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psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
November 25, 2020 - These criteria are somewhat analogous to what has been developed for medical admissions but modified … Medical devices are a valuable adjunct for monitoring patient status since physiological triggers are … Validation of a modified Early Warning Score in medical admissions. … Medical device alarm safety in hospitals. … October 30, 2024
WebM&M Cases
Uterine Artery Injury during
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psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
March 01, 2015 - demonstrate an average or below average R-AHMR, given that most quality problems, while associated with injury … is an emeritus professor at Imperial College School of Medicine and a past president of the British Medical … We as a medical profession had an obligation to make that information available for these parents. … We had in a very large room 2000 medical notes from Bristol. … RW : There's been debate in the medical literature about using the HSMR as a quality measure, and some
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psnet.ahrq.gov/node/49748/psn-pdf
December 01, 2015 - This is because the risk of developing
acute kidney injury and/or hepatorenal syndrome is highest in
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
July 01, 2023 - interruption to a doctor who is with a patient's family members.
2
Maternal and Perinatal Deaths and Injuries … communication breakdowns are identified as the primary root cause of maternal and perinatal deaths and injuries … orientation, in-service education, competency assessment, staff supervision, resident supervision, medical … 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,
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/autism-adolescents_executive.pdf
August 01, 2012 - , anxiety,
and self-injury/aggression. … Treatments
may include a range of behavioral, psychosocial,
educational, medical, and complementary … Only studies of medical interventions
addressed harms (Key Question 5). … and
additional data are needed on medical comorbidities in
14
adolescents with ASD. … A systematic review of
medical treatments for children with autism spectrum disorders.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/health-literacy_research-protocol.pdf
January 22, 2010 - Health literacy, morbidity, and quality of life among
individuals with spinal cord injury. … Discharge knowledge and concerns of patients
going home with a wound. … J Wound Ostomy Continence Nurs 2007;34:245-53. … Using computer agents to explain medical
documents to patients with low health literacy. … Comprehension of discharge information for minor head injury: a randomised
controlled trial in New Zealand
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psnet.ahrq.gov/web-mm/empty-bag
June 01, 2018 - Purchasing provides an opportunity to shape the safety and usability of medical technology. … Arlington, VA: Association for the Advancement of Medical Instrumentation; 2010. … Injuries are caused by a lack of differentiation between the use of infusion devices in hospitals and … Infusion pump: A medical device used to deliver fluids into a patient's body in a controlled manner. … April 19, 2017
Changes in weekend and weekday care quality of emergency medical admissions
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/pressure-ulcer-prevention_research-protocol.pdf
January 10, 2012 - and special risk factors including tissue
malnutrition, neurological deficit, and major surgery or trauma … concern about the appropriate fit of a wheelchair
for an otherwise healthy patient with spinal cord injury … Ostomy Wound
Manage 2009;55(11):39-45. PMID: 19934462.
6. Reddy M, Gill S, Rochon P. … J
Wound Ostomy Continence Nurs 2010;37(5):459-60. PMID: 20838310.
13. Moore ZE, Cowman S. … Assessing the risk of bias of individual studies
when comparing medical interventions.
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psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
September 01, 2016 - These technologies are now commonly applied in virtually every medical specialty to educate, monitor, … center to manage treatment of children with serious illness or injury in eight rural EDs in California … The exponential growth of mobile medical applications raises new safety concerns. … Skin scan: a demonstration of the need for FDA regulation of medical apps on iPhone. … November 12, 2014
An analysis of medical malpractice claims against medical oncologists
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
May 05, 2008 - Methods: The
existing handoff process was evaluated and improved using Six Sigma® methodology and
medical … Medical simulation. … Preventing medical injury. Qual Rev Bull 1993; 19:
144-149.
13. Sentinel event statistics. … Results of the
Harvard Medical Practice Study II. N Engl J Med
1991; 324: 377-384.
15. … Objective
measures of situation awareness in a simulated
medical environment.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/renal-update_research-protocol.pdf
January 15, 2015 - Only two relatively small
RCTs truly compared angioplasty with medical therapy alone;4,5 a third trial … allowed
subsequent angioplasty in people randomized to medical therapy.6 Furthermore, none of
the … What adverse events and complications have been associated with aggressive
medical therapy or renal … Namely, by study design first (medical treatment vs. angioplasty; medical treatment
single group studies … Critical lesion.af.
