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psnet.ahrq.gov/issue/relationship-between-preventability-death-after-coronary-artery-bypass-graft-surgery-and-all
September 23, 2020 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … January 23, 2019
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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psnet.ahrq.gov/web-mm/slippery-slide-life
January 21, 2017 - Rather, simulation-based training, first in a controlled medical simulator followed by drills in the … Change in medical education and training certainly fits this description. … Fetal and Neonatal Brain Injury: Mechanisms, Management and the Risks of Practice. 3rd ed. … Preventing infant death and injury during delivery. Sentinel Event Alert. July 21, 2004; Issue 30. … June 18, 2019
Medical Errors and Safety Systems.
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psnet.ahrq.gov/issue/descriptive-analysis-patient-misidentification-incident-report-system-data-large-academic
August 24, 2022 - August 24, 2022
Institution of just culture physician peer review in an academic medical … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.
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psnet.ahrq.gov/issue/safety-elderly-fallers-identifying-associated-risk-factors-30-day-unplanned-readmissions
May 04, 2022 - patient-level risk factors among patients 75 years or older who were initially hospitalized for fall-related injuries … Insights from the Professionalism Opinions of Medical Students' research.
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www.ahrq.gov/sites/default/files/2024-07/domino-report.pdf
January 01, 2024 - outpatient treatment, unplanned
admission or readmission, or emergency room visit), or new physical injury … In contrast, the nature of most errors was equipment
injuries (23%), diagnostic delays or failures ( … Medical errors leading to complaints included medication errors (n=5), equipment injuries
(n=3), diagnosis … and dollar amounts
Patient complaints were more likely than errors to result in some new physical injury … new physical injury and
emergency department visits.
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hcup-us.ahrq.gov/reports/statbriefs/sb248-Hospital-Readmissions-2010-2016.pdf
January 01, 2016 - Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) classification
for diseases and injuries … 10 Conditions not elsewhere classified 14.5 155,700
11 Nervous system diseases 14.0 115,400
12 Injury … Classification of Diseases, Tenth Revision,
Clinical Modification (ICD-10-CM) classification for diseases and injuries … Symptoms, signs and abnormal clinical and laboratory
findings, not elsewhere classified R00–R99
Injury … , poisoning, external
causes
Injury, poisoning and certain other consequences of
external causes
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www.ahrq.gov/topics/index.html
October 01, 2008 - Disparities Healthcare disparities are differences in access to or availability of medical facilities … Falls can lead to serious injuries, decreased ability to function, reduced quality of life, increased
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/intro.html
October 01, 2014 - System , 1 in 1999, there have been tremendous strides toward improving patient safety and reducing medical … safety, create a more resident-centered environment, and reduce the number of falls and fall-related injuries
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-4.html
June 01, 2021 - stem from an inaccurate or delayed diagnosis, making it the number one cause of serious harm among medical … testing and treatment. 27 This overutilization contributes to harm, with aggressive testing mistakes and injuries
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www.ahrq.gov/es/topics/index.html
October 01, 2008 - Disparities Healthcare disparities are differences in access to or availability of medical facilities … Falls can lead to serious injuries, decreased ability to function, reduced quality of life, increased
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www.ahrq.gov/topics/index.html?page=0
October 01, 2008 - Disparities Healthcare disparities are differences in access to or availability of medical facilities … Falls can lead to serious injuries, decreased ability to function, reduced quality of life, increased
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www.ahrq.gov/es/topics/index.html?page=0
October 01, 2008 - Disparities Healthcare disparities are differences in access to or availability of medical facilities … Falls can lead to serious injuries, decreased ability to function, reduced quality of life, increased
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psnet.ahrq.gov/issue/does-responsibility-affect-publics-valuation-health-care-interventions-relative-valuation
October 12, 2022 - medication administration errors) versus other contexts, such as individual harms (e.g., sports-related injuries … February 12, 2020
Changes in weekend and weekday care quality of emergency medical admissions … September 27, 2016
Use of nondisclosure agreements in medical malpractice settlements
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psnet.ahrq.gov/issue/can-asking-emergency-physicians-whether-or-not-they-would-have-done-something-differently
July 01, 2016 - detailed explanation of what they would have done differently allowed for differentiation between a true medical … Download Citation
Related Resources From the Same Author(s)
Can medical … July 19, 2023
6-PACK programme to decrease fall injuries in acute hospitals: cluster
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psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
August 13, 2014 - associated with moderate procedural sedation performed outside of the operating room at a tertiary medical … September 14, 2022
Preventing patient positioning injuries in the nonoperating room setting … , 2021
The occurrence of adverse events potentially attributable to nursing care in medical
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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-Pichert_51.pdf
March 22, 2008 - After all,
given the large numbers of iatrogenic injuries worldwide,13, 14, 15, 16 error-affected patients … unsafe practices,32 recent reports suggest that a majority of claims do
appear to involve patient injuries … are reasonably related to medical
management injuries and patient concerns about errors and other practices … center or medical group personnel. … Factors
that prompted families to file medical malpractice
claims following perinatal injuries.
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psnet.ahrq.gov/issue/costs-intravenous-adverse-drug-events-academic-and-nonacademic-intensive-care-units
August 11, 2021 - The majority of events led primarily to temporary physical injuries. … August 11, 2021
Recognition of adverse drug events in older hospitalized medical patients … March 29, 2010
View More
Related Resources
Medication-related medical
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-event-reporting-revised.docx
April 01, 2022 - Patient’s medical record number:
2. Patient’s date of birth:
3. … policy)
☐ Acute urinary retention (e.g., due to medication [anesthesia, opioids, paralytics], nerve injury … measurements of urinary output in the critically ill
☐ To assist in healing of open sacral or perineal wounds … strict prolonged immobilization (e.g., potentially unstable thoracic or lumbar spine, multiple traumatic injuries … The Ann Arbor criteria for appropriate urinary catheter use in hospitalized medical patients: results
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psnet.ahrq.gov/node/846171/psn-pdf
July 26, 2022 - apparently due to miscommunication at change-of-shift, led to more serious consequences
from his iatrogenic injury … or skull base fractures; head, neck, or esophageal
neoplasms; recent upper GI surgery; esophageal trauma … device-related pressure
injuries in the intensive care unit showed that 1.6% were caused by NGTs.13 … Each attempt at NGT
placement presents a risk of complications such as esophageal trauma, tracheal placement … Nursing care guidelines for reducing hospital-acquired nasogastric tube-
related pressure injuries.
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psnet.ahrq.gov/issue/peer-support-nurses-second-victims-resilience-burnout-and-job-satisfaction
March 03, 2019 - Adverse events can have significant psychological impacts on the providers involved and involvement in medical … May 30, 2018
A randomized trial of a multifactorial strategy to prevent serious fall injuries … September 19, 2016
Health care workers as second victims of medical errors.