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www.ahrq.gov/patient-safety/reports/liability/baker.html
August 01, 2017 - RAND identified the following events in L&D: birth trauma, injury to neonate–C-sections; birth trauma … , injury to neonate–vaginal birth; uterine rupture; maternal death; and intra-partum fetal death of full-term … =10)
Survey Items
Average Risk
Average Liability
Average Teamwork
Birth Trauma … , Injury to Neonate—C‑Section
2.10
4.20
3.30
Birth Trauma, Injury to Neonate—Vaginal …
Liability
Ratings
High
Low
Risk
High
Shoulder Dystocia
Birth Trauma—Injury
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www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
November 01, 2017 - , Closed"[Mesh] OR "Craniocerebral Trauma"[Mesh]
OR "Cerebrovascular Trauma"[Mesh] OR "Cerebrovascular … Ostomy/wound Mgmt. 2016 Nov;62(11):30.
d Weiser TG, Semel ME, Simon AE, et al. … Excess length of stay, charges, and mortality attributable to medical injuries during
hospitalization … The
costs of medical falls by component of cost, timing, and injury severity. … Excess length of stay, charges, and mortality attributable to medical injuries during
hospitalization
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www.ahrq.gov/news/newsroom/ahrq-stats.html
January 01, 2025 - , by Cause of Injury, 2017 .) … Highest Rates of Traumatic Brain Injury Population rates of hospitalizations and emergency department … visits related to treatment of traumatic brain injuries in 2017 were highest among people living in … Trauma During Childbirth The rate of obstetric trauma during childbirth involving instruments such as … highest average expenses per person were for the treatment of heart conditions ($3,794 per person), trauma-related
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www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p7-bell.html
May 01, 2024 - and 2022
P7: Understanding the Relationship Between Proximity and Utilization of Patient-Centered Medical … Appendix D: Grant Summaries
P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury … between where pediatric Medicaid patients in South Carolina live and their use of patient-centered medical … Approach: The research team used pediatric medical claims data in South Carolina from the years 2016 … Community social determinants and health outcomes drive availability of patient-centered medical homes
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/050-dec-implementation-notes.docx
October 01, 2024 - , and stage 1 and 2 pressure injuries. … For patients with recent nasal surgery or trauma—if unable to conduct decolonization, do not apply to … skin, or pressure injuries. … CHG is approved as a wound cleanser. … Slide 36
#5: Clean All Medical Devices
SAY:
Number 5: Clean all medical devices.
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/summary.html
August 01, 2022 - dispute resolution, with the joint aims of (1) putting patient safety first by reducing preventable injuries … 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 … A center was established at the University’s School of Medicine to promote the inclusiveness of medical
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www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-fac-guide.html
February 01, 2017 - These included: five falls to knees without injury, four with systolic blood pressure less than 90 mmHg … ICU or MICU at an academic medical center. … Slide 17: Early Mobility in a Trauma and Burns ICU
Say:
Clark et al. performed a retrospective … before and after cohort study, based on chart review, at an academic medical center in a trauma and burns … Slide 23: 5-Year Sustainability of Time to PT Postacute Lung Injury Diagnosis
Say:
In this chart
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www.ahrq.gov/patient-safety/reports/liability/brock.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Applying a Novel Organization Change Scale in a Multisite … The AHRQ-funded, 3-year demonstration project “Communication to Prevent and Respond to Medical Injury … Methods
The Intervention
The “Communication to Prevent and Respond to Medical Injury: A Washington … Patients' and physicians' attitudes regarding the disclosure of medical errors. … Risk managers, physicians, and disclosure of harmful medical errors.
