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Total Results: 3,181 records

Showing results for "medical injury".

3101. The Role of Graduate Medical Education (GME) in Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
      February 01, 2010 - The Role of Graduate Medical Education (GME) in Improving Patient Safety Arpana R. … Patterns of communication breakdowns resulting in injury to surgical patients. … Accreditation Council for Graduate Medical Education (ACGME).  13. … Accreditation Council for Graduate Medical Education (ACGME). … Education (LCME) monitors medical schools.

3102. Communication Failure—Who's in Charge? | PSNet
      psnet.ahrq.gov/web-mm/communication-failure-whos-charge
      April 01, 2018 - 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

3103. In Conversation With… Maureen Bisognano | PSNet
      psnet.ahrq.gov/perspective/conversation-maureen-bisognano
      February 26, 2025 - 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

3104. In Conversation with…Thomas J. Nasca, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
      February 01, 2010 - Education (LCME) monitors medical schools. … Patterns of communication breakdowns resulting in injury to surgical patients. … Accreditation Council for Graduate Medical Education (ACGME).  13. … General competencies and accreditation in graduate medical education. … Accreditation Council for Graduate Medical Education (ACGME).

3105. Patient Advocacy in Patient Safety: Have Things Changed? | PSNet
      psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
      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.

3106. Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
      January 01, 2023 - by ambulance to a tertiary Emergency Department (ED) from a referring hospital due to a left leg injury … left hip flexed with significant tenderness on examination, but there were no other obvious signs of trauma … during a diagnostic or therapeutic procedure.”4,5 • Sedation can also ameliorate the psychological trauma … • Factors such as the patient’s anatomy, physiology, age, past medical history, allergies, physical … (ASA) Physical Status Classification System was created in 1962 to assess patients’ pre-anesthesia medical

3107. Isolated Clot, Real Error | PSNet
      psnet.ahrq.gov/web-mm/isolated-clot-real-error
      December 01, 2013 - is sometimes observed in clinical practice, filters should not be used as a way to prevent VTE after trauma … Associate Professor of Medicine, Division of Hospital Medicine University of California, San Francisco Medical … July 1, 2011 Injuries before and after diagnosis of cancer: nationwide register … Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical … September 1, 2017 WebM&M Cases Consequences of Medical

3108. Timely diagnosis of esophageal perforation | PSNet
      psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
      September 27, 2023 - Even in the absence of a history suggestive of esophageal perforation (instrumentation, injury, vomiting … Utter, MD MSc   Professor of Surgery  Division of Trauma, Acute Care Surgery, and Surgical Critical … 2022 WebM&M Cases Errors in Managing an Open Wound

3109. Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
      April 29, 2020 - 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

3110. First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit | PSNet
      psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
      October 30, 2019 - 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. … During eras where reimbursement and medical malpractice policies have been the same, we've continued

3111. Microsoft PowerPoint - Spotlight Case_A Missed Bowel Perforation - SLIDES_FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
      January 01, 2023 - between faulty bedside assessment and diagnostic error was corroborated in a systematic review of medical … 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

3112. Life-Threatening Infant Overdose of Sodium Chloride | PSNet
      psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
      December 23, 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. … Safety and Quality April 26, 2023 Making polypharmacy safer for children with medical

3113. In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
      August 01, 2016 - dental offices, except in centers that meet the strict requirements of equipment under supervision of a medical … We use this methodology with medical, dentistry, and nursing students with good results. … Here, the medical and health authorities began to show interest in patient safety in approximately 2004 … On the surface, the answer is disturbingly clear: dental care, like medical care, is inherently risky … that a review of the literature ( 2 ) we conducted identified reports of serious lacerations and other injuries

3114. Diagnostic Errors | PSNet
      psnet.ahrq.gov/perspective/diagnostic-errors
      December 01, 2013 - in 2014 looked at the frequency of diagnostic errors in specific clinical settings, such as missed injuries … in pediatric trauma . … Another study reported that 8% of deaths at a Level 1 trauma center were definitely or potentially preventable … Investigators reviewed the records of medical patients admitted to the pediatric ward or seen in the … DeBakey VA Medical Center and Baylor College of Medicine.

3115. Reaction to Dye | PSNet
      psnet.ahrq.gov/web-mm/reaction-dye
      March 01, 2007 - patient must be asked about prior contrast reactions, asthma, allergies, and other underlying diseases/medical … 2017 View More Related Resources Preventing accidents and injuries

3116. In Conversation With… Hardeep Singh, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
      January 01, 2014 - DeBakey VA Medical Center and Baylor College of Medicine. … in 2014 looked at the frequency of diagnostic errors in specific clinical settings, such as missed injuries … in pediatric trauma . … Another study reported that 8% of deaths at a Level 1 trauma center were definitely or potentially preventable … (undergraduate medical education [UME]) and residency programs (graduate medical education [GME]).

3117. Microsoft PowerPoint - FINAL Spotlight Case_A Complicated Course-Severe Alcohol Withdrawal - SLIDES.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
      January 01, 2023 - within the intensive care unit 4 Case Details (1) • A 65-year-old man weighing 71 kg with a past medical … • Medical record review revealed that he had been titrated upward to dexmedetomidine IV 0.6 mcg/kg … diazepam, chlordiazepoxide) are metabolized by the liver; therefore, in patients with AWS with liver injury … Medication errors room: a simulation to assess the medical, nursing and pharmacy staffs’ ability to … Healthcare utilization in medical intensive care unit survivors with alcohol withdrawal.

3118. Interpreting the Patient Safety Literature | PSNet
      psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
      June 01, 2005 - 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. … Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice. … Pronovost: When I was a fourth-year medical student at Johns Hopkins, my dad died from a medical mistake—his

3119. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
      January 01, 2024 - laboratories, especially in busy clinical settings such as the ED.2–4 Hemolysis is a generalized process of injury

3120. Cognitive Overload in the ICU | PSNet
      psnet.ahrq.gov/web-mm/cognitive-overload-icu
      June 01, 2005 - radiograph provided reassurance that the central line was in the correct position without evidence of lung injury … 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