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Total Results: 859 records

Showing results for "medical injury".

21. Pressure Injury Prevention in Hospitals Training Program. | PSNet
    psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
    May 01, 2017 - Multi-use Website Pressure Injury Prevention in Hospitals Training Program. … Citation Text: Pressure Injury Prevention in Hospitals Training Program. … Copy URL Cite Citation Citation Text: Pressure Injury … August 1, 2012 Advances in Patient Safety and Medical Liability.

22. Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. | PSNet
    psnet.ahrq.gov/issue/learning-during-crisis-impact-covid-19-hospital-acquired-pressure-injury-incidence
    August 25, 2021 - Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. … care delivery, including how hospitals prevent common hospital-acquired conditions such as pressure injuries … The authors discuss how prior organizational efforts to reduce hospital-acquired pressure injuries allowed … 2020 Implementation of patient safety structures and processes in the patient-centered medical … Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical

23. 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.

24. Continuing Education | PSNet
    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

25. WebM&M: Case Studies | PSNet
    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

26. 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

27. 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

28. 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. 

29. Preventing Falls With Injury. | PSNet
    psnet.ahrq.gov/issue/preventing-falls-injury
    May 06, 2015 - Multi-use Website Preventing Falls With Injury. … Citation Text: Preventing Falls With Injury. … URL Cite Citation Citation Text: Preventing Falls With Injury

30. Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review. | PSNet
    psnet.ahrq.gov/issue/facilitators-and-barriers-implementation-surgical-safety-checklist-ssc-integrative-review
    September 07, 2016 - June 15, 2012 Assertive communication training for nurses to speak up in cases of medical … April 15, 2020 System approach to prevent common bile duct injury and enhance performance … September 15, 2011 Surgeon commitment to trauma care decreases missed injuries. … WebM&M Cases Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury … See More About The Topic Outpatient Surgery Operating Room Anesthesiology Surgery Medical

31. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. | PSNet
    psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
    April 27, 2022 - Lastly, the medical management of the patient’s bleeding is of concern. … Trauma-induced coagulopathy: what you need to know. … Vascular injury and complication in neurosurgical spine surgery. … Hetastarch during initial resuscitation from trauma. … J Trauma . 2011;70(5 Suppl):S19-S21. [ Available at ] Hahn RG.

32. Procedural Mishap: Learning Curve? | PSNet
    psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
    April 28, 2021 - of underreporting of vascular injury. … How can this type of injury be prevented? … Three spectra of laparoscopic entry access injuries. … Improving continuing medical education for surgical techniques: applying the lessons learned in the first … Results of the Harvard Medical Practice Study I.

33. The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department. | PSNet
    psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
    September 27, 2023 - reserved for those patients with immediately life-threatening conditions like cardiac arrest, blunt trauma … , vascular injury, stroke, airway trauma, and asystolic cardiac arrest secondary to carotid baroreceptor … Similarly, cervical spine fractures, hypoxic brain injury, and vascular (e.g., carotid artery, vertebral … . 10 These high-risk injuries make medical clearance for psychiatric confinement impossible in the near … Non-fatal strangulation: hidden injuries, hidden risks .

34. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. | PSNet
    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

35. ROI for a fall prevention intervention: invest a little, save a lot. | PSNet
    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

36. The Ongoing Journey to Prevent Patient Falls | PSNet
    psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
    December 18, 2024 - In hospitals, falls with injuries can lead to other adverse outcomes including pressure injuries or … Make STEADI part of your medical practice. Centers for Disease Control and Prevention. … no injury. … injury to that person and their psyche. … We published our results in the Journal of the American Medical Association (JAMA).

37. Prevalence and characteristics of physicians prone to malpractice claims. | PSNet
    psnet.ahrq.gov/issue/prevalence-and-characteristics-physicians-prone-malpractice-claims
    April 03, 2019 - April 13, 2011 Assessing patients 2019 experiences with medical injury reconciliation … injury. … injury. … July 17, 2019 Who pays for medical errors? … March 27, 2019 Improving reconciliation following medical injury: a qualitative study

38. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture | PSNet
    psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
    March 15, 2023 - The patient subsequently underwent surgical repair of the tracheal injury. … obstruction (e.g., obstructive sleep apnea; stridor and air hunger due to vocal cord paralysis or neck trauma … intubate, ventilatory support for neuromuscular disease, and as an adjunct to head/neck surgery or trauma … preventable through careful procedural and post-placement care. 6 Patient-related risk factors that affect wound … capillary blood flow at cuff pressures over 50 cm H 2 0. 15 Stenosis, fistulas, and other tracheal injuries

39. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery | PSNet
    psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
    January 29, 2021 - However, it is associated with several positioning injuries. … Early evaluation and fasciotomy by an orthopedic or trauma surgeon are key to preventing permanent injury … Department of Anesthesiology and Pain Medicine UC Davis Health chbohringer@ucdavis.edu Gustavo Chavez, MD Medical … Int Wound J . 2008;5(2):315-328. [ Free full text ] Matsen FA 3rd. … Prevention of well-leg compartment syndrome following lengthy medical operations in the lithotomy position

40. Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. | PSNet
    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