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Total Results: 6,285 records

Showing results for "medical injury".

3461. How incident reporting systems can stimulate social and participative learning: a mixed-methods study. | PSNet
      psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning-mixed-methods
      November 04, 2020 - Diagnostic Safety and Quality April 26, 2023 Critical incidents involving the medical … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … The Topic Hospitals Quality and Safety Professionals Hospital Medicine Nurse Care Medical

3462. Comparison of methods to reduce bias from clinical prediction models of postpartum depression. | PSNet
      psnet.ahrq.gov/issue/comparison-methods-reduce-bias-clinical-prediction-models-postpartum-depression
      April 15, 2020 - 2021 Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries … May 19, 2021 Physician use of stigmatizing language in patient medical records. … January 18, 2023 Assessment of overuse of medical tests and treatments at US hospitals

3463. Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective patient record review study in the Netherlands. | PSNet
      psnet.ahrq.gov/issue/examining-causes-and-prevention-strategies-adverse-events-deceased-hospital-patients
      June 08, 2022 - October 6, 2021 A systematic review of methods for medical record analysis to detect … Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries … July 7, 2021 Registration-associated patient misidentification in an academic medical

3464. In Conversation With… Sharon K. Inouye, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
      December 01, 2012 - My criteria for neuroimaging are that if someone has a history of head trauma or evidence of bruising … In the absence of any neurologic changes, head trauma, or fever where you think there could be herpes … , and worse long-term brain function [ 5 ]), it is worth thinking about delirium as an "acute brain injury … " similar to other end-organ injuries (e.g., heart attack, acute kidney injury). … As with these other important end-organ injuries, delirium is a clinical event for which prevention and

3465. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy | PSNet
      psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
      March 18, 2020 - lacking. 11 In this case, the addition of a nasogastric tube during ERCP may have increased the risk of injury … Surgical airway kits are part of the emergency medical equipment that should be available and checked … who has aspirated with 100% oxygen, utilizing airway adjuncts including LMAs as needed Timothy Do, BS Medical … July 31, 2024 WebM&M Cases Uterine Artery Injury … WebM&M Cases Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury

3466. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49583/psn-pdf
      April 01, 2009 - Serial testing for markers of cardiac injury was begun, and he was treated with a beta- blocker, enoxaparin … eptifibatide-epilogue The Institute of Medicine report "To Err Is Human" estimated that more than a million injuries … and nearly 100,000 deaths are caused by medical errors every year.(1) Mistakes involving medications … Recent data suggest that adding clinical pharmacists to the medical team can reduce medication-related … Also, the hierarchal nature of medical practice frequently inhibits team members from speaking up.

3467. Amphotericin Toxicity | PSNet
      psnet.ahrq.gov/web-mm/amphotericin-toxicity
      April 01, 2014 - The patient developed acute kidney injury, which subsequently subsided, and she ultimately was discharged … While not irreversibly harmed, the patient experienced an infusion reaction and acute kidney injury. … Hospitals and Health System University of Michigan, College of Pharmacy Eric Nguyen Medical … Access Issue April 1, 2014 Implementation of the World Health Organization Trauma

3468. Nursing-Staff-Shortages-Rapid-Research-Appendix-C (xls file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/nursing-staff-shortages-rapid-research-appendix-c.xlsx
      January 01, 2024 - Indicator QI Quality improvement RN registered nurse SD Standard deviation SOII Survey of Occupational Injuries … California's nurse-to-patient ratio law and occupational injury. … Hospital Nursing staff Hospital data from US Bureau of Labor Statistics’ (BLS) Survey of Occupational Injuries … rate among hospital RNs in California 33.6% reduction from the mean pre-law injury rate in California … for LPNs Evidence suggests that the law was effective in reducing occupational injury and illness rates

3469. Radiation risks of diagnostic imaging and fluoroscopy. | PSNet
      psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging
      June 18, 2021 - February 10, 2021 Preventing falls and fall-related injuries in health care facilities … Topic Health Care Providers Quality and Safety Professionals Engineers Radiology Medical

3470. Patient Safety Organizations: a new paradigm in quality management and communication systems in healthcare. | PSNet
      psnet.ahrq.gov/issue/patient-safety-organizations-new-paradigm-quality-management-and-communication-systems
      March 10, 2021 - March 10, 2021 A randomized trial of a multifactorial strategy to prevent serious fall injuries … The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical

