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psnet.ahrq.gov/node/40164/psn-pdf
February 15, 2011 - Patient risk factors for medical injury: a case–control
study. … Patient risk factors for medical injury: a case-control study. … an increased risk for medical injuries in patients with higher severity of illness, higher
risk of … Procedure and medication-related injuries accounted
for nearly all cases examined. … /issue/identifying-risk-factors-medical-injury
https://psnet.ahrq.gov/issue/preventing-medical-injury
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www.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
January 01, 2024 - and categorization of the types and severities of major inpatient fall-related injuries. … injury
(e.g., nasal bone fracture), or disruption of a surgical wound; major B - injuries that caused … ; 2: fall, minor injury; 3. fall, moderate injury; 4: fall, major
injury; 5: fall, fatal. … Fall with injury was defined as any fall that has a severity score of >2. … with injuries x 1,000
Total number of inpatient days
A cost-benefit analysis was performed.
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psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
January 01, 2022 - shock or from traumatic brain injury … needles should not be placed in an extremity with a long bone fracture, in
an extremity with a vascular injury … , or through skin with overlying infection or
burn injury … because of poor flow given the small size of the marrow cavity
and the higher risk of great vessel injury … transferred to the OR
for surgical exploration, debridement, and possible closure of her
traumatic wounds
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psnet.ahrq.gov/issue/patient-risk-factors-medical-injury-case-control-study
April 12, 2011 - Study
Patient risk factors for medical injury: a case–control study. … Patient risk factors for medical injury: a case-control study. … Procedure and medication-related injuries accounted for nearly all cases examined. … Patient risk factors for medical injury: a case-control study. … November 16, 2022
Medical injuries among hospitalized children.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
September 01, 2023 - COMMON INTERVENTION(S) IN PLACE FOR PATIENTS WITH DIFFERENT
DEMOGRAPHICS OR RISKS OF FALLS OR INJURIES … health considerations.1–4 Falls result in significant physical and economic burden, ranging from
injuries … Incidence of and county variation in fall injuries in US residents aged 65
years or older, 2016-2019 … Trends in fatal and nonfatal injuries among older Americans, 2004–
2017. Am. J. Prev. … Evaluation of a patient-centered fall-prevention tool kit to reduce falls
and injuries: a nonrandomized
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psnet.ahrq.gov/issue/learning-during-crisis-impact-covid-19-hospital-acquired-pressure-injury-incidence
August 25, 2021 - Study
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury … Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. … care delivery, including how hospitals prevent common hospital-acquired conditions such as pressure injuries … data, the authors of this study did not identify a longitudinal increase in hospital-acquired pressure injuries … The authors discuss how prior organizational efforts to reduce hospital-acquired pressure injuries allowed
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psnet.ahrq.gov/issue/nurses-role-causation-compensable-injury
March 24, 2011 - Study
The nurse's role in the causation of compensable injury. … The Nurse's Role in the Causation of Compensable Injury. … The Nurse's Role in the Causation of Compensable Injury.
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psnet.ahrq.gov/node/36052/psn-pdf
June 29, 2011 - Identifying risk factors for medical injury.
June 29, 2011
Guse CE, Yang H, Layde PM. … Identifying risk factors for medical injury. Int J Qual Health Care.
2006;18(3):203-10. … more than 550,000 hospital discharges from Wisconsin discharge records data and
identified medical injuries … The medical injuries studied were limited to
those within specific International Classification of Diseases … https://psnet.ahrq.gov/issue/identifying-risk-factors-medical-injury
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psnet.ahrq.gov/node/841468/psn-pdf
December 14, 2022 - .7 As described in one review, the
“severity of oropharyngeal injury ranges from minor hematomas and … Several studies have analyzed rates of injury during surgical procedures utilizing TES motor
evoked … Changes in motor evoked potentials can indicate an impending neurologic injury and should trigger
an … Dental injury associated with anesthesia: a report of 161,687
anesthetics given over 14 years. … Cost analysis of intubation-related tracheal injury using a
national database.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
March 25, 2008 - an
injury occurs. … Ideally, a patient
safety program would use injury-based metrics to calculate an injury rate that could … That rate would be:
Identified injuries
Potential opportunities for those injuries to occur
As … Identified injuries also become a source of risk identification, regardless of whether or
not the injury … In using errors and injuries as sources for identifying risk, the rates
of errors and injuries are irrelevant
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/James.pdf
January 01, 2004 - While evidence documenting
high rates of treatment-associated injury and mortality have appeared in … A few institutions have reached the initial IOM goal
for some injury sources (for example, Brigham & … [ADEs]; Intermountain Health Care’s LDS Hospital in
Salt Lake City for ADEs and for postoperative wound … retrospective clinical trigger
systems), to successful interventions that addressed specific, single injury … Invisible injuries. (Op-ed column) The
Washington Post 2003 July 29; p. A17.
