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psnet.ahrq.gov/issue/medication-related-emergency-department-visits-and-hospital-admissions-pediatric-patients
March 13, 2015 - November 16, 2022
A randomized trial of a multifactorial strategy to prevent serious fall injuries … February 2, 2022
Errors in adult trauma resuscitation: a systematic review.
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psnet.ahrq.gov/issue/patient-safety-palliative-care-end-life-perspective-complex-thinking
October 05, 2022 - include inappropriate pain management , preventable hospital (re)admissions, falls, and pressure injuries
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psnet.ahrq.gov/node/49454/psn-pdf
July 01, 2004 - Outline the roles that the FDA, hospitals, professional medical societies, and the pharmaceutical
industry … The patient
experienced severe crush injuries after spending 7 hours pinned under a large vehicle at … active internal bleeding, recent hemorrhagic stroke, intracranial or intraspinal surgery, severe head trauma … Case & Commentary: Part 3
The patient later died due to complications from his multiple injuries. … Medscape Medical News [serial
online]. 2004. Available at: [ go to related site ].
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www.ahrq.gov/sites/default/files/2024-01/strom-report.pdf
January 01, 2024 - THIN is an anonymized electronic medical record database of primary care
medical records from the United … cohorts with no history of the outcome event (renal dysfunction, hepatic
dysfunction, or muscule injury … Renal dysfunction was defined by a READ code for acute kidney injury, chronic kidney disease, end-
stage … We utilized the 5X ULN ALT/AST outcome threshold, consistent with the Drug-
Induced Liver Injury Network … Causes, Clinical Features, and Outcomes
From a Prospective Study of Drug-induced Liver Injury in the
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psnet.ahrq.gov/issue/multicomponent-fall-prevention-strategy-reduces-falls-academic-medical-center
June 27, 2018 - Study
A multicomponent fall prevention strategy reduces falls at an academic medical … A Multicomponent Fall Prevention Strategy Reduces Falls at an Academic Medical Center. … A Multicomponent Fall Prevention Strategy Reduces Falls at an Academic Medical Center. … and Quality
April 26, 2023
In-hospital sequelae of injurious falls in 24 medical
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www.ahrq.gov/sites/default/files/2024-01/scott-report.pdf
January 01, 2024 - Use the ambulatory surgical setting as a model to better understand risks and injuries and to focus … University of Michigan, complications may occur in
nearly 13% of cases.4 Preventable healthcare-related injuries … Excess length of stay, charges, and mortality attributable to medical injuries during
hospitalization … and implement team training curricula regarding
other domains, such as rare event crises in the OR, trauma … and ER scenarios,
minimization of medical error, and the like.
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psnet.ahrq.gov/issue/post-implementation-optimization-medication-alerts-hospital-computerized-provider-order-entry
December 31, 2014 - December 31, 2014
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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psnet.ahrq.gov/issue/systems-approach-identify-factors-influencing-adverse-drug-events-nursing-homes
March 18, 2020 - February 22, 2017
Needlestick injuries among surgeons in training.
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psnet.ahrq.gov/issue/harvard-medical-practice-study-trigger-system-performance-deceased-patients
March 02, 2022 - Study
The Harvard Medical Practice Study trigger system performance in deceased patients … The Harvard medical practice study trigger system performance in deceased patients. … The Harvard medical practice study trigger system performance in deceased patients. … September 20, 2011
Causes for medical errors in obstetrics and gynaecology. … July 15, 2015
Stakeholder challenges in purchasing medical devices for patient safety
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psnet.ahrq.gov/issue/use-standard-risk-screening-and-assessment-forms-prevent-harm-older-people-australian
May 11, 2022 - and Quality
April 26, 2023
In-hospital sequelae of injurious falls in 24 medical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-driscoll.pdf
April 01, 2015 - The following year,
SCF introduced the SCF Nuka System of Care, a patient-centered
medical home (PCMH … Care was provided by multidisciplinary teams, which included a
primary care physician, a medical assistant … Emergency care use for asthma and unintentional injuries,
specifically, also showed a significant and
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hcup-us.ahrq.gov/reports/methods/2016-06.pdf
January 01, 2016 - It
is important to remember billing codes are not medical diagnoses. … surgery.10,11 POA
may be indicated with principal and secondary diagnoses, as well as external cause of injury … Are we underestimating the burden of traumatic brain injury? … Surveillance
of severe traumatic brain injury using Centers for Disease Control International Classification … of Disease, Ninth
Revision, Clinical Modification, traumatic brain injury codes.
