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psnet.ahrq.gov/node/49617/psn-pdf
January 01, 2011 - grams intravenously twice daily was initiated, and the patient
was transferred to a large academic medical … The Commentary
Acute kidney injury (AKI) is a common condition associated with up to 7% of all hospital … To facilitate early detection of AKI and allow
prompt intervention, the Acute Kidney Injury Network … Biomarkers of acute kidney injury. Annu Rev Pharmacol
Toxicol. 2008;48:463-493. [go to PubMed]
2. … Acute Kidney Injury Network: report of an initiative to improve
outcomes in acute kidney injury.
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psnet.ahrq.gov/node/42980/psn-pdf
February 17, 2017 - psnet.ahrq.gov/primer/patient-engagement-and-safety
https://psnet.ahrq.gov/issue/does-full-disclosure-medical-errors-affect-malpractice-liability-jury-still-out … https://psnet.ahrq.gov/issue/patients-and-physicians-attitudes-regarding-disclosure-medical-errors
https … ://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
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psnet.ahrq.gov/web-mm/recurrent-appendicitis
January 15, 2020 - The surgeon had recently joined the medical staff after completing a general surgery residency and then … The Commentary This case provides an opportunity to review two important issues in surgery: (i) medical … in the elderly compared to approximately 20% in the general population).( 2,3,6 ) The most common medical … If a laparoscopic approach is used, there is the additional risk of injury during trocar (the port used … Greenberg, MD, MPH Assistant Professor of Surgery, Harvard Medical School Director, Center for
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psnet.ahrq.gov/node/33822/psn-pdf
January 01, 2017 - The day I arrived at Alcoa, even though they were already in the top 20% or so of avoiding injuries to … 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. … Their OSHA recordable number says 7 people out of every 100 of their staff have an injury every
year … safety data system that people use as a screen saver, and you can see if your friend on ward C had
an injury
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psnet.ahrq.gov/node/38543/psn-pdf
April 27, 2010 - https://psnet.ahrq.gov/issue/do-patient-safety-events-increase-readmissions
Preventable medical errors … do-patient-safety-events-increase-readmissions
https://psnet.ahrq.gov/issue/excess-length-stay-charges-and-mortality-attributable-medical-injuries-during-hospitalization … https://psnet.ahrq.gov/issue/excess-length-stay-charges-and-mortality-attributable-medical-injuries-during-hospitalization
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psnet.ahrq.gov/node/39499/psn-pdf
January 03, 2017 - RRS to care for the second victim—a health care provider involved in an
unanticipated adverse event, medical … error, or patient-related injury. … A past AHRQ WebM&M commentary explored how providers recover from their
involvement in medical errors … natural-history-recovery-healthcare-provider-second-victim-after-adverse-patient-events
https://psnet.ahrq.gov/issue/emotional-impact-medical-errors-practicing-physicians-united-states-and-canada
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psnet.ahrq.gov/node/43240/psn-pdf
February 21, 2015 - Disclosure and apology programs are recognized as elements of an effective organizational response to
medical … Using a case study involving an iatrogenic burn injury and disclosure, this review relates how
three
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psnet.ahrq.gov/node/74182/psn-pdf
December 15, 2021 - https://psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting-medical-errors-patients … https://psnet.ahrq.gov/issue/critical-review-moral-injury-nurses-aftermath-patient-safety-incident
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psnet.ahrq.gov/node/34725/psn-pdf
April 07, 2011 - In
addition, the authors explain that psychological injury from medical errors must be acknowledged
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psnet.ahrq.gov/issue/greatest-impact-safe-harbor-rule-may-be-improve-patient-safety-not-reduce-liability-claims
July 05, 2017 - September 4, 2024
Responding to medical errors — implementing the modern ethical paradigm … August 7, 2013
Doctors, lawyers make deal on medical-malpractice bill. … July 19, 2010
No-fault compensation in New Zealand: harmonizing injury compensation, … June 25, 2010
Regulating compensation for injuries associated with medical error. … 2006
Perspective
The Unintended Consequences of Florida Medical
