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psnet.ahrq.gov/node/49853/psn-pdf
February 01, 2019 - He was eventually resuscitated but was left with significant neurological injury as a result of hypoxic … brain
injury. … reassessment of patient condition, a reminder to document
the intrahospital transfer in the patient's medical
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
July 01, 2023 - Describe the connection between communication and medical errors. … Clear—It is conveyed using plain language and avoiding medical jargon. … Slide 6: Root Causes of Maternal and Perinatal Deaths and Injuries 2004-2012
Say:
Human factors … communication breakdowns are identified as the primary root cause of maternal and perinatal deaths and injuries … Other root causes for maternal and perinatal deaths and injuries are—
Assessment.
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psnet.ahrq.gov/node/33623/psn-pdf
December 01, 2005 - The Unintended Consequences of Florida Medical
Liability Legislation
December 1, 2005
Barach P. … The Unintended Consequences of Florida Medical Liability Legislation. PSNet [internet]. 2005. … recognizing the link between patient safety, medical errors, and medical malpractice.(4) Unique 2004 … conferences, root cause analyses, and any other professional exchange of information related to a patient's
injury … Washington, DC: National Academy Press; 2000.
2.Medical Incidents. The Florida Senate.
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6f-ondemand.html
April 01, 2023 - include the following question:
"In the last 6 (or 12) months, did you (or your child) have an illness, injury … CAHPS Health Plan Survey Database 2015
Survey item: Got urgent care for illness, injury … results also indicate that, while the majority of adults are usually or always able to obtain urgent medical … The physician can offer medical advice and diagnose certain minor health conditions (e.g., flu, cold, … For example, members may be tempted to call the 24-hour nurse hotline for non-medical issues regarding
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
August 24, 2015 - key activities of the Resolution team include:
Compensating quickly and fairly when inappropriate medical … Identify trends occurring in your legal community regarding medical litigation. … What is occurring in your legal community regarding medical litigation? … Assess possible future injuries.
Assess lost income potential, loss of quality of life. … Potential future injuries that may result from the adverse event.
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hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2013.pdf
January 01, 2013 - Also
included are public hospitals and academic medical centers. … following: any subsequent admission
regardless of cause, any subsequent admission that does not involve trauma … Considered
from Any
State
192: Umbilical cord
complication 421 1.43 1.43 0.0
193: OB-related trauma … 235: Open wounds of head;
neck; and trunk 5,616 12.29 12.84 4.5
236: Open wounds of
extremities … 15.48 15.99 3.3
243: Poisoning by
nonmedicinal substances 2,659 11.51 12.19 5.9
244: Other injuries
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man4.html
December 01, 2017 - Once the Falls Assessment is complete, it should be placed in the resident's medical record. … worksheet will help staff identify the circumstances of the behavior, review the resident's personal and medical … Trying to climb over bedrails may well result in a serious fall related injury. … Underlying medical conditions. … For residents who are in danger of head injury, a helmet can provide protection.
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psnet.ahrq.gov/node/33815/psn-pdf
September 01, 2016 - These technologies are now commonly applied in virtually every medical
specialty to educate, monitor … center to
manage treatment of children with serious illness or injury in eight rural EDs in California … The exponential growth of mobile medical applications raises new safety concerns. … Many developers lack medical training, and some fail to involve clinicians in the mobile
application … Skin scan: a demonstration of the need for FDA regulation of
medical apps on iPhone.
