-
psnet.ahrq.gov/perspective/safety-across-board
August 31, 2020 - short, we were treating a 21-year old young man by the name of the Sam who suffered a traumatic brain injury … We were treating Sam like a traumatic brain injury instead of like Sam, a 21- year old man.
-
psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
May 01, 2018 - Estimate the likely burden of patient injury, if any. … to design and implement an alerting system to avoid medication errors in patients with acute kidney injury
-
psnet.ahrq.gov/node/852700/psn-pdf
August 30, 2023 - measures are associated with measuring and reporting
specific harms, such as an infection, falls with injury … what’s troubling our workforce and distinguish among conditions such as burnout, moral distress
and injury
-
www.ahrq.gov/sites/default/files/2025-06/haut-report.pdf
January 01, 2025 - handwashing, VTE prevention, medication prescribing, diagnostic
imaging, medication reconciliation, pressure injury … feedback
Want
feedback
Patient
nutrition
Medication
reconciliation
Handwashing Pressure
injury
-
psnet.ahrq.gov/perspective/conversation-edwin-loftin-dnp-mba-rn-nea-bc-fache
August 31, 2020 - short, we were treating a 21-year old young man by the name of the Sam who suffered a traumatic brain injury … We were treating Sam like a traumatic brain injury instead of like Sam, a 21- year old man.
-
www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-improvement.html
May 01, 2024 - Appendix D: Grant Summaries
P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury … program that supports patients discharged from the hospital to home after an episode of acute kidney injury
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/about/cg_3-0_overview.pdf
January 01, 2015 - the last 6 months, did you
contact this provider’s office
to get an appointment for an
illness, injury … In the last 12 months, did you
phone this provider’s office to
get an appointment for an
illness, injury
-
www.ahrq.gov/sites/default/files/2024-07/morse-merryweather-report.pdf
January 01, 2024 - extensive research into the biomechanical causation of falls, the group most prone to falls
and fall injury—the … Significant Jerk2 with correlating CB
As humans age, experience disease, or encounter a debilitating injury … Focusing on the fall mechanisms of these frail elderly patients with an extremely
high risk of injury
-
psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - The misplaced catheter caused trauma to the urethra and blood loss. … The blood clot found in the tubing by the charge nurse may have been related to the trauma of the curled … occurs more frequently in men who perform intermittent catheterizations frequently (e.g., spinal cord injury … J Wound Ostomy Continence Nurs. 2007;24:655-661. [go to PubMed] 2. … Assist in healing of open sacral/perineal wound in incontinent patients.
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan17/healthy-diet-and-physical-activity-counseling-adults-with-high-risk-of-cvd-august-2014
May 15, 2013 - outcomes include any harms requiring medical attention (e.g., nutritional deficiencies, musculoskeletal injuries
-
digital.ahrq.gov/ahrq-funded-projects/ehr-based-screening-and-intervention-intimate-partner-violence
January 01, 2024 - screening and the number of patients identified as at risk for significant future physical IPV related injuries
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
June 02, 2025 - ”
· “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
June 02, 2025 - · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt1.html
March 01, 2020 - Leading causes of morbidity and mortality include heart disease, cancer, unintentional injuries, stroke
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement.pptx
May 01, 2017 - Program for Perinatal Care
5
Teamwork & Comm.
5
Root Causes of Maternal and
Perinatal Deaths and Injuries
-
psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - The most common risk factors for SEA are diabetes mellitus, intravenous drug use, trauma, and alcohol … Yi Lu, MD, PhD Director, Neurosurgical Trauma Co-director, Adult Deformity and Scoliosis Surgery Assistant … March 1, 2005
WebM&M Cases
Missing the Point—Eye Injury … Pitfalls
February 1, 2010
WebM&M Cases
Missing Trauma
-
www.ahrq.gov/sites/default/files/2024-01/gandhi-report.pdf
January 01, 2024 - Background
The Institute of Medicine (IOM) report, “To Err Is Human,” brought iatrogenic injury to … The IOM report estimated that
more than a million injuries and nearly 100,000 deaths are attributable
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
July 01, 2003 - otolaryngology, orthopedics,
orthodontics, general surgery, neurosurgery, obstetrics/gynecology,
trauma … administered
prophylactic antibiotics, principal diagnoses, secondary diagnoses, external cause-
of-injury … establish a procedure for collecting a wide range of
data on patients with clean and clean-contaminated wounds … could
be related to SSI, and OR procedure logs that categorize all surgical procedures
by surgical wound … determined that an
SSI existed and fulfilled requirements for reporting to NYPORTS, a NYPORTS
Surgical Wounds
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
September 01, 2023 - conditions ranging from
lower respiratory tract infections and constipation to febrile seizures and head trauma … Identification of children at very low risk of clinically-
important brain injuries after head trauma … Physicians’ Risk Tolerance and Head Computed Tomography Use
for Pediatric Patients With Minor Head Injury … Disparities in the evaluation and
diagnosis of abuse among infants with traumatic brain injury. … The use of telemedicine in the care of the pediatric trauma patient. Semin
Pediatr Surg.
-
hcup-us.ahrq.gov/reports/methods/2020-04.pdf
January 01, 2020 - • ED visits for injuries. … ED utilization for injuries was reported by trauma level and by age,
sex, community income, urban-rural … QI QI Label Definition Footnote Risk Adjustment Footnote
PSI15 Reclosure of postoperative abdominal wound … PSI18 Birth trauma - injury to neonate per 1,000 live
birthsa,b
a Consistent with the AHRQ PSI software … mental illness, substance use,
and co-occurring mental illness and substance use; dental conditions; injuries