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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - include additional
information the provider considers to be necessary for further documentation of adverse … For example, 2,438 Medication or Other Substance
events that were reported as Adverse reaction in patient … It should also be noted that reports involving an Adverse reaction in
Patient Safety
Network of … For example, 2,438 Medication or Other Substance events that were reported as Adverse
Patient Safety … The exclusion criteria for Medication or Other Substance reports are:
■ Adverse drug reaction with
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preventiveservices.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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preventiveservices.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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preventiveservices.ahrq.gov/news/newsroom/case-studies/201702.html
March 01, 2017 - Among others, these safety challenges included:
Adverse drug events. … Obstetrical adverse events.
Pressure ulcers.
Surgical site infections. … Patient Safety Organization (PSO),
Re-Engineered Discharge (RED)
Topic(s):
Adverse
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preventiveservices.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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preventiveservices.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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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-111921.pdf
March 11, 2022 - Indian Health
Service
• Enhanced Adverse Event Reporting Capabilities:
o Reporting of adverse events
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - Regulators and accreditors encourage health
care organizations to adopt “safe practices”
and to avoid adverse … 100
hospitalizations as “common;” examples include falls,
venous thromboembolism (VTE), potential adverse … Practices Designed for a Specific Patient Safety Target
Adverse Drug Events
High-alert drugs: patient … ‘Global trigger tool’
shows that adverse events in hospitals may be ten times
greater than previously … Adverse Events in Hospitals: National
Incidence
Among Medicare Beneficiaries. OEI-06-09-00090.
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preventiveservices.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
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preventiveservices.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
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preventiveservices.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
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preventiveservices.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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preventiveservices.ahrq.gov/nursing-home/materials/prevention/vaccine-records.html
July 01, 2022 - the vaccine manufacturer, additional primary dose and booster shots, dates each shot is administered, adverse … the vaccine manufacturer, additional primary dose and booster shots, dates each shot is administered, adverse
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/870.html
June 01, 2023 - Walsh is working to prevent medication errors and adverse drug events among children, particularly those … Associated With Financial Distress
An analysis of more than 132,000 individuals’ credit reports showed adverse … Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfeprimarycare-infographic.pdf
April 01, 2018 - diagnostic errors
were a chief concern
in outpatient visits
1 in 9
ED admissions
are related to an
adverse
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preventiveservices.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
January 01, 2004 - Because oral
anticoagulants are associated with preventable adverse events at
disproportionately high … high (INR > 4), or safe (INR
≤ 2 but ≥ 4), based on cutoff values associated with increased risks of adverse … events are common18 and warfarin is
involved in preventable adverse drug events at rates disproportionate … Incidence
and preventability of adverse drug events among older
persons in the ambulatory setting. … Adverse drug
events in ambulatory care. NEJM 2003 348(16):1556–
64.
19.
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preventiveservices.ahrq.gov/patient-safety/settings/long-term-care/resource/omissions.html
October 01, 2019 - Resources
Understanding Omissions of Care in Nursing Homes
Adverse
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preventiveservices.ahrq.gov/hai/cusp/toolkit/morning-briefing.html
December 01, 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.
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preventiveservices.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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preventiveservices.ahrq.gov/es/programs/index.html?page=2
To reduce HACs and other adverse events in hospitals, frontline clinicians and others use many of the … uses electronic medical records to develop weekly reports that identify residents at risk of common adverse