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Total Results: 305 records

Showing results for "adverse".

41. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/research/findings/making-healthcare-safer/index.html
    July 01, 2023 - Harms such as adverse drug events, healthcare-associated infections, falls, and obstetric adverse events … patient safety practices in eight categories encompassing commonly occurring care- and disease-specific adverse

42. Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/research/findings/studies/index.html
    January 01, 2024 - 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. … The objective of this observational cohort study was to compare rates of adverse functional outcomes

43. Return on Investment Tool (doc file)
    teamstepps.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.

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

45. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
    teamstepps.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.

46. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)
    teamstepps.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

47. Selected Best Practices and Suggestions for Improvement (pdf file)
    teamstepps.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

48. A | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/topics/a.html
    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

49. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
    teamstepps.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.

50. AHRQ News Now | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/index.html?page=2
    April 05, 2022 - ascending Top Story April 5, 2022 Dental Opioid Prescriptions Associated With Adverse … Patient-Generated Health Data Into Electronic Health Records February 8, 2022 Opioid Prescribing, Adverse … Change, Environmental Justice and AHRQ October 5, 2021 Drug Label Changes Could Reduce Adverse

51. Final Topic Refinement Document: Home Mechanical Ventilators (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
    October 01, 2017 - of life (QoL), activities of daily living (ADL), dyspnea, sleep quality, exercise tolerance, and adverse … emergency room visits, disease exacerbations, QoL, ADL, dyspnea, sleep quality, exercise tolerance, and adverse … (KQ 5) Adverse Events using the “CBK” approval code and home BPAP machines using the “MNT” and “ … These physiologic aberrations may result in several adverse outcomes that include, but are not limited … life (QoL) • Activities of daily living (ADL) • Dyspnea • Sleep quality • Exercise tolerance • Adverse

52. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    teamstepps.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

53. Health Systems Research | Agency for Healthcare Research and Quality
    teamstepps.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.

54. Search Evidence-Based Reports | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/research/findings/evidence-based-reports/search.html
    April 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

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
    teamstepps.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. Develop a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
    teamstepps.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)

57. AHRQ National Scorecard on Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    teamstepps.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

58. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
    August 01, 2022 - Contents A Systems Approach The sole objective of the event investigation and analysis of an adverse … event or near miss is the prevention of future adverse events. … When an adverse event occurs, too often, the focus is on an individual's performance and is corrected … other than the involved individual) that might have contributed to, facilitated, or even caused the adverse … The systems approach recognizes that all adverse events have multiple contributing factors, many of which

59. Care for the Caregiver Program Implementation Guide | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
    August 01, 2022 - ensure that these tiers of support are provided to caregivers after they have in been involved in an adverse … responsible for item or Action Plan Reporting Culture Are policies in place to support reporting adverse … YES  NO       Adverse Event Investigation Process Is an adverse event policy in place?

60. Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/programs/index.html?page=2
    April 28, 2024 - 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