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Showing results for "adverse".

181. Developing the Tools to Administer a Comprehensive Hospital Discharge Program: The ReEngineered Discharge (RED) Program (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
     February 21, 2008 - Medical Errors and Adverse Events at Hospital Discharge Errors and Adverse Events Are Common on Both … 49, 50 3 Adverse Drug Events: Common, Serious, and Costly Adverse drug events (ADEs) are the … Adverse events among medical patients after discharge from hospital. … The costs of adverse drug events in hospitalized patients. … Can the frequency and risks of fatal adverse drug events be determined?

182. Final Progress Report: Drug-Drug Interaction Clinical Decision Support Conference Series (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/malone-report.pdf
     January 01, 2024 - Injury due to a known DDI is a preventable adverse drug event and constitutes a serious medication … Injury due to a known DDI is a preventable adverse drug event and serious medication error. … This 10-item scale assesses causality of an adverse event due to a DDI. … Severity is more ambiguous and describes the intensity of an adverse reaction in an individual. … Incidence of adverse drug events and potential adverse drug events. Implications for prevention.

183. Return on Investment Tool (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
     January 01, 2013 - The cost of adverse drug events in hospitalized patients. JAMA 1997;277:307-11. … Costs of adverse events in intensive care units. Crit Care Med 2007;35(11)2637-8. Pappas SH. … The cost of nurse-sensitive adverse events. J Nurs Adm 2008;38(5):230-6. … The costs and savings associated with prevention of adverse events by critical care nurses. … allows users to track the change in rate of any type of adverse event over time.

184. Strategy 4: IDEA Discharge Planning (Tool 3) (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
     January 01, 2010 - engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse … three-quarters of these could have been prevented or ameliorated.1 Common post-discharge complications include adverse … The incidence and severity of adverse events affecting patients after discharge from the hospital.

185. Strategy 4: IDEA Discharge Planning (Tool 3) (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.docx
     January 01, 2010 - for engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse … three-quarters of these could have been prevented or ameliorated.1 Common post-discharge complications include adverse … The incidence and severity of adverse events affecting patients after discharge from the hospital.

186. Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
     January 01, 2005 - The barrier to the movement of information within a facility is that an adverse event report made by … Step 3: Train the MedSun representatives to write complete and accurate adverse event reports. … Step 5: Improve users’ recognition of medical device adverse events. … Step 6: Motivate users to report device adverse events within their own institutions. … A short video is being produced that depicts a device-related adverse event and demonstrates why it

187. AHRQ Views Blog: We Must Not Underestimate the Impacts of Gun Violence on Healthcare Workers | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/842.html
     December 01, 2022 - Older Opioid Patients Experience More Adverse Events After Injury . … Older Opioid Patients Experience More Adverse Events After Injury Chronic non-cancer pain Medicare … injury—such as a fall or traumatic brain injury—have a 1.4 times greater risk of future opioid-related adverse … According to an AHRQ-funded review in PLOS Medicine , the risk was highest in the 30 days before an adverse … emerge after opioid initiation may assist in the early detection of older patients at high risk for adverse

188. Gap Analysis Facilitator's Guide: Appendix B | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
     August 01, 2022 - Is there a clear process for communication among staff in response to adverse events? … Identification and Analysis of Actual and Potential Adverse Events: Is there a process in place for … identifying, managing, and analyzing adverse events, near miss events, and unsafe conditions? … 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?

189. Dashboard Information | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/npsd/data/dashboard/info.html
     June 01, 2019 - data that follow the Common Formats for Event Reporting – Hospital Version (CFER-H) definitions of Adverse … Generic module applies to all reported events, and nine event-specific modules for specific types of adverse

190. Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations in Older Adults (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/wei-report.pdf
     January 01, 2024 - assess high-risk prescription opioid use patterns and risk factors associated with opioid-related adverse … Prior studies that explored prescription opioid use patterns and their association with adverse opioid … Association of Injury After Prescription Opioid Initiation with Risk of Opioid-Related Adverse Events … Patterns of Potential Opioid Misuse and Subsequent Adverse Outcomes in Medicare, 2008 to 2012. … Prescription opioid exposures and adverse outcomes among older adults.

191. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
     January 01, 2003 - Relationship between medication errors and adverse drug events. … Incidence of adverse events and negligence in hospitalized patients. … drug events, and adverse drug reactions. … Adverse Drug Prevention Study Group. The costs of adverse drug events in hospitalized patients. … Adverse drug events in hospitalized patients.

192. Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/muller-report.pdf
     January 01, 2024 - The group also collected data on adverse drug event rates and patient, staff, and physician satisfaction … The number of adverse drug events decreased after the intervention. … Can adverse drug events for inpatients be reduced through the consistent application of a medication … Prevalence: The prevalence of adverse drug events was 0.004% in FY06. … Prevalence: The prevalence of adverse drug events was 0.004% in FY06.

193. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/sands.html
     August 01, 2017 - 1986, 1 and it has been an early adopter of the Disclosure, Apology, and Offer (DA&O) approach to adverse … Its goals are to (1) proactively identify adverse events, (2) differentiate between injuries caused by … The DA&O approach to adverse events initially did not gain momentum as a risk management practice and … Physician name-based reporting : education; process change allowing institution-based reporting for adverse … When things go wrong: responding to adverse events: a consensus statement of the Harvard Hospitals. 

194. Gap Analysis Facilitator's Guide: Appendix C | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
     August 01, 2022 - Is there a clear process for communication among staff in response to adverse events?         … Identification and Analysis of Actual and Potential Adverse Events Is there a process in place for … identifying, managing, and analyzing adverse events, near miss events, and unsafe conditions?     … 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?        

195. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/index.html
     July 01, 2023 - Harms such as adverse drug events, healthcare-associated infections, falls, and obstetric adverse events … patient safety practices in eight categories encompassing commonly occurring care- and disease-specific adverse

196. Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/studies/index.html
     January 01, 2024 - Drug Events (ADE) (321) Adverse Events (737) 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 study did not find significant differences in adverse events. AHRQ-funded; HS024511. … The objective of this observational cohort study was to compare rates of adverse functional outcomes

197. 3 Tk1 T5-Draft Policies And Procedures For The Antimicrobial Stewardship Program Final (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.pdf
     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

198. Making Healthcare Safer III | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
     April 01, 2020 - Harms such as adverse drug events, healthcare-associated infections (HAIs), falls, and obstetric adverse … 415.4 KB) Harms Due to Anticoagulants (PDF, 2 MB) Harms Due to Diabetic Agents (PDF, 1.6 MB) Reducing Adverse

199. Using Home Visits to Understand Medication Errors in Children (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
     May 28, 2008 - Incidence and impact of adverse drug events in pediatric inpatients. … Medication errors and adverse drug events in pediatric inpatients. … Using chart review to screen for medication errors and adverse drug events. … Adverse drug events resulting from patient errors in older adults. … Incidence of adverse drug events and potential adverse drug events: Implications for prevention.

200. Return on Investment Tool (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
     January 01, 2013 - The cost of adverse drug events in hospitalized patients. JAMA 1997;277:307-11. … Costs of adverse events in intensive care units. Crit Care Med 2007;35(11)2637-8. Pappas SH. … The cost of nurse-sensitive adverse events. J Nurs Adm 2008;38(5):230-6. … The costs and savings associated with prevention of adverse events by critical care nurses. … allows users to track the change in rate of any type of adverse event over time.