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psnet.ahrq.gov/sites/default/files/2023-01/spotlight_overdose_of_gabapentin_and_oxycodone_in_a_patient_with_end-stage_renal_disease.pdf
January 01, 2023 - diabetes, peripheral arterial disease and hypertension
was admitted for nonhealing, infected lower leg wounds … • Their use in renal dysfunction, however, is limited due to the risk of NSAID-
related kidney injury … constricts the afferent arteriole, which can lead to hypertension,
hyperkalemia, hypervolemia, acute kidney injury
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
April 02, 2020 - Scand J Trauma Resusc Emerg Med. 2019;27(1):54.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6505221/ … Triggers and Targeted Injury Detection Systems (TIDS)
Expert Panel Meeting: Conference Summary Report … February 2009. https://psnet.ahrq.gov/issue/triggers-and-targeted-injury-detection-systems-tids-expert … https://psnet.ahrq.gov/issue/triggers-and-targeted-injury-detection-systems-tids-expert-panel-meeting-conference-summary … Reducing diagnostic error through medical home-based primary care reform.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - Scand J Trauma Resusc Emerg Med. 2019;27(1):54.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6505221/ … Triggers and Targeted Injury Detection Systems (TIDS)
Expert Panel Meeting: Conference Summary Report … February 2009. https://psnet.ahrq.gov/issue/triggers-and-targeted-injury-detection-systems-tids-expert … https://psnet.ahrq.gov/issue/triggers-and-targeted-injury-detection-systems-tids-expert-panel-meeting-conference-summary … Reducing diagnostic error through medical home-based primary care reform.
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www.ahrq.gov/patient-safety/resources/learning-lab/index.html
August 01, 2025 - of skin at risk for developing pressure ulcers (recently renamed by expert organizations as pressure injury … ’s achievements include the creation of a digital bedside display that shows patients’ catheter and wound … improved provider's awareness of indwelling urinary catheters, central venous catheters, and pressure injuries … caregivers in the design of health information technology (IT) tools to prevent patient falls and related injuries … Epidemiology and clinical outcomes of community-acquired acute kidney injury in the emergency department
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psnet.ahrq.gov/web-mm/2-week-itch
June 16, 2019 - Difficult-to-read patient records and prescriptions waste time and produce errors,( 4-6 ) causing serious injury … Since mix-ups between Zyprexa and Zyrtec are potentially serious, nurses, medical staff (including psychiatrists … American Medical News. November 22/29, 1999. [ go to related site ] 8.
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/womenh-slides.html
March 01, 2020 - Slide 28
Adult ambulatory medical care visits due to adverse effects of medical care per 1,000 population … Slide 29
Adult ambulatory medical care visits due to adverse effects of medical care per 1,000 population … mostly attributable to sudden unexpected infant death (SUID), congenital anomalies, infection, and injury … Web-based Injury Statistics Query and Reporting System (WISQARS) [Online] (2013). … http://www.cdc.gov/injury/wisqars/index.html . Accessed September 1, 2015.
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan17/healthy-diet-and-physical-activity-counseling-adults-with-high-risk-of-cvd-august-2014
May 15, 2013 - patterns), self-reported or objectively measured
KQ 4: Adverse outcomes include any harms requiring medical … attention (e.g., nutritional deficiencies, musculoskeletal injuries, cardiovascular events)
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psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
April 24, 2024 - low socioeconomic status are at particularly high risk for poor outcomes such as medication errors, injuries … Medicare & Medicaid Services (CMS) defines homebound as being confined to the home due to an illness or injury … Electronic medical records allow access to patient charts virtually anywhere. … A quality of care framework for home-based medical care. … The use of advanced medical technologies at home: a systematic review of the literature.
