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www.ahrq.gov/patient-safety/reports/hotline/summary.html
May 01, 2016 - Quality (AHRQ), researchers at the RAND Corporation, its ACTION II Teaming Partner ECRI Institute, Tufts Medical … families used to report meaningful clinical information about perceived errors and physical and emotional injuries
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psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
January 01, 2020 - patients
with sleep apnea and other comorbidities
4
Case Details (1)
• 69-year old man
• Past medical … opioid-induced respiratory depression; of those,
77% resulted in severe brain damage or death
– Most injuries … Findings of a Naloxone Database and its Utilization to Improve Safety and Education in a
Tertiary Care Medical
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psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
February 01, 2007 - In an ideal world, medical decisions would be made using "normative" techniquesdecision-making processes … Medical trainees, whose clinical experience is progressively being fragmented by work hour restrictions … Rarely, the error may cause injury or death. … Physicians integrate their perception of the facts in the context of their medical knowledge base. … But you can also apply it to medical records.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021799-cohen-final-report-2018.pdf
January 01, 2018 - Our central prediction
was that RadWorld would revolutionize preparation of children across medical … motionless as any movement can lead to poor local control
of the tumor and unintentional damage and injury … Part of
the program included having the child meet the various medical personnel and spending time … being oriented to the medical treatment rooms and equipment. … or not
to intervene (e.g., sedation, comforting efforts) in children’s medical distress.
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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - in 2014 looked at the frequency of diagnostic errors in specific clinical settings, such as missed injuries … in pediatric trauma . … Another study reported that 8% of deaths at a Level 1 trauma center were definitely or potentially preventable … Investigators reviewed the records of medical patients admitted to the pediatric ward or seen in the … DeBakey VA Medical Center and Baylor College of Medicine.
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/tfannrpt2011.pdf
January 01, 2012 - The University of
Washington Medical School has developed a similar
program for medical students enrolled … In the past, women were also underrepresented in medical
research. … Adolescents
High-risk alcohol use by adolescents is an important cause of preventable death and significant injury … I
Prevention of Motor Vehicle Occupant Injuries: Counseling in a Primary Care Setting for Driving Under … I
Prevention of Motor Vehicle Occupant Injuries: Counseling in a Primary Care Setting for Proper Use
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psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
April 29, 2020 - multiple sclerosis and neurogenic bladder presented to the emergency department (ED) of an academic medical … Common examples include pneumonia, Clostridium difficile infection, pressure injuries, delirium, and … diarrhea in an incontinent patient with skin breakdown on the “backside” should have raised an alarm, as wound … The use of a video visit for wound care is possible as skin and wound tissue can be adequately evaluated … Wesley Valdes, DO
Telehealth and Wound Specialist
Sacramento, CA
wesley.valdes@gmail.com
Garth
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integrationacademy.ahrq.gov/sites/default/files/2024-09/Integrated%20Behavioral%20Health--The%20Journey%20to%20Becoming%20the%20Standard%20of%20Care.docx
January 01, 2024 - Steve DiGiovanni is medical director for the Maine Medical Center Outpatient Clinics and medical lead … The number one is that this is a trauma-informed approach, and it really has impacted our staff, number … and moral injury are so common in this work, that it takes a team effort to sustain it and to remain … That care has to be fully trauma-informed by everybody involved in the delivery of that care. … Everybody they meet in that setting has to be fully trauma-informed.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/research
January 01, 2023 - Dansky KH et al. 1999 "Electronic medical records: are physicians ready?" … "Workflow and electronic health records in small medical practices." … Rollman BL et al. 2001 "The electronic medical record." … Soopramanien A et al. 2005 "Using telemedicine to provide post-discharge support for patients with spinal cord injuries … discharge to provide participants with regular telemedicine sessions conducted by specialists in spinal injury
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/tobacco-and-nicotine-use-prevention-in-children-and-adolescents-primary-care-interventions
April 28, 2020 - In 2019, an outbreak of e-cigarette, or vaping, product use–associated lung injury (EVALI) occurred in … Davidson, PhD, MASc (Feinstein Institutes for Medical Research at Northwell Health, Manhasset, New York … Barry, MD (Harvard Medical School, Boston, Massachusetts); Michael Cabana, MD, MA, MPH (University of … 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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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017276-burns-final-report-2011.pdf
January 01, 2011 - Dye Visotcky, MS, statistician
Bambi Wessel, MA, study coordinator
Performing Organization:
Medical … College
of Wisconsin (i.e. the Zablocki VA Medical Center and Primary Care Initiative Clinics,
which … • Social Support: Social Support was assessed with the Medical Outcomes Study Social
Support … Injuries and Quality of Life in Poorly-Controlled T2DM: prospective observation During a self-management … Injuries and Quality
of Life in Poorly-Controlled T2DM.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/4NUuvS6nmzTdBgjBg3ELkE
January 01, 2020 - studies that reported serious harms
(that is, adverse events resulting in unexpected or un-
wanted medical … counseling attributed to an
increase in physical activity (41, 55, 65, 70), there were
generally no serious injuries … on low-impact activi-
ties 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. … Acknowledgment: The authors thank the medical librarians at Kaiser
Permanente Center for Health Research
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psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
June 01, 2014 - error disclosure, and medical board discipline. … saw a flurry of new patient organizations, among them the Josie King Foundation, Medically Induced Trauma … advocates, too, have generally concentrated their efforts on hospitals, where the most devastating patient injuries … Life Wish: One Woman's Struggle Against Medical Incompetence. Medical Consumers Publishing; 1986. … Medically Induced Trauma Support Services. [Available at]
