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www.ahrq.gov/patient-safety/reports/liability/sands.html
August 01, 2017 - The Massachusetts Alliance for Communication and Resolution following Medical Injury (MACRMI) was formed … Its goals are to (1) proactively identify adverse events, (2) differentiate between injuries caused by … an apology and rapid, fair compensation, with patient representation, when unreasonable care caused injury … Injury (MACRMI). … Trauma Support Services.
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www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-d.html
May 01, 2024 - Appendix D: Grant Summaries
P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury … Reform Models
P7: Understanding the Relationship Between Proximity and Utilization of Patient-Centered Medical … Understanding How Nurse Practitioners Increase Access to Primary Care
S9: Using Integrated Social and Medical … P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury After Hospital Discharge … Adler-Milstein) P7: Understanding the Relationship Between Proximity and Utilization of Patient-Centered Medical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-091013.ppt
January 01, 2010 - Facilitates I/O measurement
Keeps patients from having to get up to urinate, protecting them from injury … Incontinent with open sacral/perineal wounds
Consult with wound care
End of life/hospice
Be sure it … Trauma)
Admitting service (e.g. … Incontinent with open sacral/perineal wounds?
End of life/hospice? … Protocolized care for trauma
Incontinence without open sacral or perineal wounds
Pre-operative
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-2-tech-specs.pdf
December 14, 2011 - TDB
These performance Measures are not clinical guidelines and do not establish a standard of medical … Wound assessment and decision making options. … These patients may be admitted with existing wounds and they may develop impaired skin
integrity due … Describes the different types of injuries that critically ill children, including infants, experience … Wound Ostomy and Continence Nurses Society.
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www.ahrq.gov/sites/default/files/2024-04/bonardi-report.pdf
January 01, 2024 - According to the American Geriatrics Society,i direct
medical costs for fall injuries in older adults … Bonardi A, Impact of a Fall Injury Prevention Program Among People with Intellectual
Disability. … Risk factors for injuries and falls among adults
with developmental disabilities. … Injuries, falls and accidents among adults with intellectual
disabilities. … Incident data report: Associated injuries, falls.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
June 02, 2025 - reports
depends on the presence of standardized data elements being
available in the electronic medical … Note that one fall may have major and minor injuries; in such a
case, only the major injury will be … injuries occur, they will only be counted as one. … or major injuries, only major injury will appear. … Prevention reports depends on the presence of standardized data elements being available in the electronic medical
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reports.html
November 01, 2017 - Medical director may also participate. … Department heads, including administrator and medical director (or physician/NP designee). … Medical Staff Meeting
Return to Top
Monthly Contextual Factors Report
Table 7. … Whether injury resulted from the fall and, if so, the type and severity of the injury. … Medical director may also participate.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mccchartbook.pdf
April 01, 2014 - -4 NO YES
861 HEART & LUNG INJURY -5 NO -4 NO
863 GI TRACT INJURY -4 NO -3 NO
864 LIVER INJURY - … 3 NO -3 NO
869 INTERNAL INJURY NOS -3 NO -3 NO
871 EYEBALL OPEN WOUND -3 NO -4 NO
872 OPEN WOUND OF … OPEN WOUND OF LOWER ARM -5 NO -5 NO
882 OPEN WOUND OF HAND -5 NO -5 NO
883 OPEN WOUND OF FINGER -5 … 893 OPEN WOUND OF TOE -5 NO -5 NO
904 BLOOD VESSEL INJURY NEC -5 NO -4 NO
908 LATE EFF INJURY NEC … TO NERVE NEC/NOS -4 NO -4 NO
958 EARLY COMPLIC OF TRAUMA -4 NO -3 NO
959 INJURY NEC/NOS -4 NO -3 NO
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-infmat.html
June 01, 2018 - Infant mortality per 1,000 live births (more than 2,499 grams)
Worse
No Change
Birth trauma—injury … Birth Trauma
Birth trauma—injury to neonate per 1,000 live births, by race/ethnicity, 2004-2013 … Trends:
From 2004 to 2013, birth trauma-neonatal injury rates fell from 2.6 per 1,000 live births … Between 2004 and 2012, birth trauma-neonatal injury rates fell for all racial/ethnic groups. … assessing their needs, offering relevant education, and connecting enrollees and their families with needed medical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
January 01, 2003 - To estimate medical expenditures for the 90
days following the medical injury, we track all of the patient … In particular, Johnson and colleagues2 estimated the cost of medical injuries
from the New York Medical … chart of the medical injury. … The
economic consequences of medical injuries:
implications for a no-fault insurance plan. … Looking for medical injuries
where the light is bright. JAMA 2003;290(14):1917–
19.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4l_combo_psi15-accidentalpuncturelaceration-bestpractices.pdf
May 31, 2016 - feedback to all stakeholders (physicians and other providers, nursing, and ancillary
staff; senior medical … Workbook for Designing, Implementing and
Evaluating a Sharps Injury Prevention Program
http://www.cdc.gov … • American Nurses Association Sharps Injury Prevention
http://www.nursingworld.org/safeneedles
Tools … Needlestick Injury Prevention Assessment Tool
http://www.who.int/occupational_health/activities/2needlest.pdf … Sharps injuries in the operating room:
Massachusetts Sharps Injury Surveillance System Data, 2004.
