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effectivehealthcare.ahrq.gov/sites/default/files/related_files/ced%20-appendix-2.xlsx
May 29, 2025 - effective, limiting its review to whether the process is reasonable and necessary to treat or diagnose an injury … effective, limiting its review to whether the process is reasonable and necessary to treat or diagnose an injury
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psnet.ahrq.gov/perspective/disclosure-medical-error
January 01, 2009 - Disclosure of medical injury to patients: an improbable risk management strategy. … that one reason the number is so low is that patients were unaware that a medical error caused their injury
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psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
January 01, 2009 - that one reason the number is so low is that patients were unaware that a medical error caused their injury … Disclosure of medical injury to patients: an improbable risk management strategy.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
June 02, 2025 - effective, limiting its review to whether the process is reasonable and necessary to treat or diagnose an injury … effective, limiting its review to whether the process is reasonable and necessary to treat or diagnose an injury
-
psnet.ahrq.gov/perspective/building-capacity-patient-safety
July 31, 2023 - These events and unsafe conditions reported result not only in injury but also in near-misses. … reviewing events of high harm, meaning a patient died or experienced a permanent or life-threatening injury
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www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
January 01, 2024 - event indicator classifications, the event description as
written by the reporter, and whether or not injury … increased level of care for one or two
patients (2 points); or a minor event, which did not cause injury
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psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
July 08, 2022 - Latex is essential to these plants to heal surface injuries and create immune responses against invading … WebM&M Cases
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury
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effectivehealthcare.ahrq.gov/health-topics/first-aid
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effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/cervical-degenerative-protocol.pdf
January 12, 2022 - of
cervical spine surgery by providing assessments of neural structures and detecting
neurological injury … during surgery to potentially mitigate or prevent further injury. … Does surgical treatment increase the progression
of spinal cord injury in patients with ossification
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-casereport.pdf
September 05, 2017 - Recent illness or tissue injury, and chronic inflammation
from arthritis can increase CRP levels and … AST & ALT Injury to cells releases these enzymes into the blood. … Liver
disease and heart attacks, as well as serious physical injury
can cause elevation of these … Levels can be elevated with age, as a result of injury, sexual
activity (ejaculation), inflammation
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cds.ahrq.gov/taxonomy/term/141831
August 23, 2024 - Search All AHRQ Sites
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
March 01, 2020 - , making
environmental contamination a concern for patients who are incontinent, who have draining wounds … in the incidence
of carbapenem-resistant Enterobacteriaceae (CRE)
colonization in the Severe Brain Injury … transmission, including one study in
an ICU7 and one hospital-wide study that included a severe brain-injury … intervention,
1,084 long-term
acute care
facility (LTACF)
patients;
included a 25-
bed severe
brain injury … intervention
was associated with
a decline in the
incidence of CRE
colonization in the
severe brain injury
-
hcup-us.ahrq.gov/db/nation/nis/NISIntroduction2010.pdf
November 01, 2015 - The collection and reporting of external cause of injury (E codes) varies greatly across
States … emergency, (2) urgent, (3) elective, (4)
newborn, (5) Delivery (coded in 1988-
1997 data only), (5) trauma … Beginning in 2003, the
diagnosis array does not include any
external cause of injury codes. … and
poisoning
ECODE1 -
ECODE4
2003-2010 External cause of injury and poisoning
code, primary … NECODE 2003-2010 Number of external cause of injury codes
on the original record.
-
hcup-us.ahrq.gov/db/nation/nis/NIS_Introduction_2011.pdf
January 01, 2011 - The collection and reporting of external cause of injury (E codes) varies greatly across
States … emergency, (2) urgent, (3) elective, (4)
newborn, (5) Delivery (coded in 1988-
1997 data only), (5) trauma … Beginning in 2003, the
diagnosis array does not include any
external cause of injury codes. … and
poisoning
ECODE1 -
ECODE4
2003-2011 External cause of injury and poisoning
code, primary … NECODE 2003-2011 Number of external cause of injury codes
on the original record.
-
hcup-us.ahrq.gov/db/nation/nis/NIS_2009_INTRODUCTION.pdf
January 01, 2009 - emergency, (2) urgent, (3) elective, (4)
newborn, (5) Delivery (coded in 1988-
1997 data only), (5) trauma … Beginning in 2003, the
diagnosis array does not include any
external cause of injury codes. … and
poisoning
ECODE1 -
ECODE4
2003-2009 External cause of injury and poisoning
code, primary … E_CCS1 -
E_CCS4
2003-2009 CCS category for the external cause of
injury and poisoning codes … NECODE 2003-2009 Number of external cause of injury codes
on the original record.
-
www.ahrq.gov/sites/default/files/2024-01/malone-report.pdf
January 01, 2024 - Injury
due to a known DDI is a preventable adverse drug event and constitutes a serious medication … Injury due to a known
DDI is a preventable adverse drug event and serious medication error. … denoting the potentially harmful
drug combination); (3) instructions or actions on how to reduce risk of injury
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-terminology.pdf
April 01, 2025 - iteratively refined.10
The Safety Paradigm
Patient safety has been defined as “freedom from accidental injury … These are defined as events involving injury
or harm resulting from a medical intervention (or lack … substandard care, called preventable adverse events, was created to capture
errors that result in injury
-
www.ahrq.gov/sites/default/files/publications/files/ena-slides.pdf
September 01, 2015 - Need for resources
• What teams need to be activated (specialists, code team, trauma team, brain injury … lumbar spine,
unstable pelvic fracture)
appropriate
Promote healing of open sacral or perineal
wounds … • The patient who requires immobilization for trauma or surgery
Inquire about the length of the … • The patient who is incontinent with open sacral or perineal wounds
Consult with the wound care
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/ena-slides.pdf
September 01, 2015 - Need for resources
• What teams need to be activated (specialists, code team, trauma team, brain injury … lumbar spine,
unstable pelvic fracture)
appropriate
Promote healing of open sacral or perineal
wounds … • The patient who requires immobilization for trauma or surgery
Inquire about the length of the … • The patient who is incontinent with open sacral or perineal wounds
Consult with the wound care
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
January 01, 2004 - Costs
of medical injuries in Utah and Colorado. Inquiry
1999;36:255–64.
4. Barach P, Small SD. … Patients’ and
doctors’ attitudes to amount of information given after
unintended injury during treatment