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www.ahrq.gov/action-alliance/resources/foundational-area.html
March 01, 2025 - their risk of workplace exposure to bloodborne pathogens from needlesticks and other sharps-related injuries … resource supports understanding of and action around safe patient handling to prevent healthcare worker injury … Handling: A Self-Assessment Patient handling is a common and preventable source of healthcare employee injuries … Organizations can use this brief questionnaire to examine the number and nature of patient handling injuries … , understand, and solve problems with the use of medical devices.
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www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicare-Outpatient-Weighted.pdf
September 26, 2023 - clinical and laboratory findings, not elsewhere classified 15,581,930 9.05 150,440,673 87.34
S00-T88: Injury … clinical and laboratory findings, not elsewhere classified 9,411,866 5.46 157,550,833 91.46
S00-T88: Injury … clinical and laboratory findings, not elsewhere
classified
97,148 0.06 171,199,544 99.39
S00-T88: Injury … clinical and laboratory findings, not elsewhere
classified
76,614 0.04 171,426,766 99.52
S00-T88: Injury … clinical and laboratory findings, not elsewhere
classified
57,049 0.03 171,628,254 99.64
S00-T88: Injury
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www.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
August 01, 2022 - Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program … systems test models that meet the following goals:
Put patient safety first by reducing preventable injuries … Ensure fair and timely compensation for medical injuries while reducing malpractice litigation. … In doing so, the effort aimed to connect medical liability to patient safety and quality. … These projects sought to understand how health care providers can best communicate medical errors and
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www.ahrq.gov/patient-safety/resources/learning-lab/enhancing-long-desc.html
April 01, 2021 - of skin at risk for developing pressure ulcers (recently renamed by expert organizations as pressure injury … The M-Safety Lab created a patient safety display—a digital bedside display of catheter and wound information … pulled from the electronic medical record (EMR) every 10 minutes. … improved provider's awareness of indwelling urinary catheters, central venous catheters, and pressure injuries … In Reference to: 'Focused Ethnography of Diagnosis in Academic Medical Centers'" .
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxselfassessment.pdf
June 02, 2025 - is aimed at two types of nursing homes:
• Nursing homes that are currently not using an electronic medical … taking measures to prevent further falls in those who have had a
previous fall/falls (with or without injury …
If the activity was unusual for the resident
Interviews with witnesses
Body check for injury … No)
Care plan review
Report or brief with CNAs
Report or brief with department heads
Medical … /fallspx/fallspxmanual.pdf
http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
June 01, 2012 - It is important to determine whether the resident has fallen
down because of another medical problem … However, what we can do is eliminate needless falls and
limit the injuries from falls that do occur. … them.10 Posey vests, pelvic
restraints, and lap trays on geri-chairs all contribute to falls and to injuries … Relationship between physical restraint removal and falls
and injuries among nursing home residents. … other staff must revisit the plan to make sure it is effective in preventing
additional falls and injuries
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www.ahrq.gov/sites/default/files/2024-10/gorelick-report.pdf
January 01, 2024 - The
majority of these are intended for use in trauma patients, including the Injury Severity Score, … Trauma Score, and Pediatric Trauma Score. 35 Others are available for asthma,36 croup,37 and
febrile … intravenous fluids
• oxygen
• prescription medications administered in ED (oral, IV, or inhaled)
• wound … The Injury Severity Score: a method for describing patinets with
multiple injuries and evaluating … The Injury Severity Score is unable to differentiate between poor care and severe injury.
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www.ahrq.gov/hai/pfp/haccost2017-appendix.html
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. … Ostomy Wound Manage . 2016 Nov;62(11):30-8.