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psnet.ahrq.gov/node/60547/psn-pdf
May 28, 2020 - Devices that “sustain or support life, are implanted, or present potential high risk of illness
or injury … [2] Consumers (Medical Devices): How are Medical Devices Classified. … https://www.fda.gov/medical-devices/software-medical-device-samd/what-are-examples-software-medical- … /what-are-examples-software-medical-device
https://www.fda.gov/medical-devices/software-medical-device-samd … /medsun-medical-product-safety-network
https://www.fda.gov/medical-devices/medical-device-safety/medsun-medical-product-safety-network
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www.ahrq.gov/ncepcr/reports/2025-annual-report/patient-safety.html
August 01, 2025 - References
AHRQ defines patient safety as “freedom from accidental or preventable injuries … produced by medical care.” 2 Patient safety gained national attention in the late 1990’s with the publication … Optimizing the Clinical Management of Polypharmacy for Children with Medical Complexity (R01) PI: James … Improving Risk Prediction for Children Seeking Emergency Medical Services (EMS) Care with Nonemergent … Organization: Boston Children’s Hospital Grant Start Date: July 1, 2024 Aims to reduce the risk of renal injury
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hcup-us.ahrq.gov/reports/statbriefs/sb231-Acute-Renal-Failure-Hospitalizations.jsp
November 01, 2017 - inpatient, ambulatory surgery, and emergency department use and costs, quality of care, access to care, medical … includes obstetrics and gynecology, otolaryngology, orthopedic, cancer, pediatric, public, and academic medical … Acute kidney injury: definition, pathophysiology and clinical phenotypes. … Acute kidney injury: current concepts and new insights. … Acute kidney injury: epidemiology, outcomes and economics.
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psnet.ahrq.gov/issue/medication-reconciliation-reducing-drug-discrepancy-adverse-events
October 10, 2018 - October 10, 2018
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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psnet.ahrq.gov/issue/provider-and-patient-perceptions-external-medication-history-function
July 16, 2015 - November 13, 2024
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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www.ahrq.gov/hai/pfp/haccost2017-ref.html
May 01, 2023 - Industry Data, General medical and surgical hospitals (series PCU622110). … How are the costs of care for medical falls distributed? … The costs of medical falls by component of cost, timing, and injury severity. … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization … Ostomy Wound Manage . 2016 Nov;62(11):30-8.
65. Mendizabal A, Thibault DP, Willis AW.
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www.ahrq.gov/sites/default/files/wysiwyg/sdoh/sdoh-environmental-scan.xlsx
April 29, 2021 - National Conference of State Legislatures Injury Prevention Legislation Database https://www.ncsl.org … /research/health/injury-prevention-legislation-database.aspx N N Y 2015 to 2020 N Y Y Y Y Y Y The database … Review on Opioid Related Policy https://www.azdhs.gov/documents/prevention/womens-childrens-health/injury-prevention … Centers for Disease Control and Prevention National Ambulatory Medical Care Survey (NAMCS)/National Hospital … Ambulatory Medical Care Survey (NHAMCS) https://www.cdc.gov/nchs/ahcd/about_ahcd.htm
N N N Metropolitan
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/recombinant-factor-viia_disposition-comments.pdf
June 01, 2010 - clearly a continuing
unmet medical need. … the wound patterns in the two settings
are vastly different. … injury and hypotension, and these conditions are thought to
drive the coagulopathy of trauma. … Therefore, despite the
differences in injury mechanisms, injuries of sufficient severity … trumps that of
other injuries and where the other injuries are not of a life-threatening
hemorrhagic
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/suicidal-thoughts-young-people-amendement-may-2025.pdf
January 01, 2025 - or potential for injury)
o Those who have made suicide attempts in the
absence of known suicidal … )
• Age group (5–13 years, 14–17 years, and 18–24
years)
• Sex
• Race/ethnicity
• History of trauma … Products Regulatory Agency, relevant conference
proceedings, patient advocate group websites, and medical … factors (e.g., demographic characteristics [e.g., age, race,
ethnicity, socioeconomic status]), patient medical … Prevalence and Correlates of Suicide and
Nonsuicidal Self-injury in Children: A Systematic Review and
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psnet.ahrq.gov/issue/handling-injectable-medications-anaesthesia-guidelines-association-anaesthetists
March 14, 2022 - March 1, 2023
Preventing patient positioning injuries in the nonoperating room setting
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psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-missed-test-results-stepped-wedge-cluster
May 12, 2021 - improve follow-up on commonly missed test results related to lung and colorectal cancer across 12 VA medical … 2023
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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psnet.ahrq.gov/issue/ask-me-explain-campaign-90-day-intervention-promote-patient-and-family-involvement-care
November 16, 2022 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … August 4, 2021
A randomized trial of a multifactorial strategy to prevent serious fall injuries