Results

Total Results: 2,230 records

Showing results for "adverse".

101. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facslides.html
     September 01, 2017 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … Slide 6: On-Time Reports for  Four Adverse Events Four Reports: Pressure Ulcer Prevention. … Commitment to work with the Facilitator to learn how to use the reports to prevent adverse events. … Investigate the root cause when an adverse event occurs.

102. Final Progress Report: Quality of bag mask ventilation in critically ill children (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/nishisaki-report.pdf
     January 01, 2024 - Desaturation (SpO2<80%) or adverse TIAEs occurred in 5/20 (25%) of children with high-quality breath … <50%, whereas 0/11 of children with high-quality breath≥50% had oxygen desaturation (SpO2<80%) or adverse … Key Words mask ventilation, quality, child, critically ill, adverse events, oxygen desaturation … We identified and reported that 20% of TI are associated with adverse TI-associated events (TIAEs … Desaturation (SpO2<80%) or adverse TIAEs occurred in 5/20 (25%) of children with high-quality breath

103. Acute Care Learning From Defects
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
     November 01, 2019 - Events Adverse event: Patient develops acute kidney injury Learning from antibiotic-associated adverse … How will you reduce the risk of the adverse event from happening again? … 10 Antibiotic-related adverse events are events that either caused harm or had the potential to cause … Events Five categories of factors that contribute to adverse events Patient factors are related to the … event and proposed changes to reduce the likelihood of the adverse event happening again?

104. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxoverview.pptx
     October 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 … On-Time Overview 5 October 2017 5 On-Time Reports for Four Adverse Events Four Reports Pressure Ulcer … Investigate the root cause when an adverse event occurs.

105. PowerPoint Presentation
     www.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.

106. Patient and Family Engagement for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
     July 01, 2023 - Engaging after an adverse event. Engaging in planning and design. … Slide 17: Engaging After Adverse Events Say: Adverse events occur when a patient is harmed as a … Immediately after an adverse event, care providers: Provide care. … a number of emotions when an adverse event occurs. … Rarely does an adverse event occur as a result of intent.

107. Patient and Family Engagement for Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-slides.html
     July 01, 2023 - Discuss how to communicate an adverse event to a patient and family members. … Engaging after an adverse event. Engaging in planning and design. … Slide 17: Engaging After Adverse Events An adverse event is an injury to a patient caused by medical … Slide 18: Immediate Response to an Adverse Event 4 Care for the patient. … Slide 21: Next Steps in Responding to an Adverse Event 6 Investigation.

108. Patient Family Engagement PowerPoint Content and Alternate Text | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/patient-family-engagement/alt-text-tab.html
     September 01, 2013 - tools to improve communication among patients, families, and clinicians Discuss how to communicate an adverse … tools to improve communication among patients, families, and clinicians Discuss how to communicate an adverse … still) Click here to play Video icon IDEAL Discharge Slide 20 What if an Adverse … event   Slide 22 Introduction to Adverse Events Adverse event: An injury to a … event is essential   Slide 23 Immediate Response to an Adverse Event 3 Care for

109. Declines in Hospital Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-decline.pdf
     June 02, 2025 - in Hospital- Acquired Conditions National efforts to reduce hospital-acquired conditions such as adverse … Adverse Drug Events CAUTI* *CAUTI - Catheter-Associated Urinary Tract Infections CLABSI+ Clostridium … difficile Infections +CLABSI - Central Line-Associated Bloodstream Infection Falls Obstetric Adverse

110. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
     August 01, 2022 - The objective of this initial conversation is to advise the patient and/or family that an adverse event … 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, … Apology–say you are sorry for the adverse event in a sincere manner early in the conversation.

111. Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/oleary-report.pdf
     January 01, 2024 - Primary outcomes included teamwork climate and adverse events. … to detect adverse events. … We calculated estimated proportions of occurrence of adverse events. … one or more adverse events. … Trends in Adverse Event Rates in Hospitalized Patients, 2010-2019. JAMA.

112. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/slides.html
     December 01, 2014 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … Slide 6: On-Time Reports Being Developed for Four Adverse Events Four Reports: Pressure Ulcer … Investigate the root cause when an adverse event occurs. … How the facility investigates adverse events.

113. PowerPoint Presentation
     www.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.

114. PowerPoint Presentation
     www.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

115. Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
     April 14, 2008 - These AEs included adverse drug reactions and other adverse outcomes, such as fall-related fractures … outcomes and associated health care utilization costs beyond adverse drug reactions or adverse drug … Adverse outcomes can encompass more than adverse drug reactions. … The Research on Adverse Drug Events and Reports (RADAR) project. … Outpatient benzodiazepine prescribing, adverse events, and costs.

116. Puh-Factraining-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
     June 02, 2025 - Nursing home staff generally do a good job of investigating and following up after an adverse event, … It is more difficult for staff to identify which residents are at risk for a future adverse event or … The reports: Focus on preventing adverse events. Are proactive rather than reactive. … Improve root cause analyses when adverse events occur. … Discussion questions are tailored to the On-Time adverse event being addressed.

117. Mod02-Business-Case-Worksheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/mod02-business-case-worksheet.pdf
     April 01, 2016 - – Analyze the organization’s frequency of adverse events and malpractice claims to support the rationale … – Discuss efforts to improve communication and response to adverse events to date, including the … event • Number of adverse events reported >24 hours after occurrence – Severity level of adverse … (Track, analyze, and compare adverse events managed pre implementation, then follow up with additional … Determine a return on investment that ties to reduced adverse events. 4 – Building the Business Case

118. Medical Product Safety Network (MedSun) Collaborates with Medical Product Users to Create Specialty Subnetworks (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Engleman_86.pdf
     June 04, 2008 - In particular, the exchange of device-related safety information and reports on adverse events with … Given that the FDA does not have unlimited resources to investigate and address adverse events with … adverse events and situations indicating the potential for harm related to these devices. … Obstacles to reporting adverse events to the FDA were identified as well. … The Tissue and Cell Subnetwork is the first enhanced surveillance program for HCT/P-related adverse

119. Puh-Factraining-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
     June 02, 2025 -  Nursing home staff generally do a good job of investigating and following up after an adverse event … It is more difficult for staff to identify which residents are at risk for a future adverse event … The reports:  Focus on preventing adverse events.  Are proactive rather than reactive. …  Improve root cause analyses when adverse events occur. … Discussion questions are tailored to the On-Time adverse event being addressed.

120. USER GUIDE: COVID-19 Vaccination Tracking Tool for Use in Skilled Nursing Facilities (pdf file)
     www.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.