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Showing results for "adverse".

121. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
     November 01, 2017 - Obstetric Adverse Events (OBAE) An adverse maternal or fetal outcome that occurs during labor and/ … adverse events as the end point. … “drug overdose”[mh] OR “Drug-related side effects and adverse reactions”[mh] OR “adverse drug event … ”[tiab] OR “adverse drug events”[tiab] OR “adverse drug reaction”[tiab] OR “adverse drug reactions”[ … effects"[Mesh] OR “Central Venous Catheters/adverse effects”[mh] OR “Catheters, Indwelling/adverse

122. Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
     January 01, 2024 - drug events (PADEs) and adverse drug events (ADEs) through a retrospective chart review. … Understanding the Nature of Adverse Events in the Emergency Department. … Incidence and types of adverse events and negligent care in Utah and Colorado. … The nature of adverse events in hospitalized patients. … Incidence of adverse events and negligence in hospitalized patients.

123. Understanding SOPS Surveys: A Primer for New Users (Webcast) - Famolaro (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-SOPS_101_Webcast-FAMOLARO.pdf
     January 01, 2020 - Hospital SOPS to AHRQ Patient Safety Indicator (PSI) adverse event rates 3. … Journal of Patient Safety. 8(3), 131-139. 38 HSOPS 1.0 & Patient Safety Indicator (PSI) Adverse Event … en t R at e— PS I C om po si te Higher patient safety culture scores associated with lower adverse … Exploring Relationships Between Hospital Patient Safety Culture and Adverse Events. … Outcomes HSOPS 1.0 & Hospital CAHPS Patient Experience HSOPS 1.0 & Patient Safety Indicator (PSI) Adverse

124. Declines in Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/data/infographics/hac-rates_2019.html
     July 01, 2020 - (PDF, 11.1 MB) Text Description: National efforts to reduce hospital-acquired conditions such as adverse … Specific rates are: Adverse drug events: 28% decrease. CAUTI: 5% decrease. CLABSI: 6% decrease.

125. The Impact of a Patient Safety Program on Medical Error Reporting (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
     January 01, 2001 - In 1998 there were 28 (14 percent) adverse events (patient minimally effected) and 25 (9 percent) in … 2001, compared with a rate of 86.00 near misses and 14.00 adverse events in 1998 (Table 1). … Incident type 1998 2001 Near misses 86.00 90.94 Adverse events 14.00 9.06 Figure 3. … Potential identifiability and preventability of adverse events using information systems. … Rate of near misses and adverse events per 100 incident Table 2.

126. Section 7C (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-7c.pdf
     February 02, 2018 - Table VII.C.1 – Distribution of insurance types and adverse … 58.2%) 0.10 <0.001 No Insurance 102 (3.2%) 0.04 0.001 Table VII.C.2 – Analysis of differences in adverse

127. Table 7.A (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-7a.pdf
     February 02, 2018 - Table VII.A.1 – Distribution of race/ethnicity and adverse … Hispanic 352 (12.4%) 0.18 <0.001 Other 161 (5.7%) 0.12 0.12 Table VII.A.2 – Analysis of differences in adverse

128. AHRQ Safety Program For Long-Term Care: CAUTI
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/module-4-slides.pptx
     March 01, 2017 - HAIs/CAUTI Long-Term Care Safety Modules Teamwork and Communication | ‹#› 27 Communicating Adverse … Events Adverse event: An injury to a resident caused by medical intervention rather than by the underlying … The mission of frontline care providers is to help and care for residents without harming them, but adverse … events happen  When an adverse event occurs, it can be difficult for a care provider to take ownership … Outcomes Immediate Response to an Adverse Event Next Steps in Responding to an Adverse Event Care

129. AHRQ HAC 2015 Interim Data Graphic V03C (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-interim-data-infographic-2015.pdf
     January 01, 2015 - 21%21% LIVES SAVEDLIVES SAVED 125,000125,000 IN SAVINGSIN SAVINGS $28 BILLION $28 BILLION FEWER ADVERSE … EVENTS FEWER ADVERSE EVENTS 3 MILLION3 MILLION From 2010–2015, more than 3 million hospital-acquired

130. Executive Summary | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-1.html
     June 01, 2023 - Although the literature has established that patients can identify and reliably report on a range of adverse … substantial aftereffects can persist for many years, elicitation techniques must inquire about the impact of adverse … responsibility for eliciting accounts in ways compatible with how patients and families respond after an adverse … Identifying practices that affect the persistence of adverse effects long after a perceived diagnostic

