-
psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
May 01, 2005 - remember that electrocardiographic changes are not seen in unstable angina, as there is no permanent injury
-
psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
January 29, 2021 - April 24, 2024
WebM&M Cases
Uterine Artery Injury
-
psnet.ahrq.gov/node/73434/psn-pdf
June 30, 2021 - He was diagnosed with a rotator cuff injury and underwent left shoulder
surgery.
-
psnet.ahrq.gov/node/49600/psn-pdf
April 01, 2010 - An ADE is defined as "an injury resulting from a medical intervention related to a drug.
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/slides-healthcare-safer-by-design.pdf
August 20, 2024 - ©2024 ECRI | ECRI Confidential47
Surgical Fire Response
• Immediate action
• Mitigate risk of injury
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/module3-assessment-change-readiness-gap-analysis.pptx
August 25, 2015 - An adverse event is "any injury caused by medical care" and doesn't imply "error," "negligence," or poor
-
digital.ahrq.gov/sites/default/files/docs/publication/r21hs021581-goodney-final-report-2015.pdf
January 01, 2015 - Brain Injury after Carotid
Revascularization: Outcomes, Mechanisms, and Opportunities for Improvement
-
www.ahrq.gov/diagnostic-safety/research/grants-2022.html
August 01, 2025 - Use of ChatGPT for Urinary Symptom Management Among People With Spinal Cord Injury or Disease: Qualitative
-
psnet.ahrq.gov/node/49639/psn-pdf
November 01, 2011 - In case of injury, there may have been no attempt at recovery,
or the attempts may have been unsuccessful
-
psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - of anesthetic management (e.g., airway intubation, drug distribution and uptake, risk of
pressure injury
-
psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient
August 20, 2018 - Injury Prevention and Control Policy Impact: Prescription Painkiller Overdoses.
-
psnet.ahrq.gov/web-mm/other-side
May 01, 2007 - Error disclosure for patients, however, is merely the first step in a long process of adjustment to an injury
-
psnet.ahrq.gov/web-mm/communication-failure-whos-charge
April 01, 2018 - Despite aggressive resuscitation efforts, the child suffered massive brain injury and subsequently died
-
digital.ahrq.gov/ahrq-funded-projects/develop-and-validate-health-it-safety-measures-capture-violations-five-rights
January 01, 2023 - Healthcare Tools Can Support Providers and Improve Patient Safety Medication errors are a leading cause of injury
-
psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
November 10, 2015 - national efforts to reduce medical errors and improve patient safety (i.e., "freedom from accidental injury
-
psnet.ahrq.gov/web-mm/failure-rescue-mother
September 23, 2020 - Related Resources
WebM&M Cases
Uterine Artery Injury
-
www.ahrq.gov/policymakers/hrqa99b.html
October 01, 2014 - private-public partnerships to— (1) identify the causes of preventable health care errors and patient injury
-
www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - patients can suffer adverse outcomes and even fatal complications, and clinicians can be exposed to injury
-
www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-systems.html
May 01, 2024 - Appendix D: Grant Summaries
P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury
-
hcup-us.ahrq.gov/reports/statbriefs/sb234-Adverse-Drug-Events.pdf
June 01, 2016 - of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis codes
and external cause of injury … diagnosis
was present on admission and (2) an E code flag that indicates whether each external cause of injury