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Showing results for "adverse".

  1. monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
    August 01, 2022 - their institutions include how to: Engage patients and families in disclosure communication following adverse … Implement a Care for the Caregiver program for providers involved in adverse events. … Investigate and analyze an adverse event to learn from it and prevent future adverse events.
  2. monahrq.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
    September 01, 2022 - patient safety practices in eight categories encompassing commonly occurring care and disease specific adverse … ADEs: Harms Due to Diabetic Agents ADEs: Reducing Adverse Drug Events in Older Adults ADEs: Harms … Systems Summary of Evidence Update (Not reviewed) The Clinical Pharmacist's Role in Preventing Adverse … Drug Events Summary of Evidence Update (Not reviewed) Protocols for High-Risk Drugs: Reducing Adverse … Evidence   Teach-Back (Not reviewed) (Not reviewed) Summary of Evidence   ADEs: Reducing Adverse
  3. monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
    October 01, 2018 - drug event to warfarin (Adverse drug events) …  Adverse drug events. … Adverse Drug Events • An adverse drug event (ADE) is an injury—including physical harm, mental harm, … Adverse Drug Events With Warfarin Adult hospital patients with an anticoagulant-related adverse drug … Events 30-Day Mortality for Colorectal Surgery Adverse Drug Events Adverse Events With Hypoglycemic
  4. monahrq.ahrq.gov/news/newsletters/e-newsletter/818.html
    June 01, 2022 - Study Finds Relationship Between Readmission Rates, Adverse Events in Hospitals . … Study Finds Relationship Between Readmission Rates, Adverse Events in Hospitals Patients with pneumonia … admitted to hospitals with high readmission rates were more likely to experience adverse events, a new … The authors of the study, published in JAMA Network Open , cross-referenced Medicare patient-level adverse … records between 2010 and 2019, they found that patients were 13 percent more likely to suffer from an adverse
  5. monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-oct2013.pptx
    January 01, 2013 - know about patient safety and Limited English Proficiency (LEP) patients Identify common causes of adverse … Language proficiency and adverse events in U.S. hospitals: a pilot study. … Nearly 25 million people in the United States (8.6%) are defined as LEP and therefore at risk for adverse … Language proficiency and adverse events in U.S. hospitals: a pilot study. … TeamSTEPPS 01020304050Percent Type of Physical Harm Types of Physical Harm Experienced From Adverse
  6. monahrq.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.
  7. monahrq.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.
  8. monahrq.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?
  9. monahrq.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
  10. monahrq.ahrq.gov/topics/a.html
    April 22, 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
  11. monahrq.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
  12. monahrq.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
  13. monahrq.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.
  14. monahrq.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.
  15. monahrq.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.
  16. monahrq.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
  17. monahrq.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?
  18. monahrq.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?        
  19. monahrq.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
  20. monahrq.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

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