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www.ahrq.gov/hai/pfp/interimhacrate2013.html
November 01, 2015 - 2
In 2010 an HHS Office of the Inspector General (OIG) team identified the rate of harm—that is, injuries … Data on the rate of HACs comes from three sources:
Review of approximately 18,000 to 33,000 medical … The medical records used for the Medicare Patient Safety Monitoring System (MPSMS) come from the CMS … Inpatient Quality Reporting (IQR) Program. 6 After the medical records are abstracted with the MPSMS … This estimate is based on analysis of data from HCUP identifying injuries in 7.45 million hospital discharge
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetes-behavior-programs_clinician-2016.pdf
January 01, 2016 - .
�� No studies reported the associated harms (i.e., activity-
related injury) of behavioral programs … AHRQ series paper 5: grading the strength of a body
of evidence when comparing medical interventions—Agency
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www.ahrq.gov/news/newsletters/e-newsletter/954.html
April 01, 2025 - (Source: AHRQ Medical Expenditure Panel Survey Statistical Brief #559, Average Annual Total Expenses … Literature An ecological momentary assessment and intervention tool for memory in chronic traumatic brain injury
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psnet.ahrq.gov/node/49442/psn-pdf
May 01, 2004 - https://psnet.ahrq.gov/web-mm/missed-tb
The Case
A 38-year-old white female with no past medical history … cmd=Retrieve&db=PubMed&list_uids=11446752&dopt=Abstract
Drug-induced lung injury
This project
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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - s slow or ineffective response to clinical deterioration resulting from an
underlying illness or a medical … recognition of and deterioration
following breakdown of an anastomosis, patient fall risk and staff injury
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/guide-staffing-during-COVID19.pdf
June 02, 2025 - therapists can conduct accident investigations, implement care plan updates,
and lead teams in fall/injury … Some of those individuals might consider nursing home positions. ♦
• Contact your local Medical Reserve
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan154/healthful-diet-and-physical-activity-for-cardiovascular-disease-prevention-in-adults-without-known-risk-factors-behavioral-counseling-july-2017
May 14, 2015 - sedentary behavior)
KQ 4: Adverse outcomes, including any harms requiring unexpected or unwanted medical … attention (e.g., nutritional deficiencies, musculoskeletal injuries, cardiovascular events)
Knowledge
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/healthy-lifestyle-and-physical-activity-for-cvd-prevention-adults-without-known-risk-factors-behavioral-counseling
June 04, 2020 - inclusion criteria specifies that the population has ≥1 CVD risk factors
Current smokers
Persons with medical … intervention (e.g., nutritional deficiencies, disordered eating, symptoms of anxiety, musculoskeletal injuries
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psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
March 27, 2024 - IV levofloxacin, IV haloperidol, etc.), the electronic medical record can be programmed to send best … WebM&M Cases
Navigating Chaos: Fatal Iatrogenic Liver Injury
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/antipsychotics-children_research-protocol.pdf
June 04, 2010 - diagnosis, age, sex, race,
weight, height, body mass index, co-morbidities, use of concurrent standard medical … Grading the strength of a body of evidence when
comparing medical interventions. … On some specific reports such as reports requested by the Office
of Medical Applications of Research
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digital.ahrq.gov/sites/default/files/docs/lesson/08-0063-ef-ambulatory-cpoe.pdf
May 01, 2008 - body of literature shows
that many patients experience adverse drug events (ADEs) or unanticipated injuries … in
nursing homes
5
The Institute of Medicine
estimates 98,000 deaths per year and many more injuries … resulting from medical errors,
making patient safety a top priority in U.S. health care.
