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psnet.ahrq.gov/issue/computer-alert-system-prevent-injury-adverse-drug-events-development-and-evaluation-community
November 01, 2016 - Study
Classic
A computer alert system to prevent injury … A Computer Alert System to Prevent Injury From Adverse Drug Events. … A Computer Alert System to Prevent Injury From Adverse Drug Events. … October 16, 2013
Ensuring patient safety in wireless medical device networks.
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psnet.ahrq.gov/node/60856/psn-pdf
August 26, 2020 - The Accreditation Council for Continuing Medical
Education (ACCME) defines a commercial interest as … While the injury itself (stable pelvic fracture) is easily
survived in most cases, the evident frailty … One of the most
insidious iatrogenic insults affecting older patients with serious injuries is the inability … Injury. 2018;49(1):130?134. doi:10.1016/j.injury.2017.09.002
7. … Injury. 2020;S0020-1383(20)30424-
1. doi:10.1016/j.injury.2020.05.017
10.
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psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - SPOTLIGHT CASE
Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. … The Accreditation Council for Continuing Medical Education (ACCME) defines an ineligible company as “ … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy.
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psnet.ahrq.gov/issue/medical-errors-and-consequent-adverse-events-critically-ill-surgical-patients-tertiary-care
December 22, 2010 - J Emerg Trauma Shock. 2009;2(2):80-4. doi:10.4103/0974-2700.50740. … J Emerg Trauma Shock . 2009; 2 (2) :80-4 .
View more articles from the same authors. … J Emerg Trauma Shock. 2009;2(2):80-4. doi:10.4103/0974-2700.50740. … , 2020
Incidence and predictors of opioid prescription at discharge after traumatic injury … June 27, 2011
Trauma resuscitation errors and computer-assisted decision support.
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psnet.ahrq.gov/node/44556/psn-pdf
December 23, 2016 - Preventing falls and fall-related injuries in health care
facilities. … https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
Falls … in the hospital are common, particularly among elderly patients, and falls resulting in serious injury … https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
https: … psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
https://psnet.ahrq.gov/web-mm/medical-devices-wild
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psnet.ahrq.gov/issue/surgical-fire-united-states-2000-2020
March 03, 2021 - Surgical fires, while rare, can result in the injury , permanent disability, or death of patients or … Between 2000 and 2020, 565 surgical fires resulting in injury were reported to the FDA’s Manufacturer … aerodigestive tract and head and neck surgeries; these were also most likely to result in life-threatening injury … 2024
Evaluation of detected medication errors within the operating room at an academic medical
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psnet.ahrq.gov/issue/underreporting-quality-measures-and-associated-facility-characteristics-and-racial
August 09, 2023 - characteristics and reporting patterns for two measures of nursing home care quality ( falls with major injury … August 24, 2022
Assessment of nursing home reporting of major injury falls for quality … mechanism in preventing infection caused by accompanying caregivers during COVID-19-experience of a city medical … July 15, 2020
Assessment of nursing home reporting of major injury falls for quality
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psnet.ahrq.gov/issue/preventable-deaths-patients-admitted-emergency-department
September 27, 2017 - They found that inappropriate medical management, delay in diagnosis, and misdiagnosis contributed to … Citation
Related Resources From the Same Author(s)
Surgeon commitment to trauma … care decreases missed injuries. … Related Resources
Factors associated with diagnostic error: an analysis of closed medical … February 7, 2018
Surgeon commitment to trauma care decreases missed injuries.
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psnet.ahrq.gov/issue/prospective-study-multisite-spread-medication-safety-intervention-factors-common-hospitals
April 24, 2018 - identified several contextual factors impacting the implementation of the pharmacist-driven Nephrotoxic Injury … Hospitals succeeding in reducing medication-related acute kidney injury were more likely to have additional … February 1, 2023
A randomized trial of a multifactorial strategy to prevent serious fall injuries … 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/issue/impact-prolonged-continuous-wakefulness-resident-clinical-performance-intensive-care-unit
November 21, 2016 - This study discovered that the clinical performance of medical residents deteriorates during prolonged … October 7, 2013
Impact of extended-duration shifts on medical errors, adverse events, … January 7, 2011
Extended work duration and the risk of self-reported percutaneous injuries … October 31, 2011
Trauma resuscitation errors and computer-assisted decision support. … September 2, 2009
Decreased bile duct injury rate during laparoscopic cholecystectomy
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psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
January 01, 2024 - independent evaluation by a rapid response team.
