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Total Results: 6,283 records

Showing results for "medical injury".

  1. Sign up to Safety. | PSNet

    psnet.ahrq.gov/issue/sign-safety
    April 15, 2020 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries

  2. Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. | PSNet

    psnet.ahrq.gov/issue/randomized-trial-warfarin-communication-protocol-nursing-homes-sbar-based-approach
    November 21, 2012 - View More Related Resources Popular blood thinner causing deaths, injuries

  3. Detection of adverse drug events using an electronic trigger tool. | PSNet

    psnet.ahrq.gov/issue/detection-adverse-drug-events-using-electronic-trigger-tool
    October 02, 2013 - From research to practice: factors affecting implementation of prospective targeted injury-detection

  4. Pocket Syringe Swap | PSNet

    psnet.ahrq.gov/web-mm/pocket-syringe-swap
    July 01, 2006 - 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 … Kulli, MD Medical Director Perioperative Services University of California, San Francisco

  5. Delayed Evaluation of Abdominal Pain in an Elderly Patient. | PSNet

    psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
    February 26, 2020 - 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 … Consulting Editor, AHRQ’s Patient Safety Network (PSNet) Professor Department of Surgery Division of Trauma … Emergency department crowding and risk of preventable medical errors. … 2022 WebM&M Cases Errors in Managing an Open Wound

  6. Creating a fair and just culture: one institution's path toward organizational change. | PSNet

    psnet.ahrq.gov/issue/creating-fair-and-just-culture-one-institutions-path-toward-organizational-change
    July 23, 2014 - November 21, 2021 A randomized trial of a multifactorial strategy to prevent serious fall injuries

  7. Bedside handover: quality improvement strategy to "transform care at the bedside." | PSNet

    psnet.ahrq.gov/issue/bedside-handover-quality-improvement-strategy-transform-care-bedside
    October 27, 2010 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries

  8. Failure to report poor care as a breach of moral and professional expectation. | PSNet

    psnet.ahrq.gov/issue/failure-report-poor-care-breach-moral-and-professional-expectation
    March 05, 2025 - July 18, 2016 Injury to research volunteers—the clinical-research nightmare.

  9. Apparent cause analysis: a safety tool. | PSNet

    psnet.ahrq.gov/issue/apparent-cause-analysis-safety-tool
    June 27, 2018 - Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury

  10. Measured response to identified suicide risk and violence: what you need to know about psychiatric patient safety. | PSNet

    psnet.ahrq.gov/issue/measured-response-identified-suicide-risk-and-violence-what-you-need-know-about-psychiatric
    January 30, 2019 - March 18, 2015 Reducing falls and fall-related injuries in mental health: a 1-year multihospital

  11. Support methods for healthcare professionals who are second victims: an integrative review. | PSNet

    psnet.ahrq.gov/issue/support-methods-healthcare-professionals-who-are-second-victims-integrative-review
    April 27, 2022 - July 29, 2020 A critical review: moral injury in nurses in the aftermath of a patient

  12. The Veterans Affairs National Quality Scholars Program: a model for interprofessional education in quality and safety. | PSNet

    psnet.ahrq.gov/issue/veterans-affairs-national-quality-scholars-program-model-interprofessional-education-quality
    May 02, 2012 - 2023 Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries

  13. PS Grantee | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/index.html?page=8
    January 01, 2024 - Information Exchange Publication Date: December 2014 Communication To Prevent and Respond to Medical … Injuries: WA State Collaborative ( application/pdf 414856 ) Principal Investigators: Gallagher,

  14. Variability in antibiotic use across nursing homes and the risk of antibiotic-related adverse outcomes for individual residents. | PSNet

    psnet.ahrq.gov/issue/variability-antibiotic-use-across-nursing-homes-and-risk-antibiotic-related-adverse-outcomes
    November 06, 2015 - March 2, 2016 Learning from no-fault treatment injury claims to improve the safety of

  15. Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Furmaga.pdf
    January 01, 2005 - nifedipine that, while allowing for some uses (e.g., autonomic dysreflexia secondary to spinal cord injury … were continued (158 [9.5 percent] for treatment of autonomic dysreflexia in patients with spinal cord injury … acting nifedipine for hypertension, 84 (15 percent) for autonomic dysreflexia secondary to spinal cord injury … percent of patients receiving medical care in the system. … VA PBM Medical Advisory Panel, Hines, IL (PAG, CBG).

  16. Appendix I: Online and Journal Resources | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/api.html
    June 01, 2010 - providers in the areas of aging services, behavioral health, child and youth services, DMEPOS (durable medical … equipment, prosthetics, orthotics, and supplies), employment and community services, and medical rehabilitation … http://www.outcomeanalysis.com Center for Outcome Measurement in Brain Injury Reviewed 6/ … 4/07 The Center for Outcome Measurement in Brain Injury (COMBI) is an online resource for those … needing detailed information and support with regard to outcome measures for brain injuries.

  17. The Context Is the Intervention | PSNet

    psnet.ahrq.gov/perspective/context-intervention
    August 05, 2020 - 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 … psychological mechanisms, often 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

  18. Wolfstadt JI et al. 2008 "The effect of computerized physician order entry with clinical decision support on the rates of adverse drug events: a systematic review." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/wolfstadt-ji-et-al-2008
    January 01, 2008 - decision support (CDS) has been promoted as an effective strategy to prevent the development of a drug injury

  19. FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management. | PSNet

    psnet.ahrq.gov/issue/fda-safety-communication-use-caution-implanted-pumps-intrathecal-administration-medicines
    June 20, 2018 - FDA Safety Communication: recommendations to reduce surgical fires and related patient injury

  20. Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why. | PSNet

    psnet.ahrq.gov/issue/realist-synthesis-intentional-rounding-hospital-wards-exploring-evidence-what-works-whom-what
    March 01, 2023 - December 21, 2017 A randomized trial of a multifactorial strategy to prevent serious fall injuries
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