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The practical implementation of artificial intelligence technologies in medicine. | PSNet

psnet.ahrq.gov/issue/practical-implementation-artificial-intelligence-technologies-medicine

March 24, 2019 - June 10, 2020 Clinical characteristics and short-term outcomes of acute kidney injury … May 19, 2021 Toward safer health care: a review strategy of FDA medical device adverse … July 14, 2010 Medical malpractice in the People's Republic of China: the 2002 regulation … on the handling of medical accidents. … 2006 Perspective The Unintended Consequences of Florida Medical

Implementation, evaluation, and recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data. | PSNet

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June 13, 2018 - implementing a complex and innovative patient safety learning laboratory project in a large academic medical … December 6, 2017 A randomized trial of a multifactorial strategy to prevent serious fall injuries … 2020 Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries … October 30, 2019 Ethical duty of health care systems to address interfacility medical

Did duty hour reform lead to better outcomes among the highest risk patients? | PSNet

psnet.ahrq.gov/issue/did-duty-hour-reform-lead-better-outcomes-among-highest-risk-patients

January 13, 2010 - facilities with a predefined set of primary diagnoses to estimate the 30-day mortality among high-severity medical … benefit to patients with higher-severity illness compared with those with lower risk among both the medical … perspective discussed the impact of fatigue and extended shifts among trainees on the incidence of medical … February 24, 2011 Association of workload of on-call medical interns with on-call sleep … July 1, 2009 Decreased bile duct injury rate during laparoscopic cholecystectomy in the

Airway Obstruction during Anterior Cervical Spine Surgery | PSNet

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January 29, 2021 - Self-retaining soft tissue retractor systems of this type may cause traction or compression injury to … Pneumothorax can occur in trauma patients who may have undiagnosed rib fractures. … Airway management in trauma. … Crisis Resource Management Training in Medical Simulation. In: StatPearls . … See More About The Topic Outpatient Surgery Operating Room Anesthesiology Surgery Medical

To tell the truth: ethical and practical issues in disclosing medical mistakes to patients. | PSNet

psnet.ahrq.gov/issue/tell-truth-ethical-and-practical-issues-disclosing-medical-mistakes-patients

April 19, 2011 - Classic To tell the truth: ethical and practical issues in disclosing medical … Physician organizations have long supported full disclosure of serious medical errors to patients. … April 19, 2011 A randomized trial of a multifactorial strategy to prevent serious fall injuries … July 17, 2019 Tolerating uncertainty—the next medical revolution? … January 18, 2017 In support of the medical apology: the nonlegal arguments.

An observational study to evaluate the usability and intent to adopt an artificial intelligence–powered medication reconciliation tool. | PSNet

psnet.ahrq.gov/issue/observational-study-evaluate-usability-and-intent-adopt-artificial-intelligence-powered

September 27, 2017 - Citation Related Resources From the Same Author(s) Surgeon commitment to trauma … care decreases missed injuries. … June 22, 2022 Turning the medical gaze in upon itself: root cause analysis and the investigation … April 17, 2024 Assessing the accuracy of drug profiles in an electronic medical record

Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons. | PSNet

psnet.ahrq.gov/issue/show-me-money-ill-show-you-my-complications-impacts-incentivized-incident-self-reporting

March 09, 2022 - March 9, 2022 Cognitive bias impact on management of postoperative complications, medical … August 24, 2022 Habit and automaticity in medical alert override: cohort study. … April 27, 2022 The relationship of medical assistants' work engagement with their concerns … of having made an important medical error: a cross-sectional study. … March 6, 2019 "Near injury" alters procedures at Virginia Mason.

E-cigarette Explosion in a Patient Room | PSNet

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March 15, 2023 - Benowitz, MD This case, of a woman who sustained burn injuries from using an electronic cigarette ( … Numerous reports have emerged of fires and explosions caused by e-cigarettes, some resulting in severe injuries … In summary, this case describes a serious injury due to use of an e-cigarette, a known ignition source … , in the presence of medical oxygen. … Electronic cigarette explosion and burn injuries, US emergency departments 2015–2017.

Infection prevention in the emergency department. | PSNet

psnet.ahrq.gov/issue/infection-prevention-emergency-department

July 13, 2016 - precautions meant to prevent the spread of infections, strategies to reduce risk of HAIs related to medical … Increases in mortality, length of stay, and cost associated with hospital-acquired infections in trauma … WebM&M Cases Hiding in Plain Sight August 1, 2009 Missed injuries … in trauma patients: a literature review.

