-
ce.effectivehealthcare.ahrq.gov/hai/pfp/interimhacrate2013.html
November 01, 2015 - 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
-
ce.effectivehealthcare.ahrq.gov/cpi/about/otherwebsites/qsrs.ahrq.gov/index.html
March 01, 2021 - and other Federal partners—realized that hospitals needed to understand specifically how and where adverse … Therefore, CMS created the MPSMS to measure the magnitude of adverse events among hospital patients covered … Features
The QSRS:
Offers an expanded array of adverse event measures.
-
ce.effectivehealthcare.ahrq.gov/teamstepps/lep/hospitalguide/lephospitalguide.html
December 01, 2012 - (continued) Slide 10: Causes of Adverse Events for LEP and Culturally Diverse Patients Slide 11: Systems … Identify common causes of adverse events for LEP and culturally diverse patients. … Language proficiency and adverse events in U.S. hospitals: a pilot study. … Return to Contents
Slide 10: Causes of Adverse Events for LEP and Culturally Diverse Patients
Use … Language proficiency and adverse events in U.S. hospitals: a pilot study.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
March 26, 2008 - The nature of
adverse events in hospitalized patients. … Incidence of
adverse drug events and potential adverse drug events:
Implications for prevention. … Systems
analysis of adverse drug events. JAMA 1995; 274:
35-43.
16. … Medication
errors and adverse drug events in pediatric inpatients. … The costs of
adverse drug events in hospitalized patients.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/primary-prevention-cvd-with-statins.pdf
May 10, 2018 - There is no good reason to use a high-
cost brand name statin.
10 Statins: Adverse Effects … The most
important adverse effect of statins is myopathy, or muscle pain, which is reported in about … Other hypothesized adverse effects
such as memory loss have not been confirmed when they’ve been examined … On the other hand, the adverse
effects appear to be relatively independent of CVD risks. … another way, what risk level is high enough such as the
expected benefits outweigh the potential adverse
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T5-Sample_Policy_Letter_final.pdf
October 01, 2016 - The
adverse consequences of unnecessary antibiotic use include adverse drug reactions or
interactions
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T5-Sample_Policy_Letter_final.docx
October 01, 2016 - The adverse consequences of unnecessary antibiotic use include adverse drug reactions or interactions
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/king-report.pdf
January 01, 2024 - Final Progress Report: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation … (MODL-AF)
Project Title: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
April 01, 2016 - Identification and Analysis of Actual and Potential Adverse Events
a. … Do staff have access to a system for reporting adverse events?
c. … Is an attempt made to disclose within the first 24 hours following an adverse event?
h. … Do staff have access to a system for reporting
adverse events? … Is an attempt made to disclose within the first 24
hours following an adverse event?
-
ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/868.html
June 01, 2023 - Video-Assisted Coaching Reduced Intubation-Associated Adverse Events in Children, but Apneic Oxygenation … Video-Assisted Coaching Reduced Intubation-Associated Adverse Events in Children, but Apneic Oxygenation … Did Not
Adverse tracheal intubation-associated events—unwanted events that occur as a result of the … intervention in 14 pediatric intensive care units and found that apneic oxygenation did not reduce adverse … Researchers found that use of video laryngoscope coaching did reduce adverse tracheal intubation-associated
-
ce.effectivehealthcare.ahrq.gov/research/findings/studies/index.html?page=0
January 01, 2024 - Drug Events (ADE)
(321)
Adverse Events
(736)
Alcohol Use
(61)
Ambulatory Care and Surgery … airway outcomes, including adverse tracheal intubation (TI)-associated events (TIAEs) and/or severe … Keywords: Diagnostic Safety and Quality, Medical Errors, Adverse Events, Patient Safety, Quality of … The objective of this observational cohort study was to compare rates of adverse functional outcomes … Keywords: Children/Adolescents, Health Literacy, Communication, Medication, Adverse Drug Events (ADE
-
