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Total Results: 490 records

Showing results for "adverse".

41. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
    December 01, 2016 - has occurred during a period of concerted attention by hospitals throughout the country to reduce adverse … About 40 percent of the overall reduction is from adverse drug events, about 28 percent from pressure … Healthcare Cost and Utilization Project. 39.6% 16.1% 1.1%2.4% 0.9% 27.9% 2.8% 0.4% 0.8% 8.1% Adverse … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … (see https://www.ncbi.nlm.nih.gov/pubmed/26854418) indicated that in 2012 and 2013, adverse events were

42. AHRQ’s Safety Program for Nursing Homes: On-Time Prevention | Agency for Healthcare Research and Quality
    pbrn.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 .

43. Staff-Safety-Assessment (doc file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/staff-safety-assessment.docx
    June 01, 2021 - Safety Assessment PURPOSE OF THIS FORM: To discuss issues that may result in antibiotic-associated adverse … events or have the potential to cause adverse events that could negatively impact patient safety.

44. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
    June 01, 2014 - The annual estimates include a wide variety of adverse events, including the nine HACs selected for … 32,750,000 Discharges— Based on 2010 Baseline) 2012 PFP Measured HACs per 1,000 Discharge s Adverse … 1,000 Discharge s Falls MPSMS In-Hospital Patient Falls 260,000 7.80 230,000 7.16 Obstetric Adverse … MPSMS Femoral Artery Puncture for Catheter Angiographic Procedures 57,000 1.75 65,000 1.97 MPSMS Adverse … Events Associated With Hip Joint Replacements 33,000 1.00 31,000 0.93 MPSMS Adverse Events Associated

45. PowerPoint Presentation
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
    January 01, 2014 - event. 1.5% experienced harm that contributed to death. 44% of adverse events were preventable. … Human,” as reported from the 2010 Medicare data: 13.5% of hospitalized beneficiaries experienced an adverse … event. 1.5% experienced harm that contributed to their death. 44% of adverse events were preventable … As we saw in the “Do No Harm” Video, families reported how the silence they experienced after the adverse … Patients are looking for the actions the organization is doing to prevent and learn from the adverse

46. Prioritization Worksheet (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheetinstructions.pdf
    June 05, 2016 - • Appropriate comparator: When trying to identify the cost attributable to an adverse event captured … Patients who experience adverse events often tend to have more comorbidities and other risk factors … and thus have accrued more costs even prior to the adverse event. … Therefore, choose a group that did not experience the adverse event that is as comparable as possible … Compare the total costs of having an adverse event (Column G, Total Cost) with the anticipated cost

47. Improving Patient Safety Systems for Limited English Proficiency Patients: A Guide for Hospitals (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pdf
    January 01, 2011 - 10 20 30 40 50 Pe rc en t Type of Physical Harm Types of Physical Harm Experienced From 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 … http://teamstepps.ahrq.gov/� http://teamstepps.ahrq.gov/� Summary  Adverse events that affect LEP … Language proficiency and adverse events in U.S. hospitals: a pilot study.

48. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
    August 01, 2022 - It is estimated that one in seven patients is affected by adverse events, and that as many as half of … all clinicians will be involved in a serious adverse event at least once during their career. … Slide 6 Say: As referenced in Module 3, this diagram shows the distinction between adverse … errors are adverse events. … Therefore, it is important to recognize the distinction between medical errors and adverse events, as

49. Analyzing Big Datasets to Improve Healthcare Quality, Equity | Agency for Healthcare Research and Quality
    pbrn.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

50. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
    pbrn.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

51. AHRQ Views Blog: At the American Society of Health Economists Conference, AHRQ Highlights Its Deep Dive Into COVID-19 | Agency for Healthcare Research and Quality
    pbrn.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

52. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
    pbrn.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.

53. Develop a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/antibiotic-use/acute-care/safety/index.html
    June 01, 2021 - Use Commitment Poster (DOCX) Antibiotic Time Out Tool (DOCX) Identifying Antibiotic–Associated Adverse … Events Form (DOCX) Learning From Antibiotic–Associated Adverse Events Form (DOCX)

54. About the Toolkit Development | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
    July 01, 2023 - Background Of the 3.9 million births in the United States each year, 2 percent are estimated to involve an adverse … inappropriate interventions, or interventions provided in an unsafe manner, also increases the risk of adverse

55. First-of-its-Kind Study Examines Disparities in Healthcare Costs and Outcomes of Cigarette Smoking in the United States | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/newsroom/press-releases/smoking-cessation-disparities.html
    December 01, 2023 - policymakers conduct cost-benefit analyses that accurately reflect the burden of healthcare costs and adverse … “Disparities in medical spending, as well as adverse health outcomes, are continuing to increase over

56. 2017Qdr-Patsafchartbook (pdf file)
    pbrn.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

57. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
    pbrn.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.

58. Improving Safety for Patients with Limited English Proficiency: TeamSTEPPS
    pbrn.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

59. Search Evidence-Based Reports | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/research/findings/evidence-based-reports/search.html
    May 01, 2024 - Affiliation: RTI International—University of North Carolina at Chapel Hill Report Status: Final Adverse … Status: Final Computerized Clinical Decision Support To Prevent Medication Errors and Adverse … International—University of North Carolina at Chapel Hill Report Status: Final Reducing Adverse

60. AHRQ National Scorecard on Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/hai/pfp/index.html
    July 01, 2020 - Condition Rate ( PDF , 237 KB) To improve how the Nation tracks its progress on reducing HACs and other adverse … This patient safety surveillance system will capture information about HACs and other adverse events