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Total Results: 3,181 records

Showing results for "medical injury".

3081. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33787/psn-pdf
      January 01, 2018 - His name is Gilbert, and he is in a wheelchair, paralyzed from a gun injury. … about how wonderful his caregivers were, and how he loved the idea of being able to connect to his medical … And he loved the ability to make an appointment electronically and to track his medical records on his … They send it to the durable medical equipment vendor. … One of my colleagues here in Massachusetts, a CEO of an academic medical center, has a breakfast once

3082. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. | PSNet
      psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
      July 19, 2023 - The Case   A 20-year-old woman with a past medical history of ulcerative colitis was admitted for further … initiation of a triad of factors (Virchow’s triad)–consisting of hypercoagulability, stasis, and endothelial injury–which … coordination of care activities, such as ensuring home health services, making follow-up appointments with medical … providers, and obtaining durable medical supplies and medications at discharge, are critical to patient … central line and under what circumstances they should contact a healthcare provider or seek immediate medical

3083. In Conversation With… Kaveh Shojania, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
      February 26, 2025 - rate 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

3084. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853902/psn-pdf
      September 27, 2023 - 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 … between faulty bedside assessment and diagnostic error was corroborated in a systematic review of 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

3085. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
      January 01, 2022 - collaboration between ED and neurology teams. 4 Case Details (1) • A 58-year-old man with a past medical … Evaluation of Acute Neurological Deficits (1) • Despite advances in technology, neurologists still use medical … The patient’s past medical history of seizures and his normal non-contrast cranial CT could be compatible … perform CT angiography during stroke alerts due to concerns about causing contrast-related acute kidney injury

3086. In Conversation With… Neel Shah, MD, MPP | PSNet
      psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
      October 30, 2019 - Neel Shah: I was in medical school during an era where patient safety was very much on everyone's mind … The odds of experiencing a hemorrhage, sepsis, or organ injury are about three times higher with cesarean … If you're a neurosurgeon or a trauma surgeon, and you go back and operate on the place that you operated … How much of it is medical malpractice? … Medical malpractice doesn't explain it, nor does reimbursement.

3087. Maternal Safety | PSNet
      psnet.ahrq.gov/primer/maternal-safety
      January 10, 2024 - Johnson Pregnancy and birth are normal physiologic processes that optimally require support rather than medical … taking deliberate steps to value each mother’s life equally, appreciating the impact of historical trauma … High reliability perinatal units: an approach to the prevention of patient injury and medical malpractice … WebM&M Cases The Unhappy Patient Leaves Against Medical

3088. In Conversation With… Dave deBronkart | PSNet
      psnet.ahrq.gov/perspective/conversation-dave-debronkart
      June 01, 2014 - error disclosure, and medical board discipline. … saw a flurry of new patient organizations, among them the Josie King Foundation, Medically Induced Trauma … advocates, too, have generally concentrated their efforts on hospitals, where the most devastating patient injuries … Life Wish: One Woman's Struggle Against Medical Incompetence. Medical Consumers Publishing; 1986. … Medically Induced Trauma Support Services. [Available at] 18. Mothers Against Medical Error.

3089. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60542/psn-pdf
      May 27, 2020 - Association of Adverse Effects of Medical Treatment With Mortality in the United States: A Secondary … Analysis of the Global Burden of Diseases, Injuries, and Risk Factors Study.

3090. In Conversation with...Lucian Leape, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
      August 01, 2006 - Hiatt contacted me because the Medical Practice Study was just beginning, and they needed some more … And I went to the librarian and said, "I'm interested in how you prevent medical errors, and I've found … RW: So, a medical school librarian set off the modern patient safety movement? … As [former Harvard Medical School Dean for Education] Dan Federman said, "All doctors are in favor of … chronicled the number of days there had been since anyone at our plant had lost a day due a work-related injury

3091. Getting Into Patient Safety: A Personal Story | PSNet
      psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
      August 01, 2006 - Ward Reynolds (Renny) Maier, MD, was my medical guide, sharing his deep insights into how people do their … chronicled the number of days there had been since anyone at our plant had lost a day due a work-related injury … Hiatt contacted me because the Medical Practice Study was just beginning, and they needed some more … RW: So, a medical school librarian set off the modern patient safety movement? … As [former Harvard Medical School Dean for Education] Dan Federman said, "All doctors are in favor of

3092. Beyond the Pandemic: Creating Total Systems Safety | PSNet
      psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
      August 30, 2023 - Preventability of 30-Day Hospital Revisits Following Admission with COVID-19 at an Academic Medical Center … 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

3093. In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
      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 … Preventability of 30-Day Hospital Revisits Following Admission with COVID-19 at an Academic Medical Center

3094. In Conversation with...David Marx, JD | PSNet
      psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd
      October 01, 2007 - sport, and it's a reason that most of us carry first-party insurance to protect us from unanticipated injury … But it hasn't changed the tort system, which says, if you get harmed by the medical system, you sue. … Zealand today, you don't sue your physician—you go to the Accident Compensation Scheme if there's a medical … Job descriptions, medical staff bylaws, and codes of conduct should incorporate the principles. … The conversation that ensued among operational and medical leaders focused on categorizing the behavior

3095. Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet) | PSNet
      psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
      April 01, 2005 - Editorial Five years ago, the Institute of Medicine report, To Err is Human, placed the issue of medical … It soon became clear that cases of medical errors, if mined correctly, could play an essential role in … So we started off with the goal to look at serious medical errors. … However, if you believe that these kinds of schedules actually prevent injuries due to medical errors … Effect of reducing interns' work hours on serious medical errors in intensive care units.

3096. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61083/psn-pdf
      October 28, 2020 - Director for post-acute care at BJC Medical Group and the Project Medical Director for the Missouri … I have worked as the Post-Acute Medical Director for BJC Medical Group, a physician group allied with … In putting all of this in place, did you see reductions in harms like pressure injuries, resident falls … In one of the homes where I am the Medical Director, we’ve had one COVID-19 death but have had six … I tend to trust my own medical society.

3097. Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care | PSNet
      psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
      June 01, 2003 - In 2003, another key IOM report prioritized increased nurse staffing as a key mechanism to decrease medical … The standard rule of thumb is to have a nurse – patient ratio o f 1:4-5 on medical–surgical units, 1 … or 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 … 2021 A randomized trial of a multifactorial strategy to prevent serious fall injuries

3098. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49765/psn-pdf
      August 21, 2016 - radiograph provided reassurance that the central line was in the correct position without evidence of lung 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

3099. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866618/psn-pdf
      December 31, 2024 - 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

3100. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
      January 01, 2020 - patients with sleep apnea and other comorbidities 4 Case Details (1) • 69-year old man • Past medical … opioid-induced respiratory depression; of those, 77% resulted in severe brain damage or death – Most injuries … Findings of a Naloxone Database and its Utilization to Improve Safety and Education in a Tertiary Care Medical