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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/ena-slides.pdf
September 01, 2015 - Need for resources
• What teams need to be activated (specialists, code team, trauma team, brain injury … lumbar spine,
unstable pelvic fracture)
appropriate
Promote healing of open sacral or perineal
wounds … • The patient who requires immobilization for trauma or surgery
Inquire about the length of the … • The patient who is incontinent with open sacral or perineal wounds
Consult with the wound care … The nurse prepares her for admission to the medical unit.
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs021781-kelchner-final-report-2014.pdf
January 01, 2014 - Cincinnati Children’s Hospital Medical Center
3333 Burnet Ave.
Cincinnati, Ohio 45229
III. … Voice disorders occur
most often when there is some type of laryngeal use injury or disease that results … The degree to which voice production is affected often reflects
the severity of the injury to the vocal … The Center for
Pediatric Voice Disorders (CPVD) is located within Children’s Hospital Medical Center
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hcup-us.ahrq.gov/reports/statbriefs/sb277-Top-Reasons-Hospital-Stays-2018.pdf
January 01, 2018 - Fluid and electrolyte
disorders 349,800 1.3 2.7 0.7 7,600
20
Complication of select
surgical or medical … care,
injury, initial encounter*
338,800 1.2 6.0 1.5 17,700
Abbreviations: COPD, chronic obstructive … * This includes complications, such as infection, for surgical or medical care other than those from … * Complication of select surgical or medical care, injury, initial encounter. … research on a broad range of health policy issues, including cost and quality of health
services, medical
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psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - The Accreditation Council for Continuing Medical Education (ACCME) defines an ineligible company as “ … Identify the potential benefits of multidisciplinary medical simulations. … There are multiple factors that likely contributed to this medical error. … Can medical simulation and team training reduce errors in labor and delivery?. … October 30, 2024
WebM&M Cases
Uterine Artery Injury during
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psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - Relevant Financial Relationships: As a provider accredited by the Accreditation Council for Continuing Medical … The Accreditation Council for Continuing Medical Education (ACCME) defines a commercial interest as “ … The Case A 58-year-old man with a past medical history of seizures, meningioma, type 2 diabetes mellitus … The patient’s past medical history of seizures and his normal non-contrast cranial CT could be compatible … perform CT angiography during stroke alerts due to concerns about causing contrast-related acute kidney injury
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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - harmed by having the incorrect catheter placed, but the error was eventually discovered and further injury … power hierarchy—individuals of lesser status in the medical hierarchy may be reluctant to check, let … Craig Blackmore, MD, MPH Director, Center for Health Care Improvement Science Virginia Mason Medical … or other relationship with the manufacturers of any commercial products discussed in this continuing medical … Physician scores on a national clinical skills examination as predictors of complaints to medical
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cdsic.ahrq.gov/sites/default/files/2024-07/SRF_Taxonomy%20of%20PC%20CDS%20Override%20Recommendations_508_0.pdf
January 01, 2024 - override reasons from the crowdsourcing included “Contraindication to
modality,” “Contraindication: Brain injury … contraindication,” 37 and “Contraindication: Brain
injury/edema.” 37
3. … include not being able to follow a recommended
exercise regimen, for example, due to disability or injury … Journal of the American Medical
Informatics Association. … International Journal of Medical Informatics. 2022;159:104673.
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hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_section5.pdf
January 01, 2009 - device, implant or
graft; osteoarthritis; spondylosis; and complication of surgical procedures or medical … 318 380 28 32
∞
Urinary tract infections 152 392 13 33
∞
Complication of surgical procedures or medical … Skin and subcutaneous tissue infections 5 4 8 6
∞
Fracture of lower l imb 5 2 8 3
∞
Intracranial injury … Injury-related stays were more frequent among males than females in this age group. … Hospitalization
rates for fracture of lower limb and intracranial injury were more than twice as high
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024350-wernz-final-report-2018.pdf
January 01, 2018 - The clinical laboratory is the foundation for most of the medical procedures that
take place in the … Within the hospital, laboratory reports are consulted for
70% of medical diagnostics. … Worse still, three hospitals responded that downtime was
the cause for injuries and negative outcomes … MWHC, with its burn unit and Level I trauma center, sends different types and larger
volumes of requests … Journal of the American
Medical Informatics Association 2018; 25(2):187-191.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/workforce-pcr.pptx
August 01, 2024 - develop, retain, and grow this workforce and to further understanding and improvement of burnout, moral injury … Weill Cornell Medical College
Phyllis Johnson, MBA Weill Cornell Medical College
Hye-Young Jung, … Weill Cornell Medical College
Eloise M O’Donnell MPH Weill Cornell Medical College
Yuting Qian, … Weill Cornell Medical College
Rachel Willard-Grace, MPH U.C. … Expanding the roles of medical assistants: who does what in primary care?
