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psnet.ahrq.gov/issue/association-display-patient-photographs-electronic-health-record-wrong-patient-order-entry
May 29, 2019 - In this large academic medical center, displaying patient photographs in the electronic health record … 2019
Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries … August 4, 2021
Assessment of overuse of medical tests and treatments at US hospitals … Reducing emergency department charting and ordering errors with a room number watermark on the electronic medical
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psnet.ahrq.gov/issue/effect-work-hours-adverse-events-and-errors-health-care
August 20, 2014 - per week were strongly correlated with an increase in self-reported errors, particularly needlestick injuries … Author(s)
The occurrence of adverse events potentially attributable to nursing care in medical … Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical … January 3, 2017
Medical emergency team calls in the radiology department: patient characteristics
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psnet.ahrq.gov/issue/quality-improvement-initiative-improve-patient-safety-event-reporting-residents
March 08, 2023 - Same Author(s)
Medication rounds: a tool to promote medication safety for children with medical … July 27, 2022
Strength of safety measures introduced by medical practices to prevent … October 19, 2022
Differences in safety report event types submitted by graduate medical … January 31, 2018
Needlestick injuries among surgeons in training.
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psnet.ahrq.gov/sites/default/files/2023-01/spotlight_respiratory_distress_after_neck_surgery_two_cases_of_postoperative_cervical_hematoma.pdf
January 01, 2023 - include:
1) Patient factors such as male sex, age over 65 years, low body mass index (e.g.,
≤24), medical … levels, operative site C3-4 or above, operative time of
>5 hours, blood loss >300ml, and significant medical … – Early identification is crucial, as airway obstruction may evolve rapidly and
hypoxic brain injury … – Clear steri-strips and pull sutures
– Open wound – cut skin and platysma stitches
– Open wound … • Hypoxic brain injury occurs rapidly after airway obstruction, and
prompt recognition and management
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
January 01, 2004 - near miss” represents the identification of a potential safety problem, prior
to it resulting in an injury … Typically the same system failures that might have
resulted in an injury also are present in a near … patient safety can be improved by
identifying latent failure prior to the occurrence of a catastrophic injury … Because an injury has not occurred, liability is limited. … Reporting and preventing
medical mishaps: lessons from non-medical near miss
reporting systems.
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hcup-us.ahrq.gov/reports/methods/2015_02.pdf
January 01, 2015 - The following measure is not reported prior to 2004: birth trauma (PSI 17). … E Codes: Another issue relates to external cause-of-injury reporting. … data to help identify complications of care or to exclude cases (e.g.,
poisonings, self-inflicted injury … , or self-inflicted injury; admissions for diseases
and disorders of the musculoskeletal system and … PSI 17 Birth trauma - injury to neonate per
1,000 live birthsa
a Consistent with the AHRQ PSI software
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2020_hp_chartbook.pdf
January 01, 2020 - Database
2020 Chartbook
What Consumers Say About Their Experiences With Their
Health Plans and Medical … Survey Database 2020 Chartbook: What Consumers Say About Their Experiences With Their Health Plans
and Medical … as needed 2 1% 2 7% 5 2% 2 1 ,4 12
Getting Care Quickly 18% 23% 59% 37,585
Got care for illness, injury … 5% 55% 13,722
Getting Care Quickly for a Child 10% 17% 73% 41, 370
Child got care for illness, injury … 26% 55% 2,647
Getting Care Quickly for a Child 8% 17%
7 5%
8,624
Child got care for illness, injury
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/alcohol-misuse-drug-therapy_research-protocol.pdf
January 27, 2012 - excluding accidents and homicides, was 24,518.8 Excessive alcohol consumption
is also a major factor in injury … fires, drowning, falls, homicide, suicide, motor vehicle crashes, child
maltreatment, and pedestrian injuries … We will grade the strength of evidence for alcohol-consumption measures,
accidents, injuries, quality … Alcohol-attributable fraction for injury in the U.S. general
population: data from the 2005 National … Incorporating alcohol
pharmacotherapies into medical practice.
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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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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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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/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/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.
-
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/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