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Total Results: 3,181 records

Showing results for "medical injury".

441. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34727/psn-pdf
     July 13, 2016 - Chapters include the Foreword by James Reason, Lucian Leape’s chapter on the preventability of medical … injury, the chapter Operating at the Sharp End by Richard Cook and David Woods, the chapter on team

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45301/psn-pdf
     April 22, 2017 - reviewing-deaths-british-and-us-hospitals-study-two-scales-assessing-preventability https://psnet.ahrq.gov/issue/preventing-medical-injury

443. Ambulance stretcher adverse events. | PSNet
     psnet.ahrq.gov/issue/ambulance-stretcher-adverse-events
     March 23, 2011 - While events occurred mostly during unloading of the stretcher from the ambulance, injuries ranged from … mild sprains to traumatic brain injuries and death. … July 3, 2014 Analyzing communication errors in an air medical transport service. … poor patient outcomes: a validation of audit filters for prehospital trauma care. … March 24, 2010 Tort claims and adverse events in emergency medical services.

444. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38295/psn-pdf
     May 27, 2010 - physician-say-youre-sorry https://psnet.ahrq.gov/issue/patients-and-physicians-attitudes-regarding-disclosure-medical-errors … https://psnet.ahrq.gov/issue/disclosure-medical-injury-patients-improbable-risk-management-strategy

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39571/psn-pdf
     October 03, 2017 - assessing-legislative-potential-institute-error-transparency-state-comparison- malpractice Most preventable medical … psnet.ahrq.gov/issue/hospitals-find-confession-good-bottom-line https://psnet.ahrq.gov/issue/disclosure-medical-injury-patients-improbable-risk-management-strategy

446. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45174/psn-pdf
     November 18, 2016 - Patient safety events and harms during medical and surgical hospitalizations for persons with serious … Patient Safety Events and Harms During Medical and Surgical Hospitalizations for Persons With Serious … https://psnet.ahrq.gov/issue/patient-safety-events-and-harms-during-medical-and-surgical-hospitalizations … This cohort study assessed the frequency of preventable adverse events during medical hospitalizations … primarily medication errors, were very common among these patients and were associated with physical injury

447. Spotlight Case (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
     May 01, 2006 - Past medical history was notable for stroke with residual left-sided hemiparesis, hypertension, coronary … Near Miss – An event or situation that did not produce patient injury, but only because of chance. … Adverse Event – Any injury caused by medical care. … Examples: pneumothorax from central venous catheter placement anaphylaxis to penicillin postoperative wound … Similarly, postoperative wound infections count as adverse events even if the operation proceeded with

448. Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey. | PSNet
     psnet.ahrq.gov/issue/organisational-strategies-implement-hospital-pressure-ulcer-prevention-programmes-findings
     June 02, 2021 - Author(s) Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury … Association of implementation and social network factors with patient safety culture in medical … Quality April 26, 2023 Root cause analysis for hospital-acquired pressure injury

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34711/psn-pdf
     February 18, 2011 - The Institute of Medicine report on medical errors—could it do harm? … The Institute of Medicine report on medical errors--could it do harm? … https://psnet.ahrq.gov/issue/institute-medicine-report-medical-errors-could-it-do-harm In this article … He also notes the discordance between the demand for systematic approaches to injury prevention and … He expresses concerns regarding the demand for public reporting of medical errors that has resulted

450. Three Australian whistleblowing sagas: lessons for internal and external regulation. | PSNet
     psnet.ahrq.gov/issue/three-australian-whistleblowing-sagas-lessons-internal-and-external-regulation
     August 17, 2005 - August 4, 2021 A randomized trial of a multifactorial strategy to prevent serious fall injuries … July 14, 2010 No-fault compensation in New Zealand: harmonizing injury compensation, … January 14, 2009 Regulating compensation for injuries associated with medical error.

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37292/psn-pdf
     May 24, 2015 - Guilty, afraid, and alone — struggling with medical error. May 24, 2015 Delbanco T, Bell SK. … Guilty, afraid, and alone--struggling with medical error. N Engl J Med. 2007;357(17):1682-3. … https://psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error Disclosure of medical … https://psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error https://psnet.ahrq.gov/ … psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure https://psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events

452. Three perspectives on changes in resident work environment and duty hours. | PSNet
     psnet.ahrq.gov/issue/three-perspectives-changes-resident-work-environment-and-duty-hours
     September 02, 2020 - February 1, 2023 Association of low-dose whole-body computed tomography with missed injury … diagnoses and radiation exposure in patients with blunt multiple trauma. … May 15, 2019 Resident duty hours and medical education policy—raising the evidence bar … February 20, 2017 Bipartisan Consensus: The Public Wants Well-Rested Medical Residents … duty hour reform on quality and safety in trauma care.

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838184/psn-pdf
     September 28, 2022 - https://psnet.ahrq.gov/issue/hidden-risk-wheelchair-use Medical devices intended to improve patient … This patient safety alert draws attention to the risk of injury when hospital wheelchairs are used by

454. The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team. | PSNet
     psnet.ahrq.gov/issue/relationship-emotional-climate-work-and-threat-patient-outcome-high-volume-thoracic-surgery
     July 05, 2013 - Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury … March 3, 2011 Patterns of communication breakdowns resulting in injury to surgical patients … March 3, 2011 The efficacy of medical team training: improved team performance and decreased … September 15, 2010 Medical team training and coaching in the veterans health administration

455. Patient characteristics and the occurrence of never events. | PSNet
     psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events
     February 15, 2011 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … , 2024 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury … August 2, 2015 The $17.1 billion problem: the annual cost of measurable medical errors … From research to practice: factors affecting implementation of prospective targeted injury-detection

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36529/psn-pdf
     August 09, 2011 - Building on this effort, the 5 Million Lives Campaign aims to prevent 5 million incidents of medical … harm (defined as "unintended injury due to medical care") in the next 2 years through the adoption

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44645/psn-pdf
     July 01, 2017 - post-traumatic-stress-disorder-amongst-surgical-trainees-unrecognised-risk Physicians who experience adverse effects after being involved in medical … psychological consequences as severe as post-traumatic stress disorder following death or serious injury … primer/second-victims-support-clinicians-involved-errors-and-adverse-events https://psnet.ahrq.gov/issue/medical-error-second-victim

458. The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits. | PSNet
     psnet.ahrq.gov/issue/cms-ruling-venous-thromboembolism-after-total-knee-or-hip-arthroplasty-weighing-risks-and
     June 21, 2016 - mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism in trauma … 2014 Beating the weekend trend: increased mortality in older adult traumatic brain injury … February 13, 2019 Eliminating Serious, Preventable, and Costly Medical Errors - Never … February 10, 2015 The $17.1 billion problem: the annual cost of measurable medical errors … November 28, 2007 Minnesota is first state with policy to stop billing after medical

459. Opportunities to enhance laboratory professionals' role on the diagnostic team. | PSNet
     psnet.ahrq.gov/issue/opportunities-enhance-laboratory-professionals-role-diagnostic-team
     April 13, 2022 - January 26, 2022 A randomized trial of a multifactorial strategy to prevent serious fall injuries … More Related Resources Diagnostic accuracy of physician-staffed emergency medical … June 26, 2019 Extent of diagnostic agreement among medical referrals. … November 26, 2008 Missed injuries in trauma patients: a literature review.

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47635/psn-pdf
     April 03, 2019 - psnet.ahrq.gov/issue/patterns-technical-error-among-surgical-malpractice-claims-analysis-strategies-prevent-injury … https://psnet.ahrq.gov/issue/what-known-about-adverse-events-older-medical-hospital-inpatients-systematic-review