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psnet.ahrq.gov/issue/speaking-about-patient-safety-requires-observant-questioner-and-high-index-suspicion
June 10, 2018 - May 29, 2014
Assessing the National Electronic Injury Surveillance System—Cooperative
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psnet.ahrq.gov/issue/learning-error-identifying-contributory-causes-medication-errors-australian-hospital
October 19, 2022 - Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma … January 12, 2022
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
April 30, 2025 - ■ To reduce medication-associated acute kidney injury in nine pediatric hospitals, one project
disseminated … R18 HS23763
[Grant]
Reduction of
Nephrotoxic
Medication-
Associated Acute
Kidney Injury in
Children … Participating in a learning
network that required all participants to implement Nephrotoxic Injury Negated … healthcare system; (2) develop and validate a highly sensitive
model to identify drug-induced liver injury … analgesics was most common among
children with outpatient procedures, dental procedures, traumatic injuries
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psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
January 01, 2019 - suicide screen in ED flowsheet
triggering an evaluation by Psychiatric Emergency Services (PES)
• Medical … advice and found dead by a
neighbor the next day from a self-inflected gunshot wound to head
8 … Prioritizing Suicidal Ideation and Attempts on Medical
History/Problem List
3. … Suicide Screening
• Centers for Disease Control ranks suicide (intentional self-injury) the
10th leading … Suicide risk factors can be divided into 4 groups
– Static factors (such as a history of childhood trauma
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hcup-us.ahrq.gov/reports/ataglance/HCUPMalnutritionHospReport_083018.pdf
August 01, 2018 - In other instances, malnutrition may be a consequence of an acute or chronic illness
or injury, such … stays related to malnutrition involving postsurgical non-absorption
and nutritional neglect had an injury … and poisoning principal diagnosis grouping, a broad
category of conditions that includes trauma, burns … principal diagnosis groupings at readmission—circulatory
system, digestive system, respiratory system, and injury … 3 12.1 1 13.4 2 13.2
Respiratory
system 4 11.8 4 10.6 -- -- 4 9.9 2 16.2 4 11.4 5 11.5 1 14.7
Injury
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/reports-congress/fourth-annual-report-congress-high-priority-evidence-gaps-clinical-preventive-services
November 01, 2015 - Obesity and Cardiovascular Health
Behavior and Development
Infectious Diseases
Cancer Prevention
Injury
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psnet.ahrq.gov/node/49625/psn-pdf
May 01, 2011 - Of these errors, the rate of injury, and more rarely, death, is
probably also approximately 1%.(2) Thus … , the risk of injury or death from medication error per se is
approximately 1 in 10,000 anesthetic cases … Kulli, MD Medical Director
Perioperative Services
University of California, San Francisco
References
-
www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapb.html
March 01, 2013 - Electronic Health/Medical Record: In health informatics, an electronic medical record (EMR) is considered … EHRs are sometimes defined as including other systems that keep track of medical information, such as … practice management software that facilitates the day-to-day operations of a medical practice. … Medical Record: That part of a client's health record that is made by physicians and is a written or … transcribed history of various illnesses or injuries requiring medical care, inoculations, allergies
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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - Although most medication errors do not result in injury, the extensive use of medications by the geriatric … to discontinuities in care or communication.( 3 ) In one U.S. teaching hospital, 19% of discharged medical … Adverse events among medical patients after discharge from hospital. … “Adverse events among medical patients after discharge from hospital.” … October 11, 2023
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
August 01, 2022 - Carilion Medical Center. … Beth Israel Deaconess Medical Center . … Injury (MACRMI), which comprises a variety of stakeholder groups. … guidelines addressing clinical situations that result in significant numbers of patient injuries and … medical liability claims.
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psnet.ahrq.gov/node/33719/psn-pdf
October 01, 2011 - The theories and methods
used by these sciences are not well understood in medical research and health … sciences have illuminated these aspects of the RRT, which were not revealed by traditional
experimental medical … ://psnet.ahrq.gov//#ref2
unconscious, come into play to protect from feelings of pain.(3) Causing injury … Most health personnel untrained in patient safety theories often
assume avoidable patient injuries are … Conclusion
"The context is the intervention" is a way of jolting the reader into seeing beyond traditional medical
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psnet.ahrq.gov/web-mm/eptifibatide-epilogue
March 04, 2011 - Serial testing for markers of cardiac injury was begun, and he was treated with a beta-blocker, enoxaparin … Commentary 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.
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psnet.ahrq.gov/issue/mother-claims-hospital-error-kept-her-newborn-daughter
June 13, 2011 - November 25, 2009
National safety effort targets perinatal injuries.
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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-concord-hospital
October 19, 2022 - March 30, 2016
Prevention of fall-related injuries in long-term care: a randomized controlled
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digital.ahrq.gov/sites/default/files/docs/page/ISyE%20and%20Health%20Care%20Report%20Out.pdf
June 16, 2021 - ithi hi h ld tconstraint within which we could generate many engr
solutions – e.g. traumatic brain injury … Interdisciplinary field – IE’s and medical field
5.
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hcup-us.ahrq.gov/news/exhibit_booth/sedd_brochure.jsp
May 01, 2018 - Topics
Rely on the SEDD to study State-level emergency department issues, including:
Injury … assessment and planning
Use of hospital services
Impact of health policy changes
Diffusion of medical
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psnet.ahrq.gov/issue/ahrq-safety-program-improving-surgical-care-and-recovery
December 24, 2008 - January 31, 2018
Pressure Injury Prevention in Hospitals Training Program.
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psnet.ahrq.gov/issue/skin-tears-clinical-challenge
March 18, 2010 - PA-PSRS) reports of skin tears and provides suggestions to help keep patients safe from this common injury
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www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
August 01, 2024 - , and obstetric adverse events are responsible for thousands of deaths and hundreds of thousands of injuries
-
psnet.ahrq.gov/issue/patient-safety-1
April 15, 2020 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries