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Total Results: 859 records

Showing results for "medical injury".

61. Incidence, patterns, and prevention of wrong-site surgery. | PSNet
    psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
    September 30, 2010 - Investigators further evaluated cases with available medical records, all of which were among the malpractice … 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 … February 17, 2011 Disclosure of medical injury to patients: an improbable risk management … May 20, 2015 Claims, errors, and compensation payments in medical malpractice litigation

62. Another Fall | PSNet
    psnet.ahrq.gov/web-mm/another-fall
    June 01, 2010 - one of my favorites, because it is a simple and direct maneuver that eliminates the risk of serious trauma … Two days later, he was transferred to the medical ward. … from falls, restraints may also cause injury. … under the standard medical malpractice negligence rule . … Mechanical restraint use and fall related injuries among residents of skilled nursing facilities.

63. The Danger of 10% Intravenous Calcium Chloride Extravasation. | PSNet
    psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
    April 24, 2024 - Multiple services were contacted to assist with management of this complicated wound. … After conservative treatment for nearly three weeks, the wound did not show any appreciable healing, … To prevent iatrogenic injuries of this type, physicians, nurses, and pharmacists must work together to … Management of severe calcium chloride extravasation injury: a case report. … WebM&M Cases Weight and Height Juxtaposition in the Electronic Medical

64. Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial. | PSNet
    psnet.ahrq.gov/issue/evaluation-patient-centered-fall-prevention-tool-kit-reduce-falls-and-injuries-nonrandomized
    February 01, 2023 - Study Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries … Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized … Conducted across three academic medical centers, this study evaluated the impact of a fall-prevention … Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized … May 4, 2022 A randomized trial of a multifactorial strategy to prevent serious fall injuries

65. Measuring mobile patient safety information system success: an empirical study. | PSNet
    psnet.ahrq.gov/issue/measuring-mobile-patient-safety-information-system-success-empirical-study
    September 27, 2017 - Citation Related Resources From the Same Author(s) Surgeon commitment to trauma … care decreases missed injuries. … February 27, 2019 System approach to prevent common bile duct injury and enhance performance … February 2, 2022 Psychological impact and coping strategies of frontline medical staff … March 23, 2012 Medical errors arising from outsourcing laboratory and radiology services

66. Malpractice cases in breast surgery: an assessment of litigation involving surgeons. | PSNet
    psnet.ahrq.gov/issue/malpractice-cases-breast-surgery-assessment-litigation-involving-surgeons
    August 04, 2021 - type (64%), error in surgical treatment was the most common allegation (87%), and infection, cosmetic injury … , emotional trauma, foreign body, and nosocomial infection were the top 5 injury descriptions. … August 4, 2021 Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study … Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical

67. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33561/psn-pdf
    September 15, 2024 - Ken Kizer, MD, former CEO of the National Quality Forum (NQF), in reference to particularly shocking medical … reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle Patient death or serious injury … , while being cared for in a healthcare setting Care management events Patient death or serious injury … associated with unsafe administration of blood products Maternal death or serious injury associated … of a neonate associated with labor or delivery in a low-risk pregnancy Patient death or serious injury

68. Patient safety in medical imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS). | PSNet
    psnet.ahrq.gov/issue/patient-safety-medical-imaging-joint-paper-european-society-radiology-esr-and-european
    September 30, 2010 - Commentary Patient safety in medical imaging: a joint paper of the European Society … Patient Safety in Medical Imaging: a joint paper of the European Society of Radiology (ESR) and the European … April 1, 2020 Association of low-dose whole-body computed tomography with missed injury … diagnoses and radiation exposure in patients with blunt multiple trauma. … September 29, 2017 Delayed or missed diagnosis of cervical spine injuries.

69. Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. | PSNet
    psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
    July 07, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries … Shift‐to‐shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure injuries … which nursing handover interventions result in improved patient outcomes (i.e., patient falls, pressure injuries … Estimating the economic cost of nurse sensitive adverse events amongst patients in medical … June 16, 2021 Medical device-related pressure ulcers: a systematic review and meta-analysis

70. How communication "failed" or "saved the day": counterfactual accounts of medical errors. | PSNet
    psnet.ahrq.gov/issue/how-communication-failed-or-saved-day-counterfactual-accounts-medical-errors
    September 21, 2022 - Study How communication "failed" or "saved the day": counterfactual accounts of medical … How Communication “Failed” or “Saved the Day”: Counterfactual Accounts of Medical Errors. … How Communication “Failed” or “Saved the Day”: Counterfactual Accounts of Medical Errors. … September 21, 2022 High delayed and missed injury rate after inter-hospital transfer … of severely injured trauma patients.

71. FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. | PSNet
    psnet.ahrq.gov/issue/fda-safety-communication-recommendations-reduce-surgical-fires-and-related-patient-injury
    October 19, 2022 - FDA Safety Communication: recommendations to reduce surgical fires and related patient injury … Citation Text: FDA Safety Communication: recommendations to reduce surgical fires and related patient injury … Citation Text: FDA Safety Communication: recommendations to reduce surgical fires and related patient injury … Copy Citation Related Resources From the Same Author(s) Golden State Medical

72. Are We Safer Today? | PSNet
    psnet.ahrq.gov/perspective/are-we-safer-today
    February 26, 2025 - In the Harvard Medical Practice Study , nurses and medical records analysts screened 31,429 records … What we found in our  recent study was that one in four patients suffers an injury during a hospitalization … will develop a dangerous pressure injury. … But if you are seeing a patient with an ankle injury, it should be underscored that there is a rule so … AI to figure out how severe the injury has been.

73. Preventable deaths in patients admitted from emergency department. | PSNet
    psnet.ahrq.gov/issue/preventable-deaths-patients-admitted-emergency-department
    September 27, 2017 - They found that inappropriate medical management, delay in diagnosis, and misdiagnosis contributed to … Citation Related Resources From the Same Author(s) Surgeon commitment to trauma … care decreases missed injuries. … Related Resources Factors associated with diagnostic error: an analysis of closed medical … February 7, 2018 Surgeon commitment to trauma care decreases missed injuries.

74. Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes. | PSNet
    psnet.ahrq.gov/issue/prospective-study-multisite-spread-medication-safety-intervention-factors-common-hospitals
    April 24, 2018 - identified several contextual factors impacting the implementation of the pharmacist-driven Nephrotoxic Injury … Hospitals succeeding in reducing medication-related acute kidney injury were more likely to have additional … February 1, 2023 A randomized trial of a multifactorial strategy to prevent serious fall injuries … Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical

75. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/847934/psn-pdf
    April 26, 2023 - and colleagues defined in the Harvard Medical Practice Study in New York State as “an injury that was … Thoracic Surgeons offers patient safety indicators for adult cardiac surgery, such as deep sternal wound … care facilities, including outcome measures focusing on mobility (falls), skin integrity (pressure injuries … including measures of retained surgical items, postoperative thromboses, postoperative sepsis, surgical wound … dehiscence, and obstetric trauma.

76. Inadvertent Castration | PSNet
    psnet.ahrq.gov/web-mm/inadvertent-castration
    October 27, 2010 - injury remains poorly studied. … We do not know the exact setting for the medical injury—urban or rural, community practice or academia … "( 10 ) In medical accidents, gaps in situation awareness and experience, rather than lack of medical … Results of the Harvard Medical Practice Study I. … An alternative strategy for studying adverse events in medical care.

77. Core Elements of Hospital Diagnostic Excellence (DxEx). | PSNet
    psnet.ahrq.gov/issue/core-elements-hospital-diagnostic-excellence-dxex
    April 26, 2023 - Assessment tools and a medical test checklist are available to aid in prioritization of improvement work … and in-patient/medical team communication. … March 7, 2018 Pressure Injury Prevention in Hospitals Training Program. … October 18, 2017 Preventing Falls With Injury.

78. Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. | PSNet
    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.

79. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic | PSNet
    psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
    January 12, 2022 - guidance developed by the Sepsis Alliance Institute, resources developed by the National Pressure Injury … 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 . … 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

80. Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? | PSNet
    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