6 and three … Strictly defined, it is the
process by which providers directly enter medical orders into a computer … The alert would open up when the clinician
opened the patient’s medical chart, with a response being
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psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
July 08, 2022 - The Accreditation Council for Continuing Medical Education (ACCME) defines an ineligible company as “ … Latex is essential to these plants to heal surface injuries and create immune responses against invading … Why is latex used in the medical field? … If medical personnel are unclear about the allergen content of a latex product, exclusion from use is … WebM&M Cases
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury
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www.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
September 01, 2013 - Wound Care
1. For what types of wounds is chlorhexidine (CHG) application safe? … #2: Nasal Trauma
Do NOT use mupirocin if nostril(s) are packed. … or superficial
wound … CHG will not harm occlusive dressing (e.g., wound vacs).
Do NOT use on large or deep wounds … CHG can cause
permanent injury if it comes in direct contact with nerves and is allowed to remain there
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Graham_77.pdf
March 05, 2008 - Methods
Definition
We defined an ADE as an injury resulting from medical intervention related to a … drug.15 We
interpreted this definition to include injuries resulting from an herbal or non-HDS and … The Beth Israel Deaconess Medical Center
institutional review board approved the study in advance. … Therapies,
Harvard Medical School, Boston, MA (Dr. … Weingart); Harvard Medical School, Boston, MA (Dr. Graham, Dr. Bates, Dr.
Phillips, Dr.
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psnet.ahrq.gov/node/33813/psn-pdf
August 01, 2016 - On the surface, the answer is disturbingly clear: dental care, like medical care, is inherently risky … that a review of the literature (2) we conducted identified reports of serious lacerations and other
injuries … practices with more than 100
physicians.(14)
Additionally, dental insurance has evolved separately from medical … state
assistance for dental care is limited.(15) Finally, dental records are usually independent of medical … Investigator,
Undiagnosed Diseases Network Coordinating Center Center for Biomedical Informatics Harvard Medical
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www.uspreventiveservicestaskforce.org/uspstf/draft-recommendation/vitamin-d-calcium-combined-supplementation-primary-prevention-falls-fractures-communitydwelling-adults
December 17, 2024 - 100,000 persons were attributed to unintentional falls, making falls the leading cause of unintentional injury … These recommendations do not apply to persons with a history of osteoporotic fractures, medical conditions … The CDC’s STEADI (Stopping Elderly Accidents, Death, and Injuries) initiative helps reduce fall risk
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
April 08, 2004 - communication, communication within the health care team, learning from
mistakes, disclosure of errors and injuries … , identify root causes of medical errors, prepare meaningful reports
on medical error investigations … of medical physics. … If this
does not happen, efforts to reduce medical errors and injuries will continue to
encounter … Medical error: a discussion of the
medical construction of error and suggestions for
reforms of medical
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effectivehealthcare.ahrq.gov/sites/default/files/arthritis-horizon-scan-high-impact-13121.pdf
December 05, 2013 - Increasing age, obesity, injury to or overuse of a joint,
and genetics can all contribute to the disease … such as tendinitis and chronic
wounds.64
In PRP, patient blood is collected and centrifuged to … Patients treated with PRP had
significant improvements in the Knee Injury and Osteoarthritis Outcome … Meir Medical Center. … Arch Orthop
Trauma Surg. 2011 Mar;131(3):311-7. PMID:
20714903
74. Krawczynski J.
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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - many are preventable. 2 A medical error is the failure to complete a planned action as intended, or … An adverse event is any injury caused by medical management rather than the underlying disease. 3 Research … shows that medical errors and adverse events occur more frequently in the intensive care unit (ICU) … The Critical Care Safety Study: The incidence and nature of adverse events and serious medical errors … Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II.
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psnet.ahrq.gov/web-mm/overriding-considerations
March 09, 2009 - More medical education focused on patient autonomy and the importance of informed consent in genetic … Some evidence shows that current curricula may have an impact: at two medical schools, approximately … The written consent should be placed in the permanent medical record, whether electronic or paper. … Commentary
References
Related Resources From the Same Author(s)
Reducing medical … March 9, 2009
A randomized trial of a multifactorial strategy to prevent serious fall injuries