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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - Healing after harm: addressing the emotional toll of harmful medical events. … Beth Israel Deaconess Medical Center. August 22, 2018. Accessed November 7, 2024. … for investigating sentinel events—serious incidents that result in patient harm or risk of serious injury … Root Cause Analysis and Medical Error Prevention. StatPearls Publishing; 2024. … Healing after harm: addressing the emotional toll of harmful medical events.
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www.uspreventiveservicestaskforce.org/uspstf/document/RecommendationStatementFinal/asymptomatic-bacteriuria-in-adults-screening
September 24, 2019 - It does not apply to persons who have chronic medical or urinary tract conditions, such as end-stage … renal disease; have indwelling urinary catheters, urinary stents, or spinal cord injuries; are hospitalized … 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 … Mangione, MD, MSPH (University of California, Los Angeles); Lori Pbert, PhD (University of Massachusetts Medical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
January 01, 2013 - They used the Bureau of Labor Statistics’ Producer Price Index time
series for General Medical and Surgical … Consumer Price Index Bureau of Labor Statistics’
Producer Price Index time
series for General Medical … Excess length of stay, charges, and mortality attributable to medical injuries
during hospitalization … • Supplies include both office and medical supplies needed for development and
implementation of … • Equipment includes medical equipment purchased for use by the program.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.pdf
January 01, 2013 - Consumer Price Index Bureau of Labor Statistics’
Producer Price Index time
series for General Medical … Literature Estimating Costs of Medical Errors and Adverse Events
Bates DW, Spell N, Cullen DJ, et al … Excess length of stay, charges, and mortality attributable to medical injuries
during hospitalization … • Supplies include both office and medical supplies needed for development and
implementation of … • Equipment includes medical equipment purchased for use by the program.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/impaired-visual-acuity-in-older-adults-screening-2016
March 01, 2016 - of VEGF inhibitors include endophthalmitis, uveitis, increased intraocular pressure, traumatic lens injury … Peters Veterans Affairs Medical Center, Bronx, New York); Kirsten Bibbins-Domingo, PhD, MD, MAS, Co-Vice … García, MD, MPH (Pima County Department of Health, Tucson, Arizona); Matthew Gillman, MD, SM (Harvard Medical … Comprehensive Adult Medical Eye Evaluation Preferred Practice Pattern(®) Guidelines.
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hcup-us.ahrq.gov/reports/statbriefs/sb304-readmissions-2016-2020.pdf
January 01, 2020 - diseases 15.6 478,007
9 Circulatory system diseases 15.3 647,861
10 Skin diseases 13.4 61,403
11 Injury … inpatient, ambulatory
surgery, and emergency department use and costs, quality of care, access to care, medical … includes obstetrics and gynecology, otolaryngology, orthopedic, cancer, pediatric, public, and academic
medical … research on a broad range of health policy issues, including cost and quality of health
services, medical
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psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
February 01, 2017 - Around that time, we also authored an article on how to embed TeamSTEPPS in medical education.( 4 ) Since … New medical schools generally include an interprofessional education component, and most schools, new … a 99-to-1 vote in the medical staff? … The medical professions had grown up learning how to treat acute events. … July 19, 2023
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs026732-usher-final-report-2023.pdf
January 01, 2023 - Scope: Patients who undergo inter-hospital transfer are unique in their medical complexity and
have … UMMC is comprised of two hospitals, including an 874-bed tertiary trauma
Table 1: Characteristics … Center Urban Major Fairview 30886 12503 8681
center, a 390-bed level 3 three trauma center, a five-star … In addition, this data resource included labs, vital signs, medical treatments,
procedure coding, level … mortality including acute myocardial infarction, gastrointestinal bleed pneumonia, COPD,
acute kidney injury
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hcup-us.ahrq.gov/reports/statbriefs/sb256-Opioids-Endocarditis-Inpatient-Stays-2016.pdf
January 01, 2016 - alone.2
In addition to overdose, opioid-related diagnoses such as
abuse/dependence, withdrawal, and medical … an expected primary
payer of Medicaid or self-
pay/no charge
Resulted in a discharge
against medical … Sample (NIS), 2016
■ Nearly one-fifth of OUD-endocarditis inpatient stays were discharged against medical … to acute care hospital Transfer to other facilities
Died in the hospital Against medical … care, injury (INJ037) 6 230 1.8 6 1,805 2.2
Other specified complications in
pregnancy (PRG028
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hcup-us.ahrq.gov/db/nation/nis/NISvariables1988-2013forHCUP-US.pdf
August 13, 2015 - emergency, (2) urgent, (3) elective,
(4) newborn, (5) Delivery (coded in 1988-1997 data only), (5) trauma … , (4) intermediate care
facility, (5) another type of facility, (6) home health care, (7) against
medical … facility, (4) intermediate care, (5) another type of
facility, (6) home health care, (7) against medical … beginning in 2001
on outpatient data only (20) died in hospital, (40) died at home, (41) died
in a medical … - -- -- -- -- Yes Yes -- -- -- -- -- -- -- ECCSMGN1-ECCSMGN4
ECODE1-ECODE4 Core External causes of injury
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025238-xie-final-report-2020.pdf
January 01, 2020 - conditions in the PICU, such venous thromboembolism, acute respiratory distress syndrome, traumatic brain
injury … Systematic review: impact of health information technology
on quality, efficiency, and costs of medical … BMC medical informatics
and decision making. 2015;15:101.
