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Showing results for "adverse".

21. Final Progress Report: Improving Medication Safety Across Clinical Settings (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
    January 01, 2024 - Key Words: Surveillance and reporting of adverse events; adverse drug events in ambulatory pediatrics … adverse warfarin-related events were identified. … Bates DW, Cullen D, Laird N, et al: Incidence of adverse drug events and potential adverse drug events … Adverse drug events in ambulatory care. … Bates DW, Cullen D, Laird N, et al: Incidence of adverse drug events and potential adverse drug

22. Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
    March 01, 2020 - Reducing Adverse Drug Events in Older Adults Reducing Adverse Drug Events in Older Adults 9-1 9. … Adverse Drug Events in U.S. … Terms used to find deprescribing literature included “deprescribing,” “adverse reactions/PC,” “adverse … Reducing Adverse Drug Events in Older Adults PRISMA Diagrams Figure A.1: Reducing Adverse Drug Events … Reducing Adverse Drug Events in Older Adults Evidence Tables Table B.1: Reducing Adverse Drug Events

23. Major Study Shows Significant Drop in In-Hospital Adverse Event Rates Pre-COVID | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/822.html
    July 01, 2022 - Today's Headlines: Major Study Shows Significant Drop in In-Hospital Adverse Event Rates Pre-COVID … Major Study Shows Significant Drop in In-Hospital Adverse Event Rates Pre-COVID The rates of in-hospital … adverse events for healthcare-related patient harm fell significantly in the United States in the decade … The authors of the study, published in JAMA , tracked 21 adverse events of nearly 245,000 patients in … Monitoring preventable adverse events and near misses: number and type identified differ depending on

24. Dental Opioid Prescriptions Associated With Adverse Outcomes | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/809.html
    April 01, 2022 - News Newsletter AHRQ News Now Dental Opioid Prescriptions Associated With Adverse … AHRQ News Now Events Dental Opioid Prescriptions Associated With Adverse … Dental Opioid Prescriptions Associated With Adverse Outcomes When dentists prescribe opioid medications … to their patients, it can lead to adverse outcomes and persistent opioid use, even when it is done within … improve analgesic prescribing in dentistry, especially among patients at high risk of opioid-related adverse

25. Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance (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-Hougland_26.pdf
    October 01, 2011 - AE codes were grouped into six categories to facilitate analysis: adverse drug events, surgical adverse … Methods ICD-9-CM Adverse Event Classification The report “Adverse Events related to Medical Care … events, and other adverse events. … Adverse effects. … Four distinct adverse effects of antibiotics codes (including adverse effects caused by penicillins

26. Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
    January 01, 2003 - Hospitalizations for adverse events associated with medical care, or medication adverse events, represented … “poisonings due to antidepressants” were also problematic drug adverse events. … Incidence and types of adverse events and negligent care in Utah and Colorado. … Adverse events related to medical care, Utah: 1995–99. … Adverse events in New Zealand public hospitals I: occurrence and impact.

27. Module 7: Resolution | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
    August 01, 2022 - Slide 1 Say: When adverse patient events occur, the patient and their family are looking for … However, litigation is not always a patient’s or family’s first instinct after an adverse event, so it … Resolution addresses the needs and concerns of patients after an adverse event. … Slide 7 Say: The first step of the Resolution component is to apologize for the adverse event … Potential future injuries that may result from the adverse event.

28. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (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-November_45.pdf
    January 01, 2007 - and 38 potential adverse events. … Adverse Events and Potential Adverse Events Overall, potential AEs were most commonly identified … Incidence of adverse drug events and potential adverse drug events. JAMA 1995; 274: 29-34. 5. … Comparison of three methods for estimating rates of adverse events and rates of preventable adverse … Adverse consequence: Delayed evaluation and treatment.

29. Opioid Prescribing, Adverse Outcomes Increase Significantly When Patients Turn 18 | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/799.html
    February 01, 2022 - Home News Newsletter AHRQ News Now Opioid Prescribing, Adverse … Blog Newsletter AHRQ News Now Events Opioid Prescribing, Adverse … Today's Headlines: Opioid Prescribing, Adverse Outcomes Increase Significantly When Patients Turn 18 … Opioid Prescribing, Adverse Outcomes Increase Significantly When Patients Turn 18 An AHRQ-funded review … team estimated that adult prescribing habits may result in a more than 14 percent increased risk in adverse

30. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
    September 01, 2022 - This chart review-based surveillance system determines national rates for 21 types of adverse events, … Overall, the QSRS will generate adverse event rates and trend performance over time. … The QSRS also: Offers an expanded array of adverse event measures, including ones related to opioid … use/misuse, surgical site infections, and other surgical and anesthesia-related adverse events, as well … as obstetric and neonatal adverse events.

