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psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
August 01, 2012 - circumstances combine to place the elderly nursing home resident at special risk for preventable drug-related injuries … all of medicine and place older persons residing in nursing homes at substantial risk of iatrogenic injury … resident-months, of which 40% were considered preventable.( 7 ) Errors associated with preventable drug-related injuries … directly from inadequate information at the time of ordering, including information about relevant medical … October 11, 2023
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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hcup-us.ahrq.gov/reports/statbriefs/sb118.pdf
August 01, 2011 - hospitals or other institutions, fewer discharges to home health care, and
fewer discharges against medical … Injuries (including poisonings, multiple trauma, and burns) and neoplasms each
accounted for about 2 … Similarly, injuries and poisonings declined from 2000 (8.7 per 10,000) to 2006 (7.5 per 10,000) and 2009 … assigned a single MDC that designates the body system (e.g., respiratory system) or etiology (e.g.,
trauma … HCUP data include OB-GYN, ENT,
orthopedic, cancer, pediatric, public, and academic medical hospitals
-
www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
January 01, 2024 - common type of preventable error
(44%), followed by errors in diagnosis (17%), failures to prevent injury … Work injuries and time of day-national data. … The preventability of medical injury. In: Bogner MS, ed. Human error in
medicine. … American Association of Medical Colleges. … The impact of overtime and
long work hours on occupational injuries and illness: New evidence from
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digital.ahrq.gov/principal-investigator/pitts-samantha
July 24, 2024 - July 24, 2024 - 2:30pm
- July 24, 2024 - 4:00pm
Medication errors are a leading cause of injury
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hcup-us.ahrq.gov/db/nation/nis/NIS_Introduction_2003_v7.jsp
January 01, 2003 - ECODEn is an array of the external cause of injury codes (i.e., “E codes”). … Also included are public hospitals and academic medical centers. … 1988-2003
Admission type, uniform coding: (1) emergency, (2) urgent, (3) elective, (4) newborn, (5) trauma … Beginning in 2003, the diagnosis array does not include any of external cause of injury codes. … NECODE
2003
Number of external cause of injury codes on the original record.
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psnet.ahrq.gov/node/49835/psn-pdf
January 01, 2020 - The patient was discharged and completed 6 weeks of antibiotics and wound
care, with healing of the … needs to be
part of the care process early on, while hospitalists and other physicians are directing medical … Medical conditions (such as diabetes) that cause kidney failure often require extensive health
care … with cumulative exposure to venous injury. … The contralateral veins were already unusable by the time of
the PICC, suggesting repeated vein injuries
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hcup-us.ahrq.gov/datainnovations/clinicaldata/MPinepresentation.jsp
December 01, 2010 - Comparative Performance of Alternative Databases
Inpatient Quality Indicators (Mortality)
Medical … laboratory data not in HYBRID models (e.g., blood culture results)
Key clinical findings abstracted from medical … All POA coding must be supported by medical record documentation by a qualified healthcare practitioner … For accidents (i.e., E codes), POA codes are based on the relation of the time of injury to the time … Therefore, POA=Y only when injury occurs prior to admission.
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psnet.ahrq.gov/node/836964/psn-pdf
April 20, 2022 - The most common
preventable events were medication events, pressure injuries, and healthcare-associated
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psnet.ahrq.gov/node/39477/psn-pdf
April 28, 2010 - effects-adverse-drug-event-alert-system-cost-and-quality-outcomes-community-hospitals
https://psnet.ahrq.gov/issue/computer-alert-system-prevent-injury-adverse-drug-events-development-and-evaluation-community
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psnet.ahrq.gov/issue/medication-reconciliation-rural-trauma-population
April 24, 2018 - Study
Medication reconciliation in a rural trauma population. … Medication reconciliation in a rural trauma population. … frequently inaccurate medication histories at time of admission, particularly for those patients with severe injuries … Medication reconciliation in a rural trauma population. … September 12, 2016
The effect of resident duty hour restriction on trauma center outcomes
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psnet.ahrq.gov/issue/model-medication-safety-event-detection
May 14, 2008 - From research to practice: factors affecting implementation of prospective targeted injury-detection
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www.ahrq.gov/research/findings/final-reports/stpra/stpraref.html
April 01, 2018 - Assessing patient safety risk before the injury occurs: An introduction to sociotechnical probabilistic
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kuperman-gj-et-al-2003
January 01, 2003 - Studies have documented that CPOE can decrease costs, shorten length of stay, decrease medical errors … "Studies have shown that CPOE systems can reduce medication errors and associated costs and injuries. … to a pharmacy application have been described, and interfacing a CPOE application and an electronic medical
-
psnet.ahrq.gov/node/845360/psn-pdf
March 29, 2023 - use-interprofessional
Patients with cognitive impairment (such as dementia, delirium, traumatic brain injury
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-1-tables-1-5.pdf
June 02, 2025 - thunderclap 339.43
Other complicated 339.44
Other
Post-traumatic headache 339.2x
Acute pain due to trauma … seizure 780.33
Other convulsions 780.39
4
Table 4 [=IMG9]: ICD-9-CM Codes to Identify Head Trauma … 800.2
Closed with other and unspecified intracranial hemorrhage 800.3
Closed with intracranial injury … 852.x
Other/unspecified intracranial hemorrhage following injury 853.x
Intracranial injury of other … excision of foreign body from brain 61570
Craniectomy or craniotomy; with treatment of penetrating wound
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hcup-us.ahrq.gov/db/nation/kid/kid_2003_introduction_rpt.jsp
January 01, 2003 - ECODEn is an array of the external cause of injury codes (i.e., �E codes�). … Included among community hospitals are academic medical centers and specialty hospitals such as obstetrics … some data sources were prohibited from providing HCUP with discharge records that indicated specific medical … , 2003
Admission type, uniform coding: (1) emergency, (2) urgent, (3) elective, (4) newborn, (5) trauma … nursing facility, intermediate care, and another type of facility, (6) home healthcare, (7) against medical
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psnet.ahrq.gov/issue/high-reliability-health-care
May 06, 2015 - May 6, 2015
Preventing Falls With Injury.
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psnet.ahrq.gov/primer/triggers-and-trigger-tools
September 15, 2024 - These methods are often referred to by various names such as Targeted Injury Detection Systems and most … Triggers have become a widely used way to retrospectively analyze medical records in order to identify … events is laborious and expensive, even in the era of electronic medical records. … Triggers provide a way of screening medical records for possible harm and identifying cases that merit … September 28, 2022
Medical Device Use Error: Root Cause Analysis.
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psnet.ahrq.gov/issue/creating-high-reliability-new-approach-patient-safety
April 07, 2022 - February 29, 2012
Do nurse and patient injuries share common antecedents?
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psnet.ahrq.gov/issue/open-better-care
January 28, 2015 - December 22, 2021
Utilizing quality improvement methods to prevent falls and injury from