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psnet.ahrq.gov/issue/application-human-reliability-analysis-nursing-errors-hospitals
July 01, 2017 - July 7, 2021
Cognitive error as the most frequent contributory factor in cases of medical … injury: a study on verdict's judgment among closed claims in Japan. … April 4, 2011
View More
Related Resources
Surgeon commitment to trauma … care decreases missed injuries.
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psnet.ahrq.gov/node/49410/psn-pdf
July 01, 2003 - had heard of the availability of topical skin adhesive that can be used in place of sutures to
close wounds … An
ophthalmologist evaluated the child the next day, and fortunately, there was no permanent injury. … The
complication was entirely preventable, as many medical errors are.(1) Thankfully, no long-term medical … Tissue adhesives in wound care. Hamilton: B.C. Decker Inc.; 2003.
7. … Results of
the Harvard Medical Practice Study II.
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psnet.ahrq.gov/node/34712/psn-pdf
February 18, 2011 - Results of the Harvard Medical
Practice Study I. … psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-
harvard-medical … As part of a multidisciplinary study of malpractice and medical injury, the Harvard Medical Practice … Study
set forth to estimate the incidence of injuries caused by medical management and those resulting … of more than 30,000 randomly selected acute care hospitalized
cases was used to obtain estimates of injuries
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psnet.ahrq.gov/node/854638/psn-pdf
October 18, 2023 - Early identification and evaluation of severe pressure
injuries.
October 18, 2023
Quick Safety. … https://psnet.ahrq.gov/issue/early-identification-and-evaluation-severe-pressure-injuries
Pressure injuries … https://psnet.ahrq.gov/issue/early-identification-and-evaluation-severe-pressure-injuries
https://psnet.ahrq.gov … /issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis
https://psnet.ahrq.gov … preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
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psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
January 01, 2017 - 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. … Workplace injuries cost healthcare industry billions. Fierce Healthcare. November 12, 2013.
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psnet.ahrq.gov/node/867427/psn-pdf
December 18, 2024 - Centers for Disease Control and Prevention
(CDC) consistently reports falls as the leading cause of injury … The World
Health Organization reports falls as the second leading cause of unintentional injury deaths … A patient fall is defined as “an unplanned descent to the floor with
or without injury to the patient … 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.
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psnet.ahrq.gov/node/866205/psn-pdf
July 10, 2024 - The Accreditation Council for Continuing Medical
Education (ACCME) defines an ineligible company as … Lastly, the medical management of the patient’s bleeding is of concern. … Trauma-induced coagulopathy: what you need to know. J Trauma Acute
Care Surg. 2024;96(2):179-185. … Vascular injury and complication in neurosurgical spine surgery. … Hetastarch during initial resuscitation from trauma. J Trauma.
2011;70(5 Suppl):S19-S21.
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psnet.ahrq.gov/node/33592/psn-pdf
December 15, 2024 - defined an adverse event as "an injury that was
caused by medical management (rather than the underlying … The Institute for Healthcare
Improvement uses a similar definition: unintended physical injury resulting … Medical
Practice Study. … Ameliorable adverse events are those that are not preventable, but the
severity of the injury "could … A near miss is defined as "an event or situation that did not produce patient
injury, but only because
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psnet.ahrq.gov/issue/liability-associated-obstetric-anesthesia-closed-claims-analysis
July 13, 2010 - death or brain damage claims decreased in recent years (though still a leading cause), maternal nerve injury … RIS
Download Citation
Related Resources From the Same Author(s)
Injury … June 23, 2009
Communication failures contributing to patient injury in anaesthesia malpractice … October 30, 2024
Medical malpractice lawsuits involving trainees in obstetrics and gynecology … September 21, 2022
Communication failures contributing to patient injury in anaesthesia
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psnet.ahrq.gov/issue/made-whole-efficacy-legal-redress-black-women-who-have-suffered-injuries-medical-bias
February 23, 2022 - Commentary
Made whole: the efficacy of legal redress for black women who have suffered injuries … from medical bias. … Citation Text:
Made whole: the efficacy of legal redress for black women who have suffered injuries … from medical bias. … from medical bias.
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psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - The affected tissue demonstrates markedly compromised integrity and impaired wound healing, which dramatically … , as well as patient factors such as medical comorbidities, fitness, and health literacy and engagement … For patients with complex medical conditions and ongoing surgical needs, joint ownership of the care … In fact, a common theme of successful surgical and medical co-management models is the involvement of … Nationwide comparison of the medical complexity of patients by surgical specialty.