3. Morrissey J.
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effectivehealthcare.ahrq.gov/products/predictors-trauma-care/research-2018
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psnet.ahrq.gov/issue/evaluation-suitability-root-cause-analysis-frameworks-investigation-community-acquired
June 16, 2021 - July 20, 2022
6-PACK programme to decrease fall injuries in acute hospitals: cluster … Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries … July 7, 2021
Root cause analysis for hospital-acquired pressure injury. … March 6, 2019
Towards international consensus on patient harm: perspectives on pressure injury … October 8, 2016
Wound-care teams for preventing and treating pressure ulcers.
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hcup-us.ahrq.gov/reports/statbriefs/sb176-Hospital-Cost-Projections-by-Age-2013.jsp
July 01, 2014 - Polyhydramnios and other problems of amniotic cavity
192: Umbilical cord complication
193: OB-related trauma … 221: Respiratory distress syndrome
222: Hemolytic jaundice and perinatal jaundice
223: Birth trauma … service line
Injuries are identified using the principal diagnosis and a scheme recommended by … The table below lists the diagnosis codes in the range 800-999 used to identify injuries. … ; internal injury of thorax, abdomen, and pelvis; open wound of the head, neck, trunk, upper limb, and
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hcup-us.ahrq.gov/db/tools/HCUP_Formats.TXT
December 28, 2023 - "
234 = " 234: Crushing injury or internal injury"
235 = " … 235: Open wounds of head; neck; and trunk"
236 = " 236: Open wounds of extremities … 243 = " 243: Poisoning by nonmedicinal substances"
244 = " 244: Other injuries … manipulation; and other procedures"
214 = " 214: Traction; splints; and other wound … = "1: Injury is reported in first-listed diagnosis"
2 = "2: Injury is reported
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psnet.ahrq.gov/node/866158/psn-pdf
June 19, 2024 - claims of ASCs and
hospital-based operating rooms (HORs) to examine any differences in severity of injury … , major injuries,
allegations, comorbidities, contributing factors, and financial value of the claim … The most common type of
injury in both ASC and HOR was dental injury followed by nerve damage. … Claims with higher severity of
injury were less frequent in ASCs compared to HORs, but patient burns
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psnet.ahrq.gov/issue/injury-research-volunteers-clinical-research-nightmare
December 19, 2017 - Commentary
Injury to research volunteers—the clinical-research nightmare. … Injury to research volunteers--the clinical-research nightmare. … Injury to research volunteers--the clinical-research nightmare.
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hcup-us.ahrq.gov/reports/statbriefs/sb53.pdf
June 01, 2008 - Except for postoperative wound
dehiscence (when the surgical wound opens after an operation on the stomach … birth (e.g., broken collarbone, an infection, or a head injury) and obstetrical traumas (i.e. perineum … PSI 14: Postoperative wound dehiscence − How often a surgical wound in the stomach or pelvic area
split … PSI 17: Birth trauma-injury to neonate − How often a newborn infant experiences a problem during the … Delivery with Instrument
Birth Trauma-Injury to
Neonate
Asian-Pacific Islanders Hispanics Blacks
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/slides.html
November 01, 2017 - Falls With Major Injury
Falls With Minor Injury
Slide 27: Sample Summary of Falls … Which of the following best represents how these injuries will appear on the Summary of Falls Risk Factors … Fall with major injury=1 and fall with minor injury=0
Fall with major injury=2 and fall with minor … injury=1
Fall with major injury=1 and fall with minor injury=2
Fall with major injury=2 and fall … Assessment Notes
Bleeding
Suspected Cause of Fall
Fall Comments
Fall Injury
Injury Type Major
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psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
April 28, 2021 - bowel injuries as a cause of death in laparoscopic surgery. … of underreporting of vascular injury. … How can this type of injury be prevented? … Three spectra of laparoscopic entry access injuries. … Major vascular injuries during laparoscopic procedures.