-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide.pdf
February 10, 2014 - National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory
Panel, and Pan Pacific Pressure Injury … Last Seen Date in Wound Clinic. … determine which physician orders to use
for report displays; it will depend on what the electronic medical … The wound nurse, wound
physician, and other disciplines attending wound rounds can see
quickly which … Treatments
Wound Cleanser.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-144-fullreport.pdf
January 01, 2020 - Despite these major issues,
much can be done to improve the lives of CWD through proper medical care … We used the Pediatric Medical Complexity Algorithm (PMCA) to group patients
based on special health … practitioners may devote a visit to evaluating highly concerning
conditions (e.g., traumatic brain injury … Motor scores on the functional independence
measure after pediatric spinal cord injury. … complexity algorithm: A new
method to stratify children by medical complexity.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/43-pathway-worksheet.docx
June 01, 2023 - Intraoperative Ventilation 27
Intraoperative Normothermia 28
Intraoperative Euvolemia 29
Intraoperative Wound … All ISCR Pathways
Wound Protector Use
Recommended approach:
Wound protectors are recommended for all … is drinking liquids unless the patient has difficulty with oral intake, there is evidence of kidney injury … Considerations for colorectal procedures: Consider inclusion of wound, ostomy and continence nurses ( … begin before admission or upon presentation for all surgeries, to include:
· The patient and family
· Wound
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
November 01, 2014 - Physicians medical group. … Participation is required in the following priority areas: falls and fall injuries, pressure ulcers, … For example, in 2008 the national system launched a campaign to have zero preventable injuries or deaths … , the department was working toward certification as an American College of Surgeons (ACS) Level II Trauma … The ED successfully launched a trauma center and identified a new director in early 2010.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
April 01, 2016 - personally
■ Adapt non-verbal expressions and body language to the situation
■ Speak without using medical … situation by avoiding a direct description of the bad outcome and its consequences and instead
focusing on medical … We also don’t know right now if she has
suffered any injury from what happened, but we will check her
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
January 01, 2004 - The Henry Ford Medical Group, with its 800
physicians and researchers in 40 specialties, staffs Henry … Ford Hospital and 22
additional Henry Ford medical centers. … dealing with falls, medication
safety, lab specimen safety, identification problems, and employee health injuries … HFHS has a large medical group that generates a substantial
volume of out-patient visits. … in the medical record also should be included.
-
www.ahrq.gov/sites/default/files/2024-05/kobayashi-report.pdf
January 01, 2024 - Merck, PhD
Assistant Professor, Department of Diagnostic Imaging, Alpert Medical School of Brown University … study site was Rhode Island Hospital, a 719-bed nonprofit tertiary care referral facility
and Level-I trauma … medical device and informatics research at the study institution and beyond. … of (de-identified) physiologic datastreams from
thousands of live patients with varying illnesses, injuries … Medical Technology
interface- Open/Research (MeTeOR) toolkit. Brown Digital Repository, 2019.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
May 01, 2015 - UNIVERSITY OF ARKANSAS
FOR MEDICAL SCIENCES
MEDICAL CENTER AT A
GLANCE
• 438-bed academic medical … Root cause analyses of adverse
events and near-misses (events that did not produce patient injury) revealed … The AHRQ Patient
Safety Indicator 18 (Obstetric Trauma–Vaginal Delivery with Instrument) decreased by … in-house neonatal death, uterine rupture during labor,
unplanned maternal admission to ICU, birth trauma … The medical director shared updates with
physicians during regular medical staff meetings.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
June 01, 2023 - The study did not explicitly look at medical error. … Results of the Harvard
Medical Practice Study II. … Ethnographic analysis on the
use of the electronic medical record for clinical handoff. … Handoffs
causing patient harm: a survey of medical and surgical house staff. … Patterns of communication breakdowns resulting in injury to surgical patients.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership-cx.pdf
June 03, 2021 - Infrastructure (e.g.,
electronic medical records,
event reporting systems)
3. … stem from an inaccurate or delayed diagnosis, making it
the number one cause of serious harm among medical … testing and treatment.27 This overutilization contributes to harm, with aggressive
testing mistakes and injuries … Organizational factors
associated with high performance in quality and safety in academic medical centers
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdf
June 03, 2021 - Infrastructure (e.g.,
electronic medical records,
event reporting systems)
3. … stem from an inaccurate or delayed diagnosis, making it
the number one cause of serious harm among medical … testing and treatment.27 This overutilization contributes to harm, with aggressive
testing mistakes and injuries … Organizational factors
associated with high performance in quality and safety in academic medical centers
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults-references.html
September 01, 2024 - against overtesting, overdiagnosis, and overtreatment of older adults: thinking beyond imaging and injuries … The association between continuity of care and the overuse of medical procedures. … Minimum Geriatric Competencies for Medical Students. 2021. … “I’m sorry” laws and medical liability. AMA J Ethnics 2007 Apr;9(4):300-304. … https://journalofethics.ama-assn.org/article/im-sorry-laws-and-medical-liability/2007-04 .
