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psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal-delivery
May 18, 2022 - January 12, 2022
Changes in medical errors after implementation of a handoff program. … November 12, 2014
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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psnet.ahrq.gov/issue/nexus-nursing-leadership-and-culture-safer-patient-care
January 18, 2018 - February 13, 2008
Emergency department visits for medical device–associated adverse events … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries
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psnet.ahrq.gov/issue/accident-prevention-day-day-clinical-radiation-therapy-practice
February 07, 2018 - January 6, 2018
Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy … February 2, 2022
Patient safety in medical imaging: a joint paper of the European Society
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psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety
February 14, 2024 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … August 26, 2020
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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psnet.ahrq.gov/issue/patient-safety-over-power-hierarchy-scoping-review-healthcare-professionals-speaking-skills
November 11, 2009 - July 20, 2011
A randomized trial of a multifactorial strategy to prevent serious fall injuries … June 8, 2022
Suicide in the medical setting.
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psnet.ahrq.gov/issue/creating-highly-reliable-health-care-how-reliability-enhancing-work-practices-affect-patient
January 12, 2022 - Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical … May 22, 2013
Do nurse and patient injuries share common antecedents?
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psnet.ahrq.gov/issue/development-and-implementation-suicide-prevention-checklist-create-safe-environment
August 04, 2021 - by 42% (compared to the preceding two years); the number of patients sustaining temporary or minor injuries … Results of the Harvard Medical Practice Study I.
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psnet.ahrq.gov/issue/emotional-responses-and-support-needs-healthcare-professionals-after-adverse-or-traumatic
April 03, 2019 - October 12, 2022
Injuries before and after diagnosis of cancer: nationwide register based … June 14, 2019
Health care workers as second victims of medical errors.
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psnet.ahrq.gov/issue/rapid-response-systems-antibiotic-stewardship-and-medication-reconciliation-scoping-review
March 18, 2020 - Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … Tele-Rapid Response Team (Tele-RRT): the effect of implementing patient safety network system on outcomes of medical
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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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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/publications/files/hacrate2013_0.pdf
October 01, 2015 - Fall and injury prevention (Chapter 10). In: Hughes RG, ed. … Preventing falls and eliminating injury at Ascension Health. … The road to zero preventable birth injuries. … Eliminating birth trauma at Ascencion Health. … Excess length of stay, charges, and mortality attributable to medical injuries during
hospitalization
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psnet.ahrq.gov/node/44845/psn-pdf
July 01, 2016 - one-size-fits-all-mixed-methods-evaluation-impact-100-single-room-accommodation-staff-and
https://psnet.ahrq.gov/issue/preventing-falls-injury
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psnet.ahrq.gov/node/43207/psn-pdf
April 25, 2016 - analyses to describe adverse events among veterans aged 65 years and older that resulted in
sustained injury
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www.ahrq.gov/patient-safety/reports/hotline/design2.html
May 01, 2016 - Our prior work suggested the importance of distinguishing injury (negative effects) from errors, which … They understood the concepts of “medical mistake” and “harm/injury” more clearly than they understood … mistakes, harm or injury, and unsafe conditions. … error or mistake—whether or not that medical error was associated with harm or injury; and (2) negative … effects related to health care (e.g., harm, injury, adverse event).
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hcup-us.ahrq.gov/reports/statbriefs/sb315-overview-MRSA-2016-2021.pdf
January 01, 2021 - care, injury,
initial encounter (INJ037) 3 21,409 8.4% 3 19,114 8.8%
Diabetes mellitus with complication … arrest (RSP012) 2 817 5.2% 3 730 3.3%
Heart failure (CIR019) 3 710 4.5% 5 680 3.1%
Traumatic brain injury … care, injury,
initial encounter (INJ037)
10 342 1.6%
Total stays with one of the top ten principal … care, injury, initial
encounter (INJ037)
21,745
Complication of other surgical
or medical care, … injury, initial
encounter (INJ037)
19,456
4
Diabetes mellitus with
complication (END003)
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www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p12-salvador.html
May 01, 2024 - Appendix D: Grant Summaries
P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury … Reform Models
P7: Understanding the Relationship Between Proximity and Utilization of Patient-Centered Medical … Understanding How Nurse Practitioners Increase Access to Primary Care
S9: Using Integrated Social and Medical
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www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p13-tawfik.html
May 01, 2024 - Appendix D: Grant Summaries
P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury … Reform Models
P7: Understanding the Relationship Between Proximity and Utilization of Patient-Centered Medical … Understanding How Nurse Practitioners Increase Access to Primary Care
S9: Using Integrated Social and Medical
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www.ahrq.gov/ncepcr/reports/2024-annual-report/about-this-report.html
March 01, 2024 - Appendix D: Grant Summaries
P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury … Reform Models
P7: Understanding the Relationship Between Proximity and Utilization of Patient-Centered Medical … Understanding How Nurse Practitioners Increase Access to Primary Care
S9: Using Integrated Social and Medical
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/hepatitis-b-virus-infection-pregnant-women-screening-2004
February 15, 2004 - HBV infection identified through screening may benefit from interventions designed to reduce liver injury … (Acting Chief Medical Officer, Colorado Department of Public Health and Environment, Denver, CO); Paul … (Professor of Family Medicine, University of Medicine and Dentistry of New Jersey-New Jersey Medical