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Total Results: 2,230 records

Showing results for "adverse".

221. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
     www.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

222. Is There an Association Between Patient Safety Indicators and Hospital Teaching Status? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Rivard_97.pdf
     April 28, 2008 - Conclusion: Further research is needed on the relationship of residency programs to adverse events. … The AHRQ PSIs are based on the Institute of Medicine (IOM) definition of an adverse event: “Injury … Postoperative adverse events in teaching and nonteaching hospitals. … Patient risk factors for adverse drug events in hospitalized patients. … A study of adverse occurrence and failure to rescue. Med Care 1992; 30: 615-629. 25.

223. Analyzing Big Datasets to Improve Healthcare Quality, Equity | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-hernandez-boussard.html
     April 01, 2024 - her career to analyzing “clinical big data” to identify quality and safety issues that can result in adverse … datasets on safety events, including AHRQ’s Healthcare Cost and Utilization Project (HCUP), she profiled adverse … Hernandez-Boussard also examined factors that could contribute to adverse events such as hospital surgical … Her research focuses on older patients and aims to mitigate the risk of adverse outcomes related to postoperative

224. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
     January 01, 2004 - Detecting adverse events using information technology. JAMIA 2003c;10(2):115–28. 9. … Using information technology to screen for adverse drug events. … Policy and the future of adverse event detection using information technology. … Reporting adverse drug reactions in ambulatory care setting. … Comparison of medication errors, adverse drug events, and intercepted errors Table 2.

225. Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
     January 01, 2024 - Little or no evidence that adverse outcome resulted from error/errors” to “6. … Virtually certain evidence that adverse outcome resulted from error/errors.” … Inter-Reviewer Reliability of Adverse Outcome and Error Determinations Table 1. … negligent adverse event: 0.24 - 0.28 (poor) 0.76 0.41 0.56 0.80 Kappa: Error 4. … Relation between malpractice claims and adverse events due to negligence.

226. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
     January 01, 2007 - Incidence of adverse drug events and potential adverse drug events: Implications for prevention. … Incidence and preventability of adverse drug events in hospitalized patients. … Adverse events in primary care identified from a risk- management database. … outcome 1 = Minor adverse outcome (non-serious effect, not requiring treatment) 2 = Moderate adverse … outcome (significant effect, requiring treatment) 3 = Serious adverse outcome (permanent adverse effects

227. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
     www.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.

228. Regulation of Health Policy: Patient Safety and the States (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
     March 01, 2004 - (The abbreviation AE will be used throughout the paper to denote “adverse event,” “medical error,” etc … Illinois, New York, and Pennsylvania require that adverse events be disclosed to patients. … errors and preventable adverse events, and 3 years of adverse event reports to the New York Patient … Defining reportable adverse events: a guide for States tracking medical errors. … Patient safety: reporting of adverse events, NEJM 2002; 347(20):1,633–9. 39.

229. Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
     January 01, 2004 - Introduction Various types of algorithms that identify complications of care and adverse events in … Quality (AHRQ).19 These new AHRQ Quality Indicators identify a number of complications of care or adverse … Data analysis The validation sample is based on the New York State inpatient adverse event report … Rates of inpatient hospital adverse event reporting were calculated, where the total number of events … New York State has several adverse event reporting systems, including the New York State Adult Cardiac

230. Choosing an Intervention and Measuring Change | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/long-term-care/improve/intervention.html
     June 01, 2021 - The Staff Safety Assessment Form and the Learning from Antibiotic-Associated Adverse Events Form … Staff Safety Assessment Form (DOCX, 330.3 KB) Learning From Antibiotic-Associated Adverse Events Form

231. Staff-Safety-Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/staff-safety-assessment.docx
     June 01, 2021 - Safety Assessment PURPOSE OF THIS FORM: To discuss issues that may result in antibiotic-associated adverse … events or have the potential to cause adverse events that could negatively impact patient safety.

232. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
     April 01, 2018 - The Canadian Adverse Events Study: The incidence of adverse events among hospital patients in Canada … Detecting adverse events using information technology. … Adverse events among children in Canadian hospitals: The Canadian Paediatric Adverse Events Study. … Automated adverse event detection collaborative: Electronic adverse event identification, classification … Adverse events and preventable adverse events in children.

233. AHRQ Report to Congress Describes Sepsis’ Burgeoning Burden on Hospital Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/929.html
     September 01, 2024 - Reducing Patient Safety Events A new analysis of hospitalized Medicare patients reveals a decline in adverse … events since the peak of the COVID-19 pandemic, with a 13-to-15 percent reduction in adverse events … The report, Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (PDF, 2 MB), was led … Safety Review System (QSRS) , a new one-of-a-kind national repository that includes data on 41 types of adverse … Among report highlights: in 2022, 6.2 percent of Medicare patients experienced at least one adverse event

234. Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/neonatal-interfacility-transfers-long-desc.html
     January 01, 2025 - when teams used a transport monitoring and communication tool. 1 Findings from this work revealed that adverse … Human factors are the root cause of 67 percent of avoidable adverse events in transport due to communication … transport team, the MCP, and the receiving facility was associated with one-third of all identified adverse … Neonatal transport safety metrics and adverse event reporting: a systematic review . … Neonatal transport safety metrics and adverse event reporting: a systematic review .

235. Advances in Patient Safety and Medical Liability | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/index.html
     August 01, 2017 - System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Transitional Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential Adverse … Hickson Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor … Bolkan Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital

236. Final Progress Report: Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/corbett-report.pdf
     January 01, 2024 - Key Words: transitional care; medication safety; medication discrepancy; medication errors; adverse … can be integrated into transitional care to reduce medication discrepancies and associated errors and adverse … Research indicates that rates of adverse drug events (ADEs) in ambulatory care may be up to four times … The incidence and severity of adverse events affecting patients after discharge from the hospital. … Adverse drug events in ambulatory care. New England Journal of Medicine, 348, 1556–1564.

237. Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhacrate2013.html
     November 01, 2015 - Half of these inpatients experienced one or more adverse events that resulted in a prolonged hospital … events—such as adverse drug events, falls, and pressure ulcers—occurred. … Data for obstetric adverse events come from AHRQ Patient Safety Indicators (PSIs) 18 and 19. … who use a structured protocol and software tool to determine whether any of 21 specific measures of adverse … MPSMS data provide inpatient mortality data for the patients who experienced each type of adverse event

238. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/about/patient-safety-culture.html
     June 01, 2024 - rates. 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.

239. Detailed Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/findings.html
     August 01, 2022 - and resolution program at the five participating hospitals: 3 An initial disclosure of an adverse … discussed with the patient or family but were typically considered known complications rather than adverse … Patient and family member experience of medical harm after adverse event. 6 Seventy-two patients and … About half of participants indicated they would prefer to engage in adverse event analysis through a … The grantee reported findings on four composite scores that measure perinatal adverse events: the Adverse

240. Improving Antibiotic Use is a Patient Safety Issue
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-slides.pptx
     November 01, 2019 - Issue AHRQ Safety Program for Improving Antibiotic Use – Acute Care 5 5 Antibiotic-Associated Adverse … events3 ~25% of these patients developed antibiotic-associated adverse events after hospital discharge … Most adverse events had some clinical ramifications Additional hospitalizations (3%) Prolonged hospital … Approximately 20% of hospitalized patients develop antibiotic-associated adverse events. … Association of Adverse Events with Antibiotic Use in Hospitalized Patients.