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Total Results: 2,230 records

Showing results for "adverse".

241. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
     July 01, 2023 - Identifying practices that affect the persistence of adverse effects long after a perceived diagnostic … Expanding the scope to also include “problems” encourages reporting of adverse events where patients … The focus of questions is on the immediate antecedents and outcomes of the adverse event. … First, when patients experience adverse medical events, they frequently switch to alternative venues … Families as partners in hospital error and adverse event surveillance.

242. AHRQ HAC 2015 Interim Data Graphic V03C (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-interim-data-infographic-2015.pdf
     January 01, 2015 - 21%21% LIVES SAVEDLIVES SAVED 125,000125,000 IN SAVINGSIN SAVINGS $28 BILLION $28 BILLION FEWER ADVERSE … EVENTS FEWER ADVERSE EVENTS 3 MILLION3 MILLION From 2010–2015, more than 3 million hospital-acquired

243. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
     August 01, 2022 - the best care possible to patients, health care providers are sometimes faced with the aftermath of adverse … It is estimated that one in seven patients is affected by adverse events, and that as many as half of … all clinicians will be involved in a serious adverse event at least once during their career. … errors are adverse events. … Therefore, it is important to recognize the distinction between medical errors and adverse events, as

244. Understanding SOPS Surveys: A Primer for New Users (Webcast) - Famolaro (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-SOPS_101_Webcast-FAMOLARO.pdf
     January 01, 2020 - Hospital SOPS to AHRQ Patient Safety Indicator (PSI) adverse event rates 3. … Journal of Patient Safety. 8(3), 131-139. 38 HSOPS 1.0 & Patient Safety Indicator (PSI) Adverse Event … en t R at e— PS I C om po si te Higher patient safety culture scores associated with lower adverse … Exploring Relationships Between Hospital Patient Safety Culture and Adverse Events. … Outcomes HSOPS 1.0 & Hospital CAHPS Patient Experience HSOPS 1.0 & Patient Safety Indicator (PSI) Adverse

245. National Healthcare Quality And