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Showing results for "adverse".

1. Adverse Drug Events Occurring in U.S. Hospitals | Agency for Healthcare Research and Quality
   monahrq.ahrq.gov/data/infographics/adverse-drug-events.html
   August 01, 2018 - FAQs Home Data & Analytics Data Infographics Adverse … States Health Information Knowledgebase Data Sources Available from AHRQ Adverse … Hospitals Adverse Drug Events Occurring in U.S. … Hospitals (PDF, 1.5 MB) Source:   HCUP Statistical Brief #164: Characteristics of Adverse Drug Events … https://www.ahrq.gov/data/infographics/adverse-drug-events.html   Back

2. Major Study Finds Significant National Patient Safety Improvement | Agency for Healthcare Research and Quality
   monahrq.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
   July 01, 2022 - Researchers of this study tracked a total of 21 adverse events over the study period. … Tracking the rates of adverse events is a common way of measuring changes in patient safety. … In the study, researchers examined the rates of adverse events by looking at the raw (observed) rates … In the observed data for 2010 and 2019, adverse event rates fell 36 percent for heart attack patients … After adjustment, the relative risk of experiencing an adverse event diminished for all five patient

3. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
   monahrq.ahrq.gov/hai/pfp/methods.html
   December 01, 2017 - The estimate includes a wide variety of adverse events, including the nine HACs selected for special … than as a rate for the subpopulation that has the opportunity to experience the adverse event. … events for all patients to adverse events for patients with one of the four diagnoses. … Events Associated With Hip Joint Replacements 1.02 3.70 0.28 All Other HACs Adverse Events … events for all diagnoses to adverse events for the four diagnoses.

4. Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals | Agency for Healthcare Research and Quality
   monahrq.ahrq.gov/news/newsletters/e-newsletter/899.html
   February 01, 2024 - Home News Newsletter AHRQ News Now Heart Failure Patients’ Risk of Adverse … Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals Patients with heart … readmission rates and deaths from all causes have a 24 percent higher risk of suffering one or more adverse … Additional articles featured this week include: Adverse safety events in emergency medical services … Impact of reducing time-to-antibiotics on sepsis mortality, antibiotic use, and adverse events.

5. Major Study Shows Significant Drop in In-Hospital Adverse Event Rates Pre-COVID | Agency for Healthcare Research and Quality
   monahrq.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

6. Module 7: Resolution | Agency for Healthcare Research and Quality
   monahrq.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.

7. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
   monahrq.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.

8. Using Digital Health Tools to Improve Patient Safety during Acute Care | Agency for Healthcare Research and Quality
   monahrq.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

9. Grand Rounds Presentation | Agency for Healthcare Research and Quality
   monahrq.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

10. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
    August 01, 2022 - delivery organizations. 2 Recent research shows a significant correlation between the frequency of adverse … In the short term, hospitals will develop processes to improve the reporting and monitoring of adverse … events and promote better care for patients through candid, caring communication in the wake of an adverse … and to promote better care for patients through candid, caring communication in the wake of an adverse … event (see Adverse Event (Reasonable Care) and Adverse Event (Unreasonable Care)) .

11. Patient and Family Engagement | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
    September 01, 2013 - Introduction to Adverse Events Slide 23. Immediate Response to an Adverse Event 4 Slide 24. … How to Communicate About an Adverse Event 6 Slide 26. … What if an Adverse Event Occurs on the Unit? … Introduction to Adverse Events Say: Adverse events occur when a patient is harmed as a result of … of emotions when an adverse event occurs.

12. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
    September 01, 2014 - The estimate includes a wide variety of adverse events, including the nine HACs selected for special … than as a rate for the subpopulation that has the opportunity to experience the adverse event. … In order to estimate the rate of adverse events for each of the 21 HACs for all patients for which the … events for all patients to adverse events for patients with one of the four diagnoses. … events for all diagnoses to adverse events for the four diagnoses.

13. Declines in Hospital-Acquired Conditions (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
    January 01, 2019 - in Hospital- Acquired Conditions National efforts to reduce hospital-acquired conditions such as adverse … Adverse Drug Events -28% CAUTI* -5% CLABSI+ -6% Clostridioides difficile Infections -37% … Falls -5% Obstetric Adverse Events -3% Pressure Ulcers Surgical Site Infections Ventilator

14. PowerPoint Presentation
    monahrq.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.

15. Disclosure Checklist | Agency for Healthcare Research and Quality
    monahrq.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

16. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
    monahrq.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

17. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
    monahrq.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.

18. Declines in Hospital Acquired Conditions (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-decline.pdf
    June 04, 2018 - in Hospital- Acquired Conditions National efforts to reduce hospital-acquired conditions such as adverse … Adverse Drug Events CAUTI* *CAUTI - Catheter-Associated Urinary Tract Infections CLABSI+ Clostridium … difficile Infections +CLABSI - Central Line-Associated Bloodstream Infection Falls Obstetric Adverse

19. Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/hai/pfp/haccost2017.html
    November 01, 2017 - Obstetric Adverse Events. Pressure Ulcers. Surgical Site Infections. … to estimate the excess cost and mortality associated with 10 HACs being targeted for improvement: Adverse … Included are adverse reactions during or following administration without any apparent incorrect action … Obstetric Adverse Events (OBAE) An adverse maternal or fetal outcome that occurs during labor and/or … We scrutinized cost and mortality definitions for their applicability to “in-hospital” adverse events

20. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
    January 01, 2019 - 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 … Preliminary 2017 2019 Goal (20% Reduction of each HAC) Adverse Drug Events 33.7 30.0 27.1 … National number of adverse events captured by PSIs 18 and 19 on obstetric injury and national number … Due to changes in how some conditions and adverse events are described in ICD-9 and ICD-10, the data