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psnet.ahrq.gov/node/867980/psn-pdf
March 25, 2025 - Approximately five years after the first hospitalization, the patient suffered a head injury at work. … Olson, MD
Professor of Medicine and Pediatrics
University of Minnesota Medical School
apjolson@umn.edu
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psnet.ahrq.gov/node/49726/psn-pdf
March 01, 2015 - All of the medical records from Hospital A documented a left-sided tumor—the wrong side. … as a sentinel event—an unexpected occurrence
involving death or serious physical or psychological injuries … The first was
documentation error on the medical records from Hospital A (identifying the tumor on the … DeVine, MD
Professor of Orthopaedic Surgery
Medical College of Georgia
Georgia Regents University … other relationship with the manufacturers of any commercial products
discussed in this continuing medical
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psnet.ahrq.gov/web-mm/privacy-gone-awry
February 24, 2011 - Pauker, MD Chief, Department of Medical Genetics, Harvard Vanguard Medical Associates Associate Professor … of Pediatrics, Harvard Medical School
References
1. … Principles of medical ethics. American Medical Association Web site. Accessed April 20, 2004.
4. … HIPAA regulations—a new era of medical-record privacy? … January 12, 2022
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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psnet.ahrq.gov/node/49738/psn-pdf
August 21, 2015 - patient on the same unit who also happened to have severe cognitive impairment
from a traumatic brain injury … Key
lessons to consider include:
Review your HIPAA and state medical privacy law policies to ensure … From 1993 to 1996, one of us (JH) was a resident in Emergency Medicine at Harbor-UCLA Medical Center. … Today at Beth Israel Deaconess Medical Center, where
JH is Chief Information Officer, all emergency … , Harvard Medical School
Deven McGraw, JD, MPH, LLM
Partner, Manatt, Phelps & Phillips LLP
Faculty
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - approximately 30 to 35 cm allows repositioning of misplaced tubes and can potentially prevent pulmonary injury … Half of providers surveyed in one study agreed that the use of ANCR reduced medical errors and improved … Anita Singh, MD Department of Internal Medicine Division of Hospital Medicine UC Davis Medical Center … Closed Loop Communication Training in Medical Simulation. In: StatPearls . … Changes in medical errors after implementation of a handoff program.
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psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
April 24, 2024 - low socioeconomic status are at particularly high risk for poor outcomes such as medication errors, injuries … Medicare & Medicaid Services (CMS) defines homebound as being confined to the home due to an illness or injury … Electronic medical records allow access to patient charts virtually anywhere. … A quality of care framework for home-based medical care. … The use of advanced medical technologies at home: a systematic review of the literature.
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psnet.ahrq.gov/web-mm/compare-and-contrast
July 16, 2019 - However, severe or repeated episodes of acute kidney injury may increase the risk of progressive chronic … high-risk patients should include risk assessment, avoidance of contrast exposure, determination of medical … or other relationship with the manufacturers of any commercial products discussed in this continuing medical … Medical necessity – Is contrast study absolutely necessary? … Medical urgency – Is there time for prophylactic measures and correction of volume status?
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psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
October 10, 2017 - 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 … 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.