23
Approaches to Improving Patient Safety (6)
24
The medical … Trauma-induced coagulopathy: what you need to know. J Trauma Acute Care Surg. 2024;96(2):179-185. … Vascular injury and complication in neurosurgical spine surgery. … Craniomaxillofac Trauma Reconstr. 2013;6(4):257-266. … Hetastarch during initial resuscitation from trauma. J Trauma. 2011;70(5 Suppl):S19-S21.
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psnet.ahrq.gov/issue/can-standard-configuration-cardiac-monitor-lead-medical-errors-under-stress-induction
May 19, 2021 - Study
Can the standard configuration of a cardiac monitor lead to medical errors … Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? … September 16, 2020
Association of low-dose whole-body computed tomography with missed injury … diagnoses and radiation exposure in patients with blunt multiple trauma. … December 19, 2017
Interruptions in a level one trauma center: a case study.
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psnet.ahrq.gov/node/35788/psn-pdf
March 05, 2008 - explains ethical and clinical reasons why both are
necessary for practitioner and patient healing after medical … full-disclosure-and-apology-idea-whose-time-has-come
https://psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events … https://psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
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psnet.ahrq.gov/issue/sorry-works
November 15, 2024 - supports a full-disclosure approach to medical errors. … November 28, 2016
Massachusetts Alliance for Communication and Resolution Following Medical … Injury. … September 6, 2011
Action against Medical Accidents.
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psnet.ahrq.gov/issue/use-medical-abbreviations-and-acronyms-knowledge-among-medical-students-and-postgraduates
August 23, 2023 - Study
Use of medical abbreviations and acronyms: knowledge among medical students … Use of medical abbreviations and acronyms: knowledge among medical students and postgraduates. … educational study, investigators tested students and resident physicians on their understanding of medical … Use of medical abbreviations and acronyms: knowledge among medical students and postgraduates. … , 2022
Incidence and predictors of opioid prescription at discharge after traumatic injury
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psnet.ahrq.gov/issue/lack-association-between-intraoperative-handoff-care-and-postoperative-complications
March 14, 2022 - October 12, 2009
Emergency medical services provider perceptions of the nature of adverse … WebM&M Cases
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury … February 23, 2015
The disclosure of unanticipated outcomes of care and medical errors … September 14, 2011
Role of intraoperative cholangiography in avoiding bile duct injury … August 26, 2011
Laparoscopic bile duct injury: understanding the psychology and heuristics
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psnet.ahrq.gov/node/33627/psn-pdf
February 01, 2006 - Removing Insult from Injury—Disclosing Adverse Events
February 1, 2006
Wu AW. … Removing Insult from Injury—Disclosing Adverse Events. PSNet [internet]. 2006. … https://psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
Perspective
You … Health plan members' views about disclosure of medical errors. … Removing Insult from Injury: Disclosing Adverse Events [video].
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psnet.ahrq.gov/node/33705/psn-pdf
January 01, 2011 - convened the Harvard surgical chiefs to develop evidence-based approaches to reduce
postoperative injury … Patients, Doctors and Lawyers: Medical Injury, Malpractice Litigation, and Patient Compensation in New … Patterns of
technical error among surgical patients: an analysis of strategies to prevent injury to … Patterns of communication breakdowns resulting
in injury to surgical patients. … neurological changes (suspected cerebrovascular accident/seizure/new
onset paralysis)
Development of major wound
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psnet.ahrq.gov/issue/impact-weekend-effect-postoperative-mortality-patients-undergoing-emergency-general-surgery
December 04, 2016 - Download Citation
Related Resources From the Same Author(s)
Use of medical … abbreviations and acronyms: knowledge among medical students and postgraduates. … April 12, 2023
A randomized trial of a multifactorial strategy to prevent serious fall injuries … February 19, 2020
Association of low-dose whole-body computed tomography with missed injury … diagnoses and radiation exposure in patients with blunt multiple trauma.
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psnet.ahrq.gov/issue/copying-and-pasting-examinations-within-electronic-medical-record
June 12, 2013 - Study
Copying and pasting of examinations within the electronic medical record. … Copying and pasting of examinations within the electronic medical record. … Copying and pasting of examinations within the electronic medical record. … September 9, 2010
A randomized trial of a multifactorial strategy to prevent serious fall injuries … 12, 2016
Towards international consensus on patient harm: perspectives on pressure injury