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psnet.ahrq.gov/print/pdf/node/865864
January 01, 2024 - Factors associated with diagnostic error: an analysis of closed medical malpractice claims. … The authors analyzed the nature of injuries sustained in a cohort of hospitalized patients in New York … Physician reviewers evaluated 1133 injury cases with respect to negligence, errors in
management, and … The authors analyzed the nature of injuries sustained in a cohort of hospitalized patients in New York … Physician reviewers evaluated 1133 injury cases with respect to negligence, errors in
management, and
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psnet.ahrq.gov/issue/objective-framework-evaluating-unrecognized-bias-medical-ai-models-predicting-covid-19
July 22, 2020 - Study
An objective framework for evaluating unrecognized bias in medical AI models … An objective framework for evaluating unrecognized bias in medical AI models predicting COVID-19 outcomes … An objective framework for evaluating unrecognized bias in medical AI models predicting COVID-19 outcomes … May 4, 2022
Trust and medical AI: the challenges we face and the expertise needed to … , 2021
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury
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psnet.ahrq.gov/issue/how-should-clinicians-minimize-bias-when-responding-suspicions-about-child-abuse
February 09, 2022 - Missteps in the labeling and registration of child injury as abuse can result in harm for patients and … July 28, 2021
Global Medical Supply Chain Security. … December 14, 2022
Sixty seconds on . . . medical gaslighting. … September 15, 2021
Telemedicine as a medical examination tool during the Covid-19 emergency
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psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
August 14, 2024 - The cause of death was documented as hip trauma from the fall at the nursing home. … , 1 such as fractures or head trauma, falls can have important psychological impacts on individuals … studies have indicated that bedrails have been associated with loss of dignity and autonomy and greater injury … day at a facility (i.e., hours worked by registered nurses or licensed practical nurses) falls with injuries … Concurrent use of prescription gabapentinoids with opioids and risk for fall-related injury among older
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psnet.ahrq.gov/issue/factors-associated-diagnostic-error-analysis-closed-medical-malpractice-claims
July 13, 2022 - Study
Factors associated with diagnostic error: an analysis of closed medical malpractice … Factors associated with diagnostic error: an analysis of closed medical malpractice claims. … Factors associated with diagnostic error: an analysis of closed medical malpractice claims. … July 14, 2018
Surgeon commitment to trauma care decreases missed injuries.
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psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
January 29, 2021 - The patient did not suffer permanent neurological injury from the prolonged hypoxemia, but she did require … Utilizing Medical Interpreters Effectively
Medical interpreters are not utilized often enough when … interpreter), the physician’s error should be fully disclosed , and appropriate compensation for her dental injury … U.S. medical school curricula on working with medical interpreters and/or patients with limited English … WebM&M Cases
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury
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psnet.ahrq.gov/issue/using-learning-system-approach-improve-safety-prone-position-ventilation-patients
January 10, 2024 - Issues identified included medical device-related pressure injuries and device dislodgement, concerns … September 13, 2023
Factors influencing the reporting of adverse medical device events … March 7, 2018
Information flow during pediatric trauma care transitions: things falling … 2019
Work system barriers and facilitators in inpatient care transitions of pediatric trauma … May 18, 2022
Error reduction in trauma care: lessons from an anonymized, national, multicenter
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psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
November 13, 2024 - error and/or a patient related injury and become victimized in the sense that the provider is traumatized … response planning are critical steps in protecting and supporting future clinicians from the emotional trauma … Healing the Wounds: A Physician Looks at his Work. New York, NY: Pantheon Books; 1985. … Rescuing the healer after trauma. RN. 2008;71:38-40, 42-43. [go to PubMed]
21. … Chestnut Hill, MA: Medically Induced Trauma Support Services, Inc.; 2009.
23.