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psnet.ahrq.gov/node/35293/psn-pdf
August 31, 2005 - Removing Insult from Injury: Disclosing Adverse Events. … 2005
Johns Hopkins Bloomberg School of Public Health
https://psnet.ahrq.gov/issue/removing-insult-injury-disclosing-adverse-events … This 25-minute training video illustrates how physicians can discuss and apologize for medical mistakes … https://psnet.ahrq.gov/issue/removing-insult-injury-disclosing-adverse-events
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psnet.ahrq.gov/node/45350/psn-pdf
October 21, 2016 - A National Trauma Care System: Integrating Military and
Civilian Trauma Systems to Achieve Zero Preventable … Deaths After Injury. … https://psnet.ahrq.gov/issue/national-trauma-care-system-integrating-military-and-civilian-trauma-systems … https://psnet.ahrq.gov/issue/national-trauma-care-system-integrating-military-and-civilian-trauma-systems-achieve-zero … intended-and-unintended-effects-large-scale-adverse-event-disclosure-controlled-after
https://psnet.ahrq.gov/issue/reducing-medical-error-military-health-system-how-can-team-training-help
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psnet.ahrq.gov/node/35362/psn-pdf
September 28, 2005 - Managing the aftermath of iatrogenic injury.
September 28, 2005
Vincent C; Saunders A. … https://psnet.ahrq.gov/issue/managing-aftermath-iatrogenic-injury
The authors discuss how harmful mistakes … They recommend open
communication with and possible psychological support for those involved in medical … https://psnet.ahrq.gov/issue/managing-aftermath-iatrogenic-injury
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psnet.ahrq.gov/node/49795/psn-pdf
June 01, 2017 - Identify key risk factors for the development of contrast-induced kidney injury. … Case & Commentary—Part 1
A 66-year-old man with a past medical history of atrial fibrillation (not on … In the case under discussion, in the presence of a past medical history of atrial fibrillation (without … other relationship with the manufacturers of any
commercial products discussed in this continuing medical … does not include information regarding investigational or off-label use of pharmaceutical products or
medical
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psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
December 23, 2016 - Sentinel Event Alerts
Preventing falls and fall-related injuries in health care facilities … Citation Text:
Preventing falls and fall-related injuries in health care facilities. … Falls in the hospital are common, particularly among elderly patients , and falls resulting in serious injury … Cite
Citation
Citation Text:
Preventing falls and fall-related injuries … November 24, 2021
Medical device alarm safety in hospitals.
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psnet.ahrq.gov/node/47154/psn-pdf
May 23, 2018 - evaluating-inpatient-mortality-new-electronic-review-process-gathers-information-front-line
https://psnet.ahrq.gov/issue/preventing-medical-injury … https://psnet.ahrq.gov/issue/preventing-medical-injury
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psnet.ahrq.gov/issue/reducing-falls-and-fall-related-injuries-mental-health-1-year-multihospital-falls
January 25, 2023 - Commentary
Reducing falls and fall-related injuries in mental health: a 1-year multihospital … Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative … Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative … December 2, 2015
Surveillance of medical device-related hazards and adverse events in … November 18, 2015
Using root cause analysis to reduce falls with injury in the psychiatric
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psnet.ahrq.gov/issue/analysis-surgical-errors-closed-malpractice-claims-4-liability-insurers
February 17, 2011 - The cases resulted in significant harm: 23% of the patients died, and 65% suffered disabling injuries … Related Resources From the Same Author(s)
Claims, errors, and compensation payments in medical … October 26, 2010
Patterns of communication breakdowns resulting in injury to surgical … August 26, 2011
Who pays for medical errors? … July 10, 2008
Disclosure of medical injury to patients: an improbable risk management
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psnet.ahrq.gov/node/846127/psn-pdf
March 15, 2023 - The affected tissue demonstrates markedly compromised integrity and impaired wound
healing, which dramatically … , as well as patient factors such as medical
comorbidities, fitness, and health literacy and engagement … For patients with complex medical conditions and ongoing surgical needs, joint ownership of the care … In fact, a common theme of successful surgical and medical co-management models is
the involvement of … Nationwide comparison of the medical complexity of
patients by surgical specialty.