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psnet.ahrq.gov/primer/patient-safety-indicators
September 07, 2019 - which Brennan and colleagues defined in the Harvard Medical Practice Study in New York State as “an injury … Thoracic Surgeons offers patient safety indicators for adult cardiac surgery, such as deep sternal wound … care facilities , including outcome measures focusing on mobility (falls), skin integrity (pressure injuries … Cooperation and Development has adapted 6 of AHRQ’s PSIs, including measures of retained surgical items, postoperative … thromboses, postoperative sepsis, surgical wound dehiscence, and obstetric trauma.
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psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
December 01, 2010 - literature, RMF convened the Harvard surgical chiefs to develop evidence-based approaches to reduce postoperative … injury to surgical patients. … Patterns of communication breakdowns resulting in injury to surgical patients. … neurological changes (suspected cerebrovascular accident/seizure/new onset paralysis)
Development of major wound … complications (dehiscence, evisceration)
Medication or treatment errors requiring clinical intervention
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psnet.ahrq.gov/perspective/risk-management-and-patient-safety
December 01, 2010 - literature, RMF convened the Harvard surgical chiefs to develop evidence-based approaches to reduce postoperative … injury to surgical patients. … neurological changes (suspected cerebrovascular accident/seizure/new onset paralysis)
Development of major wound … complications (dehiscence, evisceration)
Medication or treatment errors requiring clinical intervention … Nobody cared': Women who have reported mistreatment while giving birth say CDC report validates their trauma