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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.
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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/sites/default/files/wysiwyg/action-alliance/naa-october-2024-webinar-slides.pdf
January 01, 2024 - The Workplace Change Collaborative (WCC)
A HRSA initiative for addressing Workplace Burnout & Moral Injury … Quality, Risk, Human
Resources, Org Development
Performance and Process Improvement,
Education, Medical
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psnet.ahrq.gov/node/49650/psn-pdf
March 01, 2012 - 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.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.338_slideshow.ppt
January 01, 2015 - Abuhamad, MD, Department of Obstetrics and Gynecology, Eastern Virginia Medical School
Editor, AHRQ WebM … (2)
The infant subsequently had multiple seizures typical of hypoxic-ischemic encephalopathy (brain injury
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psnet.ahrq.gov/node/867980/psn-pdf
March 25, 2025 - Approximately five years after the first hospitalization, the patient suffered a head injury at work. … Olson, MD
Professor of Medicine and Pediatrics
University of Minnesota Medical School
apjolson@umn.edu
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www.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-slides.html
February 01, 2017 - Patient injury.
Treatment errors.
Clinician outcomes:
Incident reporting. … Part of the Survey on Patient Safety Culture suite of survey tools for hospitals, medical offices,
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part3-nqs6.html
October 01, 2015 - 48.1
53.0
56.7
53.7
51.2
50.2
Source: Agency for Healthcare Research and Quality, Medical … Importance : Many patients who receive home health care are recovering from an injury or illness and
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
October 01, 2024 - Current: He was found unconscious at home after a suspected syncopal episode with injury to his chest … Witnesses
Patient A, patient A’s spouse, Emergency Medical Services (EMS) personnel, the multidisciplinary
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digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015236-jose-final-report-2008.pdf
January 01, 2008 - Scope
Background
Medical Errors. … ADEs are generally
defined as an injury resulting from a medical intervention related to a drug and … occur anywhere in
the process from ordering to administering regardless of whether it resulted in an injury … or just
the potential for an injury was present. … Results of the
Harvard Medical Practice Study I.
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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/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - approximately 30 to 35 cm allows repositioning of misplaced tubes and can potentially prevent pulmonary injury … Half of providers surveyed in one study agreed that the use of ANCR reduced medical errors and improved … Anita Singh, MD Department of Internal Medicine Division of Hospital Medicine UC Davis Medical Center … Closed Loop Communication Training in Medical Simulation. In: StatPearls . … Changes in medical errors after implementation of a handoff program.
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psnet.ahrq.gov/node/49738/psn-pdf
August 21, 2015 - patient on the same unit who also happened to have severe cognitive impairment
from a traumatic brain injury … Key
lessons to consider include:
Review your HIPAA and state medical privacy law policies to ensure … From 1993 to 1996, one of us (JH) was a resident in Emergency Medicine at Harbor-UCLA Medical Center. … Today at Beth Israel Deaconess Medical Center, where
JH is Chief Information Officer, all emergency … , Harvard Medical School
Deven McGraw, JD, MPH, LLM
Partner, Manatt, Phelps & Phillips LLP
Faculty
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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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psnet.ahrq.gov/perspective/measuring-patient-safety
December 14, 2022 - Prior to the widespread implementation of electronic medical records (EMRs), organizations typically … and implemented many electronic medical record (EMR) initiatives in those roles. … pressure ulcers also went up – in skilled nursing facilities, we saw rates of falls causing major injury … healthcare-acquired infections, complications, medication safety, safety of the EMR, patient falls with injury … , and pressure injuries.
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psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
December 14, 2022 - I have also served in roles of chief quality officer and chief medical officer in several large systems … and implemented many electronic medical record (EMR) initiatives in those roles. … pressure ulcers also went up – in skilled nursing facilities, we saw rates of falls causing major injury … healthcare-acquired infections, complications, medication safety, safety of the EMR, patient falls with injury … , and pressure injuries.
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psnet.ahrq.gov/web-mm/compare-and-contrast
July 16, 2019 - However, severe or repeated episodes of acute kidney injury may increase the risk of progressive chronic … high-risk patients should include risk assessment, avoidance of contrast exposure, determination of medical … or other relationship with the manufacturers of any commercial products discussed in this continuing medical … Medical necessity – Is contrast study absolutely necessary? … Medical urgency – Is there time for prophylactic measures and correction of volume status?
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psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
October 10, 2017 - Relevant Financial Relationships : As a provider accredited by the Accreditation Council for Continuing Medical … The Accreditation Council for Continuing Medical Education (ACCME) defines a commercial interest as “ … Other medical problems included type II diabetes mellitus, hypertension, hyperlipidemia, and right lower … 2
A 38-year-old male patient was hospitalized and treated with IV antibiotics for a traumatic injury … Other medical problems included paraplegia and pneumonia.
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www.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
August 01, 2022 - Medicine (IOM) report, To Err Is Human: Building a Safer Health System , the problems associated with injury … risks and hazards in the delivery of patient care should yield safer practices and potentially reduce medical … The CANDOR process a improves patient safety through an empathetic, fair, and just approach to medical … In the longer term, hospitals will experience fewer medical liability claims, improved patient safety … Medical Malpractice. N Engl J Med 2004; 350(4): 283-92. PMID: 14724310.