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psnet.ahrq.gov/issue/6-pack-programme-decrease-fall-injuries-acute-hospitals-cluster-randomised-controlled-trial
December 21, 2014 - Study
Classic
6-PACK programme to decrease fall injuries … source of preventable harm, and the incident is considered a never event when it results in serious injury … A WebM&M commentary discussed a case involving a fall resulting in injury. … July 19, 2023
Changes in medical errors after implementation of a handoff program. … September 26, 2016
Partnered pharmacist charting on admission in the general medical
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psnet.ahrq.gov/issue/comparison-clinical-diagnosis-and-subsequent-autopsy-findings-medical-malpractice
February 21, 2015 - Study
Comparison of the clinical diagnosis and subsequent autopsy findings in medical … Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. … December 21, 2011
The nurse's role in the causation of compensable injury. … injury: a study on verdict's judgment among closed claims in Japan. … July 28, 2010
The impact of clinically undiagnosed injuries on survival estimates.
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psnet.ahrq.gov/node/33823/psn-pdf
January 01, 2017 - In 2013, a team at
Beth Israel Deaconess Medical Center combined selected tools and techniques used … A goal for injury reduction as measured by days away from work due to injury on the job; a
reasonable … Management Engineer Beth Israel Deaconess Medical Center, Boston, MA
Elena G. … Canacari, RN Associate Chief Nurse, Perioperative Services Beth Israel Deaconess Medical
Center, Boston … ; MSI: musculoskeletal injury
Figures
Figure 1.
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psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
July 23, 2024 - In most cases, midwives, nurses, and medical students acted as “patient and/or and family” reacting to … decreased to a nadir of 21.8 percent (primary rate below ten percent), there had been no brachial plexus injuries … retrospective observational study found that the program led to a 70 percent reduction in brachial plexus injuries … following shoulder dystocia and the virtual elimination of permanent injuries. 6 An additional retrospective … Seton Family of Hospitals: Where the Birth Trauma Rate is Essentially Zero.
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psnet.ahrq.gov/node/841468/psn-pdf
December 14, 2022 - https://psnet.ahrq.gov/web-mm/dont-bite-your-tongue
The Case
A 63-year-old woman with a past medical … .7 As described in one review, the
“severity of oropharyngeal injury ranges from minor hematomas and … Several studies have analyzed rates of injury during surgical procedures utilizing TES motor
evoked … Dental injury associated with anesthesia: a report of 161,687
anesthetics given over 14 years. … Cost analysis of intubation-related tracheal injury using a
national database.
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psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
January 01, 2022 - • The case also demonstrates how risks associated with medical
interventions can be anticipated, monitored … shock or from traumatic brain injury … , or through skin with overlying infection or
burn injury … transferred to the OR
for surgical exploration, debridement, and possible closure of her
traumatic wounds … • Many procedures and medical interventions are associated with known
risks and complications, including
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psnet.ahrq.gov/issue/has-pendulum-swung-too-far-impact-missed-abdominal-injuries-era-nonoperative-management
August 04, 2021 - The impact of missed abdominal injuries in the era of nonoperative management. … This study examines whether delayed surgery in abdominal trauma patients resulted in an increase in … The impact of missed abdominal injuries in the era of nonoperative management. … mortality in emergency general surgery patients using a regional health system integrated electronic medical … September 7, 2022
Surgeon commitment to trauma care decreases missed injuries.
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psnet.ahrq.gov/node/73497/psn-pdf
July 14, 2021 - Health care workers' experiences of workplace incidents
that posed a risk of patient and worker injury … Health care workers’ experiences of workplace incidents that posed a risk
of patient and worker injury … psnet.ahrq.gov/issue/health-care-workers-experiences-workplace-incidents-posed-risk-patient-and-
worker-injury … https://psnet.ahrq.gov/issue/emotional-impact-medical-errors-practicing-physicians-united-states-and-canada … https://psnet.ahrq.gov/issue/emotional-impact-medical-errors-practicing-physicians-united-states-and-canada
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psnet.ahrq.gov/issue/roi-fall-prevention-intervention-invest-little-save-lot
September 13, 2017 - Falls and falls with injury are significant sources of morbidity and mortality and can have substantial … This study showed that after implementing the Fall TIPS program, falls and falls with injury decreased … November 3, 2021
Trauma resuscitation errors and computer-assisted decision support. … Estimating the economic cost of nurse sensitive adverse events amongst patients in medical … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries
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psnet.ahrq.gov/perspective/workplace-safety-health-care
January 01, 2017 - Workplace injuries cost healthcare industry billions. Fierce Healthcare. November 12, 2013. … their workforce, I announced we should be an injury-free workplace. … And over the 13 years I was there we got close to achieving zero injuries. … The University of Pittsburgh Medical Center has about 22 hospitals. … We gave one prize to a very famous person in health and medical care.
