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psnet.ahrq.gov/node/34693/psn-pdf
February 10, 2011 - authors report a controlled trial to investigate whether knowledge of the severity of the outcome of a
medical … case identical in every way, with the
exception that if the true case resulted in mild reversible injury … , the matching case was made to result in
severe irreversible injury and vice versa.
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psnet.ahrq.gov/issue/differences-reporting-care-related-patient-injuries-existing-reporting-systems
December 12, 2018 - Commentary
Differences in the reporting of care-related patient injuries to existing … Differences in the reporting of care-related patient injuries to existing reporting systems. … Differences in the reporting of care-related patient injuries to existing reporting systems. … April 22, 2015
Antecedents of willingness to report medical treatment errors in health … February 15, 2011
Medical errors: mandatory reporting, voluntary reporting, or both?
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psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
February 26, 2025 - For example, in the "medical malpractice" space (what we call "treatment injury" in New Zealand), an … There will be legal debate about whether the cause was the preexisting injury or the actual medical error … For example, one injured patient wanted to talk about how the injury had adversely impacted her ability … You're the first person who has listened to how this injury has impacted me. … Payments to fix the medical problem, for example.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.230_slideshow.ppt
December 01, 2010 - credit is available
Commentary by: Susan Barbour, RN, FNP, University of California San Francisco Medical … Definition
National Pressure Ulcer Advisory Panel (APUP) defines a pressure ulcer as:
“A localized injury … Suspected deep tissue injury Purple or maroon localized area of discolored intact skin or blood-filled … 13753341
*
Identification of Pressure Ulcers (2)
Skin changes can appear days after the tissue injury … Wound Rep Reg. 2008; 16:151-168.
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psnet.ahrq.gov/issue/impact-warning-cpoe-system-inappropriate-pill-splitting-prescribed-medications-outpatients
July 16, 2015 - The study site was an academic medical center in Taiwan that performs more than 2.5 million ambulatory … March 24, 2019
System approach to prevent common bile duct injury and enhance performance … September 15, 2011
Surgeon commitment to trauma care decreases missed injuries.
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psnet.ahrq.gov/issue/medical-professional-liability-insurance-and-its-relation-medical-error-and-healthcare-risk
December 21, 2014 - Review
Medical professional liability insurance and its relation to medical error … Medical professional liability insurance and its relation to medical error and healthcare risk management … Medical professional liability insurance and its relation to medical error and healthcare risk management … May 30, 2018
The nurse's role in the causation of compensable injury. … October 6, 2011
Disclosing harmful medical errors to patients.
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psnet.ahrq.gov/issue/medicines-reconciliation-using-shared-electronic-health-care-record
March 04, 2015 - Related Resources From the Same Author(s)
Emotion and coping in the aftermath of medical … Multifactorial interventions to reduce duration and variability in delays to identification of serious injury … May 12, 2021
Assessing patients 2019 experiences with medical injury reconciliation processes … March 13, 2019
Assessing the accuracy of drug profiles in an electronic medical record … July 24, 2011
Development of a tool within the electronic medical record to facilitate
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psnet.ahrq.gov/issue/health-courts-offer-cure
January 09, 2024 - July 20, 2005
This editorial supports legislation such as the Fair and Reliable Medical … Justice Act , which calls for special courts to evaluate medical malpractice cases. … February 17, 2011
Doctors, lawyers make deal on medical-malpractice bill. … July 19, 2010
No-fault compensation in New Zealand: harmonizing injury compensation, … June 25, 2010
Fair and Reliable Medical Justice Act.
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psnet.ahrq.gov/issue/10-medical-errors-changed-standard-care
December 19, 2016 - Image/Poster
10 medical errors that changed the standard of care. … Citation Text:
10 medical errors that changed the standard of care. Bialek BB. Medscape Today. … This slide set presents medical errors that led to changes in practice standards. … September 28, 2016
Medical errors still claiming many lives. … 2016
Beating the weekend trend: increased mortality in older adult traumatic brain injury
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psnet.ahrq.gov/node/49701/psn-pdf
February 01, 2014 - national guidelines, including those from the American College of
Gastroenterology (7), the Welsh Wound … the past year; sensitivity or allergies to any
of the materials used in the device; rectal or anal injury … An FMS is unsuitable for spinal cord injury patients due to the high risk of autonomic
dysreflexia that … The presented case highlights the importance of undertaking a thorough medical history, reviewing this … Wounds UK. 2005;1:3:110-114.