ce.effectivehealthcare.ahrq.gov/patient-safety/reports/hotline/conclusios6.html
May 01, 2016 - What was known after two decades of prior research is that adverse events, errors, and even near-miss … When adverse event reporting systems were first built, they did not receive many reports. … It was not until the culture in hospitals changed around adverse event reporting that reports started … Overall, the number of reports received was disappointing, given the potential reservoir of adverse events … Depending on whether the information is used to supplement an existing adverse event report or is a new
-
ce.effectivehealthcare.ahrq.gov/topics/a.html
May 01, 2024 - Information in Spanish
Topics Browse A - Z
A
Access to Care Adverse … Drug Events (ADE) Adverse Events Alcohol Use All-Payer Claims Ambulatory Care and Surgery
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
January 01, 2020 - For example, Medication or
Other Substance events that were reported as Adverse reaction in patient … For example, Medication or Other Substance events
that were reported as Adverse reaction in patient … For example, Medication or Other Substance events
that were reported as Adverse reaction in patient … For example, Medication or Other Substance events
that were reported as Adverse reaction in patient … For example, Medication or Other Substance events that were
reported as Adverse reaction in patient
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.docx
October 01, 2016 - The adverse consequences of unnecessary antibiotic use include adverse drug reactions or interactions … this procedure can help reduce unnecessary prescribing and lead to fewer antibiotic failures and/or adverse
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-facguide.docx
January 01, 2017 - There were no adverse events due to physical therapy in either arm of the study and no cost difference … Slide 10
Safety
SAY:
There were no serious adverse events. … Patients were started on a careful trial of activity, and close watch was kept for adverse events. … Slide 13
Adverse Effects
SAY:
Nine patients had a total of 14 adverse events. … This study had no documented adverse events in either arm.
-
ce.effectivehealthcare.ahrq.gov/hai/pfp/interimhac2013-ap1.html
December 01, 2014 - Interim Final 2013 Data for MPSMS, Preliminary 2013 CDC NHSN Data on SSIs, and 2012 Data for Obstetric Adverse … Catheters
9,200
0.28
Falls
MPSMS (2013)
In-Hospital Patient Falls
240,000
7.2
Obstetric Adverse … 2013)
Femoral Artery Puncture for Catheter Angiographic Procedures
59,000
1.8
MPSMS (2013)
Adverse … Events Associated With Hip Joint Replacements
21,000
0.63
MPSMS (2013)
Adverse Events Associated
-
ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-hernandez-boussard.html
April 01, 2024 - her career to analyzing “clinical big data” to identify quality and safety issues that can result in adverse … datasets on safety events, including AHRQ’s Healthcare Cost and Utilization Project (HCUP), she profiled adverse … Hernandez-Boussard also examined factors that could contribute to adverse events such as hospital surgical … Her research focuses on older patients and aims to mitigate the risk of adverse outcomes related to postoperative
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/acute_care_implementation_guide.pdf
November 01, 2019 - identifying
technical versus behavioral (also known as adaptive) problems leading to antibiotic-associated
adverse … assist with these discussions between ASPs and frontline staff:
o “Identifying Antibiotic-Associated Adverse … on units for frontline providers to complete when they identify a
potential antibiotic-associated adverse … o “Learning From Antibiotic-Associated Adverse Events Form” is similar to a root cause
analysis form … be completed during structured meetings to guide strategies to
prevent future antibiotic-associated adverse
-
ce.effectivehealthcare.ahrq.gov/patient-safety/resources/improve-discharge/index.html
July 01, 2022 - PSNet Article: Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse … Readmission Rates With Mortality Rates After Hospital Discharge
AHRQ PS Net Primer: Readmissions and Adverse … Toolkit To Improve Medication Reconciliation Across Care Settings
Six New Jersey Hospitals Reduce Adverse … Patient Safety and Team Communication Through Daily Huddles
AHRQ PSNet Primer: Medication Errors and Adverse