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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
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psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
August 01, 2006 - Concerned about causing injury to the patient, he consulted a neurosurgeon who recommended that further … Luckily, the patient suffered no major consequences, but was at risk for spinal cord injury and had to … Cooper, PhD Professor of Anaesthesia Harvard Medical School Massachusetts General Hospital Executive … Director Center for Medical Simulation Brinda B. … Kamdar, MD Instructor of Anaesthesia Harvard Medical School Massachusetts General Hospital
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psnet.ahrq.gov/node/49732/psn-pdf
May 01, 2015 - The bundle, recently updated in 2013 by the Surviving Sepsis Campaign (SSC) and endorsed by multiple
medical … UCSF Medical Center has created a real-time electronic surveillance program to monitor vital signs and … laboratory values filed into the electronic medical record (EMR) to generate an alert to nurses and … mental status
Lactate > 2 mmol/L
Urinary output
Creatinine > 2 mg/dL
Worsening hypoxemia
Acute lung injury … with PaO2/FiO2
Acute lung injury with PaO2/FiO2
Bilirubin > 2 mg/dL
Platelet count 9/L
International
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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
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www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
December 01, 2017 - John Hospital and Medical Center in Detroit. … John Hospital and Medical Center? … Possibly, the patient needs immobilization for trauma or surgery, patient is incontinent with open wounds … ; protocolized care for trauma; incontinence without open sacral or perineal wounds; pre-operative placement … Is it a medical necessity?
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psnet.ahrq.gov/issue/junior-doctors-shifts-and-sleep-deprivation
October 16, 2012 - 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/preventing-pressure-ulcers-goal-zero
September 30, 2010 - Related Resources From the Same Author(s)
Findings of the first consensus conference on medical … October 2, 2024
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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psnet.ahrq.gov/issue/improving-operating-room-and-perioperative-safety-background-and-specific-recommendations
August 29, 2011 - July 13, 2010
A randomized trial of a multifactorial strategy to prevent serious fall injuries … A follow-up study from US Veterans Health Administration medical centers.
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psnet.ahrq.gov/issue/attending-work-hour-restrictions-it-time
November 28, 2012 - November 28, 2012
A randomized trial of a multifactorial strategy to prevent serious fall injuries … February 24, 2011
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Impact of medical
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/renal-cancer_clinician.pdf
July 01, 2017 - AHRQ series paper 5: grading the
strength of a body of evidence when comparing medical interventions—Agency … Varied across studies
(���) Lower with RN (���) Varied across studies
(���) (���)
Acute Kidney Injury … Urological complications included hemorrhage, urine leakage, hematuria, loss of kidney function, ureteral injury … included hematologic (thromboembolic), gastrointestinal, cardiovascular, respiratory, neurological, and wound … NA ���
AKI = acute kidney injury; CI = confidence interval; CKD = chronic kidney disease; eGFR = estimated
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www.ahrq.gov/topics/childrenadolescents.html
January 01, 2011 - Home
University of Iowa Uses AHRQ Data to Study Ways to Lower Incidence, Costs of Sports-Related Injuries
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psnet.ahrq.gov/issue/new-practices-reduce-childbirth-risks
July 16, 2019 - March 4, 2009
National safety effort targets perinatal injuries.
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psnet.ahrq.gov/node/844052/psn-pdf
July 01, 2012 - medication administration
errors) versus other contexts, such as individual harms (e.g., sports-related injuries
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psnet.ahrq.gov/node/843054/psn-pdf
January 25, 2023 - The most common types of nursing-sensitive events were falls, pressure injuries, healthcare-associated
-
psnet.ahrq.gov/node/73665/psn-pdf
September 01, 2021 - The most common safety events included pressure injuries or other skin integrity events, falls,
and
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psnet.ahrq.gov/issue/crossover-patient-satisfaction-surveys-adverse-events-and-patient-complaints-continuous
July 27, 2022 - Improving Diagnostic Safety and Quality
April 26, 2023
Addressing Medical … February 1, 2023
Strength of safety measures introduced by medical practices to prevent … Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries
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psnet.ahrq.gov/issue/autopsy-quality-control-measure-radiology-and-vice-versa
April 24, 2018 - : The influence of race and gender on evaluations of medical errors. … May 1, 2024
Medical large language models are vulnerable to data-poisoning attacks. … February 9, 2011
Delayed or missed diagnosis of cervical spine injuries.
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psnet.ahrq.gov/issue/effect-facility-characteristics-patient-safety-patient-experience-and-service-availability
April 12, 2023 - April 24, 2018
Changes in medical errors after implementation of a handoff program. … November 17, 2021
A randomized trial of a multifactorial strategy to prevent serious fall injuries … June 19, 2018
Suffering in silence: medical error and its impact on health care providers
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hcup-us.ahrq.gov/db/nation/nis/APS-DRGsDefManualV27Public.pdf
April 01, 2010 - 902 901 WD DBRD FOR INJURIES
903 901 WD DBRD FOR INJURIES … 904 904 SKN GRFTS FOR INJURIES
905 904 SKN GRFTS FOR INJURIES … INJURIES
908 907 OTH OR PX FOR INJURIES
909 907 OTH OR … PX FOR INJURIES
913 913 TRAUMATIC INJURY
914 913 TRAUMATIC INJURY … 964 MDC EXCL 963 OTH MULT SIG TRAUMA
965 MDC EXCL 963 OTH MULT SIG TRAUMA
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hcup-us.ahrq.gov/db/nation/nis/APS_DRGsDefManualV26Public.pdf
April 01, 2010 - 902 901 WD DBRD FOR INJURIES
903 901 WD DBRD FOR INJURIES … 904 904 SKN GRFTS FOR INJURIES
905 904 SKN GRFTS FOR INJURIES … INJURIES
908 907 OTH OR PX FOR INJURIES
909 907 OTH OR … PX FOR INJURIES
913 913 TRAUMATIC INJURY
914 913 TRAUMATIC INJURY … 964 MDC EXCL 963 OTH MULT SIG TRAUMA
965 MDC EXCL 963 OTH MULT SIG TRAUMA