-
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/patient-safety/settings/hospital/resource/nicu/packet/apb.html
December 01, 2013 - supplementation, mechanical ventilation, air leaks, pulmonary edema, PDA ligation, infection causing lung injury … Treatment
Medical or surgical therapy is indicated only for pathological GER. … If still symptomatic despite optimal medical management and:
>2.4 kg, surgical ligation or percutaneous … diarrhea are at risk for zinc deficiency and may need supplementation:
Poor growth, diarrhea, impaired wound
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb.html
December 01, 2013 - supplementation, mechanical ventilation, air leaks, pulmonary edema, PDA ligation, infection causing lung injury … Treatment
Medical or surgical therapy is indicated only for pathological GER. … If still symptomatic despite optimal medical management and:
>2.4 kg, surgical ligation or percutaneous … diarrhea are at risk for zinc deficiency and may need supplementation:
Poor growth, diarrhea, impaired wound
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/uM5P-6XpsqVfEC2axGnZaD
November 16, 2020 - Additionally, an outbreak of e-cigarette, or vaping prod-
uct, use–associated lung injury (EVALI) that … Outbreak of lung injury associated with the use of
e-cigarette, or vaping, products. … Blount BC, Karwowski MP, Shields PG, et al;
Lung Injury Response Laboratory Working Group. … Practice advisory: lung injury
associated with e-cigarettes (“vaping”). Published
October 2019. … 24, 2020.
https://www.acog.org/clinical/clinical-guidance/
practice-advisory/articles/2019/10/lung-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
-
qualityindicators.ahrq.gov/Downloads/Resources/Publications/FullListPublications-508.pdf
October 09, 2024 - Risk Reduction for
Potentially Preventative Hospitalizations Among People With Traumatic Spinal
Cord Injury … A critical review of patient safety indicators
attributed to trauma surgeons. … Injury. 2017 Sep;48(9):1994-8. PMID: 28416153.
doi:10.1016/j.injury.2017.03.051. Epub 2017 Apr 1. … Adv Skin Wound Care. 2013 Jan;26(1):13-8. … Positive predictive value of the AHRQ Patient Safety Indicator 'postoperative
wound dehiscence'.
-
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
-
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.
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary38/obesity-in-adults-screening-and-management-2012
October 15, 2011 - Limited data suggested no increased risk for serious injuries or eating disorders. … Safety of strength training in premenopausal women: musculoskeletal injuries from a two-year randomized … Questions and answers: orlistat and severe liver injury. FDA Drug Bulletin. May 26, 2010. … Orlistat and acute kidney injury: an analysis of 953 patients [Letter]. … found that orlistat recipients required more vitamin supplementation during the study
-
Liver injury
-
psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
September 25, 2019 - The Accreditation Council for Continuing Medical Education (ACCME) defines an ineligible company as “ … Identify ways that bias associated with medical conditions, such as obesity and its treatment, can lead … Due to the delayed diagnosis, the patient suffered permanent brain injury requiring around-the-clock … If this new information is not incorporated into teams’ medical decision-making, there is a substantial … Education Research and Innovation, Medical Education Outcomes Center University of Minnesota Medical
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
June 02, 2025 - Survey on Patient Safety
Instructions
This survey asks for your opinions about patient safety issues, medical … · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events
-
hcup-us.ahrq.gov/news/awards_archive.jsp
November 01, 2024 - The epidemiology of inpatient pediatric trauma in United States hospitals 2000 to 2011. … Emergency Department Visits for Firearm-Related Injuries In The United States, 2006-14. … Estimating Marginal Returns to Medical Care: Evidence from At-risk Newborns . … Outstanding Achievement in Healthcare Research Using HCUP Data:
Jay Berry, M.D., M.P.H., Harvard Medical
-
psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
January 29, 2021 - Succinylcholine is contraindicated in patients with stroke, spinal cord injury, burns, or myotonic dystrophy … inadequate resources such as the broken drug refrigerator otherwise could have led to irreversible injury … Risk of respiratory complications and wound infection in patients undergoing ambulatory surgery: smokers
-
meps.ahrq.gov/data_stats/nhc/new-fac.pdf
September 30, 1997 - . . . . . . . . . 3
CHILDREN WITH DISABILITIES . . . . . . . . . . . . . . . . . . . . . . 4
BRAIN INJURY … ALZHEIMER’S AND RELATED DEMENTIAS
2 = AIDS/HIV
3 = DIALYSIS
4 = CHILDREN WITH DISABILITIES
5 = BRAIN INJURY … Truncate names as follows:
1 = ALZHEIMER’S
2 = AIDS/HIV
3 = DIALYSIS
4 = CHILDREN
5 = BRAIN INJURY
6 … CARE UNITS
Alzheimer’s and Related Dementias
AIDS/HIV
Dialysis
Children with Disabilities
Brain Injury … CARE UNITS
Alzheimer’s and Related Dementias
AIDS/HIV
Dialysis
Children with Disabilities
Brain Injury
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-outcomes_methods.pdf
July 01, 2012 - Methods Guide for Medical Test Reviews Chapter 3
3-1
Chapter 3
Choosing the Important Outcomes … for a Systematic
Review of a Medical Test
Jodi B. … medical tests. … process because direct test effects are unlikely in this example: a
vaginal swab will not cause any injury … Choosing the important outcomes for a systematic review of a
medical test.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdf
January 01, 2003 - The scenarios were developed after extensive ethnographic observation
of the medical work with bar-coding … ability to identify
impact prior to implementation and to suggest redesign before adverse events or
injury … Access to electronic medical records
in a de-identified test account, as well as an extensive clinical … X is a 90-kg BM with a past medical history
significant for diabetes. … Software used in health care can prevent patient injury or
contribute to it, when usability testing
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/tinnitus_research-protocol.pdf
February 22, 2012 - , tinnitus is the most common service-connected disability
among U.S. veterans. 1 Traumatic brain injury … can range from the use of dental orthotics and self-care instructions to surgery
in instances where injury … The VHA has endorsed PTM as the standard method of treatment at VA medical
centers. … factors (degree and type
of hearing loss, hyperacusis, loudness tolerance, masking criteria, etc.), head injury … Cigna medical coverage policy. Tinnitus treatment services and devices.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
July 01, 2023 - patient's
family members.
4
Hospital AIM
Team
Leads
SPPC‐II
Maternal and Perinatal Deaths and Injuries … communication breakdowns are identified as the primary root
cause of maternal and perinatal deaths and injuries … staff
credentialing/privileging, medical staff peer review, other (e.g., rushing, fatigue, distraction … Other root causes for maternal and perinatal deaths and injuries are—
• Assessment (i.e., the adequacy … Untitled
Communication Severe Hypertension
Communication is…
Maternal and Perinatal Deaths and Injuries
-
www.ahrq.gov/sites/default/files/2025-03/taylor-report.pdf
January 01, 2025 - ,”
including infections, falls, medication errors, immobility-related outcomes, security breaches, injury … organized around six key safety areas: infection control, medication
safety, falls, patient handling, injury … in 2015, which translates to 115 injuries per 1,000 patient hospital stays.6 From
an adverse event … All the
architects/designers had roles that involved design of medical facilities. … Using usability heuristics to evaluate patient
safety of medical devices.
-
psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - errors. 16 Standardized handoff processes can effectively decrease adverse events and medical errors … Changes in medical errors after implementation of a handoff program. … Disconnection in information exchange during pediatric trauma transfers: a qualitative study. … moderator of child’s acute biological response and subsequent posttraumatic stress symptoms in pediatric injury … disorder symptoms and child gender on risk for persistent posttraumatic stress disorder symptoms in child trauma