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pbrn.ahrq.gov/data/infographics/adverse-drug-events.html
August 01, 2018 - 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 … Page last reviewed August 2018
Page originally created August 2018
Internet Citation: Adverse … https://www.ahrq.gov/data/infographics/adverse-drug-events.html
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/videos/notification.html
August 01, 2022 - Safety News and Events
Education & Training
Resources
Notification of Adverse … This video demonstrates an example of caregivers notifying the CANDOR team of an adverse event. … reviewed August 2022
Page originally created April 2016
Internet Citation: Notification of Adverse
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pbrn.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
July 01, 2022 - Researchers found significant decreases in in-hospital adverse event rates for heart attack, heart failure … 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
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pbrn.ahrq.gov/sites/default/files/wysiwyg/data/infographics/adverse-drug-events.pdf
July 02, 2015 - Adverse Drug Events occurring in U.S. … Hospitals
0 10 20 30 40 50 60 70 80
Adverse Drug Events
Occurring in U.S. … Hospitals
Adverse drug events (ADEs) are the most common nonsurgical adverse events that occur in hospitals … By hospital region
Source: Statistical Brief #164: Characteristics of Adverse Drug Events Originating
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pbrn.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. … 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.
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pbrn.ahrq.gov/news/newsletters/e-newsletter/899.html
February 01, 2024 - Newsletter
AHRQ News Now
Events
Heart Failure Patients’ Risk of Adverse … [PDF, 9 MB])
Today's Headlines:
Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing … Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals
Patients with heart … 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.
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pbrn.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - and other Federal partners—realized that hospitals needed to understand specifically how and where adverse … 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 … as obstetric and neonatal adverse events.
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pbrn.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.
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pbrn.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 … associate professor of medicine at Harvard Medical School in Boston, Massachusetts, is helping to reduce adverse … Building on his efforts to reduce adverse events during care transitions, Dr. … undergone at other facilities, enabling continuous and quality care and reducing the potential for adverse
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pbrn.ahrq.gov/data/infographics/hac-rates_2019.html
July 01, 2020 - (PDF, 11.1 MB)
Text Description: National efforts to reduce hospital-acquired conditions such as adverse … Specific rates are: Adverse drug events: 28% decrease. CAUTI: 5% decrease. CLABSI: 6% decrease.
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pbrn.ahrq.gov/antibiotic-use/long-term-care/improve/intervention.html
June 01, 2021 - The Staff Safety Assessment Form and the Learning from Antibiotic-Associated Adverse Events Form … Staff Safety Assessment Form (DOCX, 330.3 KB)
Learning From Antibiotic-Associated Adverse Events Form
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - event.
1.5% experienced harm that contributed to their death.
44% of adverse events were preventable … 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
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pbrn.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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pbrn.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)) .
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/index.html
August 01, 2022 - In short, the CANDOR process is a more patient-centered approach that emphasized early disclosure of adverse … Support Interaction—Nurse
Module 7: Resolution
Resolution Facilitator Notes ( PowerPoint , 757 KB)
Adverse … Event—Reasonable Care
Video; Resolution Planning
Video: Conversation with Family
Adverse Event—Unreasonable … Care
Video: Notification of Adverse Event
Video: Planning for Meetings with Family
Video: Disclosure
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pbrn.ahrq.gov/hai/hac/tools.html
March 01, 2024 - To reduce these HACs and other adverse events in hospitals, frontline clinicians and others use many … Antibiotic use: Toolkit To Improve Antibiotic Use in Acute Care Hospitals
Adverse drug events: Medications … ICUs
Medical devices: Toolkit for Decolonization of Non-ICU Patients With Devices
Obstetrical adverse
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.html
August 01, 2022 - Within 60 minutes after the CANDOR event is identified, advise the patient and/or family that an adverse … 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
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pbrn.ahrq.gov/data/resources/index.html
April 28, 2024 - Data Resource Name
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Filter by Topic
Access to Care
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Adverse … HCUP Statistical Briefs: Adverse Events These HCUP Statistical Briefs provide statistics about adverse … Topics include infections (CDI and MRSA), adverse drug events (ADEs), and potentially avoidable injuries
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pbrn.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.
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pbrn.ahrq.gov/tools-and-resources/pbrn-literature/safety-and-effectiveness-pediatric-chiropractic-survey
January 09, 2022 - Chiropractor responders indicated three adverse events per 5,438 office visits from the treatment of … The parent responders indicated two adverse events from 1,735 office visits involving the care of 239 … children's initial clinical presentations 9 2009 Volume: 5 Pages: 290-295 Keywords: Adolescent, Adult, adverse