-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-193-disposition-comments-naloxone.pdf
November 27, 2017 - Also, the risk of
adverse event will also have to do w/ the pt's overall
health otherwise (wound infxns … The IN method takes the needle out of the equation-
-which reduces needle-stick injuries, and in PWID … Ex: Given a reported 160,000 doses
administered in 2014, how many actual EMS injuries
were reported … Medical Training has always been the
cornerstone of medically managing medical
conditions and should … stick, and that no cases of
serious injuries were
reported in the RCTs or
observational studies.
-
psnet.ahrq.gov/node/73642/psn-pdf
August 25, 2021 - Patient death or serious injury associated
with intravascular air embolism that occurs while being cared … vessel may be exposed due to underlying disease (e.g., ulcers,
mucosal inflammation), scope-induced injury … Improving communication both before and during the procedure may improve the success of rescue
after medical … Closed-Loop
Communication Improves Task Completion in Pediatric Trauma Resuscitation. … Multidisciplinary Simulation-Based Team Training for Trauma
Resuscitation: A Scoping Review.
-
effectivehealthcare.ahrq.gov/sites/default/files/cer-238-cervical-ripening-evidence-summary.pdf
March 01, 2021 - different for cesarean delivery,
fetal/neonatal infection with dinoprostone and maternal infection, birth trauma … total (1 in the outpatient and 2 in the inpatient group) which included 1 case each of brachial plexus injury … cephalohematoma, and scalp laceration plus cephalohematoma; authors did not report which specific injuries … applicable to younger women
with singleton, vertex presentation pregnancies and low or no obstetric or medical
-
psnet.ahrq.gov/issue/comparison-medication-administration-errors-original-medication-packaging-and-multi
July 24, 2024 - September 6, 2023
6-PACK programme to decrease fall injuries in acute hospitals: cluster
-
psnet.ahrq.gov/issue/monitoring-adverse-drug-reactions-children-using-community-pharmacies-pilot-study
July 01, 2017 - March 1, 2023
A randomized trial of a multifactorial strategy to prevent serious fall injuries
-
psnet.ahrq.gov/issue/medication-administration-variances-and-after-implementation-computerized-physician-order
July 19, 2023 - December 29, 2014
A randomized trial of a multifactorial strategy to prevent serious fall injuries
-
psnet.ahrq.gov/issue/identifying-right-patient-nurse-and-consumer-perspectives-verifying-patient-identity-during
September 03, 2011 - Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical
-
psnet.ahrq.gov/issue/outcomes-medication-misadventure-among-people-cognitive-impairment-or-dementia-systematic
March 08, 2023 - June 28, 2017
Learning from no-fault treatment injury claims to improve the safety of
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-presenters-notes.pdf
January 10, 2022 - For example, if a
medical assistant is out sick, the front desk staff may realize that faxed test results … are
not being entered into patients’ medical records as they normally would. … or
unfolding error
An opportunity to
interrupt or correct
an action or event
before harm or
injury … and teams to take steps to interrupt or correct an action or event
before harm or injury
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-situation-monitoring.pptx
January 10, 2022 - For example, if a medical assistant is out sick, the front desk staff may realize that faxed test results … are not being entered into patients’ medical records as they normally would. … allows individuals and teams to take steps to interrupt or correct an action or event before harm or injury … risk or unfolding error
An opportunity to interrupt or correct an action or event before harm or injury
-
psnet.ahrq.gov/issue/association-unexpected-newborn-deaths-changes-obstetric-and-neonatal-process-care
June 01, 2022 - 2022
Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries … 15, 2023
Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical
-
psnet.ahrq.gov/issue/effect-quality-improvement-intervention-daily-round-checklists-goal-setting-and-clinician
June 25, 2014 - March 15, 2017
Medical injuries among hospitalized children.
-
psnet.ahrq.gov/issue/are-adverse-events-related-completeness-clinical-records-results-retrospective-records-review
July 01, 2009 - that 16% of hospitalizations included at least one adverse event, with the most common being surgical injuries … See More About The Topic
Hospitals
Internal Medicine
Obstetrics
General Surgery
Medical
-
psnet.ahrq.gov/issue/veterans-affairs-initiative-prevent-methicillin-resistant-staphylococcus-aureus-infections
February 22, 2017 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … March 13, 2013
A randomized trial of a multifactorial strategy to prevent serious fall injuries
-
psnet.ahrq.gov/issue/effects-three-consecutive-12-hour-shifts-cognition-sleepiness-and-domains-nursing-performance
December 01, 2021 - , 2021
A multisite study of interprofessional teamwork and collaboration on general medical … January 29, 2014
Extended work duration and the risk of self-reported percutaneous injuries
-
www.ahrq.gov/sites/default/files/2024-01/smith-report.pdf
January 01, 2024 - Postsurgical pain can result from nerve injury, central sensitization, and inflammation. … In the case of
nerve injury, axon sprouting from the damaged nerve can lead to formation of a neuroma … In addition, receptor field
expansion, in which an initial injury results in a wider range of sensitization … surrounding the primary
injury, can also amplify pain signals. … For example, rubbing on or vibration on an area adjacent to an injury can limit perceptions
of pain
-
hcup-us.ahrq.gov/reports/statbriefs/sb92.pdf
July 01, 2010 - Case definition
All-listed CCS diagnosis and external cause of injury codes used to identify mental … disorders
661 Drug-related disorders
662 Intentional self-harm/suicide and intentional self-inflicted injury … conditions, frequently require more medical than psychiatric treatment and thus are excluded from the … HCUP data include OB-GYN, ENT,
orthopedic, cancer, pediatric, public, and academic medical hospitals … and substance abuse
1Based on first-listed or principal diagnosis or all-listed external cause of injury
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/drug-use-illicit-primary-care-interventions-for-children-and-adolescents
August 30, 2018 - Prescription stimulants
Over-the-counter drugs (e.g., DXM)
Combination of any of the above
Medical … endocarditis, respiratory infections, cardiovascular complications, stroke, seizures)
Drug-related injury … after the intervention began (e.g., death (including suicide), seizure, cardiovascular event, or other medical … issue requiring urgent medical treatment)
Demoralization due to failed quit attempt
Harms associated
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/_YbH4zWjUdppo-uWMUg4qC
February 01, 2004 - HBV infection
identified through screening may benefit from
interventions designed to reduce liver injury … School
of Nursing, University of Maryland,
Baltimore, Baltimore, MD)
Ned Calonge, MD, MPH (Acting
Chief Medical … Chair, Department
of Family Medicine, University of
Medicine and Dentistry of New
Jersey-New Jersey Medical … MSPH (Professor
and Chairman, Brookdale Department
of Geriatrics and Adult Development,
Mount Sinai Medical
-
hcup-us.ahrq.gov/datainnovations/ICD10Imp_Romano_NAHDO_October2016.pdf
October 27, 2016 - body part (see also “restriction”)
6
Example QIs with mapping challenges
• PSI 14, Postoperative wound … 54.61, Reclosure
of postoperative disruption of abdominal wall
• PSI 10, Postoperative acute kidney injury … Internal
Medicine, Neonatal/Pediatric, Neurology, Obstetrics and
gynecology, Orthopedics, General and trauma … uncertain
– 88% of records from 4 hospitals
– April-October 2013
• University of California Davis Medical … Center
– 5,167 dual coded records from 1 urban academic medical
center (627 beds; 78,800 ED visits