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www.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
July 01, 2025 - System (QSRS)
Retrospectively Reviewing Inpatient Health Records To Identify Adverse Events Medical … The extent of medical errors in U.S. hospitals was revealed in 2000 when the Institute of Medicine (now … population at risk numbered at least 100, the highest rates for both 2021 and 2022 were worsening pressure injuries … Pressure Injury. Surgery/Anesthesia. Venous Thromboembolism. Other. … determined that national efforts to reduce hospital-acquired conditions such as adverse drug events and injuries
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv.html
June 01, 2010 - waiver: clients who can do more for themselves now
Participant Experience Survey, Acquired Brain Injury … Medical Outcomes Study HIV Health Survey (MOS-HIV)
Adults with HIV. … three versions (elderly/disabled, mental retardation/developmental disabilities, and acquired brain injury … Serious Reportable Events
Measure
Source
Notes
Falls with injury
American Nurses … Includes all injuries, regardless of impact.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kleinpeter.pdf
January 01, 2004 - Patient safety strategies have focused on medical injury and medical errors.6, 7
By reviewing patient … outcomes, we can measure both medical injury and medical
errors. … However, these systems for reporting medical injury and medical errors
focus on identification of the … errors, medical injuries and resulting morbidity and mortality
from clinical encounters and clinical … Patient safety
efforts should focus on medical injury. JAMA 2002
Apr 17;287(15):1993–7.
7.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-slides.pptx
January 01, 2017 - the Treatment of
Acute Respiratory Failure1
Design: Nonrandomized, controlled trial
Subjects: 330 medical … Patients
Adverse Events4
9 patients had 14 adverse events (<1% of activities)
Falls to knees without injury … Design: Prospective observational study, data collected June 2009–December 2011
Subjects: Academic medical … and Burns ICU6
Design: Retrospective cohort study at an academic medical center
Subjects: 2,176 trauma … Safety Program for Mechanically Ventilated Patients
5-Year Sustainability of Time to PT
Postacute Lung Injury
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-retention.pdf
April 01, 2022 - Issue
Specialty ICUs, such as cardiothoracic surgery, neurology, and trauma, have unique patients with … Many patients with neurological conditions
are cared for in medical surgical general ICUs. … Prevention of urinary tract infections in patients with
spinal cord injury. … Neurogenic bladder in spinal cord injury patients. Res Rep Urol.
201510;7:85-99. … protocol for
catheter removal to decrease catheter-associated urinary tract infection rate in a surgical
trauma
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www.ahrq.gov/patient-safety/reports/liability/index.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Next Page
Table of Contents
Advances … in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commentary … Liability (PSML) Initiative to address four goals: (1) putting patient safety first by reducing preventable injuries … injuries while reducing malpractice litigation, and (4) reducing liability premiums. … Suggested citation: Advances in Patient Safety and Medical Liability.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
January 01, 2007 - .1 The types and causes of
errors that occur in the complex dynamic medical domain of a trauma center … of patient injury. … Xiao); The National Study Center for Trauma and Emergency Medical
Systems, Baltimore, MD (Dr. … Evaluation of a blunt and penetrating trauma
algorithm for truncal injury. … Missed injuries in a
level 1 trauma center.
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/intro.html
August 01, 2022 - dispute resolution, with the joint aims of (1) putting patient safety first by reducing preventable injuries … fostering better communication between doctors and patients, (3) ensuring fair and timely compensation for medical … injuries while reducing malpractice litigation, and (4) reducing liability premiums. … In response, the Secretary launched the HHS Patient Safety and Medical Liability Initiative in October … to States and health systems so they could explore new initiatives that address patient safety and medical
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www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
January 01, 2024 - high-injury-severity incidents
conformed to the 2006 NQF standard. … Ninety-eight percent of hospitals’ policies recommend disclosure in case of serious injuries believed … The second half of the survey asked
16
patients about 11 medical or surgical complications or injuries … wound infection, and other. … All physician reviewers were asked to state if an adverse event, defined as an injury due to medical