-
psnet.ahrq.gov/issue/violations-behavioral-practices-revealed-closed-claims-reviews
August 26, 2011 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … October 12, 2009
A randomized trial of a multifactorial strategy to prevent serious fall injuries … July 29, 2020
Changes in medical errors after implementation of a handoff program. … August 11, 2010
Framing family conversation after early diagnosis of iatrogenic injury … February 25, 2009
Laparoscopic bile duct injury: understanding the psychology and heuristics
-
hcup-us.ahrq.gov/reports/statbriefs/sb13.pdf
September 01, 2006 - The top 20 ranking for private
insurance also included two injuries—fracture of the lower limb ($3.5 … billion) and intracranial injury ($3.3
billion). … Hospitalizations for intracranial injury, fracture of
the lower limb, crushing injury or external injury … 191 Polyhydramnios and other problems of amniotic cavity
– 192 Umbilical cord complication
– 193 Trauma … – 221 Respiratory distress syndrome
– 222 Hemolytic jaundice and perinatal jaundice
– 223 Birth trauma
-
psnet.ahrq.gov/issue/heart-health-care-parents-perspectives-patient-safety
April 24, 2018 - December 19, 2018
Assessing patients 2019 experiences with medical injury reconciliation … injury. … injury. … November 15, 2018
A framework for encouraging patient engagement in medical decision … November 21, 2016
Insensible losses: when the medical community forgets the family.
-
effectivehealthcare.ahrq.gov/sites/default/files/s96.pdf
October 01, 2007 - outpatient ADEs treated in EDs and identifies specific
drugs and circumstances associated with these injuries … Surveillance
System (NEISS) to identify and monitor injuries from con-
sumer products for which patients … NEISS was expanded in 2000
to collect nationally representative data on all external causes
of nonfatal injuries … Documentation
of ADEs in the medical record may be subject to the treating
clinician’s medical training … Division of Hazard and Injury Data Systems, U.S.
-
psnet.ahrq.gov/node/851158/psn-pdf
June 28, 2023 - Ventricular Wall Injury during a Diagnostic Cardiac
Catheterization
June 28, 2023
Pham TH, Atreja … Ventricular Wall Injury during a Diagnostic Cardiac Catheterization. PSNet [internet].
2023. … https://psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
The … Immediate recognition of iatrogenic injuries during cardiac catheterization enables more timely and … /medical-device-recalls/vascular-solutions-inc-recalls-langston-dual-lumen-catheter-due-risk-separation-during-use
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/ems-blood-transfusion-protocol-amendment.pdf
February 04, 2025 - as
the cause of mortality from trauma.1 Furthermore, nontraumatic medical conditions such as
gastrointestinal … and nontraumatic medical conditions. … Characteristics of the emergency medical
services system (including air medical versus ground ambulance … Distinguishing factors may
include emergency medical services agency costs, emergency medical services … Joint Trauma System. The Department of Defense Center of Excellence for Trauma.
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
September 01, 2023 - COMMON INTERVENTION(S) IN PLACE FOR PATIENTS WITH DIFFERENT
DEMOGRAPHICS OR RISKS OF FALLS OR INJURIES … commonFormatsOverview
ii Event categories (or modules, types) of the CFER-H include: Blood or Blood Product, Device or Medical … health considerations.1–4 Falls result in significant physical and economic burden, ranging from
injuries … Incidence of and county variation in fall injuries in US residents aged 65
years or older, 2016-2019 … Trends in fatal and nonfatal injuries among older Americans, 2004–
2017. Am. J. Prev.
-
psnet.ahrq.gov/node/854638/psn-pdf
October 18, 2023 - Early identification and evaluation of severe pressure
injuries.
October 18, 2023
Quick Safety. … https://psnet.ahrq.gov/issue/early-identification-and-evaluation-severe-pressure-injuries
Pressure injuries … https://psnet.ahrq.gov/issue/early-identification-and-evaluation-severe-pressure-injuries
https://psnet.ahrq.gov … /issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis
https://psnet.ahrq.gov … preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb1txt.html
December 01, 2017 - Monthly falls analysis by:
location and time of fall
shift and day of week
type of injury … Monthly falls analysis by # of falls, fallers, patients ≥2 falls, and falls with serious injury?
… All areas warrant assessment and should be accessible in the medical record. … care plan include general behavior management strategies and specific interventions to reduce risk of injury … results of fall (BP, BS, mental status, VS, tests ordered, ER or hospital visit)
description of injury
-
www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-slides.html
February 01, 2017 - Subjects: 330 medical ICU (MICU) patients requiring ventilation on admission. … Subjects: Academic medical center MICU:
1,110 admissions with at least one PT session. … medical center. … Subjects: 2,176 trauma and burn ICU patients,
Pre (n=1044) and post (n=1132) EM program. … Slide 23: 5-Year Sustainability of Time to PT Postacute Lung Injury Diagnosis 8
Post-QI → earlier
-
psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
January 01, 2017 - their workforce, I announced we should be an injury-free workplace. … And over the 13 years I was there we got close to achieving zero injuries. … The University of Pittsburgh Medical Center has about 22 hospitals. … We gave one prize to a very famous person in health and medical care. … Workplace injuries cost healthcare industry billions. Fierce Healthcare. November 12, 2013.
-
psnet.ahrq.gov/node/33592/psn-pdf
December 15, 2024 - defined an adverse event as "an injury that was
caused by medical management (rather than the underlying … The Institute for Healthcare
Improvement uses a similar definition: unintended physical injury resulting … Medical
Practice Study. … Ameliorable adverse events are those that are not preventable, but the
severity of the injury "could … A near miss is defined as "an event or situation that did not produce patient
injury, but only because
-
hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or26.pdf
June 01, 2012 - Specifically deaths due to injuries, both
intentional and unintentional, reveal major racial disparities … Death certificate race data is often recorded by coroners,
funeral directors or medical examiners based … Unintentional
injuries stayed in the 3rd spot for AI/ANs in the latter decade, but dropped to the 5th … Hospital discharge
systems
• Death certificates
• STD/HIV and other
communicable diseases
• Trauma … injury deaths
• 50,804 unintentional
• 13,930 suicide
• 2,802 homicide
Injury Deaths 1990-
-
psnet.ahrq.gov/issue/liability-associated-obstetric-anesthesia-closed-claims-analysis
July 13, 2010 - death or brain damage claims decreased in recent years (though still a leading cause), maternal nerve injury … RIS
Download Citation
Related Resources From the Same Author(s)
Injury … June 23, 2009
Communication failures contributing to patient injury in anaesthesia malpractice … October 30, 2024
Medical malpractice lawsuits involving trainees in obstetrics and gynecology … September 21, 2022
Communication failures contributing to patient injury in anaesthesia
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
March 01, 2004 - Classifying trauma severity based on hospital
discharge diagnoses. … J Trauma 1996;41(3):380–8.
4. Rutledge R, Osler T, Kromhout-Schiro S. … Excess length of stay, charges and
mortality attributable to medical injuries during
hospitalization … J Trauma 1998;45(4):791–9.
13. Hartz AJ, Kuhn EM. … Patient safety
efforts should focus on medical injuries. JAMA
2002;287(15):1993–7.
23.
-
psnet.ahrq.gov/node/35293/psn-pdf
August 31, 2005 - Removing Insult from Injury: Disclosing Adverse Events. … 2005
Johns Hopkins Bloomberg School of Public Health
https://psnet.ahrq.gov/issue/removing-insult-injury-disclosing-adverse-events … This 25-minute training video illustrates how physicians can discuss and apologize for medical mistakes … https://psnet.ahrq.gov/issue/removing-insult-injury-disclosing-adverse-events
-
psnet.ahrq.gov/node/45350/psn-pdf
October 21, 2016 - A National Trauma Care System: Integrating Military and
Civilian Trauma Systems to Achieve Zero Preventable … Deaths After Injury. … https://psnet.ahrq.gov/issue/national-trauma-care-system-integrating-military-and-civilian-trauma-systems … https://psnet.ahrq.gov/issue/national-trauma-care-system-integrating-military-and-civilian-trauma-systems-achieve-zero … intended-and-unintended-effects-large-scale-adverse-event-disclosure-controlled-after
https://psnet.ahrq.gov/issue/reducing-medical-error-military-health-system-how-can-team-training-help
-
hcup-us.ahrq.gov/db/nation/nis/tools/stats/SummaryStats_NIS_2010_Quality_Report.PDF
January 01, 2010 - For more information about the HCUP edit checks,
*Mm/ar = Medical misadventure/adverse reaction. … For more information about the HCUP edit checks,
*Mm/ar = Medical misadventure/adverse reaction. … For more information about the HCUP edit checks,
*Mm/ar = Medical misadventure/adverse reaction. … EECODE04 : Injury E code without an injury DX 0.59 46,217
EECODE05 : Mm/ar* E code without an mm/ar … For more information about the HCUP edit checks,
*Mm/ar = Medical misadventure/adverse reaction.
-
hcup-us.ahrq.gov/db/nation/nis/tools/stats/SummaryStats_NIS_2011_Quality_Report.PDF
January 01, 2011 - For more information about the HCUP edit checks,
*Mm/ar = Medical misadventure/adverse reaction. … For more information about the HCUP edit checks,
*Mm/ar = Medical misadventure/adverse reaction. … For more information about the HCUP edit checks,
*Mm/ar = Medical misadventure/adverse reaction. … EECODE04 : Injury E code without an injury DX 0.61 48,820
EECODE05 : Mm/ar* E code without an mm/ar … For more information about the HCUP edit checks,
*Mm/ar = Medical misadventure/adverse reaction.
-
psnet.ahrq.gov/node/35362/psn-pdf
September 28, 2005 - Managing the aftermath of iatrogenic injury.
September 28, 2005
Vincent C; Saunders A. … https://psnet.ahrq.gov/issue/managing-aftermath-iatrogenic-injury
The authors discuss how harmful mistakes … They recommend open
communication with and possible psychological support for those involved in medical … https://psnet.ahrq.gov/issue/managing-aftermath-iatrogenic-injury