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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-october-2024-webinar-slides.pdf
January 01, 2024 - The Workplace Change Collaborative (WCC)
A HRSA initiative for addressing Workplace Burnout & Moral Injury … Quality, Risk, Human
Resources, Org Development
Performance and Process Improvement,
Education, Medical
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part3-nqs6.html
October 01, 2015 - 48.1
53.0
56.7
53.7
51.2
50.2
Source: Agency for Healthcare Research and Quality, Medical … Importance : Many patients who receive home health care are recovering from an injury or illness and
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www.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-slides.html
February 01, 2017 - Patient injury.
Treatment errors.
Clinician outcomes:
Incident reporting. … Part of the Survey on Patient Safety Culture suite of survey tools for hospitals, medical offices,
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2022-hp-chartbook.pdf
January 01, 2022 - Program (CHIP) Chartbook
What Enrollees Say About Their Experiences With Their
Health Plans and Medical … soon as needed 50% 50% 52% 54% 44%
Getting Care Quickly 56% 57% 58% 59% 50%
Got care for illness, injury … 52% 58% 57% 48%
Getting Care Quickly for a Child 70% 69% 73% 72% 64%
Child got care for illness, injury … needed 56% 56% 59% 52%
Getting Care Quickly for a Child 72% 72% 75% 65%
Child got care for illness, injury … *
Response Options
• Yes
• No Does your child’s personal doctor understand how these medical
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/womenh-slides.html
March 01, 2020 - Slide 28
Adult ambulatory medical care visits due to adverse effects of medical care per 1,000 population … Slide 29
Adult ambulatory medical care visits due to adverse effects of medical care per 1,000 population … mostly attributable to sudden unexpected infant death (SUID), congenital anomalies, infection, and injury … Web-based Injury Statistics Query and Reporting System (WISQARS) [Online] (2013). … http://www.cdc.gov/injury/wisqars/index.html . Accessed September 1, 2015.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/pKa4_DYwzuyD6RDgYzLMbo
August 22, 2018 - IPV.
b Includes acute and chronic
morbidity from physical abuse
(eg, fractures, dislocations, brain
injury … y presenting to
emergency department for care;
19% of included sample were
presenting for an acute injury … or trauma sections
(n = 53)
40 (11)c 0 43 (78)
Paranjape et al,25 2003
(Fair)
STaT Lifetime Emergency … Atlanta, GA: National Center
for Injury Prevention and Control, Centers for Disease
Control and Prevention … J Trauma Stress. 2015;28(1):79-82.
doi:10.1002/jts.21985
22.
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psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - errors. 16 Standardized handoff processes can effectively decrease adverse events and medical errors … Changes in medical errors after implementation of a handoff program. … Disconnection in information exchange during pediatric trauma transfers: a qualitative study. … moderator of child’s acute biological response and subsequent posttraumatic stress symptoms in pediatric injury … disorder symptoms and child gender on risk for persistent posttraumatic stress disorder symptoms in child trauma
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psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - Case Objectives State the rationale for disclosing medical errors. … ICU, he was noted to have fixed and dilated pupils on neurologic exam, a sign of serious neurologic injury … Furthermore, disclosure of medical errors to patients has several benefits. … Communicating with patients about medical errors: a review of the literature. … Disclosing harmful medical errors to patients: tackling three tough cases.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/tobacco-use-in-adults-and-pregnant-women-counseling-and-interventions
January 19, 2021 - Reaching midlife and older smokers: tailored interventions for routine medical care. … A comprehensive model for the treatment of nicotine dependence in a medical setting. … Outbreak of lung injury associated with the use of e-cigarette, or vaping, products. … Blount BC, Karwowski MP, Shields PG, et al; Lung Injury Response Laboratory Working Group. … Practice advisory: lung injury associated with e-cigarettes (“vaping”). Published October 2019.
