Results

Total Results: 2,263 records

Showing results for "adverse".

201. Section 7C (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-7c.pdf
     June 02, 2025 - Table VII.C.1 – Distribution of insurance types and adverse … 58.2%) 0.10 <0.001 No Insurance 102 (3.2%) 0.04 0.001 Table VII.C.2 – Analysis of differences in adverse

202. Translating Patient Safety Research into Clinical Practice (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Magid.pdf
     January 01, 2004 - Were there adverse effects? What was the impact on quality of life? … Relationship between medication errors and adverse drug events. … Incidence of adverse events and negligence in hospitalized patients. … Computer adverse drug event (ADE) detection and alerts. … The clinical pharmacist’s role in preventing adverse drug events.

203. Final Progress Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
     January 01, 2025 - We hypothesize that most of these adverse events could be prevented by designing a system to accomplish … It is hypothesized that most of these adverse events could be prevented if a system that worked for … The preventable harm we selected is that of pressure ulcers because of its large adverse impact. … The Impact of Patient, Ward, and Best Practice Therapies on Adverse Outcomes in the ICU. … Person, organization, and therapeutic causes of ICU adverse outcomes.

204. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-1.html
     June 01, 2023 - enrich clinicians’ understanding of patient and family experience and reduce the harms that follow adverse … Although patient and family conceptions of adverse events do not always conform to clinical definitions … diagnostic errors, it is important to identify and understand the broader scope of patient-defined adverse

205. Table 7.A (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-7a.pdf
     June 02, 2025 - Table VII.A.1 – Distribution of race/ethnicity and adverse … Hispanic 352 (12.4%) 0.18 <0.001 Other 161 (5.7%) 0.12 0.12 Table VII.A.2 – Analysis of differences in adverse

206. Engage Patients and Families for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
     May 01, 2017 - • Discuss how to communicate an adverse event to patients and family members. … Immediately after an adverse event, care providers: • Provide care. … SAY: Patients and family members experience a number of emotions when an adverse event occurs. … Rarely does an adverse event occur as a result of intent. … • Organizations need to engage in strategies to address adverse events.

207. Final Progress Report: Mentored Implementation of I-PASS for Better Handoffs and Safer Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/landrigan-report.pdf
     January 01, 2024 - Handoff-related adverse events decreased by 42%. All changes were p < 0.05. … Key Words: handoff, I-PASS, communication, adverse events 3 … Handoff-related Adverse Events In total, 1698 reports of handoff-related adverse events were collected … Rate of handoff-related adverse events. … Does housestaff discontinuity of care increase the risk for preventable adverse events?

208. Appendixes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-appendix.html
     November 01, 2017 - Drug Events (("Drug therapy/adverse effects"[mh] OR "drug interactions"[mh] OR "anaphylaxis"[mh] OR … "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"[tiab … effects"[Mesh] OR "Central Venous Catheters/adverse effects"[mh] OR "Catheters, Indwelling/adverse effects … Clinical and economic impact of adverse drug reactions in hospitalized patients.

209. The Impact of a Patient Safety Program on Medical Error Reporting (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
     January 01, 2001 - In 1998 there were 28 (14 percent) adverse events (patient minimally effected) and 25 (9 percent) in … 2001, compared with a rate of 86.00 near misses and 14.00 adverse events in 1998 (Table 1). … Incident type 1998 2001 Near misses 86.00 90.94 Adverse events 14.00 9.06 Figure 3. … Potential identifiability and preventability of adverse events using information systems. … Rate of near misses and adverse events per 100 incident Table 2.

210. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-references.html
     June 01, 2023 - Trends in adverse event rates in hospitalized patients, 2010-2019. … The missing evidence: a systematic review of patients’ experiences of adverse events in health care. … Families as partners in hospital error and adverse event surveillance. … Can we rely on patients’ reports of adverse events? Med Care  2011;49(10):948-955. … An exploration of the implementation of open disclosure of adverse events in the UK: a scoping review

211. ChartBook On Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
     March 04, 2016 - This chartbook focuses on adverse health care-associated conditions and harm from care. … Adverse Events Associated With Central Venous Catheter Placement Adults with mechanical adverse events … Medication errors do not include adverse drug reactions. … Medication errors do not include adverse drug reac tions. … To decrease the likelihood of adverse events, catheters should be used for less than 90 days.

212. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/2014-final.html
     January 01, 2018 - safety has occurred during a period of concerted attention by hospitals throughout the country to reduce adverse … About 40 percent of the overall reduction is from adverse drug events, about 28 percent from pressure … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … 5,000 0.2 Falls MPSMS (2014) In-Hospital Patient Falls 260,000 7.9 Obstetric Adverse … indicated that in 2012 and 2013, adverse events were less frequent at hospitals that have implemented

213. Resources and Tools To Improve Discharge and Transitions of Care and Reduce Readmissions | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/about/areas/improve-discharge.html
     August 01, 2024 - PSNet Article: Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse … Readmission Rates With Mortality Rates After Hospital Discharge AHRQ PS Net Primer: Readmissions and Adverse … AHRQ Toolkit To Improve Medication Reconciliation Across Care Settings Six New Jersey Hospitals Reduce Adverse … Patient Safety and Team Communication Through Daily Huddles AHRQ PSNet Primer: Medication Errors and Adverse

214. Table 7B.1 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-7b.pdf
     June 02, 2025 - Table VII.B.1 – Distribution of numbers of Chronic Condition Indicators per patient and adverse … <0.001 3 or more body systems 125 (3.6%) 0.27 <0.001 Table VII.B.2 – Analysis of differences in adverse

215. Appendix B. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appb.html
     August 01, 2022 - Communication-sensitive adverse events and quality metrics: A retrospective database analysis in Washington … Decreasing intrapartum malpractice: Targeting the most injurious neonatal adverse events. … Integrated approach to reduce perinatal adverse events: Standardized processes, teamwork training, and … Incidence of adverse events and negligence in hospitalized patients.

216. Final Progress Report: Mining complex clinical data for patient safety research (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
     January 01, 2024 - Detecting Adverse Events Using Information Technology. … Policy and the Future of Adverse Event Detection Using Information Technology. … Detection of adverse events using conflicts in the electronic medical record (poster). … Using computerized data to identify adverse drug events in outpatients. … Electronically screening discharge summaries for adverse medical events.

217. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
     October 01, 2015 - events—such as adverse drug events, falls, and pressure ulcers—occurred. … Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … Adverse drug events in hospitalized patients. … Adverse drug events in U.S. hospitals, 2004. HCUP Statistical Brief #29. … Impact of a comprehensive strategy on obstetric adverse events.

218. Past Research on Patient Perceptions of Safety and Diagnostic Mishaps | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
     June 01, 2023 - By contrast, the perceived mishaps patients and families report are more consistent with notions of adverse … Reporting: Reports from patients and families are vital complements to other methods of detecting adverse … families often have sufficient concreteness to identify actionable steps that might have prevented the adverse … the sources of heightened safety risk, they can provide new clues into events that gave rise to the adverse … A substantial body of literature addresses patient interactions with clinicians after adverse events,

219. Articulate Word Output (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/primary-prevention-cvd-with-statins.pdf
     June 02, 2025 - There is no good reason to use a high- cost brand name statin. 10 Statins: Adverse Effects … The most important adverse effect of statins is myopathy, or muscle pain, which is reported in about … Other hypothesized adverse effects such as memory loss have not been confirmed when they’ve been examined … On the other hand, the adverse effects appear to be relatively independent of CVD risks. … another way, what risk level is high enough such as the expected benefits outweigh the potential adverse

220. AHRQ Safety Program For Long-Term Care: CAUTI
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/module-4-slides.pptx
     March 01, 2017 - HAIs/CAUTI Long-Term Care Safety Modules Teamwork and Communication | ‹#› 27 Communicating Adverse … Events Adverse event: An injury to a resident caused by medical intervention rather than by the underlying … The mission of frontline care providers is to help and care for residents without harming them, but adverse … events happen  When an adverse event occurs, it can be difficult for a care provider to take ownership … Outcomes Immediate Response to an Adverse Event Next Steps in Responding to an Adverse Event Care