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psnet.ahrq.gov/issue/skating-thin-ice-consultant-surgeons-contemporary-experience-adverse-surgical-events
April 17, 2024 - of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical … August 2, 2015
A randomized trial of a multifactorial strategy to prevent serious fall injuries … June 23, 2010
Medical Error.
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psnet.ahrq.gov/issue/minimizing-errors-omission-behavioural-reenforcement-heparin-avert-venous-emboli-behave-study
April 24, 2018 - The investigators implemented an evidenced-based thromboprophylaxis guideline for medical-surgical intensive … August 4, 2021
Changes in medical errors after implementation of a handoff program. … April 21, 2011
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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psnet.ahrq.gov/issue/nursing-handoffs-systematic-review-literature
January 08, 2025 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries … February 13, 2013
Research on nursing handoffs for medical and surgical settings: an … in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical
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psnet.ahrq.gov/issue/delirium-hospitalized-older-adults
December 15, 2008 - Download Citation
Related Resources From the Same Author(s)
Do medical … inpatients who report poor service quality experience more adverse events and medical errors? … May 24, 2015
Reducing falls and fall-related injuries in mental health: a 1-year multihospital
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psnet.ahrq.gov/issue/development-high-value-care-culture-survey-modified-delphi-process-and-psychometric
December 22, 2018 - validated High-Value Care Culture Survey and found that administering the survey at two large academic medical … September 2, 2010
Role-modeling and medical error disclosure: a national survey of trainees … April 24, 2014
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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psnet.ahrq.gov/node/33561/psn-pdf
September 15, 2024 - Ken Kizer, MD, former CEO of the National Quality
Forum (NQF), in reference to particularly shocking medical … reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
Patient death or serious injury … , while being cared for in
a healthcare setting
Care management events
Patient death or serious injury … associated with unsafe administration of blood products
Maternal death or serious injury associated … of a neonate associated with labor or delivery in a low-risk pregnancy
Patient death or serious injury
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psnet.ahrq.gov/node/49752/psn-pdf
January 01, 2016 - The resident physician asked the medical assistant for acetic acid and unknowingly received TCA. … Other examples of injuries due to acute acid–base
irritation are those caused by topical applications … , as demonstrated by this case, such injuries continue to occur. … uncertain state of the evidence regarding neutralization and other maneuvers to avoid skin
irritant injuries … Chemical Skin Injury: Mechanisms, Prevention, Decontamination, Treatment.
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datatools.ahrq.gov/hcup-fast-stats/wp-content/uploads/sites/3/2025/01/FSNationalTrendsInpatientStays-dy22Deliverable-27Jan2025-1.xlsx
January 01, 2025 - , surgical, and medical. … use, injury, or surgical are identified as a medical discharge. … Type Injury 2000 1,621,489.6 7,664.1 9,473.7 4.8 2.2
Hospitalization Type Injury 2001 1,634,032.2 … Injury 2008 1,758,467.0 12,245.1 12,492.9 4.8 2.2 578.3
Hospitalization Type Injury 2009 1,748,238.4 … Injury 2020 1,588,349.6 21,195.2 17,923.7 5.3 2.8 480.8
Hospitalization Type Injury 2021 1,636,063.1
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2022_Core_MaskedStats_Weighted.PDF
January 01, 2022 - ICD-10-CM diagnosis reported on record (1: First-listed injury; 2: Other than first-listed
injury; 0 … : No injury)
32,298,120 0 0 2
I10_INJURY_CUT Mechanism of injury: cut or pierce 32,298,120 0 0 1
I10 … of injury: fall 32,298,120 0 0 1
I10_INJURY_FIRE Mechanism of injury: fire, flame, hot object, or hot … 0 0 1
I10_MULTINJURY Multiple ICD-10-CM injuries reported on record 32,298,120 0 0 1
I10_NDX ICD-10 … 1.69
5: Transfer: other type of facility 2,108,209 1.54
6: Home health care 421,982 0.31
7: Against medical
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2021_Core_MaskedStats_Weighted.PDF
January 01, 2021 - ICD-10-CM diagnosis reported on record (1: First-listed injury; 2: Other than first-listed
injury; 0 … : No injury)
30,099,368 0 0 2
I10_INJURY_CUT Mechanism of injury: cut or pierce 30,099,368 0 0 1
I10 … of injury: fall 30,099,368 0 0 1
I10_INJURY_FIRE Mechanism of injury: fire, flame, hot object, or hot … 30,099,368 0 0 1
I10_MULTINJURY Multiple ICD-10-CM injuries reported on record 30,099,368 0 0 1
I10 … 1.82
5: Transfer: other type of facility 1,933,319 1.52
6: Home health care 403,860 0.32
7: Against medical
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meps.ahrq.gov/data_files/publications/rf22/rf22.shtml
July 01, 2004 - Presented are data from the 1997 and 2001 Medical Expenditure Panel Survey (MEPS) Household Component … Source: Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality: Medical … The Medical Expenditure
Panel Survey: a national health information resource. … Sample design of the 1996 Medical Expenditure Panel
