-
psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
January 24, 2018 - Confusion
June 1, 2015
WebM&M Cases
Bowel Injury
-
psnet.ahrq.gov/node/49662/psn-pdf
August 01, 2012 - 72 hours) or late (> 72 hours).(10) Minor
complications include tube clogging, superficial wound infection … insertion
site, hemorrhage, peritonitis, buried bumper syndrome, gastrocolocutaneous fistula, small bowel injury … involves avoiding tight traction on the PEG tube as this practice may increase
ischemia and delay wound … healing.(3) All dressing changes should incorporate a careful wound inspection
for redness or leakage … Parkinson disease, central nervous system tumor, amyotrophic lateral
sclerosis, cerebral palsy
• Severe trauma
-
www.ahrq.gov/sites/default/files/2024-09/evans-report.pdf
January 01, 2024 - support systems and community of practice, and (3) development of negative emotions
and psychological trauma … , including fear, resentment, and moral injury, causing lasting harm. … This means that an adaptive
simulation intervention during medical crises that seriously impact public … Physician Burnout, Well-being, and Work Unit Safety Grades in Relationship to Reported
Medical Errors … Psychobiology of PTSD in the acute aftermath of trauma: Integrating
research on coping, HPA function
-
effectivehealthcare.ahrq.gov/sites/default/files/implementation-package-unhealthy-alcohol-use-final.pdf
September 01, 2018 - assessments provide organizations
with comprehensive, science-based information on common, costly medical … The provider can
add a problem to the patient medical record, or open a SmartSet to order medications … cognitive impairment), preterm birth complications, fetal
alcohol syndrome, motor vehicle accidents, and injuries … She has
never had any medical or social troubles due to her alcohol use.
5. … increases the risk of stroke, heart attack, high blood pressure, liver
cirrhosis, depression, suicide, injuries
-
digital.ahrq.gov/sites/default/files/docs/citation/HealthITHazardManagerFinalReport.pdf
May 01, 2012 - note, the focus of most reporting systems on analyzing adverse events “means that injury has
already … note, however, “Most reporting systems concentrate on analyzing adverse events; this means that
injury … should establish a mechanism for both
vendors and users to report health IT-related deaths, serious injuries … Assessing patient safety risk
before the injury occurs: an introduction to
sociotechnical probabilistic … Human characteristics risk
management in medical products. In: Carayon P, ed.
-
effectivehealthcare.ahrq.gov/sites/default/files/methodsguidenorris_060420101.pdf
June 01, 2010 - Guide for
Comparative Effectiveness Reviews
Selecting Observational Studies for Comparing
Medical … Selecting observational studies for comparing
medical interventions. … M.D., S.M.c
Paul Shekelle, M.D., Ph.D., M.P.H.j
Meera Viswanathan, Ph.D.g
aDepartment of Medical … AHRQ
series paper 4: assessing harms when comparing
medical interventions: AHRQ and the Effective … The
uses of heparin to treat burn injury. Evidence
Report/Technology Assessment No. 148.
-
hcup-us.ahrq.gov/reports/statbriefs/sb256-Opioids-Endocarditis-Inpatient-Stays-2016.pdf
January 01, 2016 - alone.2
In addition to overdose, opioid-related diagnoses such as
abuse/dependence, withdrawal, and medical … an expected primary
payer of Medicaid or self-
pay/no charge
Resulted in a discharge
against medical … Sample (NIS), 2016
■ Nearly one-fifth of OUD-endocarditis inpatient stays were discharged against medical … to acute care hospital Transfer to other facilities
Died in the hospital Against medical … care, injury (INJ037) 6 230 1.8 6 1,805 2.2
Other specified complications in
pregnancy (PRG028
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-observational-studies_methods.pdf
June 01, 2010 - Guide for
Comparative Effectiveness Reviews
Selecting Observational Studies for Comparing
Medical … Selecting observational studies for comparing
medical interventions. … M.D., S.M.c
Paul Shekelle, M.D., Ph.D., M.P.H.j
Meera Viswanathan, Ph.D.g
aDepartment of Medical … AHRQ
series paper 4: assessing harms when comparing
medical interventions: AHRQ and the Effective … The
uses of heparin to treat burn injury. Evidence
Report/Technology Assessment No. 148.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.docx
January 01, 2013 - They used the Bureau of Labor Statistics’ Producer Price Index time series for General Medical and Surgical … Literature Estimating Costs of Medical Errors and Adverse Events
Bates DW, Spell N, Cullen DJ, et al. … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization … Supplies include both office and medical supplies needed for development and implementation of the program … Equipment includes medical equipment purchased for use by the program.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/f1-returnoninvestment.pdf
January 01, 2009 - They used the Bureau of Labor Statistics’ Producer Price Index time
series for General Medical and … Literature Estimating Costs of Medical Errors and Adverse Events
Bates DW, Spell N, Cullen DJ, et al … Excess length of stay, charges, and mortality attributable to medical injuries
during hospitalization … Supplies include both office and medical supplies needed for development and
implementation of … Equipment includes medical equipment purchased for use by the program.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
January 01, 2013 - They used the Bureau of Labor Statistics’ Producer Price Index time series for General Medical and Surgical … Consumer Price Index
Bureau of Labor Statistics’ Producer Price Index time series for General Medical … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization … Supplies include both office and medical supplies needed for development and implementation of the program … Equipment includes medical equipment purchased for use by the program.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/antipsychotics-children-future_research.pdf
February 01, 2012 - assessments provide organizations
with comprehensive, science-based information on common, costly medical … Columbia University Medical Center
New York, NY
Benedetto Vitiello, M.D. … Patient insight into illness
• High-risk behavior outcomes (i.e., unintended pregnancy, accidental injury … Grading the strength of a body of evidence
when comparing medical interventions. … Lindsay DeVane,
PharmD, Medical University
of South Carolina
Medical University of
South Carolina
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
June 02, 2025 - Rickey, our medical director, chairs the medical staff meeting. … Rickey (our medical director), and a nursing assistant from each unit. … We had that training around the time our medical record system was
updated. … X X X
Medical Staff
Meeting
Quarterly meeting with
medical director and
attending physicians … Medical Director leads
the meeting.
