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Showing results for "adverse".

141. Regulation of Health Policy: Patient Safety and the States (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
     March 01, 2004 - (The abbreviation AE will be used throughout the paper to denote “adverse event,” “medical error,” etc … Illinois, New York, and Pennsylvania require that adverse events be disclosed to patients. … errors and preventable adverse events, and 3 years of adverse event reports to the New York Patient … Defining reportable adverse events: a guide for States tracking medical errors. … Patient safety: reporting of adverse events, NEJM 2002; 347(20):1,633–9. 39.

142. Executive Summary | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/summary.html
     August 01, 2022 - to establish an initiative to help States and health care systems test new models of care delivery, adverse … communication interventions; (2) improving patient safety by measuring safety problems, characterizing adverse … previously collected patient complaint data suggests that patient complaints may be a predictor of adverse … occurred across all types of medications and in 41% of cases sampled in this study may have caused adverse

143. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
     April 01, 2018 - The Canadian Adverse Events Study: The incidence of adverse events among hospital patients in Canada … Detecting adverse events using information technology. … Adverse events among children in Canadian hospitals: The Canadian Paediatric Adverse Events Study. … Automated adverse event detection collaborative: Electronic adverse event identification, classification … Adverse events and preventable adverse events in children.

144. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
     August 01, 2022 - It is estimated that one in seven patients is affected by adverse events, and that as many as half of … all clinicians will be involved in a serious adverse event at least once during their career. … Slide 6 Say: As referenced in Module 3, this diagram shows the distinction between adverse … errors are adverse events. … Therefore, it is important to recognize the distinction between medical errors and adverse events, as

145. References | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-5.html
     June 01, 2020 - Measuring errors and adverse events in health care. J Gen Intern Med  2003;18(1):61-7. … Lessons from a patient partnership intervention to prevent adverse drug events. … Consensus building for development of outpatient adverse drug event triggers. … Computerized surveillance of adverse drug events in hospital patients. … Adverse events during hospitalization: results of a patient survey.

146. AHRQ Tools To Reduce Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/hac/tools.html
     March 01, 2024 - To reduce these HACs and other adverse events in hospitals, frontline clinicians and others use many … Antibiotic use:  Toolkit To Improve Antibiotic Use in Acute Care Hospitals Adverse drug events: Medications … ICUs Medical devices: Toolkit for Decolonization of Non-ICU Patients With Devices Obstetrical adverse

147. Data Resources | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/data/resources/index.html
     May 01, 2024 - Data Resource Name Search   Filter by Topic Access to Care (4) Adverse … HCUP Statistical Briefs: Adverse Events These HCUP Statistical Briefs provide statistics about adverse … Topics include infections (CDI and MRSA), adverse drug events (ADEs), and potentially avoidable injuries

148. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
     August 01, 2022 - their institutions include how to: Engage patients and families in disclosure communication following adverse … Implement a Care for the Caregiver program for providers involved in adverse events. … Investigate and analyze an adverse event to learn from it and prevent future adverse events.

149. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/pfp/hacrate2013.html
     January 01, 2018 - Half of these inpatients experienced one or more adverse events that resulted in a prolonged hospital … events—such as adverse drug events, falls, and pressure ulcers—occurred. … Data for obstetric adverse events come from AHRQ Patient Safety Indicators (PSIs) 18 and 19. … who use a structured protocol and software tool to determine whether any of 21 specific measures of adverse … MPSMS data provide inpatient mortality data for the patients who experienced each type of adverse event

150. Medication Error Reporting Systems: Challenges, Lessons, Future Direction (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/cousins-report.pdf
     January 01, 2024 - • What suggestions do participants have for other adverse event reporting systems? … Twenty-two states now have legislation mandating that healthcare providers report adverse events to … For other adverse event reporting systems? For a national-level patient safety database? … The nature of adverse events. Results from the Harvard Medical Practice Study II. New Engl J. … The Costs of Adverse Drug Events in Hospitalized Patients. JAMA. 1997; 277:307-311. 4.

151. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
     September 01, 2022 - patient safety practices in eight categories encompassing commonly occurring care and disease specific adverse … ADEs: Harms Due to Diabetic Agents ADEs: Reducing Adverse Drug Events in Older Adults ADEs: Harms … Systems Summary of Evidence Update (Not reviewed) The Clinical Pharmacist's Role in Preventing Adverse … Drug Events Summary of Evidence Update (Not reviewed) Protocols for High-Risk Drugs: Reducing Adverse … Evidence   Teach-Back (Not reviewed) (Not reviewed) Summary of Evidence   ADEs: Reducing Adverse

152. Improving Error Reporting in Ambulatory Pediatrics with a Team Approach (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-Neuspiel_43.pdf
     March 05, 2008 - The IOM has called for a reporting system that includes both adverse events and near misses. … A physician- based voluntary reporting system for adverse events and medical errors. … Confidential clinician-reported surveillance of adverse events among medical inpatients. … Adverse drug events in primary care. N Engl J Med. 2003; 348: 1556-1564. 15. … Will, ideas, and execution: Their role in reducing adverse medication events.

153. Understanding SOPS Surveys: A Primer for New Users - Famolaro (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-4-famolaro-2018.pdf
     January 01, 2018 - SOPS to Hospital CAHPS patient experience • Hospital SOPS to AHRQ Patient Safety Indicator (PSI) adverse … Hospital SOPS & PSI Adverse Event Rates Higher patient safety culture scores associated with lower … adverse event rates r = -.36 0 2 4 6 8 10 12 14 16 18 40% 45% 50% 55% 60% 65% 70% 75% 80% … Exploring Relationships Between Hospital Patient Safety Culture and Adverse Events. … Linking SOPS to Other Outcomes Hospital SOPS & Hospital CAHPS Patient Experience Hospital SOPS & PSI Adverse

154. PowerPoint Presentation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
     May 01, 2011 - the best care possible to patients, health care providers are sometimes faced with the aftermath of adverse … It is estimated that one in seven patients is affected by adverse events, and that as many as half of … all clinicians will be involved in a serious adverse event at least once during their career.   … adverse events. … Ensure adverse event report completed. Manage unit/team’s overall response.

155. 2017Qdr-Patsafchartbook (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
     October 01, 2018 - drug event to warfarin (Adverse drug events) …  Adverse drug events. … Adverse Drug Events • An adverse drug event (ADE) is an injury—including physical harm, mental harm, … Adverse Drug Events With Warfarin Adult hospital patients with an anticoagulant-related adverse drug … Events 30-Day Mortality for Colorectal Surgery Adverse Drug Events Adverse Events With Hypoglycemic

156. New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi) (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
     January 01, 2018 - Safety Tejal Gandhi Handwriting 16 Ways IT Can Improve Safety • Prevent errors and adverse … events • Facilitating a more rapid response after an adverse event has occurred • Tracking and providing … feedback about adverse events Bates, Gawande 2003 Main Strategies for Preventing Errors and AEs

157. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
     January 01, 2004 - NYSDOH) expanded its New York Patient Occurrence Reporting and Tracking System (NYPORTS) mandatory adverse … Rare or unfamiliar circumstances compounded the potential that an adverse event would occur. … • Establish intravenous access for rapid intervention if an adverse effect occurs. … In some situations, once there was onset of symptoms, the adverse effects could not be reversed and … Leape LL, Bates DW, Cullen DJ, et al., Systems analysis of adverse drug events.

158. AHRQ Researchers Find Link Between Job Flexibility and Healthcare Access and Use | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/818.html
     June 01, 2022 - Study Finds Relationship Between Readmission Rates, Adverse Events in Hospitals . … Study Finds Relationship Between Readmission Rates, Adverse Events in Hospitals Patients with pneumonia … admitted to hospitals with high readmission rates were more likely to experience adverse events, a new … The authors of the study, published in JAMA Network Open , cross-referenced Medicare patient-level adverse … records between 2010 and 2019, they found that patients were 13 percent more likely to suffer from an adverse

159. Improving Safety for Patients with Limited English Proficiency: TeamSTEPPS
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-oct2013.pptx
     January 01, 2013 - know about patient safety and Limited English Proficiency (LEP) patients Identify common causes of adverse … Language proficiency and adverse events in U.S. hospitals: a pilot study. … Nearly 25 million people in the United States (8.6%) are defined as LEP and therefore at risk for adverse … Language proficiency and adverse events in U.S. hospitals: a pilot study. … TeamSTEPPS 01020304050Percent Type of Physical Harm Types of Physical Harm Experienced From Adverse

160. Making Information Technology a Team Player in Safety: The Case of Infusion Devices (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
     January 01, 2002 - Adverse events including device- related deaths and serious injuries must be reported to the FDA and … A fourth phase reviewed the MAUDE database for all adverse event reports related to the infusion pumps … reports Adverse incidents with infusion devices may have severe consequences. … Attempts have been made to create adverse event reporting systems to capture and analyze incidents … The methods described provide a useful basis for study the evolution of adverse events.