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patientregistry.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
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patientregistry.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
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patientregistry.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
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patientregistry.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.
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patientregistry.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.
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patientregistry.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.
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patientregistry.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?
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patientregistry.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?
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patientregistry.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
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patientregistry.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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patientregistry.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.
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patientregistry.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
November 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Prevention provides a strategy for preventing adverse … uses electronic medical records to develop weekly reports that identify residents at risk of common adverse … Adverse Events
Pressure Ulcer Prevention .
Pressure Ulcer Healing .
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patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
August 01, 2022 - An adverse event is "any injury caused by medical care" and doesn't imply "error," "negligence," or poor … The diagram, developed by Robert Watcher, shows the distinction between adverse events and errors. … Not all adverse events are medical errors and not all medical errors are adverse events. … Do:
Explain the diagram to others, and ask others to provide examples of adverse events that are not … errors and errors that are not adverse events.
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
March 01, 2021 - primary care teams should consider individual patients’ risk factors for developing postdischarge
adverse … If left
unaddressed, behavioral health and social needs are key risk factors for postdischarge adverse … facilitating the implementation of these elements is important to enhance patient
safety since the risk of adverse … new approach primary care teams can use to engage
patients and families to help reduce postdischarge adverse
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
May 17, 2016 - regarding the definition of true postoperative respiratory failure,
it still remains an important patient adverse … at increased risk for postoperative respiratory failure
to better prepare clinicians to anticipate adverse … Decreased central nervous system input (head injury, ingestion of central nervous system
depressant, adverse … Charges and lengths of stay attributable to adverse
patient-care events using pediatric-specific quality
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - Evaluation of perioperative medication errors and adverse drug events. … More than three-fourths
of PSOs offered analytical support for adverse events,
and a similar share … Analytic Support for Adverse Events. … Copyright 2015 ECRI Institute. www.ecri.org
• Adverse events
• Near misses
• Hazards
• Common Formats … Notably, they require all members wishing
to submit information on an adverse event to their PSO
to
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-arlene.pdf
November 17, 2020 - risk” will go on to develop MCC
• Targeted interventions to improve health and reduce the
risk of adverse … interventions for those who have complex
management issues and who are at “high risk” for
avoidable adverse
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patientregistry.ahrq.gov/news/newsletters/e-newsletter/852.html
February 01, 2023 - Researchers analyzed electronic health record data for 900,635 patients to identify the costs of fall-related adverse … treat gout as well as other conditions, but it has potentially serious drug interactions that can cause adverse … Food and Drug Administration’s Adverse Event Reporting System from January 2004 through June 2020. … It found a total of 787 reports that pointed to an adverse event from a colchicine drug interaction.
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patientregistry.ahrq.gov/sops/about/patient-safety-culture.html
March 01, 2022 - 2
Hospitals with more positive SOPS scores had:
Lower rates of in-hospital complications or adverse … Exploring relationships between hospital patient safety culture and adverse events. … The relationship between culture of safety and rate of adverse events in long-term care facilities.
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patientregistry.ahrq.gov/news/newsletters/e-newsletter/index.html?page=2
April 05, 2022 - ascending
Top Story
April 5, 2022
Dental Opioid Prescriptions Associated With Adverse … Patient-Generated Health Data Into Electronic Health Records
February 8, 2022
Opioid Prescribing, Adverse … Change, Environmental Justice and AHRQ
October 5, 2021
Drug Label Changes Could Reduce Adverse