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psnet.ahrq.gov/issue/clinical-transformation-ascension-health-eliminating-all-preventable-injuries-and-deaths
January 05, 2017 - Commentary
The clinical transformation of Ascension Health: eliminating all preventable injuries … The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. … The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. … January 2, 2017
Structured interdisciplinary rounds in a medical teaching unit: improving … June 8, 2010
Injury and death associated with incidents reported to the Patient Safety
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psnet.ahrq.gov/issue/using-patient-safety-science-explore-strategies-improving-safety-intravenous-medication
June 02, 2021 - Multifactorial interventions to reduce duration and variability in delays to identification of serious injury … June 27, 2016
Digital health technology-specific risks for medical malpractice liability … May 25, 2022
Assessing patients 2019 experiences with medical injury reconciliation processes … June 12, 2018
Operating manual-based usability evaluation of medical devices: an effective
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psnet.ahrq.gov/node/49427/psn-pdf
January 01, 2004 - injury remains poorly studied. … injury when his only remaining testicle was removed to (inappropriately) treat a hydrocele,
resulting … We
do not know the exact setting for the medical injury—urban or rural, community practice or academia … "(10) In medical accidents, gaps in situation awareness and experience, rather than lack of
medical … An alternative strategy for studying adverse events in medical
care.
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psnet.ahrq.gov/node/49782/psn-pdf
January 01, 2017 - 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 … The 2-hour limit was chosen because very few published cases of local tissue
injury events occurred … Management of extravasation injuries: a
focused evaluation of noncytotoxic medications.
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psnet.ahrq.gov/issue/suit-filed-over-virginia-mason-medical-centers-error
July 05, 2006 - Citation Text:
Suit filed over Virginia Mason Medical Center's error. … September 21, 2005
"Near injury" alters procedures at Virginia Mason. … May 4, 2015
Hospitals to tear up bills for medical mistakes. … February 6, 2019
Medically Induced Trauma Support Services (MITSS). … June 22, 2016
The best medical care in the U.S.
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psnet.ahrq.gov/node/60857/psn-pdf
August 26, 2020 - Arguably the most severe complication of digital tourniquets, ischemic injuries, have two
principal … phenomenon and scleroderma, but it is not clear if these have been used or are effective in tourniquet
trauma … surgeons in the controlled setting of the
operating room and may not be generalizable to patients with medical … J Orthop Trauma. 2010 Jun;24(6):387–8.
3. Smith IM, Austin OMB, Knight SL. … J Trauma. 2006 Dec;61(6):1415–8.
15.
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psnet.ahrq.gov/node/49392/psn-pdf
April 01, 2003 - one of my favorites,
because it is a simple and direct maneuver that eliminates the risk of serious trauma … Two
days later, he was transferred to the medical ward. … under the standard medical malpractice negligence rule. … hip fractures,(5) but this represents a change in emphasis from fall prevention to
attenuation of trauma … Mechanical restraint use and fall related injuries among residents of
skilled nursing facilities.
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psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
February 26, 2025 - What we found in our recent study was that one in four patients suffers an injury during a hospitalization … will develop a dangerous pressure injury. … But if you are seeing a patient with an ankle injury, it should be underscored that there is a rule so … AI to figure out how severe the injury has been. … In the Harvard Medical Practice Study , nurses and medical records analysts screened 31,429 records
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psnet.ahrq.gov/issue/impact-miscommunication-medical-dispute-cases-japan
September 25, 2019 - Study
Impact of miscommunication in medical dispute cases in Japan. … Impact of miscommunication in medical dispute cases in Japan. … Impact of miscommunication in medical dispute cases in Japan. … November 24, 2021
Measurable outcomes of quality improvement in the trauma intensive … injury: a study on verdict's judgment among closed claims in Japan.