Survey Household Component. … Medical expenditure and utilization data for two
calendar years are collected from
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psnet.ahrq.gov/node/44345/psn-pdf
October 05, 2015 - Apologies following an adverse medical event: the
importance of focusing on the consumer's needs. … Apologies following an adverse medical event: The importance of
focusing on the consumer's needs. … https://psnet.ahrq.gov/issue/apologies-following-adverse-medical-event-importance-focusing-consumers- … https://psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
https://psnet.ahrq.gov … /perspective/removing-insult-injury-disclosing-adverse-events
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hcup-us.ahrq.gov/reports/statbriefs/sb13.jsp
September 13, 2006 - The top 20 ranking for private insurance also included two injuries–fracture of the lower limb ($3.5 … billion) and intracranial injury ($3.3 billion). … Hospitalizations for intracranial injury, fracture of the lower limb, crushing injury or external injury … 191 Polyhydramnios and other problems of amniotic cavity
– 192 Umbilical cord complication
– 193 Trauma … – 221 Respiratory distress syndrome
– 222 Hemolytic jaundice and perinatal jaundice
– 223 Birth trauma
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2018_Core_MaskedStats_Weighted.PDF
January 01, 2018 - ICD-10-CM diagnosis reported on
record (1: First-listed injury; 2: Other than
first-listed injury; 0 … : No injury)
35,807,950 0 0 2 0.21 0.00 0.20951 0.21571
I10_INJURY_CUT Mechanism of injury: cut or … 35,807,950 0 0 1 0.16 0.00 0.15509 0.16470
I10_MULTINJURY Multiple ICD-10-CM injuries reported on
record … 1.60
5: Transfer: other type of facility 2,070,859 1.44
6: Home health care 391,297 0.27
7: Against medical … 115,850,370 80.76
1: Injury in the first-listed diagnosis 24,708,134 17.22
2: Injury in the diagnoses
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2019_Core_MaskedStats_Weighted.PDF
January 01, 2019 - ICD-10-CM diagnosis reported on
record (1: First-listed injury; 2: Other than
first-listed injury; 0 … : No injury)
33,147,251 0 0 2 0.21 0.00 0.20757 0.21427
I10_INJURY_CUT Mechanism of injury: cut or … 33,147,251 0 0 1 0.16 0.00 0.15708 0.16610
I10_MULTINJURY Multiple ICD-10-CM injuries reported on
record … 1.77
5: Transfer: other type of facility 2,081,843 1.45
6: Home health care 361,519 0.25
7: Against medical … 116,071,020 80.92
1: Injury in the first-listed diagnosis 24,470,125 17.06
2: Injury in the diagnoses
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hcup-us.ahrq.gov/reports/statbriefs/sb198-Hospital-Stays-Medicare-Advantage-Versus-Traditional-Medicare.jsp
December 01, 2015 - -909.2, 909.4, 909.9: Fractures; dislocations; sprains and strains; intracranial injury; internal injury … of thorax, abdomen, and pelvis; open wound of the head, neck, trunk, upper limb, and lower limb; injury … 910-994.9: Superficial injury; contusion; crushing injury; effects of foreign body entering through … orifice; burns; injury to nerves and spinal cord; traumatic complications and unspecified injuries; … Medical service line
Medical stays are identified by a medical DRG.
-
psnet.ahrq.gov/node/47092/psn-pdf
October 13, 2018 - Organizational response to known medical errors: does
peer review protection impede improvement? … Organizational Response to Known Medical Errors: Does Peer Review Protection
Impede Improvement? … https://psnet.ahrq.gov/issue/organizational-response-known-medical-errors-does-peer-review-protection … patient-safety-organization-pso-program
https://psnet.ahrq.gov/issue/whats-past-prologue-organizational-learning-serious-patient-injury … https://psnet.ahrq.gov/issue/whats-past-prologue-organizational-learning-serious-patient-injury
https
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psnet.ahrq.gov/node/49782/psn-pdf
January 01, 2017 - a new protocol was
issued that potent medications may be started only after the pharmacy, primary medical … This vasoconstriction, if too great, can lead to tissue ischemia and injury. … of 49 hours (± 22 hours).(
4) While 2% of patients experienced vasopressor extravasation, no tissue injuries … The 2-hour limit was chosen because very few published cases of local tissue
injury events occurred … Management of extravasation injuries: a
focused evaluation of noncytotoxic medications.
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psnet.ahrq.gov/node/49392/psn-pdf
April 01, 2003 - one of my favorites,
because it is a simple and direct maneuver that eliminates the risk of serious trauma … Two
days later, he was transferred to the medical ward. … under the standard medical malpractice negligence rule. … hip fractures,(5) but this represents a change in emphasis from fall prevention to
attenuation of trauma … Mechanical restraint use and fall related injuries among residents of
skilled nursing facilities.
-
hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2018_Core_MaskedStats.PDF
January 01, 2018 - ICD-10-CM diagnosis reported on record (1: First-listed
injury; 2: Other than first-listed injury; 0 … : No injury) 35,807,950 0 0.00 2.00 0.21 0.45
I10_INJURY_CUT : Mechanism of injury: cut or pierce 35,807,950 … : Mechanism of injury: machinery 35,807,950 0 0.00 1.00 0.00 0.03
I10_INJURY_MVT : Mechanism of injury … 0.37
I10_MULTINJURY : Multiple ICD-10-CM injuries reported on record 35,807,950 0 0.00 1.00 0.05 0.22 … 1.46
5: Transfer: other type of facility 509,181 1.42
6: Home health care 90,256 0.25
7: Against medical