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www.uspreventiveservicestaskforce.org/home/getfilebytoken/z8AVsCHJEZUBSJtdSx424H
May 23, 2019 - and injury (4). … 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. … 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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www.ahrq.gov/patient-safety/reports/hotline/lessons5.html
May 01, 2016 - health care professionals have come to accept as the standard—including such terms as “adverse events,” “medical … admission, patients and their family members are focused on a number of pressing issues, such as the medical … problem that brought them to the hospital, insurance and payment issues, and the retrieval of relevant medical … few days after discharge, patients and caregivers are typically no longer concerned about a pressing medical … families used to report meaningful clinical information about perceived errors and physical and emotional injuries
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psnet.ahrq.gov/node/33589/psn-pdf
September 15, 2024 - A regional health system in Canada reported a decrease in adverse events
such as falls, pressure injuries
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
January 01, 2024 - 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 … A query from the medical team to the dietitian might have prompted earlier recognition of the patient … Implicit and explicit anti-fat bias among a large sample of medical doctors by BMI, race/ethnicity and
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psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
May 11, 2019 - 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/getting-diagnosis-both-right-and-wrong
May 29, 2024 - Laboratory tests showed acute kidney injury with markedly elevated levels of potassium, phosphate, and … Our daily lives—and our medical practice—rely on both of these processes, although the vast majority … Much of medical training is aimed at improving pattern recognition, and it is clear that expert clinicians … are not yet specific evidence-based strategies to support such a suggestion, one could imagine the medical … Olson, MD
Associate Professor of Medicine and Pediatrics
University of Minnesota Medical School
Minneapolis
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psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
June 01, 2007 - called on states to create mandatory reporting systems as part of a strategy to identify and learn about medical … systems that were created prior to 2000 were designed for different purposes (including responses to medical … care system.( 4 ) States have recognized the tension inherent in promoting transparency with regard to medical … How States Report Medical Errors to the Public: Issues and Barriers. … Sexual assault on a patient within or on the grounds of a health care facility
Death or significant injury
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-262-pharmacotherapy-alcohol-summary.pdf
November 01, 2023 - on two studies, and in the topiramate studies, we found low strength of evidence for no
effect on injuries … Methods for meta-analysis in medical
research. wiley series in probability and
statistics - Applied Probability … AHRQ series paper 5: grading the strength
of a body of evidence when comparing
medical interventions-
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicupacket.pdf
December 01, 2013 - diarrhea are at risk for zinc defciency and may need
supplementation:
– Poor growth, diarrhea, impaired wound … ■ BPD, even in the absence of overt brain injury, is a risk factor for neurodevelopmental delay. … ■ Peristomal skin must be protected from mechanical trauma due to use of aggressive adhesives,
improper … stenosis may be caused by intraoperative damage to cricoid, tracheostomy placed
too high, mucosal trauma … – Gastric or esophageal trauma during placement.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket.pdf
December 01, 2013 - are at risk for zinc deficiency and may need
supplementation:
– Poor growth, diarrhea, impaired wound … ■ BPD, even in the absence of overt brain injury, is a risk factor for neurodevelopmental delay. … ■ Peristomal skin must be protected from mechanical trauma due to use of aggressive adhesives,
improper … stenosis may be caused by intraoperative damage to cricoid, tracheostomy placed
too high, mucosal trauma … – Gastric or esophageal trauma during placement.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/pKa4_DYwzuyD6RDgYzLMbo
August 22, 2018 - IPV.
b Includes acute and chronic
morbidity from physical abuse
(eg, fractures, dislocations, brain
injury … y presenting to
emergency department for care;
19% of included sample were
presenting for an acute injury … or trauma sections
(n = 53)
40 (11)c 0 43 (78)
Paranjape et al,25 2003
(Fair)
STaT Lifetime Emergency … Atlanta, GA: National Center
for Injury Prevention and Control, Centers for Disease
Control and Prevention … J Trauma Stress. 2015;28(1):79-82.
doi:10.1002/jts.21985
22.
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www.ahrq.gov/sites/default/files/2024-01/devine-report.pdf
January 01, 2024 - independent medical group in Washington State – The Everett Clinic. … She conducted the usability study at the University of Washington Medical
Center. … Injuries: WA State Collaborative”
Co-Investigator (PI: Gallagher)
10%; $2,348,681
2011-2015 $1,975,439 … Gallagher’s
study, titled “Communication to Prevent and Respond to Medical Injuries: WA State
Collaborative … A cost-benefit analysis of electronic medical records
in primary care.
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digital.ahrq.gov/sites/default/files/docs/improving-hit-safety-slides-020717.pdf
February 07, 2017 - in the EHR.
2) Discuss the challenges of introducing speech recognition
technology into existing medical … & Patient Safety
• Accurate medical documents are critical for safe patient care
and effective … • Errors in medical documents can lead to medical errors in
patient care, some of which cause injury … ► Generated via a front-end SR system (Dragon® Medical 10.0)
► Further edited and signed by the … • Physicians signed their notes with known errors, indicating
proofreading the entire medical note
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/tobacco-use-in-adults-and-pregnant-women-counseling-and-interventions
January 19, 2021 - Reaching midlife and older smokers: tailored interventions for routine medical care. … A comprehensive model for the treatment of nicotine dependence in a medical setting. … 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.
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - In 2009, 52% of paid medical malpractice claims were for outpatient events; two-thirds of them resulted … events that occur in outpatient settings in the United States, resulting in 4829 serious permanent injuries … annually in the ambulatory setting.( 7 ) If the rate of prescribing errors that have potential for patient injury … One of the least understood and most important areas of ambulatory medical error is diagnostic errors … They shadow the medical assistants. They shadow the nurses when they start in clinic.
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psnet.ahrq.gov/node/837913/psn-pdf
August 31, 2022 - 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
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psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
November 15, 2023 - Was the medical testing associated with the error adequate? … Medical staff should have a detailed list of blood tests to be performed, blood volume samples, who should … A bar code embedded with 4 unique identifiers (infant surname, medical chart number, date of birth, and … December 9, 2020
A randomized trial of a multifactorial strategy to prevent serious fall injuries … September 26, 2016
Prevalence of medication administration errors in two medical units
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psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
February 26, 2025 - We graded every hospital for which there's adequate data on errors, accidents, and injuries. … How do I protect them from the errors and injuries that are rampant? What can I do better? … Hospitals
Health Care Executives and Administrators
Safety Scientists
Gynecology
Medical
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psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
August 22, 2014 - Our study looking at data from the National Ambulatory Medical Care Survey showed that 0.5% of all … That is harm resulting from their medical care that could have been avoided, which doesn't result from … They shadow the medical assistants. They shadow the nurses when they start in clinic. … events that occur in outpatient settings in the United States, resulting in 4829 serious permanent injuries … annually in the ambulatory setting.( 7 ) If the rate of prescribing errors that have potential for patient injury
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hemorrhage-postpartum_executive.pdf
April 01, 2015 - artery embolization.10,15,17,18
Laceration repair is indicated when PPH is a result of
genital tract trauma … effectiveness of interventions intended to
treat postpartum hemorrhage likely due to genital tract
trauma … between cases and controls, and studies of
ligation and hysterectomy reported primarily on operative
injuries … Ligation Surgical injury Insufficient High study limitations and imprecision in
2 studies. … Injuries (inadvertent ligation of
the ureters and secondary hysterectomy
disunion with sepsis) related