131. Communication and Optimal Resolution (CANDOR) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/index.html
     August 01, 2022 - In short, the CANDOR process is a more patient-centered approach that emphasized early disclosure of adverse … Support Interaction—Nurse Module 7: Resolution Resolution Facilitator Notes ( PowerPoint , 757 KB) Adverse … Event—Reasonable Care Video; Resolution Planning Video: Conversation with Family Adverse Event—Unreasonable … Care Video: Notification of Adverse Event Video: Planning for Meetings with Family Video: Disclosure

132. Chapter 1: Background on Patient Safety and LEP Populations | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/health-literacy/professional-training/lepguide/chapter1.html
     September 01, 2020 - Adverse event*: Any injury caused by medical care. … Identifying something as an adverse event does not imply "error," "negligence," or poor quality care. … Similarly, postoperative wound infections count as adverse events even if the operation proceeded with … However, the role of language barriers and its impact on adverse events is less well documented. … The one hospital that stratified their adverse event data by language found clusters of adverse events

133. Choosing an Intervention and Measuring Change | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/antibiotic-use/long-term-care/improve/intervention.html
     June 01, 2021 - The Staff Safety Assessment Form and the Learning from Antibiotic-Associated Adverse Events Form … Staff Safety Assessment Form (DOCX, 330.3 KB) Learning From Antibiotic-Associated Adverse Events Form

134. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
     January 01, 2007 - Incidence of adverse drug events and potential adverse drug events: Implications for prevention. … Incidence and preventability of adverse drug events in hospitalized patients. … Adverse events in primary care identified from a risk- management database. … outcome 1 = Minor adverse outcome (non-serious effect, not requiring treatment) 2 = Moderate adverse … outcome (significant effect, requiring treatment) 3 = Serious adverse outcome (permanent adverse effects

135. Table 7B.1 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-7b.pdf
     February 02, 2018 - Table VII.B.1 – Distribution of numbers of Chronic Condition Indicators per patient and adverse … <0.001 3 or more body systems 125 (3.6%) 0.27 <0.001 Table VII.B.2 – Analysis of differences in adverse

136. Introduction | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-2.html
     June 01, 2023 - diagnostic breakdowns during transitions among clinical settings. 19 , 25 Assessing the impact of adverse … Throughout this brief, we refer to adverse diagnostic events as “diagnostic mishaps,” “diagnostic errors … But patients and families do not describe adverse diagnostic events with such uniformity.

137. Is There an Association Between Patient Safety Indicators and Hospital Teaching Status? (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Rivard_97.pdf
     April 28, 2008 - Conclusion: Further research is needed on the relationship of residency programs to adverse events. … The AHRQ PSIs are based on the Institute of Medicine (IOM) definition of an adverse event: “Injury … Postoperative adverse events in teaching and nonteaching hospitals. … Patient risk factors for adverse drug events in hospitalized patients. … A study of adverse occurrence and failure to rescue. Med Care 1992; 30: 615-629. 25.

138. Slide 1
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module1/1_ts_office_intro.pptx
     January 01, 2010 - critical role in providing quality health care Clinical outcomes include: 50% reduction in the Weighted Adverse … Outcome Score, which describes the adverse event score per delivery 50% decrease in the Severity Index … , which measures the average severity of each delivery with an adverse event (Mann, et al., 2006) Reduced … rate of adverse drug events Improved medication reconciliation at patient admission (Haig, et al., 2006

139. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
     January 01, 2004 - Detecting adverse events using information technology. JAMIA 2003c;10(2):115–28. 9. … Using information technology to screen for adverse drug events. … Policy and the future of adverse event detection using information technology. … Reporting adverse drug reactions in ambulatory care setting. … Comparison of medication errors, adverse drug events, and intercepted errors Table 2.

140. Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
     January 01, 2004 - Introduction Various types of algorithms that identify complications of care and adverse events in … Quality (AHRQ).19 These new AHRQ Quality Indicators identify a number of complications of care or adverse … Data analysis The validation sample is based on the New York State inpatient adverse event report … Rates of inpatient hospital adverse event reporting were calculated, where the total number of events … New York State has several adverse event reporting systems, including the New York State Adult Cardiac