-
psnet.ahrq.gov/node/49516/psn-pdf
August 01, 2006 - Case & Commentary: Part 1
A 57-year-old male with T8 paraplegia from a remote gunshot wound, hypertension … One of us (G.R.T.) has
seen a patient with spinal cord injury who was transferred from an outside hospital
-
psnet.ahrq.gov/node/49552/psn-pdf
January 01, 2008 - Disclosure of medical injury to patients:
an improbable risk management strategy.
-
psnet.ahrq.gov/node/49395/psn-pdf
April 01, 2003 - In large studies of hospitalized adults, medication errors represent the most frequent cause of injuries
-
digital.ahrq.gov/ahrq-funded-projects/school-based-tele-physiatry-assistance-rehabilitative-and-therapeutic-services
January 01, 2024 - healthcare needs, including those with cerebral palsy, spina bifida, and traumatic brain and spinal cord injuries
-
psnet.ahrq.gov/perspective/ems-patient-safety-field
July 28, 2021 - correctly and safely, but for a subset of patients experiencing time-sensitive events such as severe trauma … they have to ensure that the right patient is identified or, with time-sensitive conditions like trauma … One example is injuries personnel can sustain from slipping or tripping when lifting and moving equipment … and patients. 8 An injury can harm not only the worker, but also the patient, if, for example, the … What if that trauma patient all of a sudden decompensated?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - patient safety events, including
many types of hospital-acquired infections, adverse drug events, and injuries … Infections
Clostridium difficile
Infections
Falls
Obstetric Adverse
Events
Pressure
Ulcers/Pressure Injuries … Central Venous Catheters
Falls MPSMS In-Hospital Patient Falls
Obstetric
Adverse
Events
PSI OB Trauma … National number of adverse events captured by PSIs 18 and 19 on obstetric
injury and national number … 8,513 0.29
Falls MPSMS In-Hospital Patient Falls 238,965 8.03
Obstetric
Adverse
Events
PSI OB Trauma
-
hcup-us.ahrq.gov/reports/statbriefs/sb250-Pediatric-Stays-Costs-2016.pdf
January 01, 2016 - reproductive system; hepatobiliary system; human immunodeficiency virus infections; infectious
diseases; injuries … and poisonings; kidney and urinary tract disorders; male reproductive system; multiple significant trauma … 68,900
Ear, nose, mouth, and throat 809 9,100 88,600
Kidney and urinary tract 755 11,000 68,500
Injuries … drugs 674 10,300 65,200
Hepatobiliary system and pancreas 558 18,500 30,100
Multiple significant trauma … The average cost was substantially higher for stays for multiple significant
trauma and myeloproliferative
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
March 01, 2020 - , making
environmental contamination a concern for patients who are incontinent, who have draining wounds … in the incidence
of carbapenem-resistant Enterobacteriaceae (CRE)
colonization in the Severe Brain Injury … transmission, including one study in
an ICU7 and one hospital-wide study that included a severe brain-injury … intervention,
1,084 long-term
acute care
facility (LTACF)
patients;
included a 25-
bed severe
brain injury … intervention
was associated with
a decline in the
incidence of CRE
colonization in the
severe brain injury
-
psnet.ahrq.gov/node/73103/psn-pdf
March 31, 2021 - Common examples include pneumonia, Clostridium difficile infection,
pressure injuries, delirium, and … diarrhea in an incontinent patient with skin breakdown on the “backside” should have raised an
alarm, as wound … The use of a video visit for wound care is possible as skin
and wound tissue can be adequately evaluated … Wesley Valdes, DO
Telehealth and Wound Specialist
Sacramento, CA
wesley.valdes@gmail.com
Garth Utter
-
www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb.html
December 01, 2013 - supplementation, mechanical ventilation, air leaks, pulmonary edema, PDA ligation, infection causing lung injury … diarrhea are at risk for zinc deficiency and may need supplementation:
Poor growth, diarrhea, impaired wound
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb.html
December 01, 2013 - supplementation, mechanical ventilation, air leaks, pulmonary edema, PDA ligation, infection causing lung injury … diarrhea are at risk for zinc deficiency and may need supplementation:
Poor growth, diarrhea, impaired wound
-
psnet.ahrq.gov/perspective/measuring-patient-safety
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.
-
psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
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/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf
January 01, 2003 - Elimination of sedation errors is particularly important since associated deaths
and neurological injuries … review of 90 pediatric sedation-
related critical incidents resulting in death or severe neurological injury … This report has served
as a warning that pediatric patients are at especially high risk for injury during
-
psnet.ahrq.gov/primer/radiation-safety
September 15, 2024 - this number is likely an underestimate, since there is currently no mandatory reporting standard for injuries
-
psnet.ahrq.gov/web-mm/misread-label
August 28, 2024 - Patients’ and doctors’ attitudes to amount of information given after unintended injuries during treatment
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/018-revision-summary-contact-precautions.docx
October 01, 2024 - changes in care that contribute to delays and non-infectious adverse events (e.g., falls, pressure injuries
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/sodium-potassium_research-protocol.pdf
April 18, 2017 - urine protein-to-creatinine ratio, albumin
excretion rate), kidney stone incidence, or acute kidney injury … urine albumin dipstick level, urine protein-to-creatinine ratio, albumin
excretion rate), acute kidney injury … urine protein-to-creatinine ratio, albumin
excretion rate), kidney stone incidence, or acute kidney injury … urine protein-to-
creatinine ratio, albumin excretion rate), kidney stone incidence, or acute
kidney injury … intervention vs control
e.g., RR (CI) ESRD incident intervention vs
control
e.g., RR (CI) acute kidney injury
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/tobacco-use-in-adults-and-pregnant-women-counseling-and-interventions
January 19, 2021 - Additionally, an outbreak of e-cigarette, or vaping product, use–associated lung injury (EVALI) that … Outbreak of lung injury associated with the use of e-cigarette, or vaping, products. … Blount BC, Karwowski MP, Shields PG, et al; Lung Injury Response Laboratory Working Group. … Practice advisory: lung injury associated with e-cigarettes (“vaping”). Published October 2019. … https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2019/10/lung-injury-associated-with-e-cigarettes-vaping
-
www.ahrq.gov/sites/default/files/2024-02/kleinman-report.pdf
January 01, 2024 - pervasive, psychosis, sexual disorder, sleep disorder,
somatoform, substance/alcohol use, suicide/self-injury … 64834, 65550, 65551, 65553, 76071, 76072, 76073, 76075, 96500, 96501, 96502, 96509, V6542
Suicide/self-injury … Excluded
clinicians who have these specialties ONLY: Injury medicine, genetics, physical medicine/chiropractic … Rates of suicide/self-injury (10 per 1000)
and acute/chronic stress reactions (12 vs. 11 per
1000) … Oppositional 14 2 20 27 6
Acute and Chronic Stress
Reactions 6 1 6 12 11
Psychosis 5 0 3 10 15
Suicide/self-injury