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psnet.ahrq.gov/issue/surgeons-vigilance-operating-room
November 12, 2014 - Download Citation
Related Resources From the Same Author(s)
Changes in medical … November 12, 2014
Critical errors in infrequently performed trauma procedures after training … June 27, 2018
Trauma resuscitation errors and computer-assisted decision support. … May 29, 2019
An analysis of medical malpractice claims against medical oncologists from … July 21, 2010
Framing family conversation after early diagnosis of iatrogenic injury
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psnet.ahrq.gov/issue/characteristics-quality-and-patient-safety-curricula-major-teaching-hospitals
February 16, 2011 - February 16, 2011
A randomized trial of a multifactorial strategy to prevent serious fall injuries … , 2023
Improving teamwork: impact of structured interdisciplinary rounds on a medical … November 26, 2014
Factors associated with disclosure of medical errors by housestaff. … The case of resident physicians' medical errors. … October 14, 2009
Decreased bile duct injury rate during laparoscopic cholecystectomy
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psnet.ahrq.gov/node/41940/psn-pdf
April 21, 2015 - strategies-broad
Some hospital systems have employed a disclosure, apology, and offer strategy for medical … /disclosure-errors
https://psnet.ahrq.gov/issue/liability-claims-and-costs-and-after-implementation-medical-error-disclosure-program … https://psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
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psnet.ahrq.gov/issue/medicare-trims-payments-800-hospitals-citing-patient-safety-incidents
July 19, 2017 - January 17, 2018
More than 750 hospitals face Medicare crackdown on patient injuries. … March 3, 2021
Preeminent hospitals penalized over rates of patients’ injuries. … October 11, 2016
More than 750 hospitals face Medicare crackdown on patient injuries. … November 28, 2007
Minnesota is first state with policy to stop billing after medical … October 3, 2007
Coming clean on medical mistakes.
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psnet.ahrq.gov/issue/persistent-next-day-effects-excessive-alcohol-consumption-laparoscopic-surgical-performance
August 25, 2011 - March 2, 2011
Burnout and medical errors among American surgeons. … June 28, 2010
Framing family conversation after early diagnosis of iatrogenic injury … February 25, 2009
Laparoscopic bile duct injury: understanding the psychology and heuristics
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psnet.ahrq.gov/node/49816/psn-pdf
January 01, 2018 - Almost everyone experiences
moderate to severe acute pain at some point, often related to an injury, … surgical procedure, or medical
condition. … Substance use disorders are even more common among hospitalized patients
(19%–26%) and those with major trauma … The patient described in this case experienced trauma resulting in a neck fracture requiring surgery. … The high prevalence of pain in
emergency medical care. Am J Emerg Med. 2002;20:165-169.
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psnet.ahrq.gov/node/38116/psn-pdf
February 18, 2011 - prior research documents a link between increased fatigue and self-reported
errors and percutaneous injuries … in cognitive specialties (including internal medicine, pediatrics, and
psychiatry) at an academic medical … issue/factors-associated-intern-fatigue
https://psnet.ahrq.gov/issue/impact-extended-duration-shifts-medical-errors-adverse-events-and-attentional-failures … https://psnet.ahrq.gov/issue/impact-extended-duration-shifts-medical-errors-adverse-events-and-attentional-failures … https://psnet.ahrq.gov/issue/extended-work-duration-and-risk-self-reported-percutaneous-injuries-interns
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psnet.ahrq.gov/node/34807/psn-pdf
January 01, 2019 - https://psnet.ahrq.gov/issue/quality-australian-health-care-study
In order to estimate patient injury … Using a screening
system and confirmatory agreement among three medical officers, adverse events were
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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/node/39644/psn-pdf
June 30, 2010 - per week were strongly correlated with an increase in self-reported errors,
particularly needlestick injuries … working-hours-hospital-staff-nurses-and-patient-safety
https://psnet.ahrq.gov/issue/impact-extended-duration-shifts-medical-errors-adverse-events-and-attentional-failures … https://psnet.ahrq.gov/issue/extended-work-duration-and-risk-self-reported-percutaneous-injuries-interns