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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/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/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/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-risk-screening.pdf
June 02, 2025 - older adult
patient on LTOT completed two annual screenings: the Stopping
Elderly Accidents, Deaths & Injuries … ▶ Electronic Health Records system: Athena
▶ Percent of older adult patients (60+): 30%
1 MD = Medical … ▶ Stopping Elderly Accidents, Deaths & Injuries (STEADI) tool for assessing fall risk.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-neurodevt.pdf
June 02, 2025 - ■ BPD, even in the absence of overt brain injury, is a risk factor for neurodevelopmental delay. … instruments have excellent psychometric properties and are comparable to screening
tests administered by medical
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www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html
December 01, 2017 - Building a Safer Health System , exposed the tremendous costs, both in human and financial terms, of medical … report indicate that between 44,000 and 98,000 people die each year in the United States as a result of medical … Patient Falls
Patient falls, which are common in hospitals, can result in serious injuries, extend … By 2020 the estimated annual cost of fall injuries for older people will exceed $30 billion. 7-8 Now … improving light sources for surgical staff; and designing patient beds to reduce back stress, fatigue, and injuries
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
March 06, 2025 - that make it more difficult for people to make errors in
care delivery or experience a work-related injury … designed to reduce the
transmission of healthcare-associated infections and the risk of occupational injury … In 2007, responding to these risks,
Dartmouth-Hitchcock Medical Center implemented pulse-oximetry-based … Healthcare Settings includes strategies to identify risks
and hazards and prevent/control work-related injury … /medsun-medical-product-safety-network/medsun-newsletters
https://www.patientsafety.va.gov/professionals
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www.ahrq.gov/sites/default/files/2025-04/marin-report.pdf
January 01, 2025 - unnecessary and can occur as a result.29-32 Intravenous contrast may be associated with
acute kidney injury … their initial list in 2013, 43 which includes
“avoiding head CT scans in patients with minor head injury … Diagnostic Emergency Imaging Utilization
at an Academic Trauma Center From 1996 to 2012. … Use of advanced radiology during visits to US emergency
departments for injury-related conditions, 1998 … Incidental findings on total-body CT scans
in trauma patients. Injury 2014;45(5):840–4.
33.
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www.ahrq.gov/news/newsletters/e-newsletter/961.html
June 01, 2025 - (Source: AHRQ Medical Expenditure Panel Survey Statistical Brief #561, Expenditures for Key Diet-Related … Nishisaki’s team created the airway bundle checklist , a tool medical teams could easily use at the … Nishisaki serves as chair of the Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network … Anneliese Schleyer, M.D., M.H.A., a practicing hospitalist and chief medical officer at UW Medicine in … Validity evidence of a resuscitation team leadership assessment measure for use in actual trauma resuscitations
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pdf
January 01, 2020 - , and
■ Birth trauma not elsewhere classified.
24
Many of these injuries to neonates may be preventable … .
25
Birth trauma—injury to neonate per 1,000 live births, 2004-2013
0.0
0.5
1.0
1.5
2.0
2.5 … Trends:
■ Birth trauma-neonatal injury rates fell from 2.6 per 1,000 live births in 2004 to … ■ Between 2004 and 2013, birth trauma-neonatal injury rates fell for all racial/ethnic
groups, … Birth Trauma Rate—Injury to Neonate: Technical Specifications.
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www.ahrq.gov/funding/process/study-section/peerrev.html
January 01, 2025 - It reviews applications relating to identifying risks and hazards that lead to medical errors and identifying … solutions to prevent patient injury associated with delivery of health care. … The research findings and products encompass providing information on the scope and impact of medical … quality, efficiency, and effectiveness of care; quality improvement research; examining and improving medical … Dissemination and translation of research findings and methods to reduce medical errors, examining effective
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www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
January 01, 2024 - most frail patients in the geriatric population and are at increased risk for drug-related
iatrogenic injury … We identified preventable
adverse events associated with warfarin therapy, defined as injuries resulting … of potential warfarin-related adverse events (situations in which the INR was 4.5 or greater
and no injury … Physician reviewers determined occurrence of adverse warfarin events (AWEs; injuries
resulting from … Little is known
about the quality of warfarin monitoring and risk of drug injury in this population.
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www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p14-barton.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
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www.ahrq.gov/ncepcr/reports/2024-annual-report/spotlight-s5-jih.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
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www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p11-devoe.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
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www.ahrq.gov/sites/default/files/2024-09/weissman-report.pdf
January 01, 2024 - The
PSIs identify “birth trauma” in low-risk births with documentation of hypoxic injury,
nerve injuries … , and several other types of injuries. … anesthetic poisoning AND
active drug dependence, active
nondependent abuse of drugs, or
self-inflicted injury … (N) Inc: liveborn infants
Exc: infants w/subdural or cerebral
hemorrhage, pre-term infants, injury … Results of the Harvard Medical Practice Study
I. [see comments.].
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www.ahrq.gov/research/findings/final-reports/index.html?page=6
January 01, 2024 - Improvement Publication Date: April 2018
Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury … Date: September 2017
Improving the Quality of Pediatric Emergency Care Using an Electronic Medical … Medication Safety, Pediatrics Publication Date: August 2017
Improving Patient Safety in Orthopedic Trauma … Publication Date: August 2017
Simulation to Support Competency-Based Training in Orthopedic Trauma
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-final-es.pdf
October 01, 2022 - injury deaths),
followed by accidental falls and motor vehicle accidents (each of which accounted for … approximately 20% of unintentional injuries) … an important cause of death that
disproportionately affects younger populations, was unintentional injury … • Among the top 10 causes of YPLL, rates of unintentional injury, heart disease, liver disease,
and … Demographics
Health Measures
Social Determinants of Health
Healthcare Delivery Systems
Ambulatory Medical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
May 01, 2013 - How-to strategies
Engaging after an adverse event
Introduction to Adverse Events
Adverse event: An injury … to a patient caused by medical intervention rather than by the underlying disease or condition of the … Victim:
Health Care Workers7
Health care workers involved in an adverse event experience their own trauma … their hospital and peers
Hospitals have developed Employee Assistance Programs and Medically Induced Trauma … Medical error: the second victim. The doctor who makes the mistake needs help, too.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find3.html
December 01, 2012 - services may not be limited on the basis of disability group (e.g., limited only to people with brain injuries … defined by age, type of disability (e.g., physical disability, developmental disability, traumatic brain injury … Many fewer were enrolled in waivers serving people with specific clinical conditions (brain injury, HIV … Durable medical equipment and supplies are an interesting exception. … The number of people benefiting from durable medical equipment/supplies is likely even higher when one
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www.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - Comparison to 2010 AHRQ estimates
Summary
Despite advancements in infection control and injury prevention … injuries or adverse events; or exposure to pathogens, such as Clostridium difficile . … Beginning in 2008, CMS identified the HACs (e.g., CAUTI, falls and trauma, surgical site infection) for … Falls
Fall during an inpatient admission, with or without injury, whether or not fall was assisted. … It includes eclampsia, infection not present on admission, injury to other body part, and fetal or maternal