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psnet.ahrq.gov/issue/criminalization-mistakes-nursing
June 13, 2011 - This commentary describes how treating medical mistakes in a punitive manner could have a detrimental … October 4, 2023
Incidence and severity of medication reconciliation discrepancies in trauma … attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical … December 23, 2011
The nurse's role in the causation of compensable injury.
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psnet.ahrq.gov/issue/physician-practice-patient-safety-assessment
April 24, 2018 - December 31, 2014
A randomized trial of a multifactorial strategy to prevent serious fall injuries … July 31, 2019
Medical groups' adoption of electronic health records and information systems … December 6, 2017
Excess mortality caused by medical injury.
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psnet.ahrq.gov/issue/just-flash-simple-surgery-can-turn-deadly
August 17, 2016 - This newspaper article discusses increasing concerns over potential burn injuries in the hospital setting … November 4, 2015
A medical detective story: why doctors make diagnostic errors. … October 23, 2018
Health-care providers want patients to read medical records, spot errors … The RSI Bundle
May 29, 2024
Communication failures contributing to patient injury
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psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
July 02, 2011 - The clipping of cerebral aneurysms is technically difficult with a risk of unintentional injury to branch … Take Home Points
The urgency of emergent surgical conditions influences medical decision making and … Inflammation as a link between brain injury and heart damage: the model of subarachnoid hemorrhage . … Intraoperative evoked potential monitoring for detecting cerebral injury during adult aneurysm clipping … May 20, 2009
Impact of the Accreditation Council for Graduate Medical Education work-hour
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psnet.ahrq.gov/node/61080/psn-pdf
October 28, 2020 - The clipping of cerebral aneurysms is technically difficult with a
risk of unintentional injury to branch … psnet.ahrq.gov//#18
Neuromonitoring during aneurysm clipping has been shown to reduce the risk of injury … Take Home Points
The urgency of emergent surgical conditions influences medical decision making and … Inflammation as a link between brain injury and heart damage: the model
of subarachnoid hemorrhage. … Intraoperative evoked potential monitoring for detecting cerebral
injury during adult aneurysm clipping
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psnet.ahrq.gov/issue/incidence-and-types-non-ideal-care-events-emergency-department
April 27, 2010 - Citation
Related Resources From the Same Author(s)
What whiteboards in a trauma … Meaningful Measurement in Patient and Family Engagement
March 10, 2021
Trauma … Related Resources
Factors associated with diagnostic error: an analysis of closed medical … October 28, 2020
Surgeon commitment to trauma care decreases missed injuries. … ; The impact of missed abdominal injuries in the era of nonoperative management.
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psnet.ahrq.gov/issue/impact-80-hour-work-week-appropriate-resident-case-coverage
June 18, 2008 - June 26, 2024
Temporal clustering of critical illness events on medical wards. … August 11, 2010
Framing family conversation after early diagnosis of iatrogenic injury … May 4, 2010
Impact of the Accreditation Council for Graduate Medical Education work-hour … May 20, 2009
Decreased bile duct injury rate during laparoscopic cholecystectomy in the
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psnet.ahrq.gov/issue/successful-implementation-department-veterans-affairs-national-surgical-quality-improvement
March 28, 2012 - Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical … July 13, 2010
The WHO patient safety curriculum guide for medical schools. … October 27, 2010
Laparoscopic bile duct injury: understanding the psychology and heuristics … February 11, 2009
Decreased bile duct injury rate during laparoscopic cholecystectomy
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psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
January 06, 2018 - July 19, 2023
Changes in medical errors after implementation of a handoff program. … December 8, 2021
Pressure Injury Prevention in Hospitals Training Program. … 18, 2017
Towards international consensus on patient harm: perspectives on pressure injury … September 19, 2016
The $17.1 billion problem: the annual cost of measurable medical errors
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psnet.ahrq.gov/issue/unanticipated-death-after-discharge-home-emergency-department
November 16, 2022 - February 24, 2011
Medical large language models are vulnerable to data-poisoning attacks … September 27, 2017
Interruptions in a level one trauma center: a case study. … 2013
Beating the weekend trend: increased mortality in older adult traumatic brain injury … October 11, 2012
Emergency department crowding and risk of preventable medical errors … July 13, 2010
Undertriage of elderly trauma patients to state-designated trauma centers
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psnet.ahrq.gov/node/43502/psn-pdf
September 10, 2014 - Catastrophic medical malpractice payouts in the United
States. … Catastrophic Medical Malpractice Payouts in the United
States. … https://psnet.ahrq.gov/issue/catastrophic-medical-malpractice-payouts-united-states
Proposals to reform … the medical malpractice system often include caps on payouts, under the assumption
that such large … error and were more likely to occur for
anesthesia and obstetric complications resulting in severe injury
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psnet.ahrq.gov/issue/do-written-disclosures-serious-events-increase-risk-malpractice-claims-one-health-care
October 12, 2011 - Disclosing medical errors to patients and families is considered essential for maintaining a therapeutic … Related Resources From the Same Author(s)
The nurse's role in the causation of compensable injury … October 12, 2011
A randomized trial of a multifactorial strategy to prevent serious fall injuries … December 21, 2017
The impact of incident disclosure behaviors on medical malpractice … April 5, 2013
Medical malpractice: why is it so hard for doctors to apologize?
