Results

Total Results: 3,181 records

Showing results for "medical injury".

2901. Failure to Reevaluate | PSNet
      psnet.ahrq.gov/web-mm/failure-reevaluate
      February 01, 2014 - 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 has … Biomarkers of acute kidney injury. Annu Rev Pharmacol Toxicol. 2008;48:463-493. … Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injury.

2902. Psn-Pdf (pdf file)
      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

2903. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49639/psn-pdf
      November 01, 2011 - Frequency of near misses relative to medical errors Because of the lack of systematic mechanisms to … Benefits of studying near misses Studying close calls has several advantages over examining either medical … In case of injury, there may have been no attempt at recovery, or the attempts may have been unsuccessful … checklist to be completed before placement of a central venous catheter that is then added to the medical … Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems.

2904. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49600/psn-pdf
      April 01, 2010 - An ADE is defined as "an injury resulting from a medical intervention related to a drug. … , productivity losses, or decrements in quality of life.(9) Data from the 2006 National Ambulatory Medical … In a systems-based approach to medical error prevention, we recognize that many errors stem from weaknesses … National Ambulatory Medical Care Survey: 2006 summary. Natl Health Stat Report. 2008:1-39. … Electronic medical record/electronic health record use by office-based physicians: United States, 2008

2905. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863650/psn-pdf
      February 28, 2024 - Context of the Innovation Medical errors and adverse events lead to poor patient safety outcomes, but … many are preventable.2 A medical error is the failure to complete a planned action as intended, or … An adverse event is any injury caused by medical management rather than the underlying disease.3 Research … shows that medical errors and adverse events occur more frequently in the intensive care unit (ICU) … Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II. 

2906. Spotlight Case September 2006 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.134_slideshow.ppt
      September 01, 2006 - London, England: British Medical Association; August 2004. … injuries Van Eaton EG, et al. … Jt Comm J Qual Improv. 1998;24:77-87. * System used at UCSF Medical Center 15. … cmd=retrieve&db=pubmed&dopt=abstract&list_uids=9547682 Synopsis: UCSF Medical Center Signout System … Center, and Graduate Medical Education (GME) leadership Create a vision A sign-out system that could

2907. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848108/psn-pdf
      April 26, 2023 - The Accreditation Council for Continuing Medical Education (ACCME) defines an ineligible company as … transferred by ambulance to a tertiary Emergency Department (ED) from a referring hospital due to a left leg injury … holding her left hip flexed with significant tenderness on examination, but there were no other signs of trauma … safety during a diagnostic or therapeutic procedure.”4,5 Sedation can also ameliorate the psychological trauma … exist when sedation is urgently needed to prevent harm associated with the underlying condition or injury

2908. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49518/psn-pdf
      August 01, 2006 - After the medical assistant brought the insulin and syringe, the NP prepared the medication and injected … In this case, a medical assistant handed a tuberculin syringe to a NP who assumed it was an insulin … For example, the medical assistant may have been new to the job, not properly oriented or trained, … Insulin errors and injuries are common among hospitalized patients.(4-9) The risk of treatment-related … National Ambulatory Medical Care Survey: 2004 Summary.

2909. Peripheral IV in Too Long | PSNet
      psnet.ahrq.gov/web-mm/peripheral-iv-too-long
      September 15, 2011 - At this medical center, there was a standard protocol that called for all peripheral IV catheters to … This case provides one example of the hazards of this seemingly benign medical device. … Case & Commentary—Part 3: In response to this event, the medical center involved developed a strict … It appears the medical center took some steps to try to prevent future peripheral IV infections. … Related Resources From the Same Author(s) System approach to prevent common bile duct injury

2910. Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality | PSNet
      psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
      October 01, 2004 - Jude prosthetic valve) was admitted to the medical service with palpitations and chest pain. … jury is still out about the impact of public reporting on patient decisions regarding where to obtain medical … Peter Lindenauer, MD, MSc Medical Director, Clinical and Quality Informatics; Baystate Health Assistant … The unintended consequences of measuring quality on the quality of medical care. … Intramuscular injection site injuries masquerading as pressure ulcers. Wounds. 2003;15:302-312.