-
psnet.ahrq.gov/perspective/suicide-prevention
March 24, 2025 - By maintaining empathy and using trauma-informed care approaches, healthcare providers can break down … I work at UMass Chan Medical School, and I run the Center for Accelerating Practices to End Suicide ( … Joint Commission needs to do everything that they can to prevent suicide or serious intentional self-injury … Ligature points, medical equipment, etc. … The medical center can choose to send the person to a bed or an area that has reduced risk.
-
psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
March 25, 2025 - I work at UMass Chan Medical School, and I run the Center for Accelerating Practices to End Suicide ( … Joint Commission needs to do everything that they can to prevent suicide or serious intentional self-injury … Ligature points, medical equipment, etc. … The medical center can choose to send the person to a bed or an area that has reduced risk. … By maintaining empathy and using trauma-informed care approaches, healthcare providers can break down
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/medicine-safety-call-center_research.pdf
September 01, 2007 - Introduction
Adverse drug reactions are estimated to result in more than 2.1 million injuries and 100,000 … Longitudinal medical records are necessary for the detection of adverse
effects that manifest late … systems to prescribe a set of guidelines for the design of medical event reporting
systems. … Barach, P. and Small, S. (2000) “Reporting and preventing medical mishaps: lessons from
non-medical … near miss reporting systems”, British Medical Journal, 320:759-763.
3.
-
effectivehealthcare.ahrq.gov/sites/default/files/it-architecture-for-post-marketing-surveillance-arizona-cert.pdf
September 01, 2007 - Introduction
Adverse drug reactions are estimated to result in more than 2.1 million injuries and 100,000 … Longitudinal medical records are necessary for the detection of adverse
effects that manifest late … systems to prescribe a set of guidelines for the design of medical event reporting
systems. … Barach, P. and Small, S. (2000) “Reporting and preventing medical mishaps: lessons from
non-medical … near miss reporting systems”, British Medical Journal, 320:759-763.
3.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/autism_surveillance.pdf
October 01, 2012 - , British
Medical Journal, Journal of the American Medical Association, Lancet, and the New England … Up-to-date Up-to-date
Medical and related
interventions. … These
side effects limit use of
these drugs to patients
with severe impairment
or risk of injury. … New Evidence:
Medical and related interventions. … These
side effects limit use of these drugs to
patients with severe impairment or risk of
injury.
-
psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
September 28, 2022 - As an educator, I've developed a new curriculum, Community-Oriented Quality Improvement, to teach medical … In my current roles, I am an Associate Professor at the Dell Medical School at The University of Texas … Group, Valleywise Health, and Creighton Medical School. … We had community health workers work with medical providers to come up with a care plan that they went … , injury or other preventable harm to a patient during the process of healthcare, and reduction of risk
-
hcup-us.ahrq.gov/reports/natstats/commdx/table2.pdf
February 11, 2011 - Trauma to perineum and vulva [193] 693,164 100.00 1.99 0.00 1.7 1.1 $3,414 $3,106 … Complications of surgical procedures or medical care [238] 335,365 100.00 0.96 1.63 6.2 3.6 … Intracranial injury [233] 167,331 100.00 0.48 7.43 6.9 2.3 $22,787 $8,257
Number … Crushing injury or internal injury [234] 97,672 100.00 0.28 4.54 6.9 4.2 $24,833 $11,656 … Other injuries and conditions due to external causes [244] 81,793 100.00 0.23 2.08 3.2 1.2