure injury/ulcer is a sterile wound.
3. … Wounds that become chronic are frequently stalled in the inflammatory phase of healing.
… A pressure injury/ulcer is a sterile wound.
False
3. … Wounds that become chronic are frequently stalled in the inflammatory phase of healing.
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psnet.ahrq.gov/node/49389/psn-pdf
February 01, 2003 - bowel injuries as a cause of death in laparoscopic surgery. … 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/issue/tolerance-uncertainty-and-fears-making-mistakes-among-fifth-year-medical-students
December 09, 2020 - Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … 2020
Cohort study of diagnostic delay in the clinical pathway of patients with chronic wounds … October 6, 2021
The impact of clinically undiagnosed injuries on survival estimates.
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psnet.ahrq.gov/issue/do-nurse-and-patient-injuries-share-common-antecedents-analysis-associations-safety-climate
February 29, 2012 - Study
Do nurse and patient injuries share common antecedents? … Do nurse and patient injuries share common antecedents? … climate had an increased risk of preventable adverse events for patients and an increased risk of injuries … Do nurse and patient injuries share common antecedents?
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psnet.ahrq.gov/node/49759/psn-pdf
May 01, 2016 - The cost of serious fall-
related injuries at three Midwestern hospitals. … Data & Statistics (WISQARS): Cost of Injury Reports. … J Emerg Trauma Shock. 2013;6:241-245. [go to
PubMed]
23. Chevron V, M? … NDNQI Fall-related Injury Classification and Definitions.(3)
Classification Definition
None No injuries … , signs, or symptoms resulting from a fall
Minor
Application of a dressing, ice, cleaning of a wound
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psnet.ahrq.gov/node/867427/psn-pdf
December 18, 2024 - Centers for Disease Control and Prevention
(CDC) consistently reports falls as the leading cause of injury … The World
Health Organization reports falls as the second leading cause of unintentional injury deaths … A patient fall is defined as “an unplanned descent to the floor with
or without injury to the patient … ease the descent or break the fall, or unassisted, with unassisted falls more likely to result in
injury … In hospitals, falls with injuries
can lead to other adverse outcomes including pressure injuries or
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psnet.ahrq.gov/issue/association-adverse-effects-medical-treatment-mortality-united-states-secondary-analysis
November 11, 2020 - treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries … Treatment With Mortality in the United States: A Secondary Analysis of the Global Burden of Diseases, Injuries … mortality related to the adverse effects of medical treatment (AEMT) from the Global Burden of Diseases, Injuries … Treatment With Mortality in the United States: A Secondary Analysis of the Global Burden of Diseases, Injuries
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digital.ahrq.gov/organization/aurora-health-care
January 01, 2023 - Evidence-Based Nursing Practices and Electronic Health Record Decision Support to Reduce Fall-related Patient Injuries … Evidence-Based Nursing Practices and Electronic Health Record Decision Support to Reduce Fall-related Patient Injuries … Evidence-Based Nursing Practices and Electronic Health Record Decision Support to Reduce Fall-Related Patient Injuries … Evidence-Based Nursing Practices and Electronic Health Record Decision Support to Reduce Fall-related Patient Injuries … Evidence-Based Nursing Practices and Electronic Health Record Decision Support to Reduce Fall-related Patient Injuries
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www.ahrq.gov/data/data-visualization/index.html?page=2
September 01, 2023 - Insurance Health Systems HIV Hospital Safety Hospital-Acquired Conditions Hospitalizations Influenza Injuries … Prescription Drugs Sepsis Sick Leave Social Determinants of Health Surgery Technology Traumatic Brain Injury … ‹‹
1
2
3
Overview of Emergency Department Visits Related to Injuries … , by Cause of Injury, 2017
Prevalence of Paid Sick Leave Among Wage Earners, 2017
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psnet.ahrq.gov/issue/medical-monitoring-pharmaceutical-injuries-tort-law-publics-health
May 20, 2015 - Commentary
Medical monitoring for pharmaceutical injuries: tort law for the public's … Medical monitoring for pharmaceutical injuries: tort law for the public's health? … Medical monitoring for pharmaceutical injuries: tort law for the public's health? … Citation
Related Resources From the Same Author(s)
Disclosure of medical injury … February 4, 2015
Beyond negligence: avoidability and medical injury compensation.
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psnet.ahrq.gov/node/48134/psn-pdf
August 14, 2019 - Root cause analysis for hospital-acquired pressure injury.
