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digital.ahrq.gov/ahrq-funded-projects/develop-and-validate-health-it-safety-measures-capture-violations-five-rights
January 01, 2023 - Project Dates
09/01/2016 - 06/30/2022
Technology
Electronic Health Record/Electronic Medical … Record
Care Setting
Academic Medical Center
Hospital
Type of Care … Healthcare Tools Can Support Providers and Improve Patient Safety Medication errors are a leading cause of injury … Observational Study , Prospective , Retrospective Technology: Electronic Health Record/Electronic Medical … Safety Document Type: Journal Publication Technology: Audit Log , Electronic Health Record/Electronic Medical
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psnet.ahrq.gov/web-mm/failure-rescue-mother
September 23, 2020 - Wong, MD Fellow, Maternal-Fetal Medicine Cedars-Sinai Medical Center Los Angeles, CA Angelica Vivero, … MD Fellow, Transfusion Medicine Cedars-Sinai Medical Center Los Angeles, CA Ellen B. … Klapper, MD Professor of Pathology Medical Director, Transfusion Medicine Director, Transfusion Medicine … Fellowship Cedars-Sinai Medical Center Los Angeles, CA Kimberly D. … Related Resources
WebM&M Cases
Uterine Artery Injury
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psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
February 23, 2022 - His past medical history included hypertension treated with lisinopril, diabetes treated with metformin … The patient’s laboratory results were notable for acute kidney injury and metabolic acidosis, with an … improvement project in Singapore between February 2012 and June 2013, 320 CVCs were inserted in the medical … intensive care unit and a medical intermediate care unit using a customized line kit that had drape … May 16, 2022
Medical crisis checklists in the emergency department: a simulation-based
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs021581-goodney-final-report-2015.pdf
January 01, 2015 - attacks or stroke ipsilateral to a >70%
internal carotid artery stenosis, the 2-year stroke risk under medical … In a recent manuscript published in BMC Medical
Decision Making (2015), we described the following: … First, we have identified clinical factors that
make it possible to use electronic medical records to … Brain Injury after Carotid
Revascularization: Outcomes, Mechanisms, and Opportunities for Improvement … Outcomes of Carotid Endarterectomy
Versus Stenting in Comparable Medical Risk Patients.
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www.ahrq.gov/policymakers/hrqa99b.html
October 01, 2014 - private-public partnerships to— (1) identify the causes of preventable health care errors and patient injury … In expanding the Medical Expenditure Panel Survey, as in existence on the date of the enactment of this … this paragraph is an entity that is determined to be appropriate by the Director, including academic medical … (d) MEDICAL EXAMINATION OF CERTAIN VICTIMS- (1) IN GENERAL- The Director shall develop and disseminate … professionals, in consultation with the Health Resources and Services Administration, on performing medical
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - The Case A 47-year-old man with paraplegia (secondary to a gunshot wound) and a history of polysubstance … Unfortunately, his cardiac arrest led to an anoxic brain injury, and he remained in a vegetative state … record system is no substitute for good medical practice. … A document that arrives in a hospital's IT system has segments that align with the sections of a medical … products or investigational or off-label use of pharmaceutical products or medical devices.
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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - s slow or ineffective response to clinical deterioration resulting from an
underlying illness or a medical … recognition of and deterioration
following breakdown of an anastomosis, patient fall risk and staff injury
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hcup-us.ahrq.gov/reports/statbriefs/sb250-Pediatric-Stays-Costs-2016.pdf
January 01, 2016 - reproductive system; hepatobiliary system; human immunodeficiency virus infections; infectious
diseases; injuries … and poisonings; kidney and urinary tract disorders; male reproductive system; multiple significant trauma … 68,900
Ear, nose, mouth, and throat 809 9,100 88,600
Kidney and urinary tract 755 11,000 68,500
Injuries … drugs 674 10,300 65,200
Hepatobiliary system and pancreas 558 18,500 30,100
Multiple significant trauma … The average cost was substantially higher for stays for multiple significant
trauma and myeloproliferative
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hcup-us.ahrq.gov/db/nation/nis/NIS_Introduction_2012.jsp
January 01, 2012 - Also included are public hospitals and academic medical centers. … NECODE
Number of external cause of injury codes on the original record. … FTRES = Number of full–time employees: interns & residents (medical & dental) [E125]. … PTRES = Number of part–time employees: interns & residents (medical & dental) [E225]. … LTAC hospitals typically provide comprehensive rehabilitation, respiratory therapy, head trauma treatment
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hcup-us.ahrq.gov/reports/statbriefs/sb160.jsp
August 01, 2013 - In terms of injury-related hospital stays:
Hip fracture was a top-ranked condition for Medicare … Intracranial injury and crushing or internal injury was top ranked only for the uninsured. … care
864
1.4
63
15
Acute myocardial infarction
858
1.4
38
16
Trauma to perineum … appendiceal conditions
1,305
1.2
151
18
Fracture of lower limb
1,293
1.1
89
19
Trauma … 337
2.0
20
14
Crushing injury or internal injury
306
1.8
17
15
Congestive
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www.uspreventiveservicestaskforce.org/Home/GetFile/1/516/famviolrs/pdf
March 01, 2004 - documentation of the incident and physical
findings (eg, photographs, body maps); treatment
for physical injuries … child
or spouse.11 Harmful outcomes of family violence
may include not only repercussions of acute trauma … the home visit group had improved outcomes,
including decreased reports of child maltreatment,
child injuries … Inflicted injury versus accidental injury.