16. exp Acute Kidney Injury/
17.
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digital.ahrq.gov/sites/default/files/docs/survey/eldertree-baseline-survey.pdf
October 16, 2014 - MEDICAL … How many of these falls require medical attention? … Medical support
services*
∗ reminders to take medications, taking blood pressure, monitor … weight for gain or loss, observe for
injuries (bruises, limping) monitor for pain
OTHER SUPPORT … Health or medical-related support group
c. Caregiving support group
d.
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www.ahrq.gov/sites/default/files/publications/files/ena-slides.pdf
September 01, 2015 - Need for resources
• What teams need to be activated (specialists, code team, trauma team, brain injury … lumbar spine,
unstable pelvic fracture)
appropriate
Promote healing of open sacral or perineal
wounds … • The patient who requires immobilization for trauma or surgery
Inquire about the length of the … • The patient who is incontinent with open sacral or perineal wounds
Consult with the wound care … The nurse prepares her for admission to the medical unit.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/ena-slides.pdf
September 01, 2015 - Need for resources
• What teams need to be activated (specialists, code team, trauma team, brain injury … lumbar spine,
unstable pelvic fracture)
appropriate
Promote healing of open sacral or perineal
wounds … • The patient who requires immobilization for trauma or surgery
Inquire about the length of the … • The patient who is incontinent with open sacral or perineal wounds
Consult with the wound care … The nurse prepares her for admission to the medical unit.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/hbSopN6uA9u-4EQuKtRGDP
October 01, 2011 - Increased physical activity did not result
in serious adverse effects or injuries over 1- to 2-year inter … Limited data suggested no increased risk
for serious injuries or eating disorders. … Safety of strength training in premenopausal wom-
en: 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].
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hcup-us.ahrq.gov/reports/statbriefs/sb240-Co-occurring-Physical-Mental-Substance-Conditions-Hospital-Stays.pdf
February 01, 2018 - both illnesses, and that health plan benefits
for treating M/SUDs should be on par with those for medical … Comorbidity of medical illnesses among adults
with serious mental illness who are receiving community … behavior disorders 124,300 0.4
Adjustment disorders 91,100 0.3
Suicide, intentional self-inflicted injury … disorders M/SUD
661 Substance-related disorders M/SUD
662 Suicide and intentional self-inflicted injury … research on a broad range of health policy issues, including cost and quality of health
services, medical
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psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
August 05, 2022 - The Cases
Case 1: A middle-aged man with a past medical history of heart failure with reduced ejection … errors have the potential to be serious and may result in adverse drug events (ADE), which are patient injuries … teach-back, it is important to speak slowly, make eye contact, use relaxed body language, avoid complex medical … Patients' memory for medical information. … Reducing Medical Admissions and Presentations Into Hospital through Optimising Medicines (REMAIN HOME
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-child-adolesc-mental-health-grand-rounds.pptx
May 22, 2025 - Margie Danz: Medical editor
Dr. … Low SOE consistent with no difference in suicidal ideation, suicidal attempts, or self-injury. … Interventions that targeted trauma (R-FPP, MDT) showed promise
Safety planning did not outperform usual … Education and Research | slide-‹#›
reminder-focused positive psychiatry (R-FPP), a trauma-focused … treatment using positive psychology principles to manage trauma reminders.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle.pptx
December 01, 2017 - Yet an auditing of medical records shows that the correct dosage is not delivered; appropriate redosing … Efficacy of protocol implementation on incidence of wound infection in colorectal operations. … Implementing standardized operating room briefings and debriefings at a large regional medical center … • Is the patient positioned to minimize injury? … · Is the patient positioned to minimize injury?
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psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
September 01, 2016 - He served as the American Medical Association's senior vice president of professional standards, and … In some ways, it simply expands how care is delivered today, making it possible for traditional medical … center to manage treatment of children with serious illness or injury in eight rural EDs in California … The exponential growth of mobile medical applications raises new safety concerns. … Skin scan: a demonstration of the need for FDA regulation of medical apps on iPhone.