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults2.html
September 01, 2024 - Older adults have more atypical presentations of medical conditions compared with their younger adult … Table 1 provides examples of case reports in the medical literature that were published in the last 10 … presented to his physical therapist 23 days after falling off a ladder, resulting in a mild traumatic brain injury … male presented with psychiatric symptoms suggestive of a manic episode but left the hospital against medical … impairment, language barriers, or cognitive impairments, which can hinder the gathering of accurate medical
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psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
February 05, 2020 - Anesthesia clinicians need to know the color-coding system for medical gases in their country. … Br Med J . 1968;3(5620):715-716. [ Free full text ] Medical gases. … Health Memorandum 02-01: Medical gas pipeline systems. Department of Health. … Mandatory Testing of Medical Gas Systems. Plumbing & Mechanical . September 1, 2004. … WebM&M Cases
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury
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digital.ahrq.gov/sites/default/files/docs/improving-hit-safety-slides-020717.pdf
February 07, 2017 - in the EHR.
2) Discuss the challenges of introducing speech recognition
technology into existing medical … & Patient Safety
• Accurate medical documents are critical for safe patient care
and effective … • Errors in medical documents can lead to medical errors in
patient care, some of which cause injury … ► Generated via a front-end SR system (Dragon® Medical 10.0)
► Further edited and signed by the … • Physicians signed their notes with known errors, indicating
proofreading the entire medical note
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psnet.ahrq.gov/node/846170/psn-pdf
March 15, 2023 - psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
The Cases
Case 1: A middle-aged man with a past medical … errors have the potential to be serious and may result in adverse drug events (ADE),
which are patient injuries … teach-back, it is important to speak slowly, make eye contact,
use relaxed body language, avoid complex medical … Patients' memory for medical information. J R Soc Med. 2003 May;96(5):219-22. [Free
full text]
5. … Reducing Medical Admissions and Presentations Into
Hospital through Optimising Medicines (REMAIN HOME
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
July 01, 2023 - interruption to a doctor who is with a patient's family members.
2
Maternal and Perinatal Deaths and Injuries … communication breakdowns are identified as the primary root cause of maternal and perinatal deaths and injuries … orientation, in-service education, competency assessment, staff supervision, resident supervision, medical … 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,
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/2DGd8AvVMTJwP3ttrPcnLL
February 25, 2020 - In 2019, an outbreak of e-cigarette, or vaping,
product use–associated lung injury (EVALI) occurred in … and Adolescents
1592 JAMA April 28, 2020 Volume 323, Number 16 (Reprinted) jama.com
© 2020 American Medical … motivational interviewing and
behavior change counseling29
Computer
screenshots31
Practice settings Medical … Outbreak of lung injury associated with the use
of e-cigarette, or vaping, products. … Brief motivational intervention for adolescent
smokers in medical settings.
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary2/healthy-diet-and-physical-activity-counseling-adults-with-high-risk-of-cvd-august-2014
August 26, 2014 - observational studies that reported serious harms (that is, adverse events resulting in unexpected or unwanted medical … attributed to an increase in physical activity 41 , 55 , 65 , 70 , there were generally no serious injuries … focusing on low-impact activities and increasing activity in small increments can mitigate serious harm or injury … from counseling interventions in older adults or persons at high risk for injury. … Acknowledgments: The authors thank the medical librarians at Kaiser Permanente Center for Health Research
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psnet.ahrq.gov/node/33589/psn-pdf
September 15, 2024 - A regional health system in Canada reported a decrease in adverse events
such as falls, pressure injuries
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/MeDkbyweVDHdpNgerFahn4
January 01, 2010 - Teutsch, MD, MPH
From the Evidence-based Practice Center and Division of Medical Informatics and Outcomes … Harms of physical
activity probably include musculoskeletal injuries,
fall-related injuries, and cardiovascular … Many patients were
overweight (average body mass index, 29.5 kg/m2)
and 9% smoked.34
To avoid injury … report type of intervention, including the
recommended intensity of physical activity, and also
report injuries … McLean, VA:
International Medical Publishing, Inc.; 1996.
3.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/american-indian/american-indian-eng-851.docx
March 04, 2009 - 12 months, did you call or go to a [NAME OF PROVIDER] clinic to get an appointment for an illness, injury … In the last 12 months, did you call a [NAME OF PROVIDER] clinic for medical help or advice after regular … , when you called a [NAME OF PROVIDER] clinic after regular office hours, how often did you get the medical … 12 months, how often did the specialists you saw seem to know the important information about your medical