18. Mothers Against Medical Error.
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www.ahrq.gov/patient-safety/reports/liability/corbett.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Transitional Care Medication Safety: Stakeholders' … An adverse event is defined as an injury resulting from health care management, rather than the underlying … from a rural hospital recommended “Organize the paperwork with separate categories to clearly define ‘wound … Patients’ and physicians’ attitudes regarding the disclosure of medical errors. … Teaching medical error disclosure to physicians-in-training: A scoping review.
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hcup-us.ahrq.gov/reports/statbriefs/sb4.jsp
May 01, 2006 - .* Alcohol abuse problems are an important source of hospital-based medical care and expenses; they may … also play a significant role in other illnesses or injuries that require treatment. … HCUP data include OB-GYN, ENT, orthopedic, cancer, pediatric, public, and academic medical hospitals.
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hcup-us.ahrq.gov/reports/statbriefs/sb4.pdf
May 01, 2006 - .* Alcohol abuse problems are an important source of hospital-
based medical care and expenses; they … may also play a significant
role in other illnesses or injuries that require treatment. … HCUP data include OB-GYN, ENT,
orthopedic, cancer, pediatric, public, and academic medical hospitals
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3.html
July 01, 2018 - quality primarily in terms of a provider's ability to relieve their symptoms while keeping them safe from injuries … Consumers often have a narrow view of patient safety, seeing safety primarily in terms of medical errors … (46 percent). 47 This same survey found that when hospitalized, 85 percent of patients asked medical … For example, nurses ranked wound care management as more important information to provide than the topics … Patients define patient safety more narrowly in terms of medical errors.
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cds.ahrq.gov/sites/default/files/cds/artifact/171/Occupational%20Factors%20which%20Impact%20Diabetes,%20%20A%20Final%20Knowledge%20Resource%20Report%20(2015).pdf
January 01, 2015 - For some jobs, a worker with impairment of cognition due to low blood sugar could be at risk for
injury … (See "Keeping Medical Information Confidential.") … the previously obtained
medical information. … Hypoglycemia that results in physical or cognitive function may put
an individual at risk of injury … Medical inquiry and medical standards that
would violate the ADA for other occupations are permissible
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
January 01, 2020 - Comparisons of interest include:
a) Catheter ablation compared with medical therapy
b) Comparing … Comparisons of interest include:
a) Catheter ablation compared with medical therapy
b) Comparing … Comparisons of interest include:
a) Catheter ablation compared with medical therapy
b) Comparing … peripheral vascular
complication [including pseudoaneurysm,
hematoma at catheter insertion site, vascular
injury … (Prepared by
Tufts Medical Center Evidence-based Practice Center under Contract No. 290-02-0022.)
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www.ahrq.gov/sites/default/files/wysiwyg/topics/ed-boarding-summit-report.pdf
March 01, 2025 - : Boarding increases the risk that clinicians are subject to physical
violence, burnout, and moral injury … Morshedi spoke of the moral injury that clinicians experience when making medical
decisions they would … American Medical
Association. … Officer
Acute Medical Management
Morristown Medical Center, New Jersey
Brett Glotzbecker, MD
Chief … Medical Officer
University Hospitals Cleveland Medical Center
Bradley Goettl, DNP, RN
Chief Clinical