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Total Results: 3,181 records

Showing results for "medical injury".

101. Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis. | PSNet
     psnet.ahrq.gov/issue/evaluation-suitability-root-cause-analysis-frameworks-investigation-community-acquired
     June 16, 2021 - s) Estimating the economic cost of nurse sensitive adverse events amongst patients in medical … July 7, 2021 Root cause analysis for hospital-acquired pressure injury. … August 14, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis … 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.

102. A Tale of Two Falls | PSNet
     psnet.ahrq.gov/web-mm/tale-two-falls
     March 27, 2024 - She sustained head trauma, blunt trauma of the cervical spine, right rib fractures, and a right femur … We do not know if the patient’s fall at home resulted in head trauma, which may have predisposed her … second case or contributed to a worse injury. … of injury. … Prevalence, risk factors and outcomes associated with physical restraint in acute medical inpatients

103. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46435/psn-pdf
     August 20, 2018 - Patients' experiences with communication-and-resolution programs after medical injury. … Patients' Experiences With Communication-and-Resolution Programs After Medical Injury. … https://psnet.ahrq.gov/issue/patients-experiences-communication-and-resolution-programs-after-medical-injury … https://psnet.ahrq.gov/issue/patients-experiences-communication-and-resolution-programs-after-medical-injury … primer/patient-engagement-and-safety https://psnet.ahrq.gov/issue/improving-reconciliation-following-medical-injury-qualitative-study-responses-patient-safety

104. Never Events | PSNet
     psnet.ahrq.gov/primer/never-events
     June 15, 2024 - Kizer, MD, former CEO of the  National Quality Forum  (NQF), in reference to particularly shocking medical … , while being cared for in a healthcare setting Care management events Patient death or serious injury … associated with unsafe administration of  blood products Maternal death  or serious injury associated … Surgery December 15, 2024 Identifying resilience: a system safety review of trauma … DeBakey VA Medical Center in Houston, Texas.

105. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34721/psn-pdf
     November 19, 2015 - Preventing medical injury. November 19, 2015 Leape LL, Lawthers AG, Brennan TA, et al. … Preventing medical injury. … https://psnet.ahrq.gov/issue/preventing-medical-injury Reviewing cases of medical error in the Harvard … The authors conclude by proposing areas to target to reduce iatrogenic injury. … https://psnet.ahrq.gov/issue/preventing-medical-injury https://psnet.ahrq.gov//#adverseevent

106. Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek. | PSNet
     psnet.ahrq.gov/issue/decreased-bile-duct-injury-rate-during-laparoscopic-cholecystectomy-era-80-hour-resident
     March 17, 2021 - Study Decreased bile duct injury rate during laparoscopic cholecystectomy in the … Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident … Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident … September 1, 2016 A randomized trial of a multifactorial strategy to prevent serious fall injuries … May 15, 2019 Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules

107. VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action to Ensure That These Data Are Complete. | PSNet
     psnet.ahrq.gov/issue/va-health-care-va-uses-medical-injury-tort-claims-data-assess-veterans-care-should-take
     February 10, 2010 - Government Resource VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess … Citation Text: VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but … This report reviews injury claim data to assess quality of care in the Veterans Affairs health system … Cite Citation Citation Text: VA Health Care: VA Uses Medical … Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action to Ensure That These Data Are

108. Laparoscopic bile duct injury: understanding the psychology and heuristics of the error. | PSNet
     psnet.ahrq.gov/issue/laparoscopic-bile-duct-injury-understanding-psychology-and-heuristics-error
     May 29, 2014 - Study Laparoscopic bile duct injury: understanding the psychology and heuristics … Laparoscopic bile duct injury: understanding the psychology and heuristics of the error. … Laparoscopic bile duct injury: understanding the psychology and heuristics of the error. … December 15, 2011 Criminalization of medical error: who draws the line? … August 8, 2012 The disclosure of unanticipated outcomes of care and medical errors: what

109. Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. | PSNet
     psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half-falls-major-injury-and-hospitalization-among
     July 26, 2023 - Book/Report Home Health Agencies Failed To Report Over Half of Falls With Major Injury … Citation Text: Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization … Citation Related Resources From the Same Author(s) Adverse Events Toolkit: Medical … DeBakey VA Medical Center in Houston, Texas. … The Report of the Independent Medicines and Medical Devices Safety Review.

110. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40918/psn-pdf
     November 09, 2011 - VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action … https://psnet.ahrq.gov/issue/va-health-care-va-uses-medical-injury-tort-claims-data-assess-veterans-care … - should-take This report reviews injury claim data to assess quality of care in the Veterans Affairs … https://psnet.ahrq.gov/issue/va-health-care-va-uses-medical-injury-tort-claims-data-assess-veterans-care-should-take … https://psnet.ahrq.gov/issue/va-health-care-va-uses-medical-injury-tort-claims-data-assess-veterans-care-should-take

111. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867035/psn-pdf
     October 30, 2024 - She sustained head trauma, blunt trauma of the cervical spine, right rib fractures, and a right femur … Advanced age along with multiple medical conditions or medications can increase the risk for a bone … We do not know if the patient’s fall at home resulted in head trauma, which may have predisposed her … case or contributed to a worse injury. … of injury.

