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psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
November 25, 2020 - Patients with dangerous medical conditions and traumatic injuries may present with normal or near-normal … and trauma patients. 20
Several strategies exist to help crowded EDs minimize harm and reduce delays … “aides to replicate clinical scenarios.” 25 A recent focused review of simulation used for acute trauma … Multidisciplinary Simulation-Based Team Training for Trauma Resuscitation: A Scoping Review. … WebM&M Cases
Intraosseous Line Extravasation in a Pediatric Trauma
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psnet.ahrq.gov/node/33765/psn-pdf
April 01, 2014 - We
graded every hospital for which there's adequate data on errors, accidents, and injuries. … How do I protect them from the errors and injuries that are rampant? What can I do better?
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
June 01, 2005 - Pronovost: When I was a fourth-year medical student at Johns Hopkins, my dad died from a medical mistake—his … a particular patient safety intervention is going to save large numbers of lives or reduce serious 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. … July 14, 2010
Measurable outcomes of quality improvement in the trauma intensive care
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psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
May 01, 2009 - these missteps happens with stunning frequency in office practice, and each creates a potential for injury … Medical malpractice. N Engl J Med. 2004;350:283-292. [go to PubMed]
4. … A preliminary taxonomy of medical errors in family practice. … The Unity of Mistakes: A Phenomenological Analysis of Medical Work. … So incorporating that into medical school and even residency would help.
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psnet.ahrq.gov/node/33726/psn-pdf
March 01, 2012 - Boothman joined the University in 2001, and soon
developed a pioneering approach to medical mistakes … always wash their hands before they
touch me, but if I come into the emergency room with a stab wound … Skip Campbell [the Chief Medical Officer] has revolutionized peer review. He's made it relevant. … You have to have
medical people like Skip Campbell who are equally fearless and not defensive. … the
patient about what he or she might have done better and how they might have contributed to the injury
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psnet.ahrq.gov/node/33793/psn-pdf
November 01, 2015 - is a very
heterogeneous measure; basically all that these events have in common is that they were injuries … or harms
due to medical care. … with either the trigger tool or, even the more research-oriented version of it, the classic Harvard
Medical … /psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical … /psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical
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psnet.ahrq.gov/node/73103/psn-pdf
March 31, 2021 - multiple sclerosis and neurogenic bladder
presented to the emergency department (ED) of an academic medical … Common examples include pneumonia, Clostridium difficile infection,
pressure injuries, delirium, and … diarrhea in an incontinent patient with skin breakdown on the “backside” should have raised an
alarm, as wound … The use of a video visit for wound care is possible as skin
and wound tissue can be adequately evaluated … Wesley Valdes, DO
Telehealth and Wound Specialist
Sacramento, CA
wesley.valdes@gmail.com
Garth Utter
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psnet.ahrq.gov/node/33728/psn-pdf
May 01, 2012 - Classen, MD, MS, is Chief Medical Information Officer for Pascal Metrics and an
Associate Professor … DC: When we had a home grown electronic medical record at LDS Hospital and we could identify triggers … we now
have automated the Global Trigger Tool within health systems in their commercial electronic medical … of adverse events
in hospital patients, and it moves patient safety from a retrospective focus on injury … traffic control–type monitoring system that
can monitor patients when they have a fully electronic medical
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psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
March 01, 2015 - is an emeritus professor at Imperial College School of Medicine and a past president of the British Medical … We as a medical profession had an obligation to make that information available for these parents. … We had in a very large room 2000 medical notes from Bristol. … RW : There's been debate in the medical literature about using the HSMR as a quality measure, and some … demonstrate an average or below average R-AHMR, given that most quality problems, while associated with injury
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psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
January 29, 2021 - Relevant Financial Relationships : As a provider accredited by the Accreditation Council for Continuing Medical … The Accreditation Council for Continuing Medical Education (ACCME) defines an ineligible company as “ … role in diagnostic error include reimbursement structures that discourage consultation, incomplete medical … perforations. 21 Other identified risk factors include older age, presence of comorbidities, 22 acute kidney injury … Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of
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psnet.ahrq.gov/node/49638/psn-pdf
January 01, 2012 - Despite aggressive resuscitation efforts, the child suffered massive brain injury and
subsequently died … the-captain-of-the-ship" strategy is stereotypically surgical and "the-
orchestra-conductor" strategy is stereotypically medical
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psnet.ahrq.gov/node/863308/psn-pdf
February 28, 2024 - lacking.11 In this case, the addition of a nasogastric tube during ERCP
may have increased the risk of injury … Surgical airway kits are part of the emergency medical equipment that should be available
and checked … has aspirated with 100% oxygen, utilizing airway adjuncts including LMAs
as needed
Timothy Do, BS
Medical
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psnet.ahrq.gov/node/33634/psn-pdf
May 04, 2006 - Reports of several patient injuries following early discharge suggest that postoperative complications … Division of General Internal MedicineBrigham and Women's
HospitalAdjunct Assistant ProfessorWeill Medical
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psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
November 21, 2018 - and the design and location of hazards like furniture—can contribute to patient falls and associated injuries
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psnet.ahrq.gov/primer/high-reliability
January 29, 2020 - A regional health system in Canada reported a decrease in adverse events such as falls, pressure injuries
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psnet.ahrq.gov/sites/default/files/2021-11/spotlight_integration_and_coordination_of_disesase_treatment_and_palliative_care_final.pdf
January 01, 2021 - – For example, resuscitating a patient who is DNR (“do not resuscitate”) can
lead to injury to the … • Medical social workers can assist in facilitating communication with
and among family members and … • A medical social worker, chaplain, or other psychosocial
provider may help patients and family to … Life-
Sustaining Treatment (MOLST) Program in New York and shared medical decision making at the end … Role of a medical social worker in improving quality of life for patients with advanced cancer with a
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psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
February 01, 2007 - was founded in 1999 by Britto and Jason and Charlotte Maude, whose daughter Isabel was harmed by a medical … There isn't a corpus of medical knowledge or rules that I, or anyone on the team, has actually sat down … But you can also apply it to medical records. … Rarely, the error may cause injury or death. … Physicians integrate their perception of the facts in the context of their medical knowledge base.
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psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
February 01, 2007 - In an ideal world, medical decisions would be made using "normative" techniquesdecision-making processes … 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. … But you can also apply it to medical records.
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psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
February 10, 2021 - Relevant Financial Relationships : As a provider accredited by the Accreditation Council for Continuing Medical … The Accreditation Council for Continuing Medical Education (ACCME) defines an ineligible company as “ … especially in busy clinical settings such as the ED. 2–4 Hemolysis is defined as a generalized process of injury … WebM&M Cases
Intraosseous Line Extravasation in a Pediatric Trauma
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psnet.ahrq.gov/node/867357/psn-pdf
December 18, 2024 - Per emergency medical services (EMS) report, the patient went into cardiorespiratory arrest
and cardiopulmonary … significant reduction in the number of
unrecognized esophageal intubations and cases of hypoxic brain injury … P stands for pneumothorax, which typically occurs in trauma patients with rib fractures or patients … J Trauma Inj. 2019;32(3):136-142. [Free full
text]
7. Xuan Q, Lyu Z, Chen Q, et al.