August 14, 2019
Black JM. … Root cause analysis for hospital-acquired pressure injury. … J Wound Ostomy Continence Nurs.
2019;46(4):298-304. doi:10.1097/WON.0000000000000546. … https://psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
Pressure injuries … https://psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
https://psnet.ahrq.gov
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www.ahrq.gov/sites/default/files/2024-01/gallagher1-report.pdf
January 01, 2024 - Final Progress Report: Communication to Prevent and Respond to Medical Injuries: WA State Collaborative … Gallagher TH, PI. 1
Title Page
Title of Project: Communication to Prevent and Respond to Medical Injuries … Communication training to prevent medical injuries, as well as disclosure coach
training, was widely … ;
2) To implement intensive communication training to prevent and respond to medical injuries at
10 … Tim McDonald, of the Collaborative for
Accountability Following Medical Injury.
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digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-mild-traumatic-brain-injury
January 01, 2023 - fewer CTs ordered, higher physician trust, and higher patient knowledge in cases involving minor head injuries … fewer CTs ordered, higher physician trust, and higher patient knowledge in cases involving minor head injuries … Aligning best practices for CT scans for patients with minor head injuries. … The team’s overall goal was to better prepare clinicians to guide patients with minor head injuries on … While development of CDS for minor head injuries increased the likelihood of clinically appropriate CT
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide2.html
October 01, 2017 - Prevention Group or the Wound Care Group. … at least two other types of teams in any patient care unit where changes are to be implemented: the Wound … Ask: Do you have a Wound Care Team or Wound Care Nurse in this hospital? … Once you examine and understand current practices that are being used to help prevent pressure injuries … current policies and practices, you understand what this hospital currently does to prevent pressure injuries
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psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_a_cognitive_and_communication_blind_spot_slides.pptx
January 01, 2024 - considerations for and against administering prophylactic anticoagulation to patients with acute traumatic injuries … contributes to permanent paralysis
A case involving a motorcycle crash patient who suffered spinal injuries … Trauma Data Bank. … J Trauma Acute Care Surg. 2017;83(6):1088-1094. … J Trauma. 1996;41(3):396-405; discussion 405-396.
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www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
January 01, 2024 - Ninety-seven percent (n=1415) of claims involved
medical injury, and 63% (n=889) of those injuries were … Severe
injuries and younger patients are over-represented in the subset of medical injuries
that triggers … to treatment but no physical injury. … The remaining 93% of claims
involved physical injury, and typically these injuries were severe. … Injury types
No injury 3%
Breach of informed consent (only) 1%
Psychological/emotional 4%
Minor physical
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hcup-us.ahrq.gov/toolssoftware/ccsr/DXCCSR-User-Guide-v2025-1.pdf
November 01, 2024 - Injuries are described in two ways:
• The Injury Mortality Diagnosis Matrix classifies ICD injury codes … framework for categorizing injuries by body region and nature of injury. … CCSR Category Description
Open wound INJ011 Open wounds of head and neck, initial encounter
INJ012 … wounds of head and neck, subsequent encounter
INJ049 Open wounds to limbs, subsequent encounter … INJ050 Open wounds of trunk, subsequent encounter
INJ073 Injury, sequela
Other effects of
external
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psnet.ahrq.gov/issue/health-courts-and-accountability-patient-safety
February 17, 2011 - Health courts would use evidence-based standards to determine the preventability of medical injuries, … transparency and shifting the focus from determining if a physician was negligent to determining if an injury … February 17, 2011
Beyond negligence: avoidability and medical injury compensation. … October 26, 2010
Disclosure of medical injury to patients: an improbable risk management … February 3, 2011
Medical monitoring for pharmaceutical injuries: tort law for the public's
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www.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
January 01, 2024 - and categorization of the types and severities of major inpatient fall-related injuries. … injury
(e.g., nasal bone fracture), or disruption of a surgical wound; major B - injuries that caused … ; 2: fall, minor injury; 3. fall, moderate injury; 4: fall, major
injury; 5: fall, fatal. … Fall with injury was defined as any fall that has a severity score of >2. … with injuries x 1,000
Total number of inpatient days
A cost-benefit analysis was performed.
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/intro.html
August 01, 2022 - dispute resolution, with the joint aims of (1) putting patient safety first by reducing preventable injuries … better communication between doctors and patients, (3) ensuring fair and timely compensation for medical injuries