112. Don’t Bite Your Tongue. | PSNet
     psnet.ahrq.gov/web-mm/dont-bite-your-tongue
     September 18, 2024 - The Case A 63-year-old woman with a past medical history of hypertension, osteoarthritis, migraine … 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.  … Airway injury during anesthesia: a closed claims analysis.  … Cost analysis of intubation-related tracheal injury using a national database. 

113. Communication during trauma resuscitation: do we know what is happening? | PSNet
     psnet.ahrq.gov/issue/communication-during-trauma-resuscitation-do-we-know-what-happening
     February 03, 2021 - Injury. 2005;36(8):905-11. … Injury . 2005; 36 (8) :905-11 . View more articles from the same authors. … Injury. 2005;36(8):905-11. … Results of the Harvard Medical Practice Study II. … August 10, 2010 Changes in medical errors after implementation of a handoff program.

114. A randomized trial of a multifactorial strategy to prevent serious fall injuries. | PSNet
     psnet.ahrq.gov/issue/randomized-trial-multifactorial-strategy-prevent-serious-fall-injuries
     August 04, 2021 - A randomized trial of a multifactorial strategy to prevent serious fall injuries. … care systems to evaluate the effectiveness of a multifactorial intervention to prevent falls with injury … The intervention did not result in a significantly lower rate of serious fall injury compared to usual … A randomized trial of a multifactorial strategy to prevent serious fall injuries. … Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical

115. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41686/psn-pdf
     September 19, 2012 - The association between sepsis and potential medical injury among hospitalized patients. … The association between sepsis and potential medical injury among hospitalized patients. … https://psnet.ahrq.gov/issue/association-between-sepsis-and-potential-medical-injury-among-hospitalized … https://psnet.ahrq.gov/issue/association-between-sepsis-and-potential-medical-injury-among-hospitalized-patients … https://psnet.ahrq.gov/issue/association-between-sepsis-and-potential-medical-injury-among-hospitalized-patients

116. Patient safety and medical malpractice: a case study. | PSNet
     psnet.ahrq.gov/issue/patient-safety-and-medical-malpractice-case-study
     May 20, 2015 - Commentary Patient safety and medical malpractice: a case study. … injury to patients: an improbable risk management strategy. … February 3, 2011 Medical monitoring for pharmaceutical injuries: tort law for the public's … April 21, 2015 Who pays for medical errors? … February 4, 2015 Beyond negligence: avoidability and medical injury compensation.

117. In Conversation With… Jane Brice, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph
     May 01, 2019 - "She's hypotensive because she has a gunshot wound in her armpit that I didn't find because I didn't … Many calls for EMS assistance involve critical or potentially critical injury or illness like trauma, … Occupational injuries and exposures among emergency medical services workers. … Teammate familiarity and risk of injury in emergency medical services. … Teammate familiarity, teamwork, and risk of workplace injury in emergency medical services teams.

118. Injuries before and after diagnosis of cancer: nationwide register based study. | PSNet
     psnet.ahrq.gov/issue/injuries-and-after-diagnosis-cancer-nationwide-register-based-study
     May 25, 2022 - Injuries before and after diagnosis of cancer: nationwide register based study. … have found that patients recently diagnosed with cancer are at elevated risk of suicide and accidental injury … November 14, 2011 Framing family conversation after early diagnosis of iatrogenic injury … February 1, 2012 Fatality involving vinblastine overdose as a result of a complex medical … View More See More About The Topic Hospitals Health Care Providers Medical

119. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33624/psn-pdf
     December 01, 2005 - , which was interested in exploring the possibility of a no-fault system for medical injury. … RW: When did you begin thinking that no-fault might be a better way to deal with medical injury? … It does very little to help with prevention of medical injuries, and it does nothing to address the … A lot of medical injuries are caused by negligence. … From a business case point of view, most of the costs associated with medical injury are not being absorbed

120. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36596/psn-pdf
     May 20, 2015 - Disclosure of medical injury to patients: an improbable risk management strategy. … Disclosure of medical injury to patients: an improbable risk management strategy. … https://psnet.ahrq.gov/issue/disclosure-medical-injury-patients-improbable-risk-management-strategy … https://psnet.ahrq.gov/issue/disclosure-medical-injury-patients-improbable-risk-management-strategy https … ://psnet.ahrq.gov/issue/patients-and-physicians-attitudes-regarding-disclosure-medical-errors https:/