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psnet.ahrq.gov/issue/nurse-driven-system-improving-patient-quality-outcomes
October 12, 2011 - Related Resources From the Same Author(s)
The nurse's role in the causation of compensable injury … September 7, 2011
Clinical reasoning education at US medical schools: results from a
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psnet.ahrq.gov/issue/accelerating-what-works-using-qualitative-research-methods-developing-change-package-learning
November 25, 2009 - From research to practice: factors affecting implementation of prospective targeted injury-detection … Improving Diagnostic Safety and Quality
April 26, 2023
Harnessing the power of medical
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psnet.ahrq.gov/issue/sbar-shared-mental-model-improving-communication-between-clinicians
January 02, 2017 - 19, 2021
How communication "failed" or "saved the day": counterfactual accounts of medical … January 11, 2012
Patterns of communication breakdowns resulting in injury to surgical
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psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
October 28, 2020 - order of 1 in 10,000 individuals 2-4 – and can be related to autoimmune destruction, infiltration/injury … (hemorrhage, trauma, infection), underlying genetic or metabolic disorders, or medication effects. … /dental procedure, or physical trauma. … Although many communities do not have local access to an endocrinologist, academic medical centers in … life-threatening and can occur in patients with AI due to any physiologic stress, including viral illness or injury
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psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies
May 14, 2018 - Both electronic medical records and computerized order entry have been associated with significant … February 10, 2021
Preventing falls and fall-related injuries in health care facilities
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psnet.ahrq.gov/issue/interactive-effects-nurse-experienced-time-pressure-and-burnout-patient-safety-cross
September 23, 2009 - May 9, 2012
Surgeon commitment to trauma care decreases missed injuries. … May 22, 2013
System approach to prevent common bile duct injury and enhance performance
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - required emergency care due to these products, making opioids one of the most common causes of iatrogenic injury … nonfatal overdose go on to receive prescription opioids again and remain at high risk of subsequent injury … Dozens of similar guidelines have now been adopted by local, regional, and state medical and pharmacy … The primary goal of medical practice is to relieve suffering and these drugs do have a role. … We know that people with a history of substance use disorders, people with histories of childhood trauma
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psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - may result from such behaviors include self-harm (e.g., suicide attempts), assault, sexual contact, injury … or trauma from seclusion or physical restraint, elopement, and smuggling of contraband (e.g., razors … particular to the inpatient psychiatry unit include self-harm and suicide attempts, assault, sexual contact, injury … or trauma from seclusion or physical restraint, elopement, and smuggling of contraband onto the unit … J Trauma Stress. 2012;25:171-178. [go to PubMed]
9. Zimmerman M, Mattia JI.
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psnet.ahrq.gov/issue/health-care-worker-fatigue-and-patient-safety
December 23, 2016 - In response to these data, the Accreditation Council for Graduate Medical Education (ACGME) further … February 10, 2021
Preventing falls and fall-related injuries in health care facilities … reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical … April 5, 2013
Effects of the Accreditation Council for Graduate Medical Education duty … January 31, 2011
Perspective
The Role of Graduate Medical
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psnet.ahrq.gov/issue/impact-built-environment-patient-falls-hospital-rooms-integrative-review
July 27, 2022 - June 16, 2021
Institution of just culture physician peer review in an academic medical … Multifactorial interventions to reduce duration and variability in delays to identification of serious injury
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psnet.ahrq.gov/issue/adverse-events-and-burnout-moderating-effects-workgroup-identification-and-safety-climate
February 09, 2022 - The Critical Care Safety Study: the incidence and nature of adverse events and serious medical … July 8, 2020
A critical review: moral injury in nurses in the aftermath of a patient
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psnet.ahrq.gov/issue/safety-culture-safety-climate-and-safety-performance-healthcare-facilities-systematic-review
October 20, 2021 - September 14, 2022
Toward constructive change after making a medical error: recovery … June 10, 2020
A critical review: moral injury in nurses in the aftermath of a patient
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psnet.ahrq.gov/issue/healthcare-professionals-experience-psychological-safety-voice-and-silence
March 18, 2020 - Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury … The impact of medical errors.
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psnet.ahrq.gov/issue/qi-initiative-implementing-patient-handoff-checklist-pediatric-hospitalist-attendings
July 28, 2021 - innovative application of Bayesian disease mapping methods to patient safety research: a Canadian adverse medical … July 2, 2014
Patterns of communication breakdowns resulting in injury to surgical patients
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psnet.ahrq.gov/issue/root-cause-analysis-icu-adverse-events-veterans-health-administration
June 23, 2021 - November 14, 2018
Controlled trial to improve resident sign-out in a medical intensive … September 7, 2016
What’s past is prologue: organizational learning from a serious patient injury
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psnet.ahrq.gov/issue/hospital-acquired-conditions-reduction-program-racial-and-ethnic-diversity-and-magnet
June 08, 2022 - Multifactorial interventions to reduce duration and variability in delays to identification of serious injury … September 29, 2021
Frequency and nature of communication and handoff failures in medical
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psnet.ahrq.gov/issue/perspectives-anesthesia-and-perioperative-patient-safety-past-present-and-future
June 19, 2019 - May 14, 2014
Medical large language models are vulnerable to data-poisoning attacks. … WebM&M Cases
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury
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psnet.ahrq.gov/issue/factors-causing-variation-world-health-organization-surgical-safety-checklist-effectiveness
January 12, 2022 - Download Citation
Related Resources From the Same Author(s)
Intersystem medical … WebM&M Cases
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury
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psnet.ahrq.gov/issue/sources-nurse-sensitive-inpatient-safety-improvement
July 07, 2021 - September 24, 2016
Assessment of nursing home reporting of major injury falls for quality … Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical
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psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
March 01, 2012 - to always wash their hands before they touch me, but if I come into the emergency room with a stab wound … the patient about what he or she might have done better and how they might have contributed to the injury … Even this can be problematic because the majority of injuries go uncompensated, and a greater number … Beyond negligence: avoidability and medical injury compensation. Soc Sci Med. 2008;66:387-402. … January 4, 2017
Disclosure of medical injury to patients: an improbable risk management