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psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
May 26, 2021 - history had been copied and pasted into his medical record. … On hospital day 2, the primary trauma surgery team ordered magnetic resonance imaging (MRI) of the brain … These studies, completed on hospital day 6, showed no evidence of traumatic or hypoxic brain injury and … no vertebral or ligamentous injury; the radiologist noted “minimal cervical spine epidural blood or … Patient safety issues from information overload in electronic medical records.
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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/hai/cauti-tools/archived-webinars/building-teamwork-transcript.html
December 01, 2017 - The fourth indication is the healing of open wounds that are close to the groin area. … , such as melaturnic bladder, or a trauma, such as a motor vehicle accident where they have an injury … Assisting healing with a perineal or sacral wound in certain patients. … or multiple traumatic injuries, such as multiple fractures, and you worry that, again, movement will … Wound care nurses, we talked about, the pressure associated with the Foley catheter is helping.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-transcript.doc
April 08, 2014 - The fourth indication is the healing of open wounds that are close to the groin area. … , such as melaturnic bladder, or a trauma, such as a motor vehicle accident where they have an injury … Assisting healing with a perineal or sacral wound in certain patients. … or multiple traumatic injuries, such as multiple fractures, and you worry that, again, movement will … Wound care nurses, we talked about, the pressure associated with the Foley catheter is helping.
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psnet.ahrq.gov/web-mm/dropping-new-lows
December 18, 2024 - type 1 diabetes was admitted to the hospital with osteomyelitis of the right foot and acute kidney injury … the above case, given the patient's comorbidities, including his cognitive deficit and acute kidney injury … were multiple reasons for the hard-to-control blood sugars including an active infection, acute kidney injury … or other relationship with the manufacturers of any commercial products discussed in this continuing medical … does not include information regarding investigational or off-label use of pharmaceutical products or medical
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psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
September 01, 2004 - She presented with sepsis and acute kidney injury with a creatinine of 2.0 mg/dL (up from a baseline … creatinine improved but remained elevated at 1.6 mg/dL and the team felt the persistent acute kidney injury … paper-based order systems: it eliminates illegible handwriting, provides integration with electronic medical … have identified this and related problems prior to their being discovered in the context of patient injury … or other relationship with the manufacturers of any commercial products discussed in this continuing medical
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digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-slides-081811.pdf
August 18, 2011 - Field, D.Sc
University of Massachusetts Medical School
Gurwitz and Field do not have any relevant financial … resulting from a medical intervention related
to a drug
Medication
Errors
ADEs
Preventable ADEs … Gastrointestinal 16%
Renal/electrolytes 12%
Fall with injury … 5%
Cardiovascular 4%
Fall without injury … • “What they need to do and what some electronic medical record
software systems have done is they
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hcup-us.ahrq.gov/reports/statbriefs/sb218-Malnutrition-Readmissions-2013.jsp
December 01, 2016 - In other instances, malnutrition may be a consequence of an acute or chronic illness or injury, such … Injury and poisoning was the primary condition grouping for over one in four readmissions among patients … Injury and poisoning was the most common primary condition grouping for readmissions among patients with … Recurrent readmissions in medical patients: a prospective study. … Incidence and main factors associated with early unplanned hospital readmission among French medical
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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.
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psnet.ahrq.gov/issue/supporting-nursing-midwifery-and-allied-health-professional-students-raise-concerns-quality
November 26, 2014 - August 28, 2019
The road to zero preventable birth injuries. … attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical
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psnet.ahrq.gov/issue/fda-safety-communication-caution-when-using-robotically-assisted-surgical-devices-womens
September 01, 2021 - March 28, 2012
Surgical robot examined in injuries. … See More About The Topic
Operating Room
Health Care Providers
Patients
Gynecology
Medical
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psnet.ahrq.gov/issue/wrong-patient-ordering-errors-peripartum-mother-newborn-pairs-unique-patient-safety-challenge
July 28, 2021 - 2019
Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries … 15, 2023
Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical
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psnet.ahrq.gov/issue/impact-multidisciplinary-chart-reviews-opioid-dose-reduction-and-monitoring-practices
October 11, 2023 - October 11, 2023
A randomized trial of a multifactorial strategy to prevent serious fall injuries … January 23, 2019
Electronic medical record alert associated with reduced opioid and benzodiazepine
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psnet.ahrq.gov/issue/integrative-review-fatigue-among-nurses-acute-care-settings
June 01, 2022 - June 1, 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
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psnet.ahrq.gov/issue/what-can-safety-cases-offer-patient-safety-multisite-case-study
February 07, 2024 - January 16, 2025
Analysis of an academic medical center’s corrective action plan in response … Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
May 01, 2017 - This might include an existing medical peer review process or review by a perinatal safety or quality … http://www.laerdal.com/us/doc/224/PROMPT-Birthing-Simulator
· Various Birthing Simulators (Klinger Medical … Effects of shoulder dystocia training on the incidence of brachial plexus injury. … Shoulder dystocia and injuries: prevention and management. … This procedure is considered a heroic measure due to the significant risk of brachial plexus injury associated
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-shoulder-dystocia.html
July 01, 2023 - This might include an existing medical peer review process or review by a perinatal safety or quality … products/simulation-training/obstetrics-paediatrics/prompt-flex/
Various Birthing Simulators (Klinger Medical … Effects of shoulder dystocia training on the incidence of brachial plexus injury. … Shoulder dystocia and injuries: prevention and management. … This procedure is considered a heroic measure due to the significant risk of brachial plexus injury associated
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psnet.ahrq.gov/node/49745/psn-pdf
October 01, 2015 - The patient developed acute kidney injury, which
subsequently subsided, and she ultimately was discharged … amphotericin-toxicity
While not irreversibly harmed, the patient experienced an infusion reaction and acute kidney injury … University of Michigan Hospitals and Health System University of Michigan, College of
Pharmacy
Eric Nguyen Medical
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/intimate-partner-violence-and-abuse-of-elderly-and-vulnerable-adults-screening
June 24, 2025 - including primary care clinicians) to report abuse to legal authorities, and most require reporting of injuries … Trauma Violence Abuse . 2023;24(2):1001-1015. Medline:33440034 doi:10.1111/hsc.13282 22. … Violence-inflicted injuries: reporting laws in the fifty states. … Screening for elder mistreatment in dental and medical clinics. … American Medical Association. Family and Intimate Partner Violence H-515.965. 2019. Published 2019.
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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - apparently due to miscommunication at change-of-shift, led to more serious consequences from his iatrogenic injury … facial 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.