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psnet.ahrq.gov/issue/evaluation-patient-centered-fall-prevention-tool-kit-reduce-falls-and-injuries-nonrandomized
February 01, 2023 - Study
Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries … Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized … Conducted across three academic medical centers, this study evaluated the impact of a fall-prevention … Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized … May 4, 2022
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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psnet.ahrq.gov/issue/malpractice-cases-breast-surgery-assessment-litigation-involving-surgeons
August 04, 2021 - type (64%), error in surgical treatment was the most common allegation (87%), and infection, cosmetic injury … , emotional trauma, foreign body, and nosocomial infection were the top 5 injury descriptions. … August 4, 2021
Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study … Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical
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psnet.ahrq.gov/node/36265/psn-pdf
April 21, 2015 - article provides an overview of "health courts," defined as a system of administrative compensation for
medical … injuries outside of the regular tort system; these systems are currently used in New Zealand,
Denmark … argued that the current US tort system is ineffective at
compensating injured patients or preventing medical … Health courts would use evidence-based
standards to determine the preventability of medical injuries … transparency and shifting the focus from determining if a physician was negligent to determining if an injury
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-useful-tool-risk-identification-and-injury-prevention
September 24, 2010 - Commentary
Failure mode and effects analysis: a useful tool for risk identification and injury … Failure mode and effects analysis: a useful tool for risk identification and injury prevention. … Failure mode and effects analysis: a useful tool for risk identification and injury prevention. … February 27, 2019
Development of a modified early warning score using the electronic medical
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psnet.ahrq.gov/issue/intraoperative-deaths-who-why-and-can-we-prevent-them
November 04, 2020 - This study analyzed five years of data on IODs from a large academic medical center. … The authors describe three phenotypes: patients with traumatic injury, those undergoing non-trauma-related … emergency surgery, and patients who die during an elective procedure from medical cardiac arrests or … vascular injuries. … the Same Author(s)
Cognitive bias impact on management of postoperative complications, medical
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psnet.ahrq.gov/node/849317/psn-pdf
May 24, 2023 - Implementing an electronic root cause analysis reporting
system to decrease hospital-acquired pressure injuries … Implementing an electronic root cause analysis reporting system to decrease hospital-
acquired pressure injuries … implementing-electronic-root-cause-analysis-reporting-system-decrease-
hospital-acquired
Healthcare-acquired pressure injuries … root-cause-analysis-identify-contributing-factors-development-hospital-acquired-pressure
https://psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis … https://psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
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psnet.ahrq.gov/issue/effectiveness-n95-respirators-versus-surgical-masks-against-influenza-systematic-review-and
March 24, 2019 - respirators should not be recommended for the general public and should be reserved for high-risk medical … March 20, 2024
System approach to prevent common bile duct injury and enhance performance … April 12, 2019
Surgeon commitment to trauma care decreases missed injuries. … September 27, 2017
Association of surgical resident wellness with medical errors and … 2020
Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical
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psnet.ahrq.gov/issue/risk-factors-retained-instruments-and-sponges-after-surgery
February 17, 2011 - February 17, 2011
Disclosure of medical injury to patients: an improbable risk management … May 20, 2015
Claims, errors, and compensation payments in medical malpractice litigation … Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury … March 3, 2011
Patterns of communication breakdowns resulting in injury to surgical patients
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psnet.ahrq.gov/issue/injury-and-death-associated-incidents-reported-patient-safety-net
September 08, 2010 - Study
Injury and death associated with incidents reported to the Patient Safety Net … Injury and death associated with incidents reported to the patient safety net. … Injury and death associated with incidents reported to the patient safety net. … Resources From the Same Author(s)
Effectiveness of a course designed to teach handoffs to medical
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psnet.ahrq.gov/node/867805/psn-pdf
February 26, 2025 - I am currently the Medical Director for Clinical and Quality Analysis for
MGB Healthcare. … What we found in our recent study was
that one in four patients suffers an injury during a hospitalization … will develop a dangerous pressure injury. … But if you are
seeing a patient with an ankle injury, it should be underscored that there is a rule … AI to figure out how severe the injury has been.
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psnet.ahrq.gov/node/37514/psn-pdf
February 04, 2015 - Who pays for medical errors? … Who Pays for Medical Errors? … from a past study, investigators determined that hospitals assumed only 22% of costs
associated with injuries … reforms or market interventions are also suggested as mechanisms to deal with the externalization of
injury … issue/costs-adverse-drug-events-hospitalized-patients
https://psnet.ahrq.gov/issue/costs-medical-injuries-utah-and-colorado