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psnet.ahrq.gov/issue/quantification-surgical-resident-stress-call
August 26, 2011 - February 24, 2011
Extended work duration and the risk of self-reported percutaneous injuries … February 2, 2011
Interns' compliance with Accreditation Council for Graduate Medical
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psnet.ahrq.gov/issue/using-simulation-improve-systems
May 29, 2014 - November 10, 2010
A randomized trial of a multifactorial strategy to prevent serious fall injuries … January 27, 2019
Medical simulation: a holistic approach to highly reliable healthcare
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psnet.ahrq.gov/issue/disruptive-orthopaedic-surgeon-implications-patient-safety-and-malpractice-liability
August 20, 2018 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … June 28, 2017
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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digital.ahrq.gov/national-webinars/medication-without-harm-how-digital-healthcare-tools-can-support-providers-and
July 24, 2024 - Description:
Medication errors are a leading cause of injury and avoidable harm in healthcare, with
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar5_pu_riskassesst-tools.pdf
January 01, 2012 - 18
Look at Skin
Skin Status
Bony prominences, especially sacrum and heels
Skin to skin
Under medical … Assessment
• Critically ill patients
– Number of hypotensive
episodes, hemodynamic
instability
– Medical … Adv Skin Wound
Care 2001;14(3):133-7.
38
Resources
• John A. … National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel,
Pan Pacific Pressure Injury … Adv Skin Wound Care 2012;
25(4):167-88.
• Rapp MP, Bergstrom N, Padhye NC.
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs018205-kearns-final-report-2012.pdf
January 01, 2012 - fall risk studies in community and some
nursing homes, self-report provides the basis for defining injury … Thus, both the operator of the facility and medical personnel can be
apprised of potentially dangerous … Fall injury episodes
among noninstutionalized older adults: United States,
2001-2003. … Fall and
injury prevention in older people living in residential
care facilities. … The contribution
of predisposing and situational risk factors to serious
fall injuries.
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psnet.ahrq.gov/web-mm/breakage-picc-line
June 21, 2023 - These include injury to vessels or organs during insertion, catheter migration or malposition with extravasation … The study found that the most common complications were wound oozing, phlebitis, occlusion, infection … PICC complications include injury to other vessels or organs during insertion, catheter migration or … or other relationship with the manufacturers of any commercial products discussed in this continuing medical … Coit AK, Kamitsuka MD; Pediatrix Medical Group.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
June 04, 2008 - Paul Barach, BSc, MD, MPH
Abstract
There is growing recognition that the risks and hazards of injury … errors, increased rates of infection and injuries
from falls, and to slow patient recovery and high … is a contributing
factor, have a substantial cost in lives and injury. … For damages and injuries resulting from structural
failures, water migration (mold and mildew), and … Designer lack of knowledge of medical care systems.
2.
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psnet.ahrq.gov/node/852449/psn-pdf
August 16, 2023 - overcrowding and patients with complex care
needs, which may result in medication errors, pressure injuries
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psnet.ahrq.gov/issue/adverse-events-and-their-contributors-among-older-adults-during-skilled-nursing-stays
February 17, 2021 - Estimating the economic cost of nurse sensitive adverse events amongst patients in medical … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries
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psnet.ahrq.gov/issue/strategies-improving-patient-safety-culture-hospitals-systematic-review
February 14, 2017 - Related Resources From the Same Author(s)
6-PACK programme to decrease fall injuries … June 19, 2012
Systematic review of safety checklists for use by medical care teams in
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psnet.ahrq.gov/issue/do-patients-and-relatives-have-different-dispositions-when-challenging-healthcare
March 31, 2021 - March 9, 2022
Needlestick injuries among surgeons in training. … September 15, 2011
Prevalence of medication administration errors in two medical units … Factors associated with workplace violence among healthcare workers in an academic medical
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psnet.ahrq.gov/issue/patient-safety-actioning-and-communicating-blood-test-results-primary-care-uk-wide-audit
August 03, 2022 - December 21, 2022
A randomized trial of a multifactorial strategy to prevent serious fall injuries … Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … September 18, 2024
Changes in weekend and weekday care quality of emergency medical admissions … February 18, 2011
The management of test results in primary care: does an electronic medical
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psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning-laboratory
August 03, 2022 - implementing a complex and innovative patient safety learning laboratory project in a large academic medical … implementing a complex and innovative patient safety learning laboratory project in a large academic medical … implementing a complex and innovative patient safety learning laboratory project in a large academic medical … 2021
Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries
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psnet.ahrq.gov/issue/assessing-between-and-within-hospital-differences-patient-safety-between-medicaid-and
July 31, 2024 - disadvantaged groups (e.g., patients of color, low income, non-English speaking) experience poorer medical … with privately insured patients, Medicaid patients experienced significantly higher rates of pressure injuries … implementing a complex and innovative patient safety learning laboratory project in a large academic medical … white whale of team communication in the operating room with labelled surgical caps at an academic medical
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psnet.ahrq.gov/issue/why-psychiatry-different-challenges-and-difficulties-managing-nosocomial-outbreak-coronavirus
February 14, 2024 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … August 20, 2018
A randomized trial of a multifactorial strategy to prevent serious fall injuries … Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical … June 24, 2020
Comparing rates of adverse events and medical errors on inpatient psychiatric
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psnet.ahrq.gov/issue/rn-assessments-excellent-quality-care-and-patient-safety-are-associated-significantly-lower
August 20, 2018 - January 22, 2014
Changes in medical errors after implementation of a handoff program. … March 26, 2015
Factors affecting attitudes and barriers to a medical emergency team among … nurses and medical doctors: a multi-centre survey. … February 25, 2015
Do nurse and patient injuries share common antecedents?
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psnet.ahrq.gov/issue/quality-improvement-initiative-reduce-serious-safety-events-and-improve-patient-safety
July 24, 2017 - July 24, 2017
Developing and evaluating the success of a family activated medical emergency … April 13, 2011
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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psnet.ahrq.gov/issue/safety-checklist-compliance-and-false-sense-safety-new-directions-research
December 29, 2014 - Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … September 29, 2017
Building bridges: future directions for medical error disclosure research
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psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpatient-care
February 18, 2011 - October 28, 2009
Managing discontinuity in academic medical centers: strategies for a … , 2017
The clinical transformation of Ascension Health: eliminating all preventable injuries