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Showing results for "adverse".

61. USER GUIDE: COVID-19 Vaccination Tracking Tool for Use in Skilled Nursing Facilities (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/user-guide-covid-19-vaccination-tracking-tool-nursing-facilities.pdf
    July 01, 2022 - Select Adverse Event (Reaction) to 1st Dose. … Select Adverse Event (Reaction) to 2nd Dose. … Adverse Event (Reaction) to any COVID-19 Vaccine Dose? … Select Adverse Event (Reaction) to 1st Dose. … Select Adverse Event (Reaction) to 2nd Dose.

62. References | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/pfp/hacrate2013-refs.html
    October 01, 2015 - Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … Adverse drug events in hospitalized patients. … Adverse drug events in U.S. hospitals, 2004. HCUP Statistical Brief #29. … Obstetric Adverse Events Abuhamad A, Grobman WA. … Impact of a comprehensive strategy on obstetric adverse events.

63. Patient and Family Engagement for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
    July 01, 2023 - Engaging after an adverse event. Engaging in planning and design. … Slide 17: Engaging After Adverse Events Say: Adverse events occur when a patient is harmed as a … Immediately after an adverse event, care providers: Provide care. … a number of emotions when an adverse event occurs. … Rarely does an adverse event occur as a result of intent.

64. PowerPoint Presentation
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxoverview.pptx
    October 01, 2017 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … 4 Discussion Can you think of examples when knowledge of risk factors might be used to prevent adverse … On-Time Overview 5 October 2017 5 On-Time Reports for Four Adverse Events Four Reports Pressure Ulcer … Investigate the root cause when an adverse event occurs.

65. PowerPoint Presentation
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
    November 01, 2016 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … 4 Discussion Can you think of examples when knowledge of risk factors might be used to prevent adverse … 6 Common Elements of On-Time EMR to develop reports that identify residents at increased risk of adverse … Investigate the root cause when an adverse event occurs.

66. Patient and Family Engagement for Perinatal Safety | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-slides.html
    July 01, 2023 - Discuss how to communicate an adverse event to a patient and family members. … Engaging after an adverse event. Engaging in planning and design. … Slide 17: Engaging After Adverse Events An adverse event is an injury to a patient caused by medical … Slide 18: Immediate Response to an Adverse Event 4 Care for the patient. … Slide 21: Next Steps in Responding to an Adverse Event 6 Investigation.

67. Disclosure Checklist | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.html
    August 01, 2022 - Identify the adverse event early in the disclosure.   … Explain what is known about why the adverse event occurred; do not speculate.   … Tell the patient whether the adverse event was preventable, if known.   … APOLOGIZE   Say you are sorry for the adverse event in a sincere manner early in the conversation … Be honest EXPLAIN the facts about the adverse event without the patient having to do a lot of probing

68. PowerPoint Presentation
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
    May 01, 2017 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … 4 Discussion Can you think of examples when knowledge of risk factors might be used to prevent adverse … May 2017 On-Time Overview 5 5 On-Time Reports for Four Adverse Events Four Reports Pressure Ulcer … Investigate the root cause when an adverse event occurs.

69. PowerPoint Presentation
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
    December 01, 2014 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … 4 Discussion Can you think of examples when knowledge of risk factors might be used to prevent adverse … December 2014 On-Time Overview 5 5 On-Time Reports Being Developed for Four Adverse Events Four Reports … Common Elements of On-Time EMR used to develop reports that identify residents at increased risk of adverse

70. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
    November 19, 2015 - has occurred during a period of concerted attention by hospitals throughout the country to reduce adverse … About 40 percent of this reduction is from adverse drug events, about 28 percent from pressure ulcers … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … $45,000,000 $10,030,000,000 $1,302,000,000 $168,000,000 $136,000,000 $2,788,000,000 Adverse … (Journal of Patient Safety, in press) indicated that in 2012 and 2013, adverse events were less frequent

71. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
    July 01, 2020 - the same 28 measures of patient safety events, including many types of hospital-acquired infections, adverse … For example, measured adverse drug events continued to drop from 2014 to 2017, while measured pressure … National number of adverse events captured by PSIs 18 and 19 on obstetric injury and national number … To estimate the rate of adverse events for each of the 21 HACs for all patients for which the MPSMS … Due to changes in how some conditions and adverse events are described in ICD-9 and ICD-10, the data

72. Mod02-Business-Case-Worksheet (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/mod02-business-case-worksheet.pdf
    April 01, 2016 - – 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 … 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. 4 – Building the Business Case

73. Executive Summary | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-1.html
    June 01, 2023 - enrich clinicians’ understanding of patient and family experience and reduce the harms that follow adverse … Although patient and family conceptions of adverse events do not always conform to clinical definitions … diagnostic errors, it is important to identify and understand the broader scope of patient-defined adverse

74. Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
    January 01, 2003 - of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting Andrew C. … Incidence of adverse drug events and potential adverse drug events: Implications for prevention. … Adverse drug events in ambulatory care. NEJM 2003;348:1,556–64. 4. … Multifacted approach to reducing preventable adverse drug events. … Relationship between medication errors and adverse drug events.

75. Making Effective Changes in Antibiotic Decision Making (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
    November 01, 2019 - How will you reduce the risk of the adverse event from happening again? 4. … In this patient’s case, antibiotic-related adverse events caused harm but when thinking of potential … Events SAY: When evaluating factors that contributed to an actual or potential adverse event, … Sometimes we forget to acknowledge the factors that mitigated potential harm from the adverse event … For example, if the adverse event was severe rash, it may be helpful to involve dermatology.

76. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
    August 01, 2022 - Disclosure communication following an adverse event should include answers to the following questions … How will the organization prevent the adverse event from happening to another patient in the future? … It is important that the clinicians and the health care organization apologize for the adverse event, … Slide 11 Say: The Disclosure Checklist includes: What happened–identify the adverse … Apology–say you are sorry for the adverse event in a sincere manner early in the conversation.

77. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
    July 01, 2023 - Identifying practices that affect the persistence of adverse effects long after a perceived diagnostic … Expanding the scope to also include “problems” encourages reporting of adverse events where patients … The focus of questions is on the immediate antecedents and outcomes of the adverse event. … First, when patients experience adverse medical events, they frequently switch to alternative venues … Families as partners in hospital error and adverse event surveillance.

78. Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration (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-Campbell-R_106.pdf
    April 14, 2008 - These AEs included adverse drug reactions and other adverse outcomes, such as fall-related fractures … outcomes and associated health care utilization costs beyond adverse drug reactions or adverse drug … Adverse outcomes can encompass more than adverse drug reactions. … The Research on Adverse Drug Events and Reports (RADAR) project. … Outpatient benzodiazepine prescribing, adverse events, and costs.

79. Medical Product Safety Network (MedSun) Collaborates with Medical Product Users to Create Specialty Subnetworks (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-Engleman_86.pdf
    June 04, 2008 - In particular, the exchange of device-related safety information and reports on adverse events with … Given that the FDA does not have unlimited resources to investigate and address adverse events with … adverse events and situations indicating the potential for harm related to these devices. … Obstacles to reporting adverse events to the FDA were identified as well. … The Tissue and Cell Subnetwork is the first enhanced surveillance program for HCT/P-related adverse

80. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
    April 09, 2004 - Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems 135 Lessons Learned … from the Evolution of Mandatory Adverse Event Reporting Systems Ellen Flink, C. … Incidence of adverse events and negligence in hospitalized patients. … Detecting adverse events using information technology. … Reporting on adverse events. NEJM 2002 Nov20;347(20):1633–8.