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Showing results for "medical injury".

201. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
     January 01, 2022 - Human abstractors answer questions related to objective information from the medical record. … Historical Background: Medicare Patient Safety Monitoring System The extent of medical errors in U.S. … seizures, coma) Death during or shortly after anesthesia in ASA Class 1 patient Dehiscence, flap or wound … or cranial nerve or spinal cord; Malignant hyperthermia Ocular injury Peri-operative injury Post-dural … Birth – Neonatal Other birth injury 3.

202. Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
     January 01, 2024 - potential ADE alerts were adjudicated, and the most common were hypoglycemia (n=511); acute kidney  injury … Incidence, and Prevalence): Adverse drug events (ADEs) are defined by the Institute of Medicine (IOM) as injuries … Determining the Incidence of Drug‐Associated Acute Kidney Injury in Nursing Home Residents.  … Acute Kidney Injury in Low‐Risk versus High‐ Risk Patients in Intensive Care.  … Can decision support systems work for acute kidney injury? [Invited Editorial]. 

203. Chapter 2. Fall Response | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html
     December 01, 2017 - the nurse after a resident falls should include a review of the resident systems and description of injuries … Risk factors related to medical conditions or medication use may be reflected in abnormal values for … The presence or absence of a resultant injury is not a factor in the definition of a fall. … A fall without injury is still a fall. … Documentation of the immediate response on the medical record is important.

204. AHRQ Toolkit Helped Madonna Rehabilitation Hospital Reduce Patient Falls by 21 Percent | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201804.html
     July 01, 2018 - Falls by 21 Percent Search All Impact Case Studies July 2018 Patient falls resulting in injury … facility, prevented eight patient falls during a nearly 2-year period, saving an estimated $107,000 in medical … Falls in Hospitals Toolkit Topic(s): Healthcare Costs, Quality of Care, Medical

205. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
     August 01, 2022 - demonstration projects to put “patient safety first,” with the intent of reducing the occurrence of preventable injuries … 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. … addressing the problem so that no other patient is harmed in the same way, as it is to get compensation for injury … Ascension Health Evidence-based obstetrics practice model The project reported a 50% drop in injuries

206. Examples of Patient Harm Related to Invasive Devices | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/phys-championsgd/section3.html
     October 01, 2015 - Teamwork and Communication Definitions and Tools Several examples of severe patient injury … The virulent organism caused a severe infection and irreversible injury to the patient. … The patient was admitted to the medical intensive care unit and was given intravenous steroids and respiratory

207. S9: Using Integrated Social and Medical Risk Data Dashboards To Improve Chronic Disease Management and Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/2024-annual-report/spotlight-s9-hessler-jones-fichtenberg.html
     May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 S9: Using Integrated Social and Medical Risk … 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 … This project will enhance and evaluate the impacts of dashboards sharing integrated social and medical

208. Chapter 1. Environmental Scan | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program1.html
     April 01, 2018 - produced by medical care. … glossary.aspx ) The prevention of health care errors and elimination or mitigation of patient injury … National Patient Safety Foundation Freedom from accidental injury; ensuring patient safety involves … The avoidance, prevention, and amelioration of adverse outcomes or injuries stemming from the processes … Peer-Reviewed Literature Using the list of keyword terms, the team searched medical and social science

209. News Media and Health Care Providers at the Crossroads of Medical Adverse Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
     June 05, 2008 - Introduction Medical adverse events are injuries—fatal or nonfatal—caused by medical management. … knowledge of an error in their own care or in the care of a relative or friend.2 Beyond fatality and injury … by hospitals.9 The Agency for Healthcare Research and Quality (AHRQ) defines “adverse event” as an injury … intravenous pumps with valves that are easily dislodged or bumped); infection-related (e.g., postsurgical wound … (e.g., surgery performed on the wrong body part); product or device events (e.g., patient death or injury

210. Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Vane.pdf
     February 01, 2005 - Surgeries included multiple traumas and burns. … Patient Safety During Military Deployments 471 Combat missions involved trauma and burn surgeries … Humanitarian missions included trauma surgery along with a broad-based OR capability, which included … When the fixed facility hospital in Baghdad was established and wounds were cultured out, there was … a number of surgical site wound infections.

211. AHRQ's Quality & Patient Safety Programs by Setting: Hospital | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/index.html
     February 01, 2025 - Based on expert input and lessons learned from the Agency's $23 million Patient Safety and Medical Liability … Medical Alarm Audibility System Checker (MAASC) is a Java-based software tool for checking whether medical … Pressure Injury Prevention in Hospitals Training Program supports the training of hospital staff on … in-person training curriculum and a series of companion webinars on specific topics related to pressure injury … by roughly 30 percent in adult inpatients who were not in intensive care units and who had specific medical

212. Chapter 4 | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/resources/vision/resources/vision4.html
     October 01, 2002 - a limitation in life activities may stem from one or more of genetic conditions, acquired diseases, traumas … For example, rehabilitation services can include medical or surgical therapy, environmental measures, … health care and health information, and have more exposure to interpersonal violence and intentional injury … A meta-analysis comparing inpatient multidisciplinary rehabilitation services with usual medical care … therapies. 104 The study included 85 patients with various nervous, circulatory, musculoskeletal, and injury