3471. Electronic fetal heart rate monitoring: applying principles of patient safety. | PSNet
      psnet.ahrq.gov/issue/electronic-fetal-heart-rate-monitoring-applying-principles-patient-safety
      October 10, 2018 - September 20, 2011 Role-modeling and medical error disclosure: a national survey of trainees … March 4, 2020 A randomized trial of a multifactorial strategy to prevent serious fall injuries

3472. Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. | PSNet
      psnet.ahrq.gov/issue/better-not-knowing-improving-clinical-care-limiting-physician-access-unsolicited-diagnostic
      November 29, 2017 - March 4, 2015 A randomized trial of a multifactorial strategy to prevent serious fall injuries … April 4, 2018 Safety in the NICU: preventing medical errors.

3473. Preventable errors in the operating room: retained foreign bodies after surgery--part I. | PSNet
      psnet.ahrq.gov/issue/preventable-errors-operating-room-retained-foreign-bodies-after-surgery-part-i
      April 28, 2021 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries

3474. Silence A Commentary | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/silence.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Silence A Commentary Previous Page Next … This is what it feels like when you lose a loved one to a medical error. … If it does, we feel their injury or the loss of their life was in vain. … In the past, patients experienced only silence and abandonment after a medical error. … Disclosing medical errors to patients: It’s not what you say, it’s what they hear.

3475. Medication bar coding: to scan or not to scan? | PSNet
      psnet.ahrq.gov/issue/medication-bar-coding-scan-or-not-scan
      October 19, 2022 - September 24, 2016 A randomized trial of a multifactorial strategy to prevent serious fall injuries

3476. Final Progress Report: Connected Emergency Care (CEC) Patient Safety Learning Lab (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/hinson-levin-report.pdf
      January 01, 2025 - the EDs of five hospitals within the Johns Hopkins Health System: Johns Hopkins Hospital, Bayview Medical … Center, Howard County Medical Center, Suburban Hospital, and Sibley Memorial Hospital. … CONNECTIONS USING PRE-ARRIVAL ALERTS: Another subproject focused on the connection between emergency medical … Optimal Acute Kidney Injury Algorithm for Detecting Acute Kidney Injury at Emergency Department Presentation … Society for Academic Emergency Medicine (SAEM) Continuing Medical Education Diagnostic Symposium.

3477. Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients? | PSNet
      psnet.ahrq.gov/issue/content-analysis-patient-safety-incident-reports-older-adult-patient-transfers-handovers-and
      December 14, 2022 - involved interunit/department/team transfers and the majority (69%) of incidents were related to pressure injuries … November 11, 2020 A systematic review of methods for medical record analysis to detect

3478. S5 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/s5.pdf
      October 01, 2007 - The conference papers in this special issue of Medical Care reflect these themes, with particular emphasis … Copyright © 2007 by Lippincott Williams & Wilkins ISSN: 0025-7079/07/4500-0005 Medical Care • Volume … or settings; it offers promise for early detection of such adverse events.13 The National Electronic Injury … With this pivotal place in the medical armamentar- ium comes growing concerns about the true benefits … Evaluation and overview of the National Electronic Injury Surveillance System-Cooperative Ad- verse Drug

3479. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
      July 01, 2003 - Tulsky, MD, Duke University Medical School Editor, AHRQ WebM&M: Robert Wachter, MD Spotlight Editor … Discussions Domination of discussion by physician Physicians speak nearly three-fourths of the time Use of medical … How do medical residents discuss resuscitation with patients? … with uncertain outcomes i.e., successful cardiac resuscitation with resultant severe anoxic brain injury … patients who will not receive CPR Recommendations for Hospitals and Educators Teach residents and medical

3480. Development of a Clinical Decision Support Tool for Facilitating Naturalistic Decision Making and Improving Blood Culture Utilization | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/development-clinical-decision-support-tool-facilitating-naturalistic-decision
      January 01, 2023 - 2020 Technology Clinical Decision Support System Electronic Health Record/Electronic Medical … Record Care Setting Academic Medical Center Intensive Care Unit Medical … conditions in the PICU, such as venous thromboembolism, acute respiratory distress syndrome, traumatic brain injury … Mixed Methods Technology: Clinical Decision Support System , Electronic Health Record/Electronic Medical