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psnet.ahrq.gov/issue/social-capital-and-knowledge-sharing-effects-patient-safety
September 15, 2011 - Related Resources From the Same Author(s)
System approach to prevent common bile duct injury … September 15, 2011
Surgeon commitment to trauma care decreases missed injuries. … mechanism in preventing infection caused by accompanying caregivers during COVID-19-experience of a city medical … STOPP-J criteria and risks of hospitalization and mortality in elderly patients receiving home-based medical … January 9, 2011
The culture of a trauma team in relation to human factors.
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psnet.ahrq.gov/web-mm/little-shuteye
December 22, 2018 - 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. … medical complications for the child resulted. … Results of the Harvard Medical Practice Study I. … Results of the Harvard Medical Practice Study II.
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psnet.ahrq.gov/node/39797/psn-pdf
September 20, 2011 - Liability claims and costs before and after implementation
of a medical error disclosure program. … Liability claims and costs before and after implementation of
a medical error disclosure program. … https://psnet.ahrq.gov/issue/liability-claims-and-costs-and-after-implementation-medical-error-disclosure … by encouraging more open provider–patient communication and more fairly
compensating patients for injuries … psnet.ahrq.gov/issue/risk-management-extreme-honesty-may-be-best-policy
https://psnet.ahrq.gov/issue/disclosure-medical-injury-patients-improbable-risk-management-strategy
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psnet.ahrq.gov/issue/detection-missed-fractures-hand-and-forearm-whole-body-ct-blinded-reassessment
February 05, 2020 - the Same Author(s)
Association of low-dose whole-body computed tomography with missed injury … diagnoses and radiation exposure in patients with blunt multiple trauma. … Association of implementation and social network factors with patient safety culture in medical … diagnoses and radiation exposure in patients with blunt multiple trauma. … August 3, 2016
Collective intelligence meets medical decision-making: the collective
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psnet.ahrq.gov/node/40405/psn-pdf
February 10, 2015 - The social cost of adverse medical events, and what we
can do about it. … The social cost of adverse medical events, and what we can do about
it. … In this context, the social cost refers to the
economic costs associated with lives lost or injuries … /issue/171-billion-problem-annual-cost-measurable-medical-errors
https://psnet.ahrq.gov/issue/no-fault-compensation-medical-injuries-prospect-error-prevention … https://psnet.ahrq.gov/issue/no-fault-compensation-new-zealand-harmonizing-injury-compensation-provider-accountability-and
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psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
July 07, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries … Shift‐to‐shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure injuries … which nursing handover interventions result in improved patient outcomes (i.e., patient falls, pressure injuries … Estimating the economic cost of nurse sensitive adverse events amongst patients in medical … June 16, 2021
Medical device-related pressure ulcers: a systematic review and meta-analysis
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psnet.ahrq.gov/node/49554/psn-pdf
January 01, 2008 - https://psnet.ahrq.gov/web-mm/chemotherapy-extravasation
The Case
A 73-year-old woman with no past medical … Consequently,
these extravasation injuries often become larger, deeper, and more painful over time. … likely
because the event was detected early), some extravasations may require hospitalization for wound … The only medical grade DMSO
product available in the United States is a 50% solution, which may not … Retrospective study of the management of
chemotherapeutic extravasation injury.
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psnet.ahrq.gov/issue/comparative-analysis-incident-reporting-lag-times-academic-medical-centres-japan-and-usa
March 23, 2011 - Study
A comparative analysis of incident reporting lag times in academic medical … A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA … A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA … 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/node/34681/psn-pdf
February 09, 2011 - No-fault compensation for medical injuries: the prospect
for error prevention. … No-Fault Compensation for Medical Injuries. JAMA. 2003;286(2).
doi:10.1001/jama.286.2.217. … https://psnet.ahrq.gov/issue/no-fault-compensation-medical-injuries-prospect-error-prevention
The authors … from the Harvard School of Public Health describe a “no-fault” compensation system for
medical injuries … https://psnet.ahrq.gov/issue/no-fault-compensation-medical-injuries-prospect-error-prevention
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psnet.ahrq.gov/web-mm/another-fall
June 01, 2010 - 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. … from falls, restraints may also cause injury. … under the standard medical malpractice negligence rule . … Mechanical restraint use and fall related injuries among residents of skilled nursing facilities.
