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Showing results for "adverse".

1801. Appendix A. Flow Chart for Implementing Universal Decolonization | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apa.html
      September 01, 2013 - Safety and Adverse Events

1802. Rapid Response for Perinatal Safety: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-slides.html
      July 01, 2023 - Slide 14: Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverse … Have a process in place to review serious maternal or neonatal adverse outcomes. … Consider these factors: Unit data suggesting adverse events or near misses that may have been minimized

1803. Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
      May 01, 2004 - The impact of the errors was reported by leveraging a well-established severity scale wherein adverse … Percent of incorrect orders leading to a potential adverse drug event (pADE) pADEs June/July 2003 … Relationship between medication errors and adverse drug events. … Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and … Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA 1995;274(1):35–43. 9.

1804. Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections – Slides
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-slides.pptx
      September 01, 2022 - sending urine cultures Discuss empiric antibiotic options for UTIs that are effective and minimize adverse … reduces subsequent risk of UTI6-8 Treatment of ASB is associated with— Avoidable antibiotic-associated adverse … Alternative therapy Oral cephalosporins Fluoroquinolones no longer recommended due to their associated adverse … patient’s previous urine culture results and associated susceptibility data, as well as antibiotic adverse … patient’s previous urine culture results and associated susceptibility data, as well as antibiotic adverse

1805. Findings | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
      August 01, 2022 - clinician attitudes about the disclosure of individual, team, and system failures associated with four adverse … members tended to agree on which system failures were important to disclose, regardless of the type of adverse … Clinician responses were more varied and were affected by type of adverse event, but they did agree with … Jackson Memorial Hospital) sought to improve patient safety by measuring safety problems, characterizing adverse … transitioning from hospital to home care to determine the potential for discrepancies to result in an adverse

1806. Suggested Timeline for Implementation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/timeline-tasks.pdf
      June 01, 2021 - Providers Week 14 Changing the System To Improve Antibiotic Safety Learning From Antibiotic Adverse … Making Form Each Antibiotic Stewardship Team member should complete a Learning From Antibiotic Adverse … analyze data using the Monthly Data Collection Form Introduce the Learning from Antibiotic Adverse … data from the Monthly Data Collection Form • Use the Staff Safety Assessments and Learning From Adverse … Monthly • Learning From Antibiotic Adverse Events Form. Discuss quarterly.

1807. Background for AHRQ Quality Indicators
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pptx
      January 01, 2006 - The QIs are a set of indicators for adverse events that patients may experience as a result of an inpatient … Consider inserting here the deidentified story of a patient who suffered the adverse event captured by … You may also want to report the number of patients with the adverse event to make it more tangible to

1808. COVID-19 Vaccination | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/materials/vaccination/index.html
      September 01, 2023 - 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

1809. Major Hospital Quality Measurement Sets | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html
      February 01, 2023 - The Patient Safety Indicators (PSIs) identify adverse events occurring during hospitalization. … They provide information on potential in-hospital complications and adverse events following surgeries

1810. Nursing Home Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/nursing-home/resources/search.html?page=13
      January 01, 2022 - Vaccine Adverse Event Reporting System Reporting Form This webpage hosts a writable PDF form that provides … instructions for reporting a vaccine adverse event.

1811. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
      April 02, 2020 - Measuring errors and adverse events in health care. … Lessons from a patient partnership intervention to prevent adverse drug events. … Consensus building for development of outpatient adverse drug event triggers. … Computerized surveillance of adverse drug events in hospital patients. … Adverse events during hospitalization: results of a patient survey.

1812. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
      April 02, 2020 - Measuring errors and adverse events in health care. … Lessons from a patient partnership intervention to prevent adverse drug events. … Consensus building for development of outpatient adverse drug event triggers. … Computerized surveillance of adverse drug events in hospital patients. … Adverse events during hospitalization: results of a patient survey.

1813. Patients Safer as Hospital-Acquired Conditions Decline (Data Graphic) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-interim-data-graphic-2014.pdf
      January 01, 2014 - 2.1 MILLION 2.1 MILLION From 2010–2014, 17 percent of hospital-acquired conditions (HACs) such as adverse

1814. Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
      January 01, 2005 - process characterized by fragmented, nonstandardized, and haphazard care that leads to errors and adverse … Many adverse effects occur during the peridischarge period, and many could be prevented with relatively … The incidence and severity of adverse events affecting patients after discharge from the hospital. … Incidence of adverse events and negligence in hospitalized patients. … Incidence of adverse drug events and potential adverse drug events. Implications for prevention.

1815. A Process-centered Tool for Evaluating Patient Safety Performance and Guiding Strategic Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Akins.pdf
      January 01, 2003 - These two performance measures related to ensuring a nonpunitive approach for reporting all adverse … Design and implementation of comprehensive and accessible systems for adverse events reporting from … Systems analysis of adverse drug events. ADE Prevention Study Group. … Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and … The nature of adverse events in hospitalized patients.

1816. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
      March 31, 2008 - events or adverse patient outcomes, including events with and without identified errors, across all … Gandhi and colleagues’ survey and chart review of primary care patients identified 162 adverse drug … Adverse drug events in ambulatory care. N Engl J Med 2003; 348: 1556-1564. 7. … Incidence and preventability of adverse drug events among older persons in the ambulatory setting. … Adverse events in primary care identified from a risk- management database.

1817. AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors in E.D. Patients | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201509.html
      January 01, 2018 - the technicians' work, the E.D. pharmacist can interpret the patient's medication history to look for adverse … Study Identifier: 2015-09 AHRQ Product(s): Research Topic(s): Adverse

1818. Guide Promotional Postcard (pdf file)
      www.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

1819. Minding the Gaps: Creating Resilience in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
      April 27, 2008 - As an emergent property of systems that is not tied to tallies of adverse events or estimates of their … Hollnagel2 has suggested that our understanding of adverse events and their causes evolves through … In the 1960s, technology and equipment were often cited as the attributable cause of adverse events. … Crossing the boundary of unacceptable performance results in an adverse outcome, or accident. … As far as is known, no adverse events were associated with this episode.

1820. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/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.