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psnet.ahrq.gov/perspective/conversation-abraham-verghese-md
November 01, 2012 - lymphedema, thus avoiding unnecessary hospitalization and antibiotics.( 10 ) In patients with ankle or knee trauma … known as Ottawa rules), based just on bedside observation, accurately detect all important orthopedic injuries … Derivation of a decision rule for the use of radiography in acute knee injuries. … Decision rules for the use of radiography in acute ankle injuries: refinement and prospective validation
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psnet.ahrq.gov/node/33771/psn-pdf
August 22, 2014 - events that occur in outpatient settings in the United States, resulting
in 4829 serious permanent injuries … annually in the ambulatory setting.(7) If the rate of prescribing errors that have potential for
patient injury
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/misuse-prescription-protocol-amendment.pdf
November 26, 2024 - applicable
• Outcome
o Short-term
Overdoses, fatal and non-fatal
Health measures (cardiovascular, injuries … certainty on the association of prescription stimulant
misuse with each consequence (i.e., overdose injury
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/dzau-summit2016.pdf
September 28, 2016 - private-public partnerships to:
• Identify the causes of preventable health care
errors and patient injury … • Unsafe care causes 43 million
injuries a year and the loss
of 23 million disability-
adjusted
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psnet.ahrq.gov/node/841566/psn-pdf
December 14, 2022 - pressure ulcers also went up – in skilled
nursing facilities, we saw rates of falls causing major injury … healthcare-
acquired infections, complications, medication safety, safety of the EMR, patient falls with injury … , and
pressure injuries.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-insertion/licensed-staff/licensed-catheter.pptx
March 01, 2017 - Bladder outlet obstruction
Urinary incontinence
Incontinence and sacral wound
Resident’s request for … Bladder outlet obstruction
Urinary incontinence
Incontinence and sacral wound
Resident’s request (end-of-life … So, the correct answers are: a) bladder obstruction; c) an incontinent resident with a sacral wound; … Again, if you meet substantial resistance, do not force the catheter, as you may cause trauma or injury … J Wound Ostomy Continence Nurs. 2009;36(2):137-54. PMID: 19287262.
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effectivehealthcare.ahrq.gov/products/worker-health/research-protocol
-
cds.ahrq.gov/taxonomy/term/1406
November 30, 2018 - Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
-
psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
February 26, 2020 - Nevertheless, every patient deserves to be provided with the best opportunity to survive an illness or injury … that permits all necessary interventions to be provided commensurate with the degree of illness or injury … Consulting Editor, AHRQ’s Patient Safety Network (PSNet) Professor Department of Surgery Division of Trauma … 2022
WebM&M Cases
Errors in Managing an Open Wound
-
www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
June 01, 2012 - safety, create a more resident-centered environment, and reduce the
number of falls and fall-related injuries … In addition, they should be able to manage injuries that result
from falls. … Risk factors are
identified, and ways to prevent injury are discussed. … Paul comes to visit his father after work; he is aware that his father fell
yesterday, without injury … use to reduce the
number of falls.
› Nursing staff must have the knowledge and skills to prevent
injury
-
psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
March 24, 2025 - The first are things we do to ourselves; these are self-inflicted wounds that result from internalized … They actually punish people and, I think, add insult to those self-inflicted injuries. … A boy with head trauma came in and was badly injured. … underway, I would say the two furthest along are something that is called MITSS, or the Medically Induced Trauma … that they feel that others are benefitting even if they are rubbing a little bit of salt in their own wound
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-radiation_appendixes.pdf
June 16, 2008 - MR imaging of brain injury induced by carbon ion
radiotherapy for head and neck tumors. … CT evaluation of hepatic injury following proton beam
irradiation: appearance, enhancement, and 3D size … Pulmonary injury from proton and conventional
radiotherapy as revealed by CT. … edema, cranial
nerve deficit, fat
necrosis,
hemiparesis, visual
loss, osteitis, basilar
artery injury … mucositis, tongue
ulceration leading to
fistula, recurrent
bacterial infection &
difficulties in wound
-
hcup-us.ahrq.gov/toolssoftware/ccs/AppendixASingleDX.txt
January 01, 2024 - 66360 66361
66363 66380 66381 66383 66390 66391 66393
193 OB-related trauma … 7730 7731 7732 7733 7734 7735 7740 7741 7742 77430 77431 77439 7744 7745 7746 7747
223 Birth trauma … 92801 92810 92811 92820
92821 9283 9288 9289 9290 9299
235 Open wounds … 8787
8788 8789 8790 8791 8792 8793 8794 8795 8796 8797 8798 8799 9060
236 Open wounds … 9897 9898 98981 98982 98983 98984 98989
9899
244 Other injuries
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psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - aspects of anesthetic management (e.g., airway intubation, drug distribution and uptake, risk of pressure injury … November 15, 2011
A randomized trial of a multifactorial strategy to prevent serious fall injuries
-
psnet.ahrq.gov/node/49774/psn-pdf
November 01, 2016 - hospital
course but was ultimately discharged to a rehabilitation facility with no major permanent injuries … a
cervical laceration that extends beyond the vagina into the peritoneal cavity or a vaginal wall injury
-
www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
June 01, 2018 - Patients in critical care, with hip fractures or with spinal injuries, are at particular risk. … voluntarily report unexpected events or errors that lead to death, or serious physical or psychological injury
-
psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
September 24, 2024 - safety culture and found a 37% increase in reporting, and decreases in preventable harm: 39% decrease in injuries … with falls, 37% fewer pressure injuries and a 34% reduction in central line-associated blood stream … For instance, a hospital may focus on eliminating severe pressure injuries as a preventable harm, but … Carole Stockmeier: Patients come to us with faith, hope, and trust that we will restore health and heal wounds
-
www.ahrq.gov/data/infographics/spine-fusions.html
November 01, 2021 - Costs for Spine Fusions
Costs for Spine Fusions (PDF, 1.4 MB)
Source: AHRQ, Healthcare Cost and Utilization Project Statistical Brief #281: Overview of Operating Room Procedures During Inpatient Stays in U.S. Hospitals, 2018 . https://hcup-us.ahrq.gov/reports/statbriefs/sb281-Operating-Room-Procedures-D…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.341_slideshow.ppt
March 01, 2015 - surgery is a sentinel event—an unexpected occurrence involving death or serious physical or psychological injuries
-
psnet.ahrq.gov/node/33589/psn-pdf
September 15, 2024 - A regional health system in Canada reported a decrease in adverse events
such as falls, pressure injuries