Pediatr Clin North Am. 1990;37(4):791–814.
28. … Chicago: American Medical Association; 1992.
46.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
July 01, 2023 - patient's
family members.
4
Hospital AIM
Team
Leads
SPPC‐II
Maternal and Perinatal Deaths and Injuries … communication breakdowns are identified as the primary root
cause of maternal and perinatal deaths and injuries … staff
credentialing/privileging, medical staff peer review, other (e.g., rushing, fatigue, distraction … Other root causes for maternal and perinatal deaths and injuries are—
• Assessment (i.e., the adequacy … Untitled
Communication Severe Hypertension
Communication is…
Maternal and Perinatal Deaths and Injuries
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hcup-us.ahrq.gov/db/nation/nis/NIS_Introduction_2013.jsp
January 01, 2013 - Also included are public hospitals and academic medical centers. … NECODE
Number of external cause of injury codes on the record. … FTRES = Number of full–time employees: interns & residents (medical & dental) [E125]. … PTRES = Number of part–time employees: interns & residents (medical & dental) [E225]. … LTAC hospitals typically provide comprehensive rehabilitation, respiratory therapy, head trauma treatment
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psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
April 24, 2024 - low socioeconomic status are at particularly high risk for poor outcomes such as medication errors, injuries … Medicare & Medicaid Services (CMS) defines homebound as being confined to the home due to an illness or injury … Electronic medical records allow access to patient charts virtually anywhere. … A quality of care framework for home-based medical care. … The use of advanced medical technologies at home: a systematic review of the literature.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/B_Ae7DdLL7DNauBLXC-ptu
June 01, 2003 - studies rarely
addressed other important health outcomes such
as utilization of health care services, injuries … Does Earlier Knowledge of a
Dementia Diagnosis Improve
Patient and Family Planning for
Future Medical … suffer from progressive cognitive and functional
dependence, psychotic and depressive symptoms,
and injuries … caregiver burden, increased use of health
care, problem behaviors, psychiatric symptoms, and
accidental injury … Validation of
medical history taking as part of a population based
survey in subjects aged 85 and over
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psnet.ahrq.gov/web-mm/its-all-syringe
February 01, 2013 - After the medical assistant brought the insulin and syringe, the NP prepared the medication and injected … In this case, a medical assistant handed a tuberculin syringe to a NP who assumed it was an insulin syringe … For example, the medical assistant may have been new to the job, not properly oriented or trained, and … Insulin errors and injuries are common among hospitalized patients.( 4-9 ) The risk of treatment-related … National Ambulatory Medical Care Survey: 2004 Summary.
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/annlrpt2014%20(6).pdf
November 01, 2014 - Injury and Child Maltreatment
7. … Injury and Child Maltreatment
1. … Other risk factors include childhood trauma; family history of suicide; being discriminated against for … It also contributes significantly to injury, disability, and death from falls,
drowning, fires, motor … Injury and Child Maltreatment
Child maltreatment includes physical, sexual, and emotional abuse, as
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hcup-us.ahrq.gov/reports/factsandfigures/2007/pdfs/section4.pdf
January 01, 2007 - Circulatory conditions accounted for 22 percent ($74.6 billion) and injury and poisonings for … Injury and poisoning was the second most expensive condition in 2007. … Injury and poisoning was, in aggregate, the second most expensive condition type in 2007 and the … Hospital stays for injury and poisoning cost an average of
$12,400. … 5.8 3.5 30.1
Complication of surgical procedures or
medical
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hcup-us.ahrq.gov/reports/statbriefs/sb221-Super-Utilizer-ED-Visits-Payer-2014.jsp
February 01, 2017 - Mental health visits constituted a greater share and injury visits constituted a smaller share of ED … Superficial injury and sprains/strains also were in the top five first-listed diagnoses for ED visits … Superficial injury was the second most common diagnosis for ED visits among Medicare super-utilizers … , and medical. … ) were categorized as medical.
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hcup-us.ahrq.gov/reports/statbriefs/sb221-Super-Utilizer-ED-Visits-Payer-2014.pdf
January 01, 2014 - 16
percent of ED visits for
nonspecific chest pain, and 14
percent of ED visits for
superficial injury … In contrast, injury ED visits were less common for super-utilizers than for other patients across payers … ■ Superficial injury and sprains/strains also were in the top five first-listed diagnoses for … Superficial injury was the second most common diagnosis for ED visits among Medicare super-
utilizers … ) were categorized
as medical.