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www.ahrq.gov/sites/default/files/2025-07/weinger3-report.pdf
January 01, 2025 - Final Progress Report: IMPACTS: Improving Medical Performance during Acute Crises Through Simulation … IMPACTS: Improving Medical Performance during Acute Crises Through Simulation
Principal Investigator … for evaluating competence
to practice medical specialties. … Abbreviation Initial
presentation
Clinical location Scenario progression
Transfusion
related lung
injury … manikin)
Shortness of
breath
Post-anesthesia
care unit (PACU)
Effects of transfusion-related lung
injury
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psnet.ahrq.gov/node/852700/psn-pdf
August 30, 2023 - I spent many years with both startups and established medical device companies
that were heavily focused … measures are associated with measuring and reporting
specific harms, such as an infection, falls with injury … taken the recommendations of IHI’s Lucian Leape Institute to reform education, and redesigned
their medical … what’s troubling our workforce and distinguish among conditions such as burnout, moral distress
and injury
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psnet.ahrq.gov/node/836941/psn-pdf
April 27, 2022 - This period carries a high risk of medical errors and adverse events due to fragmented
communication … 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. … The use of advanced medical technologies at home: a
systematic review of the literature.?
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psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
March 27, 2024 - The Accreditation Council for Continuing Medical Education (ACCME) defines a commercial interest as “ … In the morning, the admitting resident presented the case to the daytime medical team, including the … They urgently contacted the daytime medical team, and the teams met briefly in the endoscopy suite. … an unwanted resuscitation with extreme consequences, including CPR-related fractures, anoxic brain injury … review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma
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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.
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-digital.html
May 01, 2024 - Appendix D: Grant Summaries
P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury … Reform Models
P7: Understanding the Relationship Between Proximity and Utilization of Patient-Centered Medical … Understanding How Nurse Practitioners Increase Access to Primary Care
S9: Using Integrated Social and Medical … In previous work, a multi-disciplinary team of clinicians and medical informaticists developed and graded … Care System Analytics to Support Primary Care Patients with Complex Medical and Social Needs (R18) PI
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www.ahrq.gov/ncepcr/reports/2025-annual-report/overview.html
August 01, 2025 - Center 2 Columbia University Health Sciences 2 Harvard Medical School 2 Kaiser Foundation Research Institute … Studied Across Grants Chronic Condition Count Cardiovascular disease 12 Multiple chronic conditions / medical … deficiency anemia in pregnancy, pediatric eating disorders, urinary tract infections (UTIs), renal injury … Medicine 4 Journal of the American College of Radiology 4 Journal of Hospital Medicine 4 Journal of Medical … Internet Research 4 Journal of the American Medical Association 4 Joint Commission Journal on Quality
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
March 11, 2005 - AHRQ WebM&M—Online Medical Error Reporting and Analysis
211
AHRQ WebM&M—Online Medical
Error Reporting … many incident reporting
systems, we do not ask users to categorize the type of event, the severity of injury … Forgive and remember: managing medical
failure. … Discussion of medical errors in morbidity and
mortality conferences. … Reporting and preventing
medical mishaps: lessons from non-medical near miss
reporting systems.
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cdsic.ahrq.gov/sites/default/files/2023-09/FINAL%20OO%20PC%20CDS%20SDM%20Report.pdf
January 01, 2023 - , app,
portal]
Approach to
Personalization Source
Concussion or
Brain Bleed
Minor head injury … Screening Emergency room
patients with minor
head injury
App Assesses risk and makes
a recommendation … Usability Evaluation of
Integrated Clinical Decision Support With
a Patient Decision Aid for Minor Head
Injury … Shared decision-making in the medical encounter: what does it mean? … Evaluation of a Patient-Centered Fall-Prevention Tool Kit to Reduce Falls and Injuries:
A Nonrandomized
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effectivehealthcare.ahrq.gov/sites/default/files/medical-test-reviews-choosing-outcomes.ppt
June 01, 2012 - Methods guide for medical test reviews. … review of medical tests. … Methods guide for medical test reviews. … Direct Test Effects
Not included in the systematic review:
No harm (vaginal swab will not cause an injury … because direct test effects are unlikely in this example — a vaginal swab will not cause any significant injury
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/medical-test-reviews-choosing-outcomes.ppt
June 01, 2012 - Methods guide for medical test reviews. … review of medical tests. … Methods guide for medical test reviews. … Direct Test Effects
Not included in the systematic review:
No harm (vaginal swab will not cause an injury … because direct test effects are unlikely in this example — a vaginal swab will not cause any significant injury
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017817-field-final-report-2012.pdf
January 01, 2012 - treatment, or
other clinical service.
2
Final Report
Purpose
The incidence of drug-induced injury … the
Agency for Healthcare Research and Quality [AHRQ] (AG 15979), we determined that drug-
related injuries … to a need for prolonged nursing care after hospitalizations, many of which followed an ED
visit for trauma … disease 3 (0.96) 7 (2.24) 0.2023
From ED, psychiatric 3 (0.96) 8 (2.56) 0.1283
From ED, trauma … for continued in-
patient care after a hospitalization triggered by an ED visit, frequently including trauma
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www.ahrq.gov/sites/default/files/2025-02/holl-report.pdf
January 01, 2025 - the process of transfer from a referring hospital ED to
receiving hospitals PICU (3), floor (2), and trauma … 15%), patient/relative dissatisfaction (7%), prolonged hospital stay (4%), physical/
psychological injury … ) has been developed to promote research into the prevention and management
of acute illnesses and injuries … Coping with Medical Mistakes and Errors in Judgment. … NEJM, 2004;18:1884.
18 Injuries in Hospitals Pose a Significant Threat to Patients and a Substantial
-
www.ahrq.gov/research/findings/final-reports/stpra/stpra4.html
April 01, 2018 - Often these settings are emotionally charged, because a patient has experienced a severe injury at the
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/prevent-hai-protocol.pdf
April 16, 2024 - One key issue at the nexus of these concerns is the
choice hospitals routinely face between medical … Literature searches will be performed by a
Senior Medical Research Librarian and will follow established … ICU stay related to HAI; Length of stay;
Mortality; Adverse effects; Healthcare worker
infection or injury … Transforming the medical device industry: Road map to a
circular economy. … Chemical disinfection of medical and surgical materials. In: Lawrence C, Block SS,
eds.
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psnet.ahrq.gov/node/73434/psn-pdf
June 30, 2021 - 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 … Learning Objectives
Discuss the importance of miscommunication in radiology as a contributor to medical … He was diagnosed with a rotator cuff injury and underwent left shoulder
surgery. … primary care provider, or incorrect findings can be communicated.2 In a study from
one major academic medical
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psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
June 01, 2018 - This is because the risk of developing acute kidney injury and/or hepatorenal syndrome is highest in … Perspective
Operationalizing Patient Safety at Academic Medical … Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma
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www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
January 01, 2024 - implement interventions to address these.1
Development of the BI-OTT
Consistent with the “no preventable injuries … Group Northeast in Portland and Providence Medical Group Milwaukie. … expenditures, employment status, or work days missed due to illness or injury. … 18.8)
During 2010 about how many days did you miss work at a job or business
because of illness or injury … expenditures, employment status, or days missed due to illness or injury.