AHRQ Search | Home Page

Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy | PSNet

psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency

September 30, 2020 - SPOTLIGHT CASE Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. … The Accreditation Council for Continuing Medical Education (ACCME) defines an ineligible company as “ … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy.

Surgical fire in the United States: 2000-2020. | PSNet

psnet.ahrq.gov/issue/surgical-fire-united-states-2000-2020

March 03, 2021 - Surgical fires, while rare, can result in the injury , permanent disability, or death of patients or … Between 2000 and 2020, 565 surgical fires resulting in injury were reported to the FDA’s Manufacturer … aerodigestive tract and head and neck surgeries; these were also most likely to result in life-threatening injury … 2024 Evaluation of detected medication errors within the operating room at an academic medical

COVID-19 Pandemic Impact on Healthcare Associated Conditions | PSNet

psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions

April 17, 2025 - indicate that hospitals with closed visitations experienced larger performance deficits across measures of medical … Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury … care delivery, including how hospitals prevent common hospital-acquired conditions such as pressure injuries … data, the authors of this study did not identify a longitudinal increase in hospital-acquired pressure injuries … The authors discuss how prior organizational efforts to reduce hospital-acquired pressure injuries allowed

Lessons from walking the medical distancing tightrope. | PSNet

psnet.ahrq.gov/issue/lessons-walking-medical-distancing-tightrope

October 21, 2020 - Commentary Lessons from walking the medical distancing tightrope. … Lessons from walking the medical distancing tightrope. … This commentary describes one academic medical center’s approach to “medical distancing” to mitigate … Lessons from walking the medical distancing tightrope. … November 18, 2020 Assessing patients 2019 experiences with medical injury reconciliation

A proposal to use common ground that exists between the medical and legal professions to promote a culture of safety. | PSNet

psnet.ahrq.gov/issue/proposal-use-common-ground-exists-between-medical-and-legal-professions-promote-culture

December 15, 2021 - Commentary A proposal to use common ground that exists between the medical and legal … Citation Text: A proposal to use common ground that exists between the medical and legal professions … July 7, 2021 Another medical malpractice crisis?: Try something different. … April 24, 2019 Disclosure of medical injury to patients: an improbable risk management … May 20, 2015 Apologies and medical error.

In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD | PSNet

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.

Iowans' Views on Medical Errors: Iowa Patient Safety Study. | PSNet

psnet.ahrq.gov/issue/iowans-views-medical-errors-iowa-patient-safety-study

October 23, 2019 - Book/Report Iowans' Views on Medical Errors: Iowa Patient Safety Study. … Citation Text: Iowans' Views on Medical Errors: Iowa Patient Safety Study. … injury. … March 29, 2017 In support of the medical apology: the nonlegal arguments. … May 7, 2007 After Harm: Medical Error and the Ethics of Forgiveness.

An experimental study of medical error explanations: do apology, empathy, corrective action, and compensation alter intentions and attitudes? | PSNet

psnet.ahrq.gov/issue/experimental-study-medical-error-explanations-do-apology-empathy-corrective-action-and

October 07, 2020 - Study An experimental study of medical error explanations: do apology, empathy, corrective … An Experimental Study of Medical Error Explanations: Do Apology, Empathy, Corrective Action, and Compensation … July 18, 2016 Associations between communication climate and the frequency of medical … injury. … March 21, 2017 In support of the medical apology: the nonlegal arguments.

The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. | PSNet

psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead-way-patient-safety

April 03, 2019 - Book/Report The Financial and Human Cost of Medical Error... and How Massachusetts … Citation Text: The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the … The Center also conducted a patient survey exploring harms from medical errors. … Respondents reported loss of trust and suboptimal disclosure practices around medical errors. … Injury.

An innovative mobile approach for patient safety services: the case of a Taiwan health care provider. | PSNet

psnet.ahrq.gov/issue/innovative-mobile-approach-patient-safety-services-case-taiwan-health-care-provider

September 27, 2017 - Citation Related Resources From the Same Author(s) Surgeon commitment to trauma … care decreases missed injuries. … mechanism in preventing infection caused by accompanying caregivers during COVID-19-experience of a city medical … June 15, 2012 System approach to prevent common bile duct injury and enhance performance

Medicines reconciliation using a shared electronic health care record. | PSNet

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

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans | PSNet

psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-customized-prevention

July 23, 2024 - A recent study in 14 medical units within three academic medical centers found that implementation of … Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized … American Medical Informatics Association; 2012:170. Dykes PC, Burns Z, Adelman J, et al. … Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized … Fall and injury prevention. In: Hughes RG, ed.

Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors | PSNet

psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment

May 31, 2023 - , and specialty situations (neurotrauma, burns, spinal cord injury, and orthopedic trauma). … The medical trauma team leader responds to these computer-generated diagnostic and intervention prompts … Reception and Resuscitation Team to research ways to reduce medical errors during trauma treatment. … ‘Trauma systems development challenges the conventional medical hierarchy’. … Missed injuries in a level I trauma center. J Trauma. 2002 Apr;52(4):715-9.

Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013. | PSNet

psnet.ahrq.gov/issue/improvement-patient-safety-may-precede-policy-changes-trends-patient-safety-indicators-united

November 01, 2017 - authors discuss major CMS payment policy changes and their intersection with the PSI; except for pressure injuries … August 10, 2022 Complexity bias in the prevention of iatrogenic injury: why specific … May 13, 2020 Assessment of nursing home reporting of major injury falls for quality measurement … 2013 View More See More About The Topic Hospitals Policy Makers Medical

Partnered pharmacist charting on admission in the general medical and emergency short-stay unit—a cluster-randomised controlled trial in patients with complex medication regimens. | PSNet

psnet.ahrq.gov/issue/partnered-pharmacist-charting-admission-general-medical-and-emergency-short-stay-unit-cluster

July 06, 2011 - Study Partnered pharmacist charting on admission in the general medical and emergency … This study examined the impact of having a pharmacist review medical charts of patients with complex … medication regimens who were admitted to a general medical or emergency short-stay unit. … May 28, 2015 A randomized trial of a multifactorial strategy to prevent serious fall injuries … Topics in Medication Safety March 31, 2022 6-PACK programme to decrease fall injuries

A system-wide hospital child maltreatment patient safety program. | PSNet

psnet.ahrq.gov/issue/system-wide-hospital-child-maltreatment-patient-safety-program

September 15, 2021 - allowing 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 … March 9, 2022 Family safety reporting in hospitalized children with medical complexity … effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency medical

Medical error: the second victim. | PSNet

psnet.ahrq.gov/issue/medical-error-second-victim-0

February 17, 2017 - Commentary Medical error: the second victim. … Medical error: the second victim. Br J Hosp Med (Lond). 2012;73(10):C146-148. … Medical error: the second victim. Br J Hosp Med (Lond). 2012;73(10):C146-148. … February 17, 2017 A randomized trial of a multifactorial strategy to prevent serious fall injuries … September 19, 2016 Second Victim: Error, Guilt, Trauma, and Resilience.

Sentinel Event. | PSNet

psnet.ahrq.gov/issue/sentinel-event

May 30, 2012 - event alerts in response to unexpected incidents involving death or serious physical or psychological injury … These events are identified as sentinel due to the gravity of the injury and the need for immediate investigation … June 24, 2019 Medical device alarm safety in hospitals.

Negative emotions experienced by healthcare staff following medication administration errors: a descriptive study using text-mining and content analysis of incident data. | PSNet

psnet.ahrq.gov/issue/negative-emotions-experienced-healthcare-staff-following-medication-administration-errors

December 18, 2019 - Healthcare staff who are involved in a medical error often experience emotional distress . … Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury … February 1, 2023 Toward constructive change after making a medical error: recovery from … June 24, 2020 A critical review: moral injury in nurses in the aftermath of a patient

Teaching medical error disclosure to residents using patient-centered simulation training. | PSNet

psnet.ahrq.gov/issue/teaching-medical-error-disclosure-residents-using-patient-centered-simulation-training

October 19, 2022 - Study Teaching medical error disclosure to residents using patient-centered simulation … Teaching medical error disclosure to residents using patient-centered simulation training. … Teaching medical error disclosure to residents using patient-centered simulation training. … June 28, 2023 Developing open disclosure strategies to medical error using simulation … October 4, 2011 Framing family conversation after early diagnosis of iatrogenic injury

Search AHRQ

Results