[Available at]
7.
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psnet.ahrq.gov/node/49734/psn-pdf
May 01, 2015 - Emergency medical services found him unresponsive,
with a Glasgow Coma Scale score of 3. … Just then, another trauma patient arrived, and the supervising attending physician left the room. … The Commentary
This case represents a preventable medical error. … helped us realize that
seatbelts and airbags are, in aggregate, far more beneficial than any post-event trauma … The changing approach to the epidemiology, prevention, and amelioration of trauma: the
transition to
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psnet.ahrq.gov/node/73675/psn-pdf
September 08, 2021 - child abuse pediatricians (CAPs) to intervene and address potential errors (e.g., history taking,
injury … identification, testing for occult injuries, and cognitive analysis) and to identify patients who require … system-wide-hospital-child-maltreatment-patient-safety-program
https://psnet.ahrq.gov/issue/using-simulation-identify-sources-medical-diagnostic-error-child-physical-abuse
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psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
July 01, 2017 - That caring relationship doesn't end when an injury occurs, particularly if the injury is our fault. … They reduce the underlying safety problems that can lead to injuries that lead to claims. … Then, we have a few cases in which EHR systems themselves have had problems that have led to injuries … August 2, 2015
Disclosure of medical injury to patients: an improbable risk management … May 20, 2015
Medical monitoring for pharmaceutical injuries: tort law for the public's
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psnet.ahrq.gov/issue/radiation-protection-and-dose-monitoring-medical-imaging-journey-awareness-through
May 18, 2022 - Review
Radiation protection and dose monitoring in medical imaging: a journey from … Radiation Protection and Dose Monitoring in Medical Imaging. … Radiation Protection and Dose Monitoring in Medical Imaging. … October 19, 2022
A randomized trial of a multifactorial strategy to prevent serious fall injuries … Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury
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psnet.ahrq.gov/node/867428/psn-pdf
December 18, 2024 - record data from two large health systems to quantify the cost of patient falls and fall-
related injuries … no injury. … injury to that person and their psyche. … We
published our results in the Journal of the American Medical Association (JAMA). … I was a site Principal Investigator (PI) for the Strategies to Reduce Injuries and
Develop Confidence
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psnet.ahrq.gov/issue/impact-dedicated-medication-nurses-medication-administration-error-rate-randomized-controlled
September 24, 2010 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … July 17, 2024
Early identification and evaluation of severe pressure injuries. … March 19, 2019
Detection of missed injuries in a pediatric trauma center with the addition
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psnet.ahrq.gov/node/47841/psn-pdf
April 24, 2019 - incidents in the United States and the United Kingdom have fueled debate on the
impact of criminalizing medical … drs-bramhall-and-bawa-garba-and-rightful-domain-criminal-law
https://psnet.ahrq.gov/issue/improving-reconciliation-following-medical-injury-qualitative-study-responses-patient-safety
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psnet.ahrq.gov/node/38343/psn-pdf
December 09, 2014 - death or brain damage
claims decreased in recent years (though still a leading cause), maternal nerve injury … communication between
the obstetrician and anesthesiologist are identified as preventable causes of newborn injury … liability-associated-obstetric-anesthesia-closed-claims-analysis
https://psnet.ahrq.gov/issue/claims-errors-and-compensation-payments-medical-malpractice-litigation
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psnet.ahrq.gov/node/39261/psn-pdf
February 03, 2010 - study examined quality measures reported to the University Health Consortium, an alliance of
academic medical … patient-safety-measures-burn-care-do-national-reporting-systems-accurately-reflect-quality
https://psnet.ahrq.gov/issue/time-change-injury-and-trauma-care-delivery-trauma-death-review-analysis
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psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
January 12, 2022 - Our hospitals have great protocols in place for pressure injury prevention, but prone positioning brought … Injury Advisory Panel has called “COVID skin.” … COVID skin looks very much like deep tissue injury, or other types of pressure injury, but is actually … Medical device-related pressure injuries during the COVID-19 pandemic. … J Wound Ostomy Continence Nurs. 2020;47(5):430-434. doi:10.1097/WON.0000000000000689 8 .