20.
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psnet.ahrq.gov/web-mm/what-was-those-platelets
August 28, 2024 - transfusion-related deaths reported to the FDA for fiscal years 2005 and 2006 were transfusion-related acute lung injury … Yomtovian, MD VA National Quality Scholar Louis Stokes Cleveland Department of Veterans Affairs Medical
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/shared-decision-making-about-screening-and-chemoprevention
January 01, 2017 - proposed treatment, the alternatives to the proposed treatment, and the inherent risks of death and bodily injury … Clinicians frequently speak in a medical jargon that is inaccessible to patients. … Shared decisionmaking in the medical encounter: what does it mean? … Patients' perceptions of the quality of informed consent for common medical procedures. … Patients' understanding of medical risks: implications for genetic counseling.
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/sharedba.pdf
January 01, 2004 - proposed treatment, the
alternatives to the proposed treatment, and the
inherent risks of death and bodily injury … Clinicians frequently speak
in a medical jargon that is inaccessible to patients. … Shared decision-
making in the medical encounter: what does it
mean? … Patients’ perceptions of the quality of informed
consent for common medical procedures. … Patients’ understanding of
medical risks: implications for genetic counseling.
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hcup-us.ahrq.gov/reports/statbriefs/sb263-Suicide-ED-Visits-2008-2017.pdf
January 01, 2017 - hospital 92,685 6.3 2,081,335 1.6
Transfer to other facility 414,648 28.0 1,545,671 1.2
Against medical … Community hospitals include specialty, pediatric, public, and academic medical center hospitals. … nursing facility, intermediate care,
and another type of facility such as a nursing home); against medical … research on a broad range of health policy issues, including cost and quality of health
services, medical … or more States, to conduct market-area
variation analyses, and to identify State-specific trends in injury
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www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
December 01, 2017 - defines a sentinel event as an unexpected occurrence involving death or serious physical or psychological injury … Serious injury specifically includes loss of limb or function.
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/hrqa99.pdf
January 10, 2001 - private-public partnerships
to—
‘‘(1) identify the causes of preventable health care errors
and patient injury … ‘‘(d) MEDICAL EXAMINATION OF CERTAIN VICTIMS.—
‘‘(1) IN GENERAL. … ‘‘(d) AMOUNT OF PAYMENT FOR INDIRECT MEDICAL EDUCATION.—
‘‘(1) IN GENERAL. … —In this section:
‘‘(1) APPROVED GRADUATE MEDICAL RESIDENCY TRAINING
PROGRAM. … oversight, and on coordinating with the system for
emergency medical services.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/DYFdTVu-UY3h7CWGdA7Zkh
July 20, 2021 - Patient, procedure, and endoscopist risk
factors for perforation, bleeding, and splenic injury
after … assistance in outpatient colonoscopy
and risk of aspiration pneumonia, bowel
perforation, and splenic injury … Risk of colon perforation during
colonoscopy at Baylor University Medical Center. … Colonoscopic splenic injuries: incidence and
management. … Sodium phosphate does not increase risk for acute
kidney injury after routine colonoscopy, compared
with
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/healthy-diet-and-physical-activity-counseling-adults-with-high-risk-of-cvd-august-2014
August 26, 2014 - interventions, a few participants reported fatigue, muscle soreness, or other minor musculoskeletal injuries … Peters Veterans Affairs Medical Center, Bronx, New York); Kirsten Bibbins-Domingo, PhD, MD, Co-Vice … Davidson, PhD, MASc (Columbia University Medical Center, New York, New York); Mark Ebell, MD, MS (University … Gillman, MD, SM (Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts … Phipps, MD, MPH (Warren Alpert Medical School, Brown University, Providence, Rhode Island); and Michael
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psnet.ahrq.gov/web-mm/liver-failure-after-chemotherapy-did-we-forget-something
May 01, 2019 - However, other causes of hepatitis must be excluded, including chemotherapy-induced hepatic injury, tumor