Nurse burnout predicts self-reported medication administration errors in acute care hospitals. | PSNet

psnet.ahrq.gov/issue/nurse-burnout-predicts-self-reported-medication-administration-errors-acute-care-hospitals

August 25, 2021 - , 2021 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury … Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical

Use of simulation to measure the effects of just-in-time information to prevent nursing medication errors: a randomized controlled study. | PSNet

psnet.ahrq.gov/issue/use-simulation-measure-effects-just-time-information-prevent-nursing-medication-errors

August 04, 2021 - Results of the Harvard Medical Practice Study I. … June 30, 2021 A randomized trial of a multifactorial strategy to prevent serious fall injuries … March 4, 2020 Error reduction in trauma care: lessons from an anonymized, national, multicenter

Unexplained Apnea Under Anesthesia | PSNet

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December 01, 2005 - neuromuscular blockade, aminoglycosides, or intravenous magnesium; and patients with neurological impairment or injury … events, 45% of those events were caused by errors.( 6 ) In a large insurer’s study, injuries due to … Poor system design also makes errors difficult to intercept before injury occurs. … Medical Malpractice Closed Claims, 1975-1978. … samples for ABG and serum electrolyte levels Conduct a neurological examination to exclude focal CNS injury

Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids. | PSNet

psnet.ahrq.gov/issue/association-dose-tapering-overdose-or-mental-health-crisis-among-patients-prescribed-long

July 13, 2022 - June 29, 2022 Association of low-dose whole-body computed tomography with missed injury … diagnoses and radiation exposure in patients with blunt multiple trauma. … Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical

Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. | PSNet

psnet.ahrq.gov/issue/radiographers-experience-preventing-patient-safety-incidents-context-radiological

December 20, 2017 - Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … October 19, 2022 Target-focused medical emergency team training using a human patient … October 18, 2023 Perceptions of radiation safety culture in medical imaging by role. … April 13, 2022 Preventing accidents and injuries in the MRI suite.

Long-term Care and Patient Safety | PSNet

psnet.ahrq.gov/primer/long-term-care-and-patient-safety

February 24, 2022 - care hospitals, including the ability to care for patients requiring mechanical ventilation, complex wound … Inpatient rehabilitation facilities (IRFs) care for patients recovering from surgery, trauma, or an … daily evaluation by a physician but do require services such as intensive nursing, physical therapy, or wound … that 22% of Medicare beneficiaries in SNFs experienced an adverse event (delirium, falls , pressure injuries … safety (such as the proportion of patients who experience a health care–associated infection, pressure injuries

Implementing a Fall Prevention Program | PSNet

psnet.ahrq.gov/perspective/implementing-fall-prevention-program

November 29, 2023 - Preventing falls and fall-related injuries in hospitals. Clin Geriatr Med. 2010;26:645-692. … Falls and consequent injuries in hospitalized patients: effects of an interdisciplinary falls prevention … Orthopaedic injuries following falls by hospital in-patients. Gerontology. 2005;51:329-333. … The effect of bedrails on falls and injury: a systematic review of clinical studies. … Patient injury and physical restraint devices: a systematic review. J Adv Nurs. 2003;41:274-282.

Radiologist age and diagnostic errors. | PSNet

psnet.ahrq.gov/issue/radiologist-age-and-diagnostic-errors

March 02, 2022 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … Physician burnout, well-being, and work unit safety grades in relationship to reported medical … Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medical … Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury

Implementation of the World Health Organization Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on care process measures. | PSNet

psnet.ahrq.gov/issue/implementation-world-health-organization-trauma-care-checklist-program-11-centers-across

November 16, 2022 - Study Implementation of the World Health Organization Trauma Care Checklist Program … Implementation of the World Health Organization Trauma Care Checklist Program in 11 Centers Across Multiple … Management of trauma patients is complex, and checklists may facilitate adherence to known standards … injuries after implementation of the program. … March 13, 2013 Medical large language models are vulnerable to data-poisoning attacks

What constitutes effective team communication after an error? | PSNet

psnet.ahrq.gov/issue/what-constitutes-effective-team-communication-after-error

September 23, 2020 - September 23, 2020 Global Medical Supply Chain Security. … February 21, 2015 Family of woman who died after a medical error joins hospital's safety … September 14, 2011 Framing family conversation after early diagnosis of iatrogenic injury

Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department. | PSNet

psnet.ahrq.gov/issue/comparing-outcomes-reporting-and-trigger-tool-methods-capture-adverse-events-emergency

May 04, 2017 - assessed a monitoring system designed to detect adverse events in the emergency department of an academic medical … January 21, 2015 Surgeon commitment to trauma care decreases missed injuries. … February 27, 2009 Emergency nursing and medical error—a survey of two states.

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