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Total Results: 1,358 records

Showing results for "injury".

1181. Methodological Challenges in Describing Medication Dosing Errors in Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
      January 01, 2004 - A computer alert system to prevent injury from adverse drug events: development and evaluation in a

1182. Development and Implementation of The University of Texas Close Call Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
      March 01, 2004 - Gosbee’s definition of a close call, an “event or situation that could have resulted in an accident, injury

1183. Development of a Screening Tool for Safe Wheelchair Seating (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Gavin.pdf
      January 01, 2001 - reductions (e.g., staff time saved if residents could self-propel, elimination of repositioning needs, injury

1184. The San Diego Center for Patient Safety: Creating a Research, Education, and Community Consortium (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Pratt.pdf
      March 01, 2004 - identification and wrong-site surgery; (3) event reporting, including near misses; and (4) physical injury

1185. Hospital Administrative Staff vs. Nursing Staff Responses to the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
      February 24, 2008 - Preventing medical injury. QRB Qual Rev Bull 1993; 19: 144-149. 10.

1186. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention - Facilitator Training: Overview of On-Time (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
      June 02, 2025 - 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

1187. AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/thomas1-report.pdf
      January 01, 2024 - J Trauma Acute Care Surg 2013;75(4):717-721. 16. Bird D, Zambuto A, O’Donnell C, et al. … National Trauma Institute prospective evaluation of the ventilator bundle in trauma patients: Does it … J Trauma Acute Care Surg 2013;74(2):354-362. 18. Lawrence P, Fulbrook P. … J Trauma Injury Infect Crit Care 2008;64(1):22-29. 20. Bingham M, Ashley J, De Jong M, et al. … Trauma VAP SWAT team: A rapid response to infection prevention.

1188. Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership-cx.pdf
      June 03, 2021 - testing and treatment.27 This overutilization contributes to harm, with aggressive testing mistakes and injuries

1189. Making Information Technology a Team Player in Safety: The Case of Infusion Devices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
      January 01, 2002 - Adverse events including device- related deaths and serious injuries must be reported to the FDA and

1190. Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdf
      June 03, 2021 - testing and treatment.27 This overutilization contributes to harm, with aggressive testing mistakes and injuries

1191. Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/pichert.html
      August 01, 2017 - Factors that prompted families to file medical malpractice claims following perinatal injuries. … All trauma surgeons are not created equal: Asymmetric distribution of malpractice claims risk. … J Trauma 2010 Sep; 69(3):549-54. 13 Kohanim S, Sternberg P Jr, Karrass J, et al.

1192. Final Progress Report: Improving patient and clinician safety during COVID-19 through a rapidly adaptive simulation intervention (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/evans-report.pdf
      January 01, 2024 - support systems and community of practice, and (3) development of negative emotions and psychological trauma … , including fear, resentment, and moral injury, causing lasting harm. … Psychobiology of PTSD in the acute aftermath of trauma: Integrating research on coping, HPA function

1193. 043-Vap-Prevention-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/043-vap-prevention-notes.docx
      October 01, 2024 - Cancer and trauma patients are also at a higher risk of developing VAP than other populations. … Patients who have suffered a stroke or other neurologic injury are those that come to mind most often

1194. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
      June 02, 2025 - AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training On-Time Falls Prevention: Implementation AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention 1 AHRQ’s Safety Program for Nursing Homes: On- Time Falls Prevention Training Handout 1: Implementation Scripted Exer…

1195. Final Progress Report: Improved Patient Safety with Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/overhage-report.pdf
      January 01, 2024 - The report estimated more than a million injuries and nearly 100,000 deaths attributable to medical

1196. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/corbett.html
      August 01, 2017 - An adverse event is defined as an injury resulting from health care management, rather than the underlying … from a rural hospital recommended “Organize the paperwork with separate categories to clearly define ‘wound

1197. Final Progress Report: Measurement of Decision Quality in Coronary Artery Disease (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/lin-report.pdf
      January 01, 2024 - symptoms in the short term but carry the potential of periprocedural complications, such as acute kidney injury

1198. Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
      September 01, 2005 - Only a few studies have used medical error data to develop specific interventions to prevent patient injury

1199. Identifying Barriers to the Success of a Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
      March 01, 2004 - system are prompted to submit reports describing situations that could have resulted in an accident, injury

1200. Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/downloads/pub/advances/vol2/pace.pdf
      January 01, 2004 - The 10 codes within this sub-analysis describe different aspects of drug related injuries, the importance