213. PMCoE PICU Expert Work Group and Leadership Team Roster (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-6-b-workgroup.pdf
     September 18, 2014 - providers dedicated to skin care and HAPU prevention, e.g., an institution-wide skin-care council led by wound … including CCM, ENT, General Surgery, Plastic Surgery, Dermatology, Transplant Surgery, Trauma Service … • Staging of Pressure ulcers would need to be done by a wound care expert vs. the PICU staff nurse … • Evaluation of potential pressure injury is labor intensive and subjective; data cannot be obtained … • Given the severity of illness/injury in PICU patients, 48 or 72 hours seems more reasonable to

214. Section 6-B, PMCoE PICU Expert Workgroup and Leadership Team Roster (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-6-b-pmcoe-picu-expert-workgroup.pdf
     September 18, 2014 - providers dedicated to skin care and HAPU prevention, e.g., an institution-wide skin-care council led by wound … including CCM, ENT, General Surgery, Plastic Surgery, Dermatology, Transplant Surgery, Trauma Service … • Staging of Pressure ulcers would need to be done by a wound care expert vs. the PICU staff nurse … • Evaluation of potential pressure injury is labor intensive and subjective; data cannot be obtained … • Given the severity of illness/injury in PICU patients, 48 or 72 hours seems more reasonable to

215. Section 6-B, Expert Workgroup Roster and Materials (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-6-b-expert-workgroup.pdf
     September 18, 2014 - providers dedicated to skin care and HAPU prevention, e.g., an institution-wide skin-care council led by wound … including CCM, ENT, General Surgery, Plastic Surgery, Dermatology, Transplant Surgery, Trauma Service … • Staging of Pressure ulcers would need to be done by a wound care expert vs. the PICU staff nurse … • Evaluation of potential pressure injury is labor intensive and subjective; data cannot be obtained … • Given the severity of illness/injury in PICU patients, 48 or 72 hours seems more reasonable to

216. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
     April 09, 2004 - in Congress and in the medical community. … Health Law 2805-l12 requires hospitals to report and investigate incidents of deaths and other serious injuries … • IV-related • Embolic and related disorders • Laparoscopic complications • Perioperative injuries … Elopement from hospital leading to death/serious injury 923 44 0.6 Equipment malfunction leading … to death/serious injury 938 22 0.3 Infant abduction 961 8 0.1 Infant discharged to wrong family

217. UChicago Medicine Reduces Perioperative Venous Thromboembolism with AHRQ's Toolkit | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/about/uni-chicago-medicine.html
     February 01, 2024 - distribution to a system-wide weekly nursing newsletter, the message to prevent VTE and reduce hospital injuries … practices in the trauma patient population, which was implemented through a standardized protocol. … 50% reduction in general surgery, a 57% reduction in orthopedic surgery, and an 80% reduction in the medical … practices in the trauma patient population, which was implemented through a standardized protocol. … distribution to a system-wide weekly nursing newsletter, the message to prevent VTE and reduce hospital injuries

218. Chartbook on Hispanic Health Care: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides.html
     March 01, 2020 - Slide 61 Birth trauma—injury to neonate per 1,000 live births, by race/ethnicity, 2004-2012 Image … : Graph shows birth trauma—injury to neonate per 1,000 live births: Year Total White Black … Note: Trends: Birth trauma-neonatal injury rates fell from 2.6 per 1,000 live births in 2004 … Between 2004 and 2012, birth trauma-neonatal injury rates fell for all racial/ethnic groups. … Injuries: Any external cause of injury code indicating motor vehicle accident and unintentional injuries

219. Weighted Summary Statistics: PUF Medicaid Inpatient File (Version 2) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicaid-Inpatient-Weighted.pdf
     September 26, 2023 - formerly miscellaneous) 722 0.01 7,105,255 81.87 50: Nurse practitioner 9,426 0.11 7,114,681 81.98 53: Medical … prostheticorthotic personnel certified by an accrediting organization 5,747 0.07 7,124,175 82.09 58: Medical … 72,130 0.83 7,390,400 85.16 89: Certified clinical nurse specialist 560 0.01 7,390,959 85.16 90: Medical … 4,423,876 50.98 2: Urgent 1,938,165 22.33 6,362,041 73.31 3: Elective 2,204,592 25.40 8,566,633 98.71 5: Trauma … care of organized home health service organization. 462,147 5.33 8,050,828 92.77 07: Left against medical

220. Part 3: Trends in Access and Priorities of the National Quality Strategy | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part3.html
     March 01, 2020 - In both years, Hispanics were less likely to have a usual place to go for medical care compared with … Difficulty Getting Care When Wanted: Adults Adults who needed care right away for an illness, injury … less likely than privately insured Hispanic adults to receive needed care right away for an illness, injury … Difficulty Getting Care When Wanted: Children Children who needed care right away for an illness, injury … Intervention: Reduce health disparities by providing medical and dental care, referrals, and patient