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Total Results: 3,181 records

Showing results for "medical injury".

221. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35052/psn-pdf
     May 04, 2015 - "Near injury" alters procedures at Virginia Mason. May 4, 2015 Ostrom CM. Seattle Times. … https://psnet.ahrq.gov/issue/near-injury-alters-procedures-virginia-mason This article reports how one … medical center changed their preoperative procedures after a "near miss." … https://psnet.ahrq.gov/issue/near-injury-alters-procedures-virginia-mason https://psnet.ahrq.gov//#nearmiss

222. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42379/psn-pdf
     August 08, 2013 - Prevalence and nature of adverse medical device events in hospitalized children. … Such injuries have been studied in adult inpatients, but this study represents the first population-based … investigators found that approximately 1 in 300 pediatric inpatients experienced a device-related injury … Prior research using voluntarily reported data has shown that device injuries are among the most common … https://psnet.ahrq.gov/issue/medical-injuries-among-hospitalized-children https://psnet.ahrq.gov/web-mm

223. Adverse Events, Near Misses, and Errors | PSNet
     psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
     March 30, 2022 - 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 … These adverse events were the focus of both the Medical Insurance Feasibility Study and the Harvard Medical … Ameliorable adverse events are those that are not preventable, but the severity of the injury "could … Ten days later, the patient presents to the emergency department with acute kidney injury and critically

224. Preventing patient positioning injuries in the nonoperating room setting. | PSNet
     psnet.ahrq.gov/issue/preventing-patient-positioning-injuries-nonoperating-room-setting
     November 21, 2012 - Preventing patient positioning injuries in the nonoperating room setting. … Hospital-acquired pressure injuries are considered a never event . … Preventing patient positioning injuries in the nonoperating room setting. … August 12, 2020 Errors in medicine: punishment versus learning medical adverse events … March 24, 2021 Provider bias in prescribing opioid analgesics: a study of electronic medical

225. In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls | PSNet
     psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
     December 18, 2024 - no injury. … injury to that person and their psyche. … We published our results in the Journal of the American Medical Association (JAMA). … 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.

226. Prevalence and nature of adverse medical device events in hospitalized children. | PSNet
     psnet.ahrq.gov/issue/prevalence-and-nature-adverse-medical-device-events-hospitalized-children
     October 05, 2011 - Prevalence and nature of adverse medical device events in hospitalized children. … Such injuries have been studied in adult inpatients , but this study represents the first population-based … estimate of harm caused by medical devices in hospitalized children. … the investigators found that approximately 1 in 300 pediatric inpatients experienced a device-related injury … Prior research using voluntarily reported data has shown that device injuries are among the most common

227. A Potent Medication Administered in a Not So Viable Route | PSNet
     psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
     July 20, 2016 - and a new protocol was issued that potent medications may be started only after the pharmacy, primary medical … This vasoconstriction, if too great, can lead to tissue ischemia and injury. … of 49 hours (± 22 hours).( 4 ) While 2% of patients experienced vasopressor extravasation, no tissue injuries … Management of extravasation injuries: a focused evaluation of noncytotoxic medications. … Related Resources From the Same Author(s) Reducing readmission at an academic medical

228. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849138/psn-pdf
     May 17, 2023 - Non-accidental Injuries in Infants Attending the Emergency Department. … https://psnet.ahrq.gov/issue/non-accidental-injuries-infants-attending-emergency-department Misattribution … of child maltreatment injuries can be a serious misdiagnosis affecting families and patients. … safety incident reports from across the British National Health Service to explore how non-accidental injury … ethical-challenges-child-abuse-what-harm-misdiagnosis https://psnet.ahrq.gov/issue/using-simulation-identify-sources-medical-diagnostic-error-child-physical-abuse

229. Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES). | PSNet
     psnet.ahrq.gov/issue/prevention-and-treatment-bile-duct-injuries-during-laparoscopic-cholecystectomy-clinical
     May 04, 2012 - Review Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy … Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice … This guideline reports on recommendations from an expert panel to prevent bile duct injuries during … October 1, 2014 Changes in medical errors after implementation of a handoff program. … May 31, 2017 WebM&M Cases Bowel Injury After Laparoscopic

230. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33561/psn-pdf
     September 15, 2024 - Ken Kizer, MD, former CEO of the National Quality Forum (NQF), in reference to particularly shocking medical … reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle Patient death or serious injury … , 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 … of a neonate associated with labor or delivery in a low-risk pregnancy Patient death or serious injury

231. The occurrence of potential patient safety events among trauma patients: are they random? | PSNet
     psnet.ahrq.gov/issue/occurrence-potential-patient-safety-events-among-trauma-patients-are-they-random
     July 19, 2018 - The occurrence of potential patient safety events among trauma patients: are they random? … 2014 Beating the weekend trend: increased mortality in older adult traumatic brain injury … October 11, 2012 Undertriage of elderly trauma patients to state-designated trauma centers … Related Resources Factors associated with diagnostic error: an analysis of closed medical … August 17, 2018 Surgeon commitment to trauma care decreases missed injuries.

232. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39450/psn-pdf
     February 17, 2011 - liability-insurers This commentary discusses emerging, institution-led approaches to disclosure and resolution of medical … injuries such as the early-settlement model and health courts. … malpractice-reform-opportunities-leadership-health-care-institutions-and-liability-insurers https://psnet.ahrq.gov/issue/better-approach-medical-malpractice-claims-university-michigan-experience … https://psnet.ahrq.gov/issue/beyond-negligence-avoidability-and-medical-injury-compensation

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49752/psn-pdf
     January 01, 2016 - The resident physician asked the medical assistant for acetic acid and unknowingly received TCA. … Other examples of injuries due to acute acid–base irritation are those caused by topical applications … , as demonstrated by this case, such injuries continue to occur. … uncertain state of the evidence regarding neutralization and other maneuvers to avoid skin irritant injuries … Chemical Skin Injury: Mechanisms, Prevention, Decontamination, Treatment.

234. Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis. | PSNet
     psnet.ahrq.gov/issue/health-care-workers-experiences-workplace-incidents-posed-risk-patient-and-worker-injury
     June 23, 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 … Health care workers’ experiences of workplace incidents that posed a risk of patient and worker injury … July 23, 2019 Health care workers as second victims of medical errors. … : The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care

235. 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

236. 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

237. Patient safety in medical imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS). | PSNet
     psnet.ahrq.gov/issue/patient-safety-medical-imaging-joint-paper-european-society-radiology-esr-and-european
     September 30, 2010 - Commentary Patient safety in medical imaging: a joint paper of the European Society … Patient Safety in Medical Imaging: a joint paper of the European Society of Radiology (ESR) and the European … April 1, 2020 Association of low-dose whole-body computed tomography with missed injury … diagnoses and radiation exposure in patients with blunt multiple trauma. … September 29, 2017 Delayed or missed diagnosis of cervical spine injuries.

238. Effect of outcome on physician judgments of appropriateness of care. | PSNet
     psnet.ahrq.gov/issue/effect-outcome-physician-judgments-appropriateness-care
     June 23, 2015 - authors report a controlled trial to investigate whether knowledge of the severity of the outcome of a medical … , the matching case was made to result in severe irreversible injury and vice versa. … June 23, 2015 Injury and liability associated with monitored anesthesia care: a closed … adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical … emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical

239. Association of adverse effects of medical treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study. | PSNet
     psnet.ahrq.gov/issue/association-adverse-effects-medical-treatment-mortality-united-states-secondary-analysis
     November 11, 2020 - Study Association of adverse effects of medical treatment with mortality in the United … States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study. … Analysis of the Global Burden of Diseases, Injuries, and Risk Factors Study. … treatment (AEMT) from the Global Burden of Diseases, Injuries, and Risk Factors 2016 study. … Analysis of the Global Burden of Diseases, Injuries, and Risk Factors Study.

240. In-hospital sequelae of injurious falls in 24 medical/surgical units in four hospitals in the United States. | PSNet
     psnet.ahrq.gov/issue/hospital-sequelae-injurious-falls-24-medicalsurgical-units-four-hospitals-united-states
     December 12, 2012 - Study In-hospital sequelae of injurious falls in 24 medical/surgical units in four … In-Hospital Sequelae of Injurious Falls in 24 Medical/Surgical Units in Four Hospitals in the United … This prospective observational study found that patients who experienced a fall with injury had longer … In-Hospital Sequelae of Injurious Falls in 24 Medical/Surgical Units in Four Hospitals in the United … September 13, 2017 Patients' concerns about medical errors during hospitalization.