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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/huddles-component-kit.docx
May 01, 2017 - the work
Key Points (“know how”)
For example, information that is critical to the job, may prevent injury
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b2a_pdi_ratesgenbysas.pdf
March 01, 2016 - of a given event (PDI)
• OPNQ = the observed rate of a given event (NQI)
Note that PSI 17 (Birth Injury
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/understand/index.html
June 01, 2020 - Getting help to recover from an illness or injury.
Living with Illness or Disability.
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psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - recognition of and deterioration following breakdown of an anastomosis , patient fall risk and staff injury
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psnet.ahrq.gov/node/49580/psn-pdf
March 21, 2009 - woman, previously active and independent, recently developed weight loss, confusion, and
falls without injury
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psnet.ahrq.gov/node/50843/psn-pdf
January 29, 2020 - However, rapid
correction of severe hyponatremia can also lead to catastrophic neurologic injury, namely
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psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
January 01, 2015 - WebM&M Cases
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-behavioral-health.html
May 01, 2024 - Appendix D: Grant Summaries
P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury
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psnet.ahrq.gov/node/865570/psn-pdf
April 10, 2024 - in the field of patient safety, errors and adverse events still happen.3,4 An adverse
event is any injury
-
effectivehealthcare.ahrq.gov/sites/default/files/renal-cancer_executive.pdf
February 01, 2016 - (any injury of
– collecting system and ureter)
– Urinary tract infection
• … Gastrointestinal
– Cardiovascular
– Respiratory
– Neurologic
– Wound … This
grade also includes wound infections opened at the bedside. … This
grade also includes wound infections opened at the bedside. … Thermal
ablation had the lowest reported rates of acute kidney
injury and non-urologic complications
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/depression-childhood-protocol.pdf
August 06, 2018 - nonpharmacological studies have systematically collected and reported harms data
(e.g., re-experiencing trauma
-
www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
January 01, 2025 - events or medication errors; resident altercations or other types of abuse; and non-fall
related injuries … The relationship between
physical restraint removal and falls and injuries among nursing home residents
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
January 01, 2005 - medication errors.6–10 Inability to correctly read a medication
name, dose, or regimen has resulted in injuries … to prescribe
drugs holds substantial additional potential for reducing the number of drug-
related injuries
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/ems-911-workforce-disposition-comments.pdf
November 01, 2022 - Sharp safe devices lead to
the decrease in risk related to contaminated sharps injuries. … Congress and required sharps safe devices this is what lead
to a decrease in contaminated sharps injuries
-
www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
January 01, 2024 - implement interventions to address these.1
Development of the BI-OTT
Consistent with the “no preventable injuries … in terms of
reported medical expenditures, employment status, or work days missed due to illness or injury … 18.8)
During 2010 about how many days did you miss work at a job or business
because of illness or injury … patients in terms of reported medical expenditures, employment status, or days missed due to illness or injury
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
December 01, 2017 - defines a sentinel event as an unexpected occurrence involving death or serious physical or psychological injury … Serious injury specifically includes loss of limb or function. … for improvement
Ask if instrument, sponge, and needle counts are correct
Record name of procedure and wound … Patient positioned to prevent injury
Potential problems of the case
identified and discussed
All equipment
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs024350-wernz-final-report-2018.pdf
January 01, 2018 - Worse still, three hospitals responded that downtime was
the cause for injuries and negative outcomes … MWHC, with its burn unit and Level I trauma center, sends different types and larger
volumes of requests
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/app-e-surv-report-3-acute-pain.xlsx
May 29, 2025 - Sponsor Quality
Akgol Gur, 2020 Emergency department Turkey Musculoskeletal pain (blunt upper extremity trauma … B
Knee Injury and Osteoarthritis Outcome Score- Activities of Daily Living (mean [SD], 0 to 100 scale … B
Knee Injury and Osteoarthritis Outcome Score- knee related QOL (mean [SD], 0 to 100 scale, higher score
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/app-e-surv-report-2-acute-pain.xlsx
May 29, 2025 - Sponsor Quality
Akgol Gur, 2020 Emergency department Turkey Musculoskeletal pain (blunt upper extremity trauma … B
Knee Injury and Osteoarthritis Outcome Score- Activities of Daily Living (mean [SD], 0 to 100 scale … B
Knee Injury and Osteoarthritis Outcome Score- knee related QOL (mean [SD], 0 to 100 scale, higher score
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-5.html
June 01, 2020 - Scand J Trauma Resusc Emerg Med 2019;27(1):54. … Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary Report … https://psnet.ahrq.gov/issue/triggers-and-targeted-injury-detection-systems-tids-expertpanel-meeting-conference-summary