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www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Commercial-Inpatient-Weighted.pdf
September 26, 2023 - 4,326,594 45.37
2: Urgent 2,007,380 21.05 6,333,975 66.42
3: Elective 3,074,939 32.24 9,408,914 98.66
5: Trauma … abnormal clinical and laboratory findings, not elsewhere classified 233,409 2.45 8,711,024 91.34
S00-T88: Injury … abnormal clinical and laboratory findings, not elsewhere classified 233,409 2.45 8,711,024 91.34
S00-T88: Injury … abnormal clinical and laboratory findings, not elsewhere classified 361,248 3.79 8,458,168 88.69
S00-T88: Injury … abnormal clinical and laboratory findings, not elsewhere classified 413,304 4.33 8,188,836 85.87
S00-T88: Injury
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-facguide.docx
January 01, 2017 - These included: five falls to knees without injury, four with systolic blood pressure less than 90 mmHg … ICU or MICU at an academic medical center. … Slide 16
Early Mobility in a Trauma and Burns ICU
SAY:
Clark et al. performed a retrospective before … and after cohort study, based on chart review, at an academic medical center in a trauma and burns ICU … Slide 22
5-Year Sustainability of Time to PT Postacute Lung Injury Diagnosis
SAY:
In this chart you
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter1.html
August 01, 2022 - Reviewers
List of Tables and Exhibits
Evidence documenting health care-associated injury … Building a Safer Health System ( IOM, 1999 ), raised national awareness of the prevalence and severity of medical … individual States and health care systems have established reporting systems to detect preventable medical
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0083episiotomy.pdf
March 01, 2016 - Electronic medical record. … degree that it creates an unnecessary surgical incision as compared to less
severe posterior perineal trauma … study found that
women with midline episiotomy had a significantly greater rate of anal sphincter injuries … preponderance of the studies, however, supported a conclusion that
10
degree of perineal trauma … episiotomy compared with restrictive use was associated with higher risk of anal
sphincter and rectal injuries
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www.ahrq.gov/action-alliance/engineering-safety-practice/index.html
April 01, 2025 - that make it more difficult for people to make errors in care delivery or experience a work-related injury … Healthcare Settings includes strategies to identify risks and hazards and prevent/control work-related injury … Displaying Patient Photos in Medical Records Reduces Errors, Improves Patient Safety . * * Indicates … & Safety Officer MedStar Health Lillee Gelinas, D.N.P., R.N., CPPS, FAAN, Assistant Professor, Medical … Deutsch, M.D., M.S., FACS, FAAP, FSSH, Medical Officer, Division of General Patient Safety, Center for
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/intro.html
December 01, 2017 - Healing
On-Time Pressure Ulcer Healing was developed to provide nursing homes that have an electronic medical … treatments, mobility status, bowel and bladder patterns, and other clinical details known to affect wound … For example, during wound rounds, the wound nurse may prefer having treatment details for each ulcer … rounds with a copy of the Weekly Wound Rounds Report in hand. … National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/saworksheet.html
December 01, 2017 - National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, and Pan Pacific Pressure Injury … ___
___
Appropriate use of topical wound agents? … calorie, vitamin, and mineral needs
___ Incontinence prevention and/or management
___ Management of medical … "brief" with CNAs
Report or brief with Department Heads
Medical … staff/medical director meeting
QAPI or quality improvement review
-
www.ahrq.gov/sites/default/files/2025-03/walsh-kirkendall-report.pdf
January 01, 2025 - Adverse drug event: An injury resulting from medication use. … The Developmental
Behavioral Pediatrics medical clinic has 2113 children with ASD. … The K was 0.62 on whether the errors resulted in injury or had the
potential for severe injury. … Two injuries required emergency department
(ED) visits for severe hypoglycemia and lethargy, for which … Injury among children and young adults with epilepsy.
-
www.ahrq.gov/news/blog/ahrqviews/2022-national-healthcare-disparities-report.html
November 01, 2022 - Professions such as phlebotomists, medical assistants, and licensed vocational nurses account for many … of death in the United States in 2020, after heart disease, cancer, and COVID-19, was unintentional injuries … Drug overdoses were the most common cause of unintentional injuries, accounting for more than 40 percent … of unintentional injury deaths. … care due to cost in 2019, a rate far higher than the percentage of people unable to get or get needed medical
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/slides.html
November 01, 2017 - Falls With Major Injury
Falls With Minor Injury
Slide 27: Sample Summary of Falls … Which of the following best represents how these injuries will appear on the Summary of Falls Risk Factors … Fall with major injury=1 and fall with minor injury=0
Fall with major injury=2 and fall with minor … injury=1
Fall with major injury=1 and fall with minor injury=2
Fall with major injury=2 and fall … Assessment Notes
Bleeding
Suspected Cause of Fall
Fall Comments
Fall Injury
Injury Type Major
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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
October 01, 2015 - that cannot be kept clear of urinary incontinence despite wound care and other urinary management strategies … Examples include instability in the thoracic or lumbar spine, multiple traumatic injuries such as pelvic … Intermittent catheterization is most often used in patients with neurogenic bladder or spinal cord injury … of other types, that cannot be kept clear of urinary incontinence despite wound care and other urinary … of other types that cannot be kept clear of urinary incontinence despite wound care and other urinary
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www.ahrq.gov/downloads/pub/prevent/pdfser/famviolser.pdf
March 01, 2004 - Inflicted injury versus accidental injury. [Review] [87 refs]. … Analytic Framework and Key Questions
*Including physical trauma (fractures, dislocations, brain injury … If answer is yes, code “1” for no injury, “2” for possible injury, and “3” for injury. … 6 = Use of weapon, wound from weapon
4. … FAIR
Medical records were reviewed for pregnancy
outcomes, ingestions, children's injuries, and
immunizations