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Showing results for "injury".

1121. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
      March 01, 2017 - An event is an injury to a resident that is caused by a medical intervention rather than by the underlying

1122. Research Methods for Studying the Primary Care Workforce: Slide Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/workforce-pcr.pptx
      August 01, 2024 - develop, retain, and grow this workforce and to further understanding and improvement of burnout, moral injury

1123. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
      June 01, 2023 - Patterns of communication breakdowns resulting in injury to surgical patients.

1124. The Impact of a Patient Safety Program on Medical Error Reporting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
      January 01, 2001 - However, as the result of a sentinel event (a medical error resulting in an unanticipated death or injury

1125. Transforming Hospitals | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html
      December 01, 2017 - Patient Falls Patient falls, which are common in hospitals, can result in serious injuries, extend … By 2020 the estimated annual cost of fall injuries for older people will exceed $30 billion. 7-8 Now … improving light sources for surgical staff; and designing patient beds to reduce back stress, fatigue, and injuries

1126. Mental Health and Substance Abuse | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/mhsa.html
      June 01, 2018 - Increased risk of death from car crashes and other injuries.

1127. On-Time Pressure Ulcer Healing: Introduction to Pressure Ulcer Healing Reports Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/erepguide.html
      December 01, 2016 - National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, and Pan Pacific Pressure Injury … Slide 33: Sample Weekly Wound Rounds Report Do: Instruct trainees to look at the Weekly Wound … Last Seen Date in Wound Clinic. … The wound nurse, wound physician, and other disciplines attending wound rounds can see quickly which … Treatments: Wound Cleanser.

1128. Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
      January 01, 2025 - (15%), patient/relative dissatisfaction (7%), prolonged hospital stay (4%), physical/psychological injury … Injuries in hospitals pose a significant threat to patients and a substantial increase in health care

1129. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
      May 01, 2016 - the establishment of the Massachusetts Alliance for Communication and Resolution following Medical Injury … All complaints involved some additional patient care and most complaints (70%) resulted in some new injury … some new unanticipated injury compared to non-IC/SDM complaints (35%; p = 0.001)” (Posner et al., 2013 … and establishment of the Massachusetts Alliance for Communication and Resolution following Medical Injury … grievances to formal claims against Wishard alleging malpractice or other actions leading to patient injury

1130. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
      May 01, 2016 - the establishment of the Massachusetts Alliance for Communication and Resolution following Medical Injury … All complaints involved some additional patient care and most complaints (70%) resulted in some new injury … some new unanticipated injury compared to non-IC/SDM complaints (35%; p = 0.001)” (Posner et al., 2013 … and establishment of the Massachusetts Alliance for Communication and Resolution following Medical Injury … grievances to formal claims against Wishard alleging malpractice or other actions leading to patient injury

1131. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa4.pdf
      January 01, 2018 - - injury to neonate per 1,000 selected live births 4.5 0.67 HCUP 2016 Adults age 40 and over with … - injury to neonate per 1,000 selected live births 7.4 1.33 HCUP 2016 Adults with chronic joint symptoms … health only per 100,000 population 46.1 5.39 HCUP_NEDS 2016 Reclosure of postoperative abdominal wound … - injury to neonate per 1,000 selected live births 6.7 1.24 HCUP 2016 Children 41-80 lb for whom a … sores or irritation in the calendar year 36.3 2.34 MEPS 2016 Reclosure of postoperative abdominal wound

1132. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
      March 01, 2016 - Effective Crisis Management Living a Culture of Patient Safety Policy and Brochure Medically Induced Trauma … portfolio aims to identify risks and hazards that lead to medical errors and find ways to prevent patient injury … Medically Induced Trauma Support Services (MITSS) Tools for Building a Clinician and Staff Support Program … www.mitsstools.org/tool-kit-for-staff-support-for-healthcare-organizations.html Medically Induced Trauma

1133. Improving Patient Safety with the Military Electronic Health Record (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Charles.pdf
      January 24, 2004 - emergencies, as part of global humanitarian missions—in peace and in war—military medical personnel treat injuries

1134. Final Progress Report: The National Quality Forum National Annual Policy Conference 2006 (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/nishimi-report.pdf
      January 01, 2024 - The database contains the following NQF-endorsed TM measures: • Patient Falls • Patient Falls with Injury … o Injury Level • Nursing Hours per Patient Day o Registered Nurses (RN) Hours per Patient Day o Licensed

1135. Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-rural-healthcare.pdf
      July 01, 2024 - claims.21 At the patient level, it is estimated that 33 percent of diagnostic errors result in patient injury … Rural residents are more susceptible to unintentional injury, as many work in high-risk occupations

1136. Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Clarke_8.pdf
      January 25, 2008 - near-miss events (called “incidents” by the Act), as well as serious events involving unanticipated injury … An objective analysis of process errors in trauma resuscitations.

1137. Puh-Erepguide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide.pdf
      February 10, 2014 - National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, and Pan Pacific Pressure Injury … Last Seen Date in Wound Clinic. … The wound nurse, wound physician, and other disciplines attending wound rounds can see quickly which … Treatments  Wound Cleanser. … Rounds Report title slide Slide 31–32: Weekly Wound Rounds Report Slide 33: Sample Weekly Wound Rounds

1138. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
      November 01, 2017 - electronic reports with input from relevant staff (e.g., nursing assistants, director of nursing [DON], wound … weekly basis and encourage multidisciplinary input (e.g., certified nursing assistants [CNAs], DON, wound

1139. Final Progress Report: Reducing Adverse Drug Events From Anticoagulants, Diabetes Agents and Opioids in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/wessell2-report.pdf
      January 01, 2024 - ADEs are defined as “injuries resulting from medical intervention related to a drug.”1 Preventable or

1140. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
      March 27, 2008 - Although a minority of these events result in significant harm to patients,1 major injuries and death