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/alcohol-misuse-screening-and-counseling-2004
April 06, 2004 - 54, 58, 59, 61), psychological scores, 54 , 59 and lifestyle improvements or reduced accidents and injuries … Alcohol and non-fatal injury in the U.S. general population: a risk function analysis. … Preventing injuries through interventions for problem drinking: a systematic review of randomized controlled … Alcohol interventions in a trauma center [Abstract]. … Alcohol interventions in a trauma center as a means of reducing the risk of injury recurrence.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/undescended-testicle_disposition-comments.pdf
December 11, 2012 - Peer Reviewer #7 Results Page 79:Key Question #5 should also comment on wound infection,
bleeding, reoperation … review the published
evidence to provide adequate and clear data to
clinicians and families facing medical … Bladder injuries during laparoscopic
orchiopexy: incidence and lessons learned. … The
injuries are associated with laparoscopic surgery
in general, and not specific to orchiopexy. … The conclusions should be able to be
understood by both medical professionals as well as lay individuals
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psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
February 20, 2019 - lead to a substantial number of false-positive atrial fibrillation diagnoses and prompt unnecessary medical … Our view is that such a machine will not fit well into existing definitions of a medical device, but … Medical diagnostic decision support systems—past, present, and future: a threaded bibliography and brief … Calibration drift in regression and machine learning models for acute kidney injury.
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psnet.ahrq.gov/web-mm/real-heartache
October 01, 2018 - His past medical history was notable for a history of depression, a 40-pack/year history of cigarette … Polevoi, MD Clinical Professor of Emergency Medicine Medical Director, Emergency Department … National Hospital Ambulatory Medical Case Survey: 2005 emergency department summary. … ECG interpretation: sinus tachycardia, with posterolateral injury pattern.
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psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - The authors conclude that EM is a promising approach for medical education given its potential long-term … The authors conclude that EM is a promising approach for medical education given its potential long-term … Safety Research and Practice at Brigham and Women’s Hospital and a Professor of Medicine at Harvard Medical … continuing challenge of preventing falls and explores strategies for preventing falls and falls with injury
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www.ahrq.gov/sites/default/files/2024-05/valley-report.pdf
January 01, 2024 - Other important findings
were that 1) 94% of respondents were nurses; 2) most rural ICUs were mixed medical-surgical … American Journal
of Medical Quality. 2023. [Epub ahead of print]. PMID: 36951467. … CL for the
National Heart, Lung, and Blood Institute Prevention and Early Treatment of Acute Lung Injury … Time-limited trials in the ICU: A
mixed methods sequential explanatory study of intensivists at two academic medical
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psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation
January 31, 2011 - coronary care unit (CCU) with respiratory failure requiring mechanical ventilation and acute kidney injury … Resuscitation status
Medication changes
Primary diagnosis
Route/type of nutrition
Past medical … Rates of medical errors and preventable adverse events among hospitalized children following implementation … survey of clinicians to identify practices and preferences of intensive care unit transfers to general medical
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psnet.ahrq.gov/web-mm/premature-extubation
May 25, 2011 - If there is no cuff leak, it suggests that laryngeal edema or another type of laryngeal injury has reduced … The ICU medical director reviewed the case and discovered that the physician had forgotten to place an … The medical director also realized that the ventilator weaning process was not standardized. … Only one-third of patients who required intubation were considered high risk for extubation failure by medical
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psnet.ahrq.gov/web-mm/forgotten-line
March 11, 2011 - assumed that the patient was supposed to be discharged with it in place and did not call anyone from the medical … Developing policies, training, and a safety culture that reduce the risk of injury by making it easier … Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited … sites except for dialysis catheters When aseptic insertion in doubt (i.e., inserted during medical
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2025-hcbs-chartbook.pdf
January 01, 2025 - Adult Program
respondents
473
Physical Disability Program
respondents
259
Acquired Brain Injury … disabilities, persons with intellectual or developmental
disabilities, persons with acquired brain injury … Transportation to medical appointments 3
6. Personal safety and respect 3
7. … Disability 3 4 1,171 11%
Older Adults 3 3 1,010 9%
Physical Disability 2 3 473 4%
Acquired Brain Injury … have a way to get to your medical appointments?
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psnet.ahrq.gov/web-mm/turn-other-cheek
October 26, 2010 - reported sentinel events , unexpected occurrences involving death or serious physical or psychological injury … Incidence of and risk factors for medical malpractice lawsuits among Mohs surgeons. … prevent wrong-site surgery: development, establishment and subsequent evaluation among patients and medical
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psnet.ahrq.gov/node/49809/psn-pdf
October 01, 2017 - event reveals common misconceptions regarding the use of phototherapy, the most
frequently prescribed medical … direct neuroprotective effect.(18) Thus, the immediate and effective (crash-cart) phototherapy in the
medical … Phototherapy and the risk of photo-
oxidative injury in extremely low birth weight infants.