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psnet.ahrq.gov/issue/claims-errors-and-compensation-payments-medical-malpractice-litigation
March 02, 2011 - Claims, errors, and compensation payments in medical malpractice litigation. … February 24, 2011
Who pays for medical errors? … February 4, 2015
Disclosure of medical injury to patients: an improbable risk management … April 21, 2015
Beyond negligence: avoidability and medical injury compensation. … injury: a study on verdict's judgment among closed claims in Japan.
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psnet.ahrq.gov/node/72614/psn-pdf
March 01, 2021 - States implementing PROMPT include University of
Washington M.C., Baylor Scott & White University Medical … In most cases, midwives, nurses, and
medical students acted as “patient and/or and family” reacting … decreased to a nadir of 21.8
percent (primary rate below ten percent), there had been no brachial plexus injuries … following shoulder dystocia and the virtual elimination of
permanent injuries.6 An additional retrospective … Seton Family of Hospitals: Where the Birth Trauma Rate is
Essentially Zero.
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psnet.ahrq.gov/issue/diagnostic-errors-interpretation-pediatric-musculoskeletal-radiographs-common-injury-sites
August 02, 2015 - Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury … Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. … The majority of errors involved false negative readings (i.e., missed injuries). … Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. … August 20, 2018
Characteristics of medical professional liability claims in patients
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psnet.ahrq.gov/issue/fostering-rational-regulation-patient-safety
May 20, 2015 - 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. … January 4, 2012
Patient safety and medical malpractice: a case study.
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psnet.ahrq.gov/issue/medical-malpractice-peoples-republic-china-2002-regulation-handling-medical-accidents
January 08, 2025 - on the handling of medical accidents. … Medical malpractice in the People's Republic of China: the 2002 Regulation on the Handling of Medical … Medical malpractice in the People's Republic of China: the 2002 Regulation on the Handling of Medical … July 14, 2010
No-fault compensation in New Zealand: harmonizing injury compensation, … March 17, 2010
Regulating compensation for injuries associated with medical error.
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psnet.ahrq.gov/issue/uncovering-system-errors-using-rapid-response-team-cross-coverage-caught-crossfire
April 24, 2018 - The Journal of Trauma: Injury, Infection, and Critical Care. 2009;67(1). doi:10.1097/ta.0b013e31819ea514 … The Journal of Trauma: Injury, Infection, and Critical Care . 2009; 67 (1) . … The Journal of Trauma: Injury, Infection, and Critical Care. 2009;67(1). doi:10.1097/ta.0b013e31819ea514 … Settings Help Improve Management of Sepsis
May 31, 2023
Care transition of trauma … Medication Reconciliation Pitfalls
February 1, 2010
The use of medical
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psnet.ahrq.gov/issue/implementing-electronic-root-cause-analysis-reporting-system-decrease-hospital-acquired
December 22, 2021 - Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries … Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries … August 15, 2013
Interdisciplinary communication: an uncharted source of medical error … quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical … January 29, 2020
Root cause analysis for hospital-acquired pressure injury.
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psnet.ahrq.gov/node/38203/psn-pdf
November 05, 2008 - Addressing prehospital patient safety using the science
of injury prevention and control. … Addressing prehospital patient safety using the science of injury
prevention and control. … https://psnet.ahrq.gov/issue/addressing-prehospital-patient-safety-using-science-injury-prevention-and … -
control
This commentary discusses patient safety in emergency medical services (EMS) and illustrates … how injury
prevention methodologies can help improve safety.
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psnet.ahrq.gov/continuing-education
February 26, 2025 - in a motorcycle crash, including head trauma, chest injuries, and spinal fractures. … A man in his mid-50s presented to the hospital with a persistent headache after a sledding injury … A head CT scan was read as normal and he was diagnosed with a minor head injury and discharged without … The commentary highlights the importance of evaluating patient risk of wound infection and poor wound … healing, the role of imaging modalities to help identify foreign material in wounds, and diligent follow-up
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - in a motorcycle crash, including head trauma, chest injuries, and spinal fractures. … A man in his mid-50s presented to the hospital with a persistent headache after a sledding injury … A head CT scan was read as normal and he was diagnosed with a minor head injury and discharged without … The commentary highlights the importance of evaluating patient risk of wound infection and poor wound … healing, the role of imaging modalities to help identify foreign material in wounds, and diligent follow-up