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www.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
August 01, 2022 - Medicine (IOM) report, To Err Is Human: Building a Safer Health System , the problems associated with injury … risks and hazards in the delivery of patient care should yield safer practices and potentially reduce medical … The CANDOR process a improves patient safety through an empathetic, fair, and just approach to medical … In the longer term, hospitals will experience fewer medical liability claims, improved patient safety … Medical Malpractice. N Engl J Med 2004; 350(4): 283-92. PMID: 14724310.
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-digital.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 … In previous work, a multi-disciplinary team of clinicians and medical informaticists developed and graded … Care System Analytics to Support Primary Care Patients with Complex Medical and Social Needs (R18) PI
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www.ahrq.gov/sites/default/files/publications/files/bloodclots.pdf
May 01, 2009 - thromBOsis]) most often
occur in people who can’t move around well or who have had recent
surgery or an injury
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/dementia-older-adults-screening-2003
June 03, 2003 - studies rarely addressed other important health outcomes such as utilization of health care services, injuries … 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 … Alexandria, VA: International Medical Publishing;; 1996:531-40. 29. … institutionalizations, and health care visits; fewer behavioral problems; reduced caregiver stress; fewer injuries
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - approximately 30 to 35 cm allows repositioning of misplaced tubes and can potentially prevent pulmonary injury … Half of providers surveyed in one study agreed that the use of ANCR reduced medical errors and improved … Anita Singh, MD Department of Internal Medicine Division of Hospital Medicine UC Davis Medical Center … Closed Loop Communication Training in Medical Simulation. In: StatPearls . … Changes in medical errors after implementation of a handoff program.
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/uspstf-annual-report-to-congress-2019.pdf
January 01, 2019 - responsible for 88,000 deaths annually.20 Alcohol use also contributes to more than 200 diseases
and injuries … , including both short-term (e.g., injuries from motor vehicle accidents, violence) and long-
term (e.g … Trauma and Violence.
https://www.samhsa.gov/trauma-violence. Accessed August 8, 2019.
35. … He is the medical director of research for family
and community medicine, is the medical director of … He is also associate chief medical officer for research
and population health at Boston Medical Center
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hcup-us.ahrq.gov/reports/statbriefs/sb129.pdf
April 01, 2012 - Trauma, 2009
Anika L. … Potentially avoidable injuries, such as obstetric
trauma during vaginal deliveries, may lead to increased … medical
costs that include longer stays in the hospital, additional
procedures, and poorer health … as trends in obstetric trauma over time. … giving birth, when a health care provider is helping to deliver her baby using a
forceps or other medical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - patient safety events, including
many types of hospital-acquired infections, adverse drug events, and injuries … Infections
Clostridium difficile
Infections
Falls
Obstetric Adverse
Events
Pressure
Ulcers/Pressure Injuries … Central Venous Catheters
Falls MPSMS In-Hospital Patient Falls
Obstetric
Adverse
Events
PSI OB Trauma … National number of adverse events captured by PSIs 18 and 19 on obstetric
injury and national number … 8,513 0.29
Falls MPSMS In-Hospital Patient Falls 238,965 8.03
Obstetric
Adverse
Events
PSI OB Trauma
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psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
January 29, 2021 - The Accreditation Council for Continuing Medical Education (ACCME) defines an ineligible company as “ … Awareness is also more common during emergency operations for acute trauma. … Trauma anesthesia care has been improving over time; a recent study found that awareness in trauma patients … Awareness during anesthesia for trauma: has anything changed? … WebM&M Cases
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury
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psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
January 29, 2021 - Succinylcholine is contraindicated in patients with stroke, spinal cord injury, burns, or myotonic dystrophy … inadequate resources such as the broken drug refrigerator otherwise could have led to irreversible injury … Risk of respiratory complications and wound infection in patients undergoing ambulatory surgery: smokers
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018183-weiner-final-report-2013.pdf
January 01, 2013 - Scope
Background
Medical errors are common and dangerous. … Approximately 20% of medical errors are
related to prescription of medications. … Treating drug-related injuries in hospitals costs at least $3.5 billion per
year. … Wishard has more than 1,000 physicians on its medical staff. … Some
were taught in medical school. Formal training during residency had not occurred.