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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
April 01, 2008 - confirming that the tip of the catheter was in the lower half of the superior vena cava, he closed the wound … The proceduralist must also be on the lookout for injury to surrounding structures (such as arteries, … successful placement and reducing complications. 7-9 Although there is no formal guidance from surgical or medical … More posterior approaches increase the risk of intercostal artery injury. 12 Although the method of … Iatrogenic injury to the intercostal artery: aetiology, diagnosis and therapeutic intervention.
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psnet.ahrq.gov/issue/fifth-discipline-art-practice-learning-organization-revised-updated-edition
May 12, 2010 - systems thinking” literature in patient safety, such as Leape’s classic 1994 Journal of the American Medical … February 8, 2011
Medical errors disclosure and apology. … October 24, 2018
A National Trauma Care System: Integrating Military and Civilian Trauma … Systems to Achieve Zero Preventable Deaths After Injury.
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psnet.ahrq.gov/issue/reducing-errors-emergency-surgery
January 31, 2018 - August 4, 2021
A randomized trial of a multifactorial strategy to prevent serious fall injuries … July 29, 2020
Medical large language models are vulnerable to data-poisoning attacks. … review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma … August 17, 2022
Preventable morbidity and mortality among non-trauma emergency surgery … January 4, 2010
Missed injuries in trauma patients: a literature review.
-
psnet.ahrq.gov/node/44123/psn-pdf
July 11, 2018 - national-surgical-quality-improvement-program
https://psnet.ahrq.gov/issue/association-between-sepsis-and-potential-medical-injury-among-hospitalized-patients
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psnet.ahrq.gov/node/74252/psn-pdf
January 12, 2022 - Or they were used to a certain type of protective foam to prevent pressure injuries and now they
must … With regard to pressure injuries for patients in the prone position, staff had to think about how to … We saw pressure injuries and as soon as these events occurred, we
saw staff problem-solving and doing … 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
-
psnet.ahrq.gov/node/35977/psn-pdf
February 17, 2011 - Making patient safety the centerpiece of medical liability
reform. … Making Patient Safety the Centerpiece of Medical Liability Reform. … These include reducing the rates
of preventable patient injuries, promoting open communication between … physicians and patients, ensuring
patients' access to fair compensation for legitimate medical injuries … /issue/national-medical-error-disclosure-and-compensation-medic-act
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psnet.ahrq.gov/node/49615/psn-pdf
December 01, 2010 - not be felt by patients with neuropathy, or may be
unrecognized in the setting of other illness or injury … Adv Wound Care. 1999;12:22-30. [go to
PubMed]
5. … Wound
Repair Regen. 2008;16:151-168. [go to PubMed]
10. … Slough or eschar may
be present on some parts of the wound bed. … Suspected deep
tissue injury
Purple or maroon localized area of discolored intact skin or blood-filled
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psnet.ahrq.gov/node/34640/psn-pdf
March 02, 2011 - hazards-hospitalization
This article examines a prospective study of more than 1000 patients admitted to a university medical … hospital complications during a given hospitalization
and found that nearly 20% of patients experienced a medical … This was one of the first studies to document the
frequency of iatrogenic injury in hospital care.