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psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
March 27, 2024 - The Accreditation Council for Continuing Medical Education (ACCME) defines a commercial interest as “ … In the morning, the admitting resident presented the case to the daytime medical team, including the … They urgently contacted the daytime medical team, and the teams met briefly in the endoscopy suite. … an unwanted resuscitation with extreme consequences, including CPR-related fractures, anoxic brain injury … review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma
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psnet.ahrq.gov/sites/default/files/2023-01/spotlight_overdose_of_gabapentin_and_oxycodone_in_a_patient_with_end-stage_renal_disease.pdf
January 01, 2023 - diabetes, peripheral arterial disease and hypertension
was admitted for nonhealing, infected lower leg wounds … • Their use in renal dysfunction, however, is limited due to the risk of NSAID-
related kidney injury … constricts the afferent arteriole, which can lead to hypertension,
hyperkalemia, hypervolemia, acute kidney injury
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psnet.ahrq.gov/node/852700/psn-pdf
August 30, 2023 - I spent many years with both startups and established medical device companies
that were heavily focused … measures are associated with measuring and reporting
specific harms, such as an infection, falls with injury … taken the recommendations of IHI’s Lucian Leape Institute to reform education, and redesigned
their medical … what’s troubling our workforce and distinguish among conditions such as burnout, moral distress
and injury
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psnet.ahrq.gov/node/73434/psn-pdf
June 30, 2021 - 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 … Learning Objectives
Discuss the importance of miscommunication in radiology as a contributor to medical … He was diagnosed with a rotator cuff injury and underwent left shoulder
surgery. … primary care provider, or incorrect findings can be communicated.2 In a study from
one major academic medical
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psnet.ahrq.gov/node/836941/psn-pdf
April 27, 2022 - This period carries a high risk of medical errors and adverse events due to fragmented
communication … low socioeconomic status are at particularly
high risk for poor outcomes such as medication errors, injuries … Medicare & Medicaid Services (CMS) defines homebound as being confined to the home
due to an illness or injury … Electronic medical records allow
access to patient charts virtually anywhere. … The use of advanced medical technologies at home: a
systematic review of the literature.?
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psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
June 01, 2018 - This is because the risk of developing acute kidney injury and/or hepatorenal syndrome is highest in … Perspective
Operationalizing Patient Safety at Academic Medical … Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma
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psnet.ahrq.gov/node/33614/psn-pdf
June 01, 2005 - //#ref1
https://psnet.ahrq.gov//#ref2
https://psnet.ahrq.gov//#ref2
https://psnet.ahrq.gov//#ref3
injuries … Clinicians reviewing medical records often disagree in labeling cases as adverse events from medical … Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical
Mistakes. … Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical
Practice. … Effect of reducing interns' work hours on serious
medical errors in intensive care units.
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psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - errors. 16 Standardized handoff processes can effectively decrease adverse events and medical errors … Changes in medical errors after implementation of a handoff program. … Disconnection in information exchange during pediatric trauma transfers: a qualitative study. … moderator of child’s acute biological response and subsequent posttraumatic stress symptoms in pediatric injury … disorder symptoms and child gender on risk for persistent posttraumatic stress disorder symptoms in child trauma
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psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
September 25, 2019 - The Accreditation Council for Continuing Medical Education (ACCME) defines an ineligible company as “ … Identify ways that bias associated with medical conditions, such as obesity and its treatment, can lead … Due to the delayed diagnosis, the patient suffered permanent brain injury requiring around-the-clock … If this new information is not incorporated into teams’ medical decision-making, there is a substantial … Education Research and Innovation, Medical Education Outcomes Center University of Minnesota Medical
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psnet.ahrq.gov/primer/human-factors-engineering
December 15, 2024 - anesthesia were integral to the redesign of anesthesia equipment, significantly reducing the risk of injury
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psnet.ahrq.gov/node/33678/psn-pdf
January 01, 2009 - Gallagher, MD, is Associate Professor in the Department of Medicine and the
Department of Medical History … Gallagher's
current research covers the disclosure of medical errors, examining patients' and doctors … error caused their injury and that if we start
disclosing more, litigation will increase. … https://psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients
RW: Another challenge is that … For all health care workers, there will be the availability of just-in-time training provided by
medical
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psnet.ahrq.gov/node/49478/psn-pdf
April 01, 2005 - However, severe or repeated episodes of acute kidney injury may increase the risk of
progressive chronic … high-
risk patients should include risk assessment, avoidance of contrast exposure, determination of medical … other relationship with the manufacturers of any
commercial products discussed in this continuing medical … Medical necessity – Is contrast study absolutely necessary? … Medical urgency – Is there time for prophylactic measures and correction of volume status?