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psnet.ahrq.gov/issue/impact-power-health-care-team-performance-and-patient-safety-review-literature
February 01, 2023 - October 7, 2020
Harnessing the power of medical malpractice data to improve patient care … May 26, 2021
Assessing patients 2019 experiences with medical injury reconciliation processes … designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical … 2020
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See More About The Topic
Researchers
Hospitals
Medical
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psnet.ahrq.gov/issue/outcomes-two-massachusetts-hospital-systems-give-reason-optimism-about-communication-and
December 19, 2018 - September 29, 2017
The medical liability climate and prospects for reform. … injury. … January 18, 2017
In support of the medical apology: the nonlegal arguments. … April 20, 2016
An experimental study of medical error explanations: do apology, empathy … November 20, 2015
Hospital internet site content on patient safety and medical errors
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psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
February 12, 2020 - November 11, 2020
Assessing patients 2019 experiences with medical injury reconciliation … September 16, 2020
Amid COVID-19, discipline against bad doctors plummets; more medical
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psnet.ahrq.gov/issue/trends-maternal-mortality-and-severe-maternal-morbidity-during-delivery-related
September 29, 2017 - May 25, 2022
Injuries before and after diagnosis of cancer: nationwide register based … November 14, 2011
Framing family conversation after early diagnosis of iatrogenic injury … Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … See More About The Topic
Labor and Delivery
Obstetrics
Obstetrical Nursing
Medical
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psnet.ahrq.gov/issue/advancing-maternal-health-equity-and-reducing-maternal-mortality-workshop
May 19, 2021 - April 20, 2022
A National Trauma Care System: Integrating Military and Civilian Trauma … Systems to Achieve Zero Preventable Deaths After Injury. … 17, 2022
Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical
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psnet.ahrq.gov/issue/iatrogenic-disease
March 19, 2008 - January 23, 2019
Medical Errors and Safety Systems. … June 26, 2013
The road to zero preventable birth injuries. … September 24, 2010
Medical Errors and Safety Systems. … March 3, 2010
National safety effort targets perinatal injuries.
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psnet.ahrq.gov/issue/delays-diagnosis-treatment-and-surgery-root-causes-actions-taken-and-recommendations
March 25, 2020 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries … Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical … March 18, 2020
Applying modern error theory to the problem of missed injuries in trauma
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psnet.ahrq.gov/web-mm/magnetic-deflection
November 18, 2016 - This powerful attractive force can result in injury to a patient or health care worker from any of various … These include, among others: Direct trauma from the accelerating ferromagnetic object striking the patient … To this day, injuries continue to occur in MRI scanners around the globe from ferromagnetic objects being … modality—at times with serious, and even fatal, consequences.( 6-10 ) The only way to avoid such events and injuries … In a nutshell, the magnetic resonance medical director is responsible for all safety issues of the MRI
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psnet.ahrq.gov/issue/clinicians-insights-emergency-department-boarding-explanatory-mixed-methods-study-evaluating
October 23, 2019 - encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical … October 23, 2019
Oncologic errors in diagnostic radiology: a 10-year analysis based on medical … November 16, 2022
High delayed and missed injury rate after inter-hospital transfer … of severely injured trauma patients.
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psnet.ahrq.gov/web-mm/pregnant-danger
January 12, 2011 - Trauma
Pregnancy of any gestation with injury. … All pregnant trauma patients >20 weeks’ gestation with any injury (excluding minor distal limb trauma … ) will be evaluated in the ED with immediate on-site OB consult Note: Trauma classification is based … on the injury to the mother
Evaluate in ED with immediate OB consult
Call page operator … to activate “birth center group page” with message: “OB chief to ED for OB trauma”
Antenatal fetal
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psnet.ahrq.gov/issue/factors-associated-neuroradiologic-diagnostic-errors-large-tertiary-care-academic-medical
August 17, 2022 - Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medical … Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medical center … Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medical center … April 24, 2019
Improving detection of intraoperative medical errors (iMEs) and intraoperative … Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury
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psnet.ahrq.gov/issue/mature-rapid-response-system-and-potentially-avoidable-cardiopulmonary-arrests-hospital
July 20, 2022 - Implementation of a rapid response system (RRS, also known as medical emergency team) is intended to … April 20, 2022
The nurse's role in the causation of compensable injury. … April 27, 2022
Modifications to medical emergency team activation criteria and implications … November 21, 2016
Four years' experience with a hospitalist-led medical emergency team … June 20, 2011
The role of the non-ICU staff nurse on a medical emergency team: perceptions