Boltz MM, Hollenbeak CS, Julian KG, et al. … The cost of serious fall-related injuries at three Midwestern hospitals. … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization
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www.ahrq.gov/hai/pfp/interimhac2013-ref.html
December 01, 2014 - Fall and injury prevention (Chapter 10). In: Hughes RG, ed. … Preventing falls and eliminating injury at Ascension Health. … The road to zero preventable birth injuries. Jt Comm J Qual Patient Saf 2008;34:201-5. … Eliminating birth trauma at Ascencion Health. Jt Comm J Qual Patient Saf 2007;33:15-24. … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization
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www.ahrq.gov/hai/pfp/hacrate2013-refs.html
October 01, 2015 - Injury From Falls
Barrett JA, Bradshaw M, Hutchinson K, et al. … Fall and injury prevention (Chapter 10). In: Hughes RG, ed. … Preventing falls and eliminating injury at Ascension Health. … Eliminating birth trauma at Ascencion Health. Jt Comm J Qual Patient Saf 2007;33:15-24. … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization
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www.ahrq.gov/patient-safety/reports/liability/preface.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Preface
Previous Page Next Page
Table … of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue … and Medical Liability (PSML) Initiative was established in October 2009. … Funding was intended to address four goals: (1) putting patient safety first by reducing preventable injuries … injuries while reducing malpractice litigation, and (4) reducing liability premiums.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Engleman_86.pdf
June 04, 2008 - Medical Product Safety Network (MedSun) Collaborates with Medical Product Users to Create Specialty Subnetworks … safety data reported to MedSun
through July 31, 2007
Reported outcome Na
Death 184
Serious injury … /illness 828
Minor injury 1,132
Potential harm to patients 5,312
Potential harm to health care … in PICUs and NICUs and involve death or serious injury, or events that represent a “near
miss,” “close … reports had been received from six KidNet participating
hospitals on adverse events involving patient injury
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-mvpguide.pdf
January 01, 2017 - acute
respiratory distress syndrome (ARDS), and substandard ventilator management can increase
the injuries … to be beneficial in patients at risk for
ARDS, such as those with sepsis, pneumonia, or traumatic injuries … help close
the knowledge and training gap.45
Engage Senior Executives
In addition, designate a medical … admitted to the ICU already have risk factors for ARDS, such as pneumonia,
sepsis, noncardiogenic shock, trauma … What
have we learned about interventions to reduce
medical errors?
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www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
January 01, 2024 - Skinner, RHIA, MS1
Mary Wood, AS1
1University of Nebraska Medical Center
2University of Nebraska at … ,3
with an average associated excess cost of $7,000 per injury.4 Regardless of injury, falling can lead … Code debriefing from the Department Of Veterans Affairs
(VA) Medical Team Training program improves the … Association between implementation of a medical team training
program and surgical mortality. … JAMA:the journal of the American
Medical Association. 2011;306:1653.
44.
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www.ahrq.gov/cahps/surveys-guidance/hcbs/index.html
January 01, 2025 - physical disabilities, people with developmental or intellectual disabilities, people with acquired brain injury … Medical transportation. Personal safety. Community inclusion and empowerment.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
January 01, 2007 - family dissatisfaction 4.9
Administrative other/miscellaneous 4.9
Adverse clinical work-related injury … or exposure to
hospital staff
Blood and body fluid
exposure or
needlestick and
sharp injury or … physical injury report
The affected party was employee or staff 7 0.80 1.03 2.68 – 6.87 5.92
Omitted … Reported rates of
staff injury increased in all hospitals
statewide. … How much
work-related injury and illness is missed by the current
national surveillance system?
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www.ahrq.gov/patient-safety/reports/engage/appc.html
March 01, 2017 - "patient safety"[All Fields] OR "safety culture"[All Fields] OR "systems approach"[All Fields] OR "medical … error*"[All Fields] OR "medical mistake*"[All Fields] OR "adverse event*"[All Fields] OR checklist … ((medical error [mh] OR Diagnostic errors [mh] OR iatrogenic disease [mh] OR sentinel surveillance [ … OR (medication* [ti] AND (error* [ti] OR safety [ti])) OR iatrogenesis [ti] OR iatrogenic [ti] OR ((medical … [ti] OR treatment [ti] OR care [ti]) AND (injury [ti] OR injuries [ti])) OR mishap* [ti] OR (root [ti
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rivard.pdf
May 01, 2004 - Costs
of medical injuries in Utah and Colorado. Inquiry
1999 Fall;36(3):255–64.
14. … Looking for medical injuries
where the light is bright. JAMA 2003;290(14):1917–9.
36. … Definitions of medical injuries. [See
Comment.] JAMA 2004;291(3):303–4.
37. Blank, A. … Definitions of medical injuries. [See
Comment.] JAMA 2004;291(3):304.
38. Carr, JB. … Definitions of medical injuries. [See
Comment.] JAMA 2004;291(3):304.
39.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
May 28, 2008 - This resulted in injury
in 2 of 90 patients and in excessive
pain that could have been ameliorated … A medication error causing injury to the patient (preventable adverse drug event).
2. … error without injury).
3. … Medication error with little potential for injury.
4. … Pediatric
acetaminophen overdose: risk factors associated with
hepatocellular injury.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
April 07, 2008 - We selected obstetrics
for developing this in situ enhancement of FMEA because medical errors are common … ) to “major
injury” to “death.” … Medical
team training programs in health care. … Results of the Harvard Medical Practice Study I.
N Engl J Med 1991; 324: 370-376.
17. … Preventing infant death and injury during delivery.
Sentinel Event Alert.