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www.ahrq.gov/sites/default/files/2024-07/domino-report.pdf
January 01, 2024 - outpatient treatment, unplanned
admission or readmission, or emergency room visit), or new physical injury … In contrast, the nature of most errors was equipment
injuries (23%), diagnostic delays or failures ( … Medical errors leading to complaints included medication errors (n=5), equipment injuries
(n=3), diagnosis … and dollar amounts
Patient complaints were more likely than errors to result in some new physical injury … new physical injury and
emergency department visits.
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www.ahrq.gov/patient-safety/settings/multiple/index.html
August 01, 2023 - Anyone whose scope of practice includes medical diagnosis can use Calibrate Dx. … CAHPS surveys can be customized with supplemental item sets, including, for example, patient-centered medical … approaches to desgin tat target six areas of safety: infections, falls, medication errors, security, injuries … Project ECHO is a collaborative model of medical education and care management that helps clinicians … various aspects of safety culture in the following settings:
Hospitals
Web: ahrq.gov/hospsurvey
Medical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
June 04, 2008 - Paul Barach, BSc, MD, MPH
Abstract
There is growing recognition that the risks and hazards of injury … errors, increased rates of infection and injuries
from falls, and to slow patient recovery and high … is a contributing
factor, have a substantial cost in lives and injury. … For damages and injuries resulting from structural
failures, water migration (mold and mildew), and … Designer lack of knowledge of medical care systems.
2.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
April 30, 2025 - ■ To reduce medication-associated acute kidney injury in nine pediatric hospitals, one project
disseminated … R18 HS23763
[Grant]
Reduction of
Nephrotoxic
Medication-
Associated Acute
Kidney Injury in
Children … Participating in a learning
network that required all participants to implement Nephrotoxic Injury Negated … healthcare system; (2) develop and validate a highly sensitive
model to identify drug-induced liver injury … analgesics was most common among
children with outpatient procedures, dental procedures, traumatic injuries
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-event-reporting-revised.docx
April 01, 2022 - Patient’s medical record number:
2. Patient’s date of birth:
3. … policy)
☐ Acute urinary retention (e.g., due to medication [anesthesia, opioids, paralytics], nerve injury … measurements of urinary output in the critically ill
☐ To assist in healing of open sacral or perineal wounds … strict prolonged immobilization (e.g., potentially unstable thoracic or lumbar spine, multiple traumatic injuries … The Ann Arbor criteria for appropriate urinary catheter use in hospitalized medical patients: results
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Magid.pdf
January 01, 2004 - errors.2–8 In the Harvard Medical Practice Study,
adverse drug events accounted for 19 percent of injuries … safety study that also reported on negative outcomes was a computer
alert system designed to prevent injury … Harvard Medical School (DWB, RP). … Preventing
medical injury. Qual Rev Bull. 1993 (19):144–49.
18. Kaushal R, Bates DW. … A
computer alert system to prevent injury from adverse
drug events: development and evaluation in a
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www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p13-tawfik.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
-
www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p12-salvador.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
-
www.ahrq.gov/ncepcr/reports/2024-annual-report/about-this-report.html
March 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
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2020_hp_chartbook.pdf
January 01, 2020 - Database
2020 Chartbook
What Consumers Say About Their Experiences With Their
Health Plans and Medical … Survey Database 2020 Chartbook: What Consumers Say About Their Experiences With Their Health Plans
and Medical … as needed 2 1% 2 7% 5 2% 2 1 ,4 12
Getting Care Quickly 18% 23% 59% 37,585
Got care for illness, injury … 5% 55% 13,722
Getting Care Quickly for a Child 10% 17% 73% 41, 370
Child got care for illness, injury … 26% 55% 2,647
Getting Care Quickly for a Child 8% 17%
7 5%
8,624
Child got care for illness, injury
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www.ahrq.gov/patient-safety/reports/hotline/design2.html
May 01, 2016 - Our prior work suggested the importance of distinguishing injury (negative effects) from errors, which … They understood the concepts of “medical mistake” and “harm/injury” more clearly than they understood … mistakes, harm or injury, and unsafe conditions. … error or mistake—whether or not that medical error was associated with harm or injury; and (2) negative … effects related to health care (e.g., harm, injury, adverse event).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
January 01, 2004 - near miss” represents the identification of a potential safety problem, prior
to it resulting in an injury … Typically the same system failures that might have
resulted in an injury also are present in a near … patient safety can be improved by
identifying latent failure prior to the occurrence of a catastrophic injury … Because an injury has not occurred, liability is limited. … Reporting and preventing
medical mishaps: lessons from non-medical near miss
reporting systems.
-
www.ahrq.gov/npsd/data/dashboard/index.html
September 01, 2024 - Device or Medical/Surgical Supply, Including HIT Dashboard Details the type of device; type of device … to falls, the presence of fall assistance, presence of fall assistance by patient harm, type of fall injury
-
www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-a.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 … Research Profiles and Emerging Research Spotlights, Senior Advisors to this report (Yalda Jabbarpour, MD; Medical
-
www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-public-health.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 … Using Social and Medical Data Integration to Improve Primary Care and Population Level Chronic Disease
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-references.html
June 01, 2023 - Views of practicing physicians and the public on medical errors. … Americans’ Experiences With Medical Errors and Views on Patient Safety. … Patients’ experiences with communication-and-resolution programs after medical injury. … The Public’s Views on Medical Error in Massachusetts. … Quality of discharge practices and patient understanding at an academic medical center.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Pichert_51.pdf
March 22, 2008 - After all,
given the large numbers of iatrogenic injuries worldwide,13, 14, 15, 16 error-affected patients … unsafe practices,32 recent reports suggest that a majority of claims do
appear to involve patient injuries … are reasonably related to medical
management injuries and patient concerns about errors and other practices … center or medical group personnel. … Factors
that prompted families to file medical malpractice
claims following perinatal injuries.
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www.ahrq.gov/cahps/surveys-guidance/item-sets/mobility/index.html
February 01, 2021 - conditions including arthritis, heart or lung problems, unmanaged diabetes or obesity, spinal cord injuries … Compare their experiences to those of similar people receiving care from other health plans or medical … Group Survey, sponsors such as State agencies, other purchasers, health plans, health systems, and medical … In addition, the medical and financial consequences of delayed access accumulate rapidly for people with
-
www.ahrq.gov/sites/default/files/2025-03/hinson-levin-report.pdf
January 01, 2025 - the EDs of five hospitals within the Johns Hopkins Health System: Johns Hopkins Hospital,
Bayview Medical … Center, Howard County Medical Center, Suburban Hospital, and Sibley Memorial
Hospital. … CONNECTIONS USING PRE-ARRIVAL ALERTS: Another
subproject focused on the connection between emergency medical … Optimal Acute Kidney Injury Algorithm
for Detecting Acute Kidney Injury at Emergency Department Presentation … Society for Academic Emergency Medicine (SAEM)
Continuing Medical Education Diagnostic Symposium.
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
December 01, 2017 - John Hospital and Medical Center in Detroit. … John Hospital and Medical Center? … Possibly, the patient needs immobilization for trauma or surgery, patient is incontinent with open wounds … ; protocolized care for trauma; incontinence without open sacral or perineal wounds; pre-operative placement … Is it a medical necessity?