31. Using Digital Health Tools to Improve Patient Safety during Acute Care | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
    January 01, 2024 - Between 19 to 28 percent of patients experience adverse events during care transitions. … These adverse events, which may lead to hospital readmissions, represent an ongoing threat to patient … Building on his efforts to reduce adverse events during care transitions, Dr. … that “clinically-integrated digital health apps have the potential to more accurately predict risk of adverse … undergone at other facilities, enabling continuous and quality care and reducing the potential for adverse

32. Antibiotic Side Effects (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-side-effects.pdf
    June 01, 2021 - Antibiotic Side Effects Risk of antibiotic side effects and adverse reactions • Antibiotic use is … events are one of the most common reasons for emergency department (ED) visits for drug-related adverse … events • 1 in 1,000 antibiotic prescriptions leads to an ED visit for an adverse event. … Common side effects and adverse reactions • Gastrointestinal disturbances (such as diarrhea) occur … reactions Common side effects and adverse reactions Potential adverse reactions and drug-drug interactions

33. CommonSpirit Health Expands CANDOR Toolkit Across Entire Health System | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/202104.html
    October 01, 2021 - CommonSpirit Health clinicians have communicated promptly and candidly with patients about an adverse … event or potential adverse event, and officials estimate 85 patients were spared the additional harm … “It’s all about how to communicate an adverse event or a potential adverse event promptly and candidly … In regularly scheduled “Patient Safety Roundtables,” CommonSpirit Health clinical leaders review adverse … “CANDOR is absolutely the right approach for all involved in an adverse event,” Pelletreau said.

34. Final Progress Report: Advancing Patient Safety Innovation in Rheumatology (ASPIRE) (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/yazdany-report.pdf
    January 01, 2024 - Results: The project generated new epidemiological evidence of patient safety risks and adverse events … Despite the frequency of ambulatory patient safety errors and adverse events, most efforts to study … Second, rare adverse events are challenging to accurately identify. … Food and Drug Administration Adverse Event Reporting System (FAERS). … Adverse drug events in the outpatient setting: an 11-year national analysis.

35. Patient and Family Engagement | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/patient-family-engagement/sl-pat-fam.html
    September 01, 2013 - Introduction to Adverse Events Slide 23. Immediate Response to an Adverse Event 4 Slide 24. … Next Steps in Responding to an Adverse Event 5 Slide 25. … How to Communicate About an Adverse Event 6 Slide 26. … Introduction to Adverse Events Adverse event: An injury to a patient caused by medical intervention … Next Steps in Responding to an Adverse Event 5 Investigation.

36. Grand Rounds Presentation | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
    August 01, 2022 - Slide 7 Say: Open and honest communication after an adverse event is not easy and does require … Potential decrease in adverse events being litigated, which can potentially lead to lower malpractice … Slide 19 Say: The CANDOR process involves a thorough investigation of the adverse event; but … Resolution should lead to a settlement of issues related to the adverse event,but doesn’t always lead … Patients are looking for the actions the organization is taking to prevent and learn from the adverse

37. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
    January 01, 2003 - Hellinger Abstract Objective: To estimate the impact of potentially preventable adverse events on … adverse events. … care during the 90 days, as opposed to $486 for those patients without adverse events. … Incidence and types of adverse events and negligent care in Utah and Colorado. … The incidence and nature of surgical adverse events in Colorado and Utah in 1992.

38. Building the Business Case for CANDOR Worksheet | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/worksheet2.html
    August 01, 2022 - Analyze the organization's frequency of adverse events and malpractice claims to support the rationale … Discuss efforts to improve communication and response to adverse events to date, including the clinical … event: Number of adverse events reported >24 hours after occurrence Severity level of adverse … (Track, analyze, and compare adverse events managed pre‑implementation, then follow up with additional … Determine a return on investment that ties to reduced adverse events.  

39. Implementation Guide for the CANDOR Process: Appendix A | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apa.html
    August 01, 2022 - Analyze the organization's frequency of adverse events and malpractice claims to support the rationale … Discuss efforts to improve communication and response to adverse events to date, including the clinical … event: Number of adverse events reported >24 hours after occurrence Severity level of adverse … (Track, analyze, and compare adverse events managed pre‑implementation, then follow up with additional … Determine a return on investment that ties to reduced adverse events.  

40. Past Research on Patient Perceptions of Safety and Diagnostic Mishaps | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
    June 01, 2023 - By contrast, the perceived mishaps patients and families report are more consistent with notions of adverse … Reporting: Reports from patients and families are vital complements to other methods of detecting adverse … the sources of heightened safety risk, they can provide new clues into events that gave rise to the adverse … A substantial body of literature addresses patient interactions with clinicians after adverse events, … the past erodes trust in ways that persist over time, 24 , 48 those who have experienced repeated adverse