2911. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50389/psn-pdf
      September 25, 2019 - Laboratory tests showed acute kidney injury with markedly elevated levels of potassium, phosphate, and … Our daily lives—and our medical practice—rely on both of these processes, although the vast majority … Much of medical training is aimed at improving pattern recognition, and it is clear that expert clinicians … are not yet specific evidence-based strategies to support such a suggestion, one could imagine the medical … Olson, MD Associate Professor of Medicine and Pediatrics University of Minnesota Medical School Minneapolis

2912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33645/psn-pdf
      February 01, 2007 - The decision-making processes used by umpires and medical diagnosticians are remarkably similar or identical … In an ideal world, medical decisions would be made using "normative" techniques? … Medical trainees, whose clinical experience is progressively being fragmented by work hour restrictions … Rarely, the error may cause injury or death. … Physicians integrate their perception of the facts in the context of their medical knowledge base.

2913. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49512/psn-pdf
      May 01, 2006 - psnet.ahrq.gov/web-mm/right-left-neither Case Objectives Appreciate the role of Reason's Swiss Cheese Model in medical … Past medical history was notable for stroke with residual left-sided hemiparesis, hypertension, coronary … signed and faxed to the other hospital to obtain records of the recent ED visit for the ankle and foot injury … other relationship with the manufacturers of any commercial products discussed in this continuing medical … does not include information regarding investigational or off-label use of pharmaceutical products or medical

2914. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49857/psn-pdf
      March 01, 2019 - The Institute for Safe Medical Practices (ISMP) categorizes insulin as a high-risk medication in acute … of intercepted errors in these studies were categorized as serious (having potential to cause organ injury … references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references reduced adverse events, medical … Department of Pharmacy Associate Professor, Department of Emergency Medicine University of Rochester Medical … communication Patient-specific contributors Undifferentiated and unfamiliar patients Minimal past medical

2915. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50929/psn-pdf
      February 26, 2020 - Relevant Financial Relationships: As a provider accredited by the Accreditation Council for Continuing Medical … The Accreditation Council for Continuing Medical Education (ACCME) defines a commercial interest as … Other medical problems included type II diabetes mellitus, hypertension, hyperlipidemia, and right lower … Patient 2   A 38-year-old male patient was hospitalized and treated with IV antibiotics for a traumatic injury … Other medical problems included paraplegia and pneumonia.

2916. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33652/psn-pdf
      June 01, 2007 - on states to create mandatory reporting systems as part of a strategy to identify and learn about medical … advancing-patient-safety-through-state-reporting-systems https://psnet.ahrq.gov//#ref1 https://psnet.ahrq.gov//#ref2 medical … care system.(4) States have recognized the tension inherent in promoting transparency with regard to medical … How States Report Medical Errors to the Public: Issues and Barriers. … Sexual assault on a patient within or on the grounds of a health care facility Death or significant injury

2917. The Missing Abscess: Radiology Reads in the Digital Era | PSNet
      psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
      January 01, 2009 - Unfortunately, the patient developed a wound infection related to this second surgery. … The infection led to delayed wound healing and a prolonged hospital stay. … This PACS was formally installed at the new Baltimore VA Medical Center 2 years later. … As a consequence, many radiologists lack access to the patient's medical history from the EHR as they … November 1, 2016 Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy

2918. Duplicate Insulin Order | PSNet
      psnet.ahrq.gov/web-mm/duplicate-insulin-order
      May 04, 2012 - The Institute for Safe Medical Practices (ISMP) categorizes insulin as a high-risk medication in acute … of intercepted errors in these studies were categorized as serious (having potential to cause organ injury … Patient-specific contributors Undifferentiated and unfamiliar patients Minimal past medical … February 1, 2023 WebM&M Cases Consequences of Medical … Perspective Safety in the Prehospital Emergency Medical

2919. Failure to Rescue the Mother | PSNet
      psnet.ahrq.gov/web-mm/failure-rescue-mother
      September 23, 2020 - Wong, MD Fellow, Maternal-Fetal Medicine Cedars-Sinai Medical Center Los Angeles, CA Angelica Vivero, … MD Fellow, Transfusion Medicine Cedars-Sinai Medical Center Los Angeles, CA Ellen B. … Klapper, MD Professor of Pathology Medical Director, Transfusion Medicine Director, Transfusion Medicine … Fellowship Cedars-Sinai Medical Center Los Angeles, CA Kimberly D. … Related Resources WebM&M Cases Uterine Artery Injury

2920. Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement | PSNet
      psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
      February 23, 2022 - His past medical history included hypertension treated with lisinopril, diabetes treated with metformin … The patient’s laboratory results were notable for acute kidney injury and metabolic acidosis, with an … improvement project in Singapore between February 2012 and June 2013, 320 CVCs were inserted in the medical … intensive care unit and a medical intermediate care unit using a customized line kit that had drape … May 16, 2022 Medical crisis checklists in the emergency department: a simulation-based