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www.ahrq.gov/action-alliance/competencies-affinity-group/index.html
April 01, 2025 - Research to Practice The Human Experience Burnout Co-Design Fatigue Improving Access to Care Moral Injury … Affinity Group: Contributor Organization Lisa Howley, Ph.D., M.Ed., Senior Director for Transforming Medical … Education Association of American Medical Colleges Molly J. … Steve Singer, Ph.D., Vice President of Education and Outreach Accreditation Council for Continuing Medical … Sponsoring Institutions and Clinical Learning Environments Officer Accreditation Council for Graduate Medical
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7b.html
October 01, 2014 - If a skin disruption is found, the type of skin injury will need to be identified. … Since there are many different etiologies of skin wounds and ulcers, differential diagnosis of the skin … For example is it a skin tear, a pressure ulcer, or moisture-associated skin damage or injury? … Wound care team *
Wound Care Physician
Directs patient care, orders tests and treatments, … medical staff, wound team, and unit staff for pressure ulcer practice
Certified Wound Care
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www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
June 01, 2018 - Negligence was blamed for 27.6 percent of the injuries and 51.3 percent of the deaths. … There is also a wide variation of medical practices across the country. … Evidence of high rates of misuse of services include:
Hospital Injuries . … In the landmark Harvard Medical Practice Study of hospitals in New York State, adverse events, where … injuries result from medical management rather than underlying disease, occurred in 3.7 percent of all
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www.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.html
March 01, 2023 - Blood clots can put you at risk for heart attack, stroke, and other serious medical problems. … You also need to avoid activities and sports that could cause injury. … Ask your doctor about whether you should wear a medical alert bracelet or necklace. … To prevent injury indoors:
Be very careful using knives and scissors. … To prevent injury outdoors:
Always wear shoes.
Wear gloves when using sharp tools.
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www.ahrq.gov/topics/blood-clots.html
clots , ranging from a pediatric central line clot to a popular blood-thinner drug causing deaths and injuries … Studies on venous thromboembolism range from venous thromboembolism after trauma and use of multidisciplinary
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www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p4-fung.html
April 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 … examines the impact of primary care provider payment policy on outpatient care, clinical events, and medical … Medical Care 59(6), 487.
2. Fung, V., Price, M., Hull, P., Lê Cook, B., Hsu, J., & Newhouse, J.
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/conclusion.html
August 01, 2022 - Executive Summary
Detailed Findings
Evaluation Issues
Contributions to Patient Safety and Medical … of the PSML initiative is that it accomplished the goal of addressing the challenges of the current medical … agree that doctors are troubled by—and patients and family members are not well served by—the current medical … health care organizations to think “outside the box” about solutions that would reduce preventable injuries
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www.ahrq.gov/patient-safety/settings/hospital/fall-tips/index.html
February 01, 2021 - Background
Falls are the most common cause of preventable injury. … Developers
Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts
Patricia … Eileen Carter, Ph.D., RN Columbia University, New York, New York, and Columbia University Irving Medical … Maureen Scanlan, M.S.N., RN, Montefiore Medical Center, Bronx, New York. … units within 3 academic medical centers in Boston and New York City.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/building-team-process-slides.html
December 01, 2017 - (neurogenic bladder)
Urinary blood clots with obstruction
Trauma to spinal cord
Slide … catheter shortly after the surgery is completed
Slide 28
Assist Healing of Perineal and Sacral Wounds … depends on what the patient perceives as more comfortable
Slide 30
Required Immobilization for Trauma … or Surgery
Examples include:
Unstable thoracic or lumbar spine
Multiple traumatic injuries, … ICU, or different non-ICU)
Partnering with other stakeholders (case managers, physical therapists, wound
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
August 01, 2022 - New injuries were more common in informed consent (IC)/SDM complaints, with 80 percent resulting in some … new unanticipated injury compared to non-IC/SDM complaints (35%; p = 0.001)” (Posner et al., 2013). … Injury (MACRMI), which comprises representation of a variety of stakeholder groups. … of clinically Avoidable Classes of Events (ACEs), which providers recognize as preventable patient injuries … associated with high rates of patient injuries and liability claims.
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/musculo.html
June 01, 2018 - attributable to arthritis and other rheumatic conditions were $128 billion:
$80.8 billion in direct medical … disability of common conditions requiring rehabilitation in the United States: stroke, spinal cord injury … , traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-2.html
August 01, 2023 - involve one of two situations:
Common time-limited conditions (e.g., mild viral illnesses, minor injuries … conditions ranging from lower respiratory tract infections and constipation to febrile seizures and head trauma … conditions that are not dangerous present with similar signs or symptoms as more serious illnesses and injuries … Every year, many children seek medical care at nonpediatric facilities, such as adult EDs and urgent … Growing Medical Complexity
Given the challenges with access to specialized pediatric care, the rapidly
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www.ahrq.gov/patient-safety/reports/liability/neumiller.html
August 01, 2017 - Introduction
The goal of patient safety is to reduce the risk of injury or harm to patients by improving … range of health care services that can be provided within the home environment to manage illness and/or injury … Minor potential ADEs were defined as those that could result in minimal injury or discomfort such as … Lastly, serious ADEs were defined as those that could potentially result in significant organ failure or injury … Collins, MD; Chief Medical Officer, Providence Sacred Heart Medical Center.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/qdr-ruralhealthchartbook-update.pdf
January 01, 2020 - Center Utilization
Trauma center utilization for severe injuries, by residence location, 2014 … Note: Injuries with an Injury Severity Score of 16 or greater were considered severe. … Note: Injuries with an Injury Severity Score of 16 or greater were considered severe. … injured patients with trauma-related injuries. … Most patients with severe injuries are treated in Level I or II trauma centers, but access to
trauma
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pptx
October 01, 2015 - in October 2015:
Addition of information relevant to ambulatory and managed care encounters
Expanded injury … Postoperative pulmonary embolism or deep vein thrombosis
PSI 13 Postoperative sepsis
PSI 14 Postoperative wound … dehiscence
PSI 15 Accidental puncture or laceration
PSI 16 Transfusion reaction
PSI 17 Birth trauma-injury … to neonate
PSI 18 Obstetric trauma-vaginal delivery with instrument
PSI 19 Obstetric trauma-vaginal … PDI 09 Postoperative Respiratory Failure Rate
PDI 10 Postoperative Sepsis Rate
PDI 11 Postoperative Wound
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Fall_Dashboard_Data_2024.xlsx
January 01, 2024 - by Age Falls_4a
Type of Injury by Fall Assistance Falls_4b
Type of Injury by Medication … Falls_4a
Falls_4a: Type of Injury by Age Group
Age Group Injury Type Percent Frequency
Under 18 Other … Falls_4b
Falls_4b: Type of Injury by Fall Assistance
Fall Assistance Injury Type Percent Frequency … to Increase Fall Injury Type Percent Frequency
No Other injury 32.2% 1,164
No Skin tear, avulsion, … No Injury
Top 20 Reported Intervention(s) Among Patients Toileting Prior to Falls that Resulted in INJURY
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www.ahrq.gov/hai/cauti-tools/archived-webinars/building-teamwork-transcript.html
December 01, 2017 - The fourth indication is the healing of open wounds that are close to the groin area. … , such as melaturnic bladder, or a trauma, such as a motor vehicle accident where they have an injury … Assisting healing with a perineal or sacral wound in certain patients. … or multiple traumatic injuries, such as multiple fractures, and you worry that, again, movement will … Wound care nurses, we talked about, the pressure associated with the Foley catheter is helping.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-transcript.doc
April 08, 2014 - The fourth indication is the healing of open wounds that are close to the groin area. … , such as melaturnic bladder, or a trauma, such as a motor vehicle accident where they have an injury … Assisting healing with a perineal or sacral wound in certain patients. … or multiple traumatic injuries, such as multiple fractures, and you worry that, again, movement will … Wound care nurses, we talked about, the pressure associated with the Foley catheter is helping.
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www.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
October 01, 2023 - received a 3-year AHRQ grant in 2015 to identify the factors that contribute to medication error and injury … Nephrotoxic medicines, such as contrast dye or nonsteroidal anti-inflammatory drugs, can cause acute kidney injury … She developed a customized prototype based on the AHRQ-funded Nephrotoxic Injury Negated by Just-in-Time
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www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
May 01, 2016 - injuries while reducing malpractice litigation, and (4) reducing liability premiums. … Injury (MACRMI), which comprises a variety of stakeholder
groups. … some new unanticipated
injury compared to non-IC/SDM complaints (35%; p = 0.001)” (Posner et al., 2013 … Injury (MACRMI), which comprises representation of a variety of
stakeholder groups. … associated with high rates
of patient injuries and liability claims.