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digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care/annual-summary/2011
January 01, 2011 - This significant source of error can cause injury or even fatalities and happens in all types of health
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digital.ahrq.gov/program-overview/research-stories/evaluation-scaling-acceptable-cds-scaled-approach-interoperable
January 01, 2023 - Applying CDS may prevent and treat venous thromboembolism
Patients with traumatic brain injuries (TBI … As a trauma critical care surgeon at the University of Minnesota, Dr. … The researchers plan to widely disseminate this new VTE prophylaxis CDS tool for TBI patients to U.S. trauma
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digital.ahrq.gov/ahrq-funded-projects/shareable-interoperable-clinical-decision-support-older-adults-advancing-fall
January 01, 2023 - Decision Support System
Care Setting
Ambulatory Setting
Medical Condition
Trauma … older adults report falls each year, a common occurrence and the leading cause of fatal and nonfatal injuries … older adults report falls each year, a common occurrence and the leading cause of fatal and nonfatal injuries … Identifying and prioritizing effective care plans to prevent falls and related injuries is challenging
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digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care/annual-summary/2012
January 01, 2012 - This significant source of error can cause injury or even fatalities and happens in all types of health
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digital.ahrq.gov/sites/default/files/docs/citation/appendix-e-cdspain-sample-clinical-practice-guidelines.docx
October 16, 2020 - Pain persisting or recurring for more than 3 to 6 months and can be caused by a disease or condition, injury … an unknown reason.1,2
Acute Pain – Pain that usually starts suddenly and has a known cause, like an injury
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digital.ahrq.gov/2018-year-review/executive-summary
January 01, 2018 - fewer CTs ordered, higher physician trust, and higher patient knowledge in cases involving minor head injuries … Clinical Decision Support for Mild Traumatic Brain Injury
Research investment: $773K
RAND Corporation
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digital.ahrq.gov/sites/default/files/docs/page/Quality%20Engineering%20Group%20Report%20Day%202.pdf
September 22, 2009 - Future conferences should be organized around problem-specific meetings (ie traumatic brain injury)
•
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs018205-kearns-final-report-2012.pdf
January 01, 2012 - fall risk studies in community and some
nursing homes, self-report provides the basis for defining injury … Fall injury episodes
among noninstutionalized older adults: United States,
2001-2003. … Fall and
injury prevention in older people living in residential
care facilities. … The contribution
of predisposing and situational risk factors to serious
fall injuries. … Smart
rehabilitation for the 21st century: the Tampa Smart
Home for veterans with traumatic brain injury
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digital.ahrq.gov/2019-year-review/research-summary/health-information-exchange-streamlines-communication-between
January 01, 2019 - communication, which is inefficient and can lead to errors
Poisonings are the leading cause of unintentional injury
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/wolfstadt-ji-et-al-2008
January 01, 2008 - decision support (CDS) has been promoted as an effective strategy to prevent the development of a drug injury
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs025654-lenert_final-report-2023.pdf.pdf
January 01, 2023 - Many women, even in emergency department settings with evidence of injuries, choose not to disclose abuse … Danger 5
assesses level of risk for future severe physical injury or possible IPV related death. … In 36 encounters, reported counseling on injury prevention (Z71.89); and
26 cases of confirmed adult … Trauma Violence
Abuse 2018;19:512–27.
6. Lustig L, Fishenson E, Natan MB. … Trauma Violence Abuse
2015;16:60–9.
10. Feldhaus KM, Koziol-McLain J, Amsbury HL, et al.
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digital.ahrq.gov/sites/default/files/docs/Health_IT_and_Safety_070910_comp.pdf
July 13, 2010 - left 1.49 (1.40-1.58) or 3:2
• volume 1.14
• weight 1.2
• inhaled aerosol 1.28
• Bullet and stab wounds … 65+ = 6.5 per 1000
• 19 per 1000 (elderly) – 0.35 per 1000 (14%)
had a fracture – 0.4 per 1000 injury … Error
• Error of Comission
• Error of Omission
• Harm
• Human Error
• Iatrogenic
• Iatrogenic Injury … pulmonary edema related to volume overload
– new pulmonary ebolism
– equipment malfunction with serious injury
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digital.ahrq.gov/population/children
January 01, 2025 - procedures, and ensuring timely diagnosis for those at highest risk, ultimately seeking to prevent renal injury
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digital.ahrq.gov/population/clinical-staff
January 01, 2024 - procedures, and ensuring timely diagnosis for those at highest risk, ultimately seeking to prevent renal injury
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digital.ahrq.gov/population/pharmacist
January 01, 2024 - decision support (CDS) tool for prevention of venous thromboembolism (VTE) to those with traumatic brain injury
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digital.ahrq.gov/type-care/acute-care
January 01, 2023 - procedures, and ensuring timely diagnosis for those at highest risk, ultimately seeking to prevent renal injury
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digital.ahrq.gov/health-care-theme/quality-improvement
January 01, 2023 - procedures, and ensuring timely diagnosis for those at highest risk, ultimately seeking to prevent renal injury
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digital.ahrq.gov/health-care-theme/patient-safety
January 01, 2023 - procedures, and ensuring timely diagnosis for those at highest risk, ultimately seeking to prevent renal injury
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digital.ahrq.gov/population/nurse-practitioner
January 01, 2023 - procedures, and ensuring timely diagnosis for those at highest risk, ultimately seeking to prevent renal injury
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digital.ahrq.gov/type-care/pediatrics
January 01, 2023 - procedures, and ensuring timely diagnosis for those at highest risk, ultimately seeking to prevent renal injury