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pbrn.ahrq.gov/research/findings/studies/index.html
January 01, 2024 - 1279)
2015
(1430)
2014
(662)
2013
(195)
Topics
Access to Care
(417)
Adverse … 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.
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pbrn.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?
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pbrn.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
July 01, 2022 - Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology ( PDF , 109 KB ) … Voluntary Adverse Event Reporting in Rural Hospitals ( PDF , 478 KB ) Charles P. … Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance … News Media and Health Care Providers at the Crossroads of Medical Adverse Events ( PDF , 129 KB ) … Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency
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pbrn.ahrq.gov/opioids/health-systems-research.html
July 01, 2021 - Older adults have a high prevalence of chronic pain and are especially vulnerable to adverse events from … Characterizing Opioid-Related Adverse Events in Older Adults After Hospital Discharge. … Prescribing of opioids at hospital discharge and associated adverse patient outcomes.
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pbrn.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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pbrn.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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pbrn.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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pbrn.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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pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/index.html
July 01, 2023 - improve the patient safety culture of labor and delivery (L&D) units and decrease maternal and neonatal adverse … Simulations—that an L&D unit can use to teach team members how to apply CUSP to prevent obstetrical adverse
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pbrn.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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pbrn.ahrq.gov/data/qualityindicators/index.html
November 01, 2020 - hospital level, the QIs are used to support internal quality improvement, monitoring, and assessment of adverse … Patient Safety Indicators (PSIs) help hospitals assess the incidence of adverse events and in-hospital … More specifically, they focus on potential in-hospital complications and adverse events following surgeries
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/morningbriefing.doc
August 07, 2012 - After receiving an update on the patients, proceed to Question II, unless there was an adverse event. … If an adverse event occurred, you should also use the Learn From Defects Form.
II.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/prp/prp-wound-care.pdf
September 17, 2020 - • There is no statistically significant difference in adverse events and serious adverse
events between … There was no
statistically significant difference in death, total adverse events or serious adverse … Adverse Events
Appendix L. … There was no statistically
significant difference in adverse events (AEs) and serious adverse events … Categories of adverse events
Type of Adverse Events Example
Dermatological Adverse event Dermatitis
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pbrn.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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pbrn.ahrq.gov/hai/universal-icu-decolonization/index.html
September 01, 2013 - Safety and Adverse Events
The REDUCE MRSA Trial (Randomized Evaluation of Decolonization … Safety and Adverse Events
Authors
University of California Irvine
Susan Huang, MD, MPH
Adrijana
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module1.pptx
March 01, 2010 - Outcome Score (WAOS), which describes the adverse event score per delivery
50% decrease in the Severity … Index, which measures the average severity of each delivery with an adverse event
Mann, S., Marcus, … Reduced rate of adverse drug events
Improved medication reconciliation at patient admission
Haig, K. … Some of the current clinical outcomes of team training include the following-- 50% reduction in adverse … event; reduced rate of adverse drug events; and improved medication reconciliation at patient admission
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pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-fairbanks.html
December 01, 2023 - care, where the complexity of the system and the fragility of the patients creates a greater risk for adverse … a 2-year AHRQ grant in 2005 to evaluate an emergency medicine clinical pharmacist program to avoid adverse … Fairbanks evaluated over 10,000 ED cases for adverse events, and interviewed ED physicians and nurses
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pbrn.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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pbrn.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
April 01, 2024 - Cards and Outcome Measurements
Report
Protocol
Opioid Stewardship
Report
Protocol
Reducing Adverse … Deprescribing
Report
Protocol
Computerized Clinical Decision Support To Prevent Medication Errors and Adverse
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pbrn.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