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-surveys.pdf
January 01, 2020 - and people with physical, or developmental, or intellectual disabilities,
those with acquired brain injury … Some CAHPS surveys ask about patients' experiences
with providers, such as medical groups, practice … If you're a medical practice, you may want to do a walkthrough to get sort of a bird's-eye view of how … MHQP collects and publishes CAHPS survey scores every year for
hundreds of medical practices in that … I'm not quite sure which particular survey we're
talking about, so whether it's hospital, or medical
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-slides.pptx
September 01, 2022 - peritonsillar or retropharyngeal abscess
Persistent fever or worsening throat pain should trigger a return to medical … are first-line treatments for streptococcal pharyngitis
Patients should be instructed to return to medical
-
www.ahrq.gov/sites/default/files/2024-01/bolton-report.pdf
January 01, 2024 - Key
Words: Medical devices and technologies, Medical Alarms, Audition, Patient safety,
Psychophysical … The failure of humans to respond to auditory medical alarms has resulted in numerous
patient injuries … Medical Alarm Audibility System Checker (MAASC): A Computational Tool for Checking
Medical Alarm Configurations … Medical Alarm Audibility
System Checker (MAASC): A Computational Tool for Checking Medical Alarm
Configurations … equipment and medical
electrical systems.
-
www.ahrq.gov/news/events/nac/2023-11-nac/nacmtg111623-minutes.html
January 01, 2024 - Ivory, Ph.D., R.N., Vanderbilt University Medical Center
Mireille Jacobson, Ph.D., M.A., University … of Southern California, Leonard Davis School of Gerontology
Elizabeth Mort, MD, MPH, Harvard Medical … Schmitz endorsed the Accreditation Council for Graduate Medical Education to inform students of these … Toxic exposure-related injuries have become a growing concern in the military veteran population. … the members to continue to address equity and the value of all people and to address, in particular, medical
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-facilitator-guide.pdf
November 01, 2019 - Slide 23
Moment 1: Aspiration Event
SAY:
Pneumonitis is an abrupt chemical injury caused by
-
www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
January 01, 2025 - Clinic (GC) that provides ambulatory care, the Geisinger Health Plan (an insurance
plan), Geisinger Medical … GC, formed in 1981, is a Pennsylvania
not-for-profit corporation operating a multispecialty group medical … In addition, we built structured search strategies using Medical Subject Heading (MeSH) terms
that included … The
initial FMEA that we conducted at Geisinger Medical Center consisted of six meetings, as
summarized … orders not written
meds/labs
pt safety,
injury, harm
7 5 9 315
9 Process Step 3A: IP
CM Reviews
-
www.ahrq.gov/sites/default/files/2024-07/aboumatar-report.pdf
January 01, 2024 - stay in an unfamiliar place, trust physicians they do not know, and tolerate a
continuous stream of medical … behaviors are consistent with the described dimensions of patient
centered care in the medical … name key informants within their hospital
(e.g., nursing director, director of service excellence, medical … Communication/care boards in
patient rooms
• Castle Medical Center: Boards were redesigned for use … Discharge folder
• Castle Medical Center: A discharge folder was developed that is
provided at admission
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpra.pdf
March 01, 2012 - Surgical site infections,
pediatrics, pediatric surgery
Cohen Children’s Medical
Center of NY
Lynn … Infection control Children’s National Medical
Center
Mark Sorrentino M.D., M.S. … environment)
• Prevention of postoperative infection transmission (e.g., dressing the postoperative
wound … Often these settings are emotionally charged, because a patient has experienced a
severe injury at the … Assessing patient safety
risk before the injury occurs: An introduction to
sociotechnical probabilistic