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Showing results for "adverse".

1. Adverse Drug Events Occurring in U.S. Hospitals | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/data/infographics/adverse-drug-events.html
   August 01, 2018 - FAQs Home Data & Analytics Data Infographics Adverse … 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 … https://www.ahrq.gov/data/infographics/adverse-drug-events.html   Back

2. Major Study Finds Significant National Patient Safety Improvement | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
   July 01, 2022 - 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 … After adjustment, the relative risk of experiencing an adverse event diminished for all five patient

3. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
   preventiveservices.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. … events for all patients to adverse events for patients with one of the four diagnoses. … Events Associated With Hip Joint Replacements 1.02 3.70 0.28 All Other HACs Adverse Events … events for all diagnoses to adverse events for the four diagnoses.

4. Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/news/newsletters/e-newsletter/899.html
   February 01, 2024 - Home News Newsletter AHRQ News Now Heart Failure Patients’ Risk of Adverse … Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals Patients with heart … readmission rates and deaths from all causes have a 24 percent higher risk of suffering one or more adverse … 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.

5. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
   September 01, 2022 - 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 … use/misuse, surgical site infections, and other surgical and anesthesia-related adverse events, as well … as obstetric and neonatal adverse events.

6. Patient and Family Engagement | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/hai/cusp/modules/patient-family-engagement/sl-pat-fam.html
   September 01, 2013 - Introduction to Adverse Events Slide 23. Immediate Response to an Adverse Event 4 Slide 24. … Next Steps in Responding to an Adverse Event 5 Slide 25. … How to Communicate About an Adverse Event 6 Slide 26. … Introduction to Adverse Events Adverse event: An injury to a patient caused by medical intervention … Next Steps in Responding to an Adverse Event 5 Investigation.

7. Results | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/hai/pfp/haccost2017-results.html
   November 01, 2017 - Adverse Drug Events Based on two studies reporting cost data, we estimated the additional cost for … Obstetric Adverse Events Based on two studies reporting cost data, we estimated the additional cost … events included postpartum hemorrhage, preeclampsia/eclampsia, and anesthesia-related adverse events … adverse events as the end point. … events and the risk of death among women experiencing maternal adverse events.

8. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
   preventiveservices.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)) .

9. Patient and Family Engagement | Agency for Healthcare Research and Quality
   preventiveservices.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.

10. Cover slide
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
    May 01, 2013 - tools to improve communication among patients, families, and clinicians Discuss how to communicate an adverse … event Introduction to Adverse Events Adverse event: An injury to a patient caused by medical intervention … events happen When an adverse even occurs, it can be difficult for a health care worker to take ownership … when, where, and why) Document the event in the medical record Next Steps in Responding to an Adverse … process improvement Measurement and evaluation Education and training How to Communicate About an Adverse

11. USER GUIDE: COVID-19 Vaccination Tracking Tool for Use in Skilled Nursing Facilities (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/user-guide-covid-19-vaccination-tracking-tool-nursing-facilities.pdf
    July 01, 2022 - Select Adverse Event (Reaction) to 1st Dose. … Select Adverse Event (Reaction) to 2nd Dose. … Adverse Event (Reaction) to any COVID-19 Vaccine Dose? … Select Adverse Event (Reaction) to 1st Dose. … Select Adverse Event (Reaction) to 2nd Dose.

12. PowerPoint Presentation
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
    November 01, 2016 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … 4 Discussion Can you think of examples when knowledge of risk factors might be used to prevent adverse … 6 Common Elements of On-Time EMR to develop reports that identify residents at increased risk of adverse … Investigate the root cause when an adverse event occurs.

13. PowerPoint Presentation
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
    December 01, 2014 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … 4 Discussion Can you think of examples when knowledge of risk factors might be used to prevent adverse … December 2014 On-Time Overview 5 5 On-Time Reports Being Developed for Four Adverse Events Four Reports … Common Elements of On-Time EMR used to develop reports that identify residents at increased risk of adverse

14. PowerPoint Presentation
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
    May 01, 2017 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … 4 Discussion Can you think of examples when knowledge of risk factors might be used to prevent adverse … May 2017 On-Time Overview 5 5 On-Time Reports for Four Adverse Events Four Reports Pressure Ulcer … Investigate the root cause when an adverse event occurs.

15. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
    August 01, 2022 - Disclosure communication following an adverse event should include answers to the following questions … How will the organization prevent the adverse event from happening to another patient in the future? … It is important that the clinicians and the health care organization apologize for the adverse event, … Slide 11 Say: The Disclosure Checklist includes: What happened–identify the adverse … Apology–say you are sorry for the adverse event in a sincere manner early in the conversation.

16. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
    July 01, 2023 - Identifying practices that affect the persistence of adverse effects long after a perceived diagnostic … Expanding the scope to also include “problems” encourages reporting of adverse events where patients … The focus of questions is on the immediate antecedents and outcomes of the adverse event. … First, when patients experience adverse medical events, they frequently switch to alternative venues … Families as partners in hospital error and adverse event surveillance.

17. Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/pfp/haccost2017.html
    November 01, 2017 - Obstetric Adverse Events. Pressure Ulcers. Surgical Site Infections. … to estimate the excess cost and mortality associated with 10 HACs being targeted for improvement: Adverse … Included are adverse reactions during or following administration without any apparent incorrect action … Obstetric Adverse Events (OBAE) An adverse maternal or fetal outcome that occurs during labor and/or … We scrutinized cost and mortality definitions for their applicability to “in-hospital” adverse events

18. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
    November 01, 2017 - Obstetric Adverse Events (OBAE) An adverse maternal or fetal outcome that occurs during labor and/ … adverse events as the end point. … “drug overdose”[mh] OR “Drug-related side effects and adverse reactions”[mh] OR “adverse drug event … ”[tiab] OR “adverse drug events”[tiab] OR “adverse drug reaction”[tiab] OR “adverse drug reactions”[ … effects"[Mesh] OR “Central Venous Catheters/adverse effects”[mh] OR “Catheters, Indwelling/adverse

19. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/pfp/2015-interim.html
    December 01, 2016 - About 42 percent of this reduction is from adverse drug events, about 23 percent from pressure ulcers … The MPSMS methodology to identify adverse events within each chart is identical to prior years. … It should be noted that for every year from 2010 to 2014, the VTE adverse events contributed less than … Events Associated With Hip Joint Replacements 16,000 0.49 MPSMS (2015) Adverse Events Associated … indicated that in 2012 and 2013, adverse events were less frequent at hospitals that had implemented

20. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
    January 01, 2016 - the same 28 measures of patient safety events, including many types of hospital-acquired infections, adverse … For example, measured adverse drug events continued to drop from 2014 to 2016, while measured pressure … The use of these five sets of charts also eliminated the need to use 2005-2006 Medicare adverse event … Rate of 21 MPSMS adverse events in the MPSMS sample provided by CMS, including those in the Surgical … National number of adverse events captured by PSIs 18 and 19 on obstetric injury and national number