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psnet.ahrq.gov/node/33679/psn-pdf
January 01, 2009 - Disclosure of Medical Error
January 1, 2009
Kachalia A. Disclosure of Medical Error. … https://psnet.ahrq.gov/perspective/disclosure-medical-error
Perspective
Disclosure of medical error … Disclosing harmful medical errors to patients. N Engl J Med.
2007;356:2713-2719. … Making patient safety the centerpiece of medical liability reform. … Disclosure of medical injury to patients:
an improbable risk management strategy.
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psnet.ahrq.gov/web-mm/errors-sepsis-management
November 03, 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 … 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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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p005-2-ef.pdf
October 01, 2014 - Denominator exclusions include:
– Documentation of medical reason(s)
for not prescribing behavior … Medical record
(paper or electronic). … culminate in significant costs attributable to a greater need for health care, more
frequent unintentional injury … Manual chart abstraction of this measure using either paper or electronic medical records is feasible … ● Locations and contexts for documentation of ADHD care in the medical record varied across test sites
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hcup-us.ahrq.gov/reports/methods/2012-02.pdf
January 01, 2012 - The AHA also groups public hospitals and academic medical centers with
community hospitals. … E Codes: Another issue relates to external cause-of-injury reporting. … data to help identify complications of care or to exclude cases (e.g.,
poisonings, self-inflicted injury … SC does not report E codes in the range E870-
E876 (medical misadventures). … PSI 17 Birth trauma - injury to neonate per 1,000 live births (excluding preterm and osteogenesis imperfecta
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psnet.ahrq.gov/node/49714/psn-pdf
August 21, 2014 - He was seen by the trauma surgical service, who felt the findings were due to diffuse
bruising. … fishermen who have injuries from marine organisms), direct spread from a perforated viscus, or from a … Adv Skin Wound Care. 2002;15:135-138. [go to
PubMed]
10. File TM Jr, Tan JS, DiPersio JR. … Adv Skin Wound Care.
2007;20:288-293. [go to PubMed]
17. Jones J. … Massive infectious soft-tissue injury: diagnosis and
management of necrotizing fasciitis and purpura
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/edenvironmentalscan/edenvironmentalscan.pdf
December 01, 2014 - Introduction
Millions of patients visit hospital emergency departments each year for a variety of injuries … taking certain
medications (depending on
condition)
Ensure patients are capable
and able to care for wounds … This might include medications,
home care of injuries, use of medical devices/equipment, further diagnostic … Among young
trauma patients with alcohol problems, lack of a high school diploma was a risk factor for … This might include medications,
home care of injuries, use of medical devices/equipment, further diagnostic
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_1_BSR_Broch_508.docx
June 02, 2025 - The nurses will look at your medical chart.
Check the medicines you are taking. … The nurses will look at your IVs, injuries, and bandages.
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www.ahrq.gov/research/findings/factsheets/minority/cbprbrief/index.html
April 01, 2020 - PI: Michael Dulin; Carolinas Medical Center/University of North Carolina, Charlotte. … Hispanic community in Charlotte. (6/1/2006 to 5/31/2008)
Community Integration After Spinal Cord Injury … Newman, Ph.D.; Medical University of South Carolina. … participatory methodology to focus research on issues of greatest relevance to individuals with spinal cord injuries … PI: Dennis Andrulis, Ph.D., M.P.H.; State University of New York Downstate Medical Center.
-
www.ahrq.gov/sites/default/files/publications/files/cbprbrief.pdf
January 01, 2014 - PI: Michael Dulin;
Carolinas Medical Center/University of
North Carolina, Charlotte. … growing Hispanic community in
Charlotte. (6/1/2006 to 5/31/2008)
Community Integration After Spinal
Cord Injury … Newman, Ph.D.; Medical
University of South Carolina. … participatory
methodology to focus research on issues
of greatest relevance to individuals with
spinal cord injuries … PI: Dennis Andrulis,
Ph.D., M.P.H.; State University of New
York Downstate Medical Center.
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psnet.ahrq.gov/issue/hospital-adoption-information-technologies-and-improved-patient-safety-study-98-hospitals
May 11, 2014 - May 11, 2014
Managing the aftermath of iatrogenic injury.
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psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants
December 23, 2016 - January 25, 2023
Preventing falls and fall-related injuries in health care facilities
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
May 06, 2008 - Data are gathered
about the type of event, the location of the event, contributing factors, injuries … • Ensure there are no reprisals for reporting of errors and injuries, both actual occurrences and … The number of patient falls with injury per 1,000 inpatient days is one of the core
clinical indicators … Medical errors: The scope of the problem. AHRQ Pub.
00-P037. … Reporting and preventing
medical mishaps: Lessons from non-medical near miss
reporting systems.
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psnet.ahrq.gov/issue/learning-design-development-and-implementation-medication-safety-thermometer
November 02, 2016 - 30, 2024
Towards international consensus on patient harm: perspectives on pressure injury
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/PCMH/adult-eng-cg30-pcmh.pdf
October 30, 2020 - CAHPS® Clinician & Group Survey with Patient-Centered Medical Home Items
CAHPS® Clinician & Group Survey … with
Patient-Centered Medical Home Items
Version: 3.0
Population: Adult
Language: English
Notes … • Patient-Centered Medical Home (PCMH) items. … In the last 6 months, did you contact this
provider’s office to get an appointment for
an illness, injury … In the last 6 months, did you contact this
provider’s office with a medical question
during regular
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hcup-us.ahrq.gov/reports/trendtables/HCUPSummaryTrendTables_Methods.xlsx
December 01, 2022 - Injury (3) Injury defined by a principal diagnosis with a default CCSR category of INJ001-INJ027 or … Other medical (5) Medical includes all other records (i.e., discharges in medical or ungroupable MS-DRGs … Injury (3) Injury defined by a principal diagnosis with a default HCUP Clinical Classifications Software … (CCSR) category of INJ001-INJ027 or INJ032 with identify initial encounters for injuries (information … Other medical (5) Medical includes all other records (i.e., discharges in medical or ungroupable MS-DRGs
-
psnet.ahrq.gov/issue/pharmacy-dispensing-errors-claims-study-emphasizes-need-systematic-vigilance
April 06, 2022 - This news article discusses injuries that resulted from the errors and provides recommendations to augment
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psnet.ahrq.gov/issue/when-5-rights-go-wrong-medication-errors-nursing-perspective
June 27, 2018 - January 18, 2012
The nurse's role in the causation of compensable injury.
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psnet.ahrq.gov/issue/protect-patients-against-preventable-harm-improper-use-single-dosesingle-use-vials
June 11, 2014 - November 17, 2011
Assessing the National Electronic Injury Surveillance System—Cooperative
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psnet.ahrq.gov/issue/report-ispe-drug-shortages-survey
January 26, 2022 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-tables1-10.pdf
June 02, 2025 - excision of foreign body from brain 61570
Craniectomy or craniotomy; with treatment of penetrating wound … Personal history of other certain diseases TIA and cerebral infarction V12.5
Table 9 [=IMG9]: Head Trauma … of other and
unspecified nature
800.4
Open w/o mention of intracranial injury 800.5
Open with … 800.7
Open with other and unspecified intracranial
hemorrhage
800.8
Open with intracranial injury … 852.x
Other/unspecified intracranial hemorrhage
following injury
853.x
Intracranial injury