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psnet.ahrq.gov/node/851971/psn-pdf
July 31, 2023 - His past medical and
psychiatric history was notable for schizoaffective disorder and multiple prior … with factitious disorder consciously and manipulatively (usually
surreptitiously) produce illness or injury … this communication error because the foreign
body likely traversed the gastrointestinal tract without injury … Scand J
Trauma Resusc Emerg Med. 2021;29(1):64. [Free full text]
20. … Changes in medical errors after
implementation of a handoff program.
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hcup-us.ahrq.gov/reports/statbriefs/sb118.jsp
August 01, 2011 - hospitals or other institutions, fewer discharges to home healthcare, 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.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/hemorrhage-postpartum_clinician.pdf
July 01, 2016 - summary of a systematic review evaluating the evidence regarding the potential benefits and harms of medical … is insufficient to permit conclusions about the
harms associated with the other pharmacological and medical … is insufficient to determine if uterine or other
pelvic vessel ligation is associated with surgical injury … e.g.,
revising the responsibilities of clinical teams).
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Finding SOE
Pharmacological and other medical … AHRQ series paper 5: grading the
strength of a body of evidence when comparing medical interventions—Agency
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psnet.ahrq.gov/web-mm/double-dose-transfer
November 01, 2012 - 1.82 preventable ADEs per admission among non-obstetrical admissions ( 3 ), and one error resulting in injury … EDIS, 72% reported moving away from a best of breed EDIS product.( 8 ) An integrated electronic medical … Key stakeholders, including the medical staff, nursing, and pharmacy leadership, should determine those … Electronic medical records provide both opportunities and risks related to adverse drug events and must … Hackman, MD Chief Medical Information Officer Truman Medical Centers References 1.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-262-pharmacotherapy-alcohol-disposition-comments.pdf
November 07, 2023 - Public Comment
#3 (APA)
Results Pg. 39 first sentence of accident or injury. … That doesn't demonstrate that topiramate may help prevent
injuries. … We have revised the
accident or injury section
for topiramate. … Public Comment
#3 (APA)
Results Pg 42 accidents or injuries OR accident or injury Revised to “accidents … or injuries.”
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psnet.ahrq.gov/node/853774/psn-pdf
September 27, 2023 - Nevertheless, every patient deserves to be
provided with the best opportunity to survive an illness or injury … that permits all necessary interventions to be provided commensurate with
the degree of illness or injury … Rapid visual assessment, split flow models of care, and rapid
medical evaluations are three processes … Consulting Editor, AHRQ’s Patient Safety Network (PSNet)
Professor
Department of Surgery
Division of Trauma … Emergency department crowding and risk of preventable
medical errors.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-fullreport.pdf
April 01, 2019 - These
complications include compromised airway, hypoxia leading to central nervous system injury,
and … • Trauma.
o Suspected child abuse.
o Concussion. … deep sedation carry a
greater risk of airway compromise, hypoxia resulting in central nervous system injury … These risks include dental trauma;
airway edema (swelling of the windpipe); vocal cord spasm or injury … ; regurgitation of stomach
contents with subsequent aspiration (inhalation) pneumonia; injury to arteries
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psnet.ahrq.gov/node/49649/psn-pdf
March 01, 2012 - Trauma
contributed the largest role to mental disorders in the Vietnamese group.(5) In our own Vietnamese … Continuing a complicated medical evaluation without such a foundation may signal
to the patient that … In the
Vietnamese refugee, unexplained medical symptoms or reactions out of proportion to the symptoms … Trauma, PTSD, and the longer-term mental health
burden amongst Vietnamese refugees: a comparison with … and mental health sequelae in
South Vietnamese ex-political detainees who survived traumatic head injury