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psnet.ahrq.gov/issue/road-zero-preventable-birth-injuries
January 05, 2012 - Commentary
The road to zero preventable birth injuries. … The road to zero preventable birth injuries. Jt Comm J Qual Patient Saf. 2008;34(4):201-205. … safety team, which applied high reliability principles and best practices, reduced the rate of birth trauma … The road to zero preventable birth injuries. Jt Comm J Qual Patient Saf. 2008;34(4):201-205. … December 30, 2012
National safety effort targets perinatal injuries.
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psnet.ahrq.gov/issue/how-communication-failed-or-saved-day-counterfactual-accounts-medical-errors
September 21, 2022 - Study
How communication "failed" or "saved the day": counterfactual accounts of medical … How Communication “Failed” or “Saved the Day”: Counterfactual Accounts of Medical Errors. … How Communication “Failed” or “Saved the Day”: Counterfactual Accounts of Medical Errors. … September 21, 2022
High delayed and missed injury rate after inter-hospital transfer … of severely injured trauma patients.
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psnet.ahrq.gov/web-mm/inadvertent-castration
October 27, 2010 - injury remains poorly studied. … 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 … Results of the Harvard Medical Practice Study I. … An alternative strategy for studying adverse events in medical care.
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psnet.ahrq.gov/issue/applying-hfmea-prevent-chemotherapy-errors
September 27, 2017 - Citation
Related Resources From the Same Author(s)
Surgeon commitment to trauma … care decreases missed injuries. … March 9, 2009
System approach to prevent common bile duct injury and enhance performance … 2017
Impact of electronic chemotherapy order forms on prescribing errors at an urban medical … More
See More About The Topic
Risk Managers
Quality and Safety Professionals
Medical
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psnet.ahrq.gov/issue/apology-errors-whose-responsibility
September 27, 2016 - Download Citation
Related Resources From the Same Author(s)
The Medical … June 13, 2011
Preventing medical injury. … Results of the Harvard Medical Practice Study I. … November 30, 2016
Disclosing medical errors to patients: effects of nonverbal involvement … September 21, 2005
Removing Insult from Injury: Disclosing Adverse Events.
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psnet.ahrq.gov/issue/success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets
May 17, 2018 - July 2, 2019
Differences in the reporting of care-related patient injuries to existing … Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury … June 2, 2021
Towards international consensus on patient harm: perspectives on pressure injury … February 10, 2015
The $17.1 billion problem: the annual cost of measurable medical errors … November 28, 2007
Minnesota is first state with policy to stop billing after medical
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psnet.ahrq.gov/issue/negligent-care-and-malpractice-claiming-behavior-utah-and-colorado
June 23, 2015 - The authors analyzed the relationship between negligent medical error and the filing of medical liability … They reviewed each case for the presence of iatrogenic injury resulting from negligence and matched … the set of cases against the medical malpractice claims filed in the two states. … September 1, 2018
Improving reconciliation following medical injury: a qualitative study … September 28, 2017
The impact of incident disclosure behaviors on medical malpractice
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psnet.ahrq.gov/node/73996/psn-pdf
October 29, 2021 - Patient, Medical, and Legal Perspectives of Unsafe Care. …
https://psnet.ahrq.gov/issue/patient-medical-and-legal-perspectives-unsafe-care
Effective response … to medical harm involves a variety of perspectives that are aligned in purpose. … This
webinar discussed how different stakeholders might view approaches to medical error management. … lessons-learned-implementing-principled-approach-resolution-following-patient-harm
https://psnet.ahrq.gov/issue/assessing-patients-2019-experiences-medical-injury-reconciliation-processes-item-generation
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psnet.ahrq.gov/issue/measuring-mobile-patient-safety-information-system-success-empirical-study
September 27, 2017 - Citation
Related Resources From the Same Author(s)
Surgeon commitment to trauma … care decreases missed injuries. … February 27, 2019
System approach to prevent common bile duct injury and enhance performance … February 2, 2022
Psychological impact and coping strategies of frontline medical staff … March 23, 2012
Medical errors arising from outsourcing laboratory and radiology services
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psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web-based-system
August 04, 2021 - Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … Diagnostic Safety and Quality
April 26, 2023
Critical incidents involving the medical … The Topic
Hospitals
Quality and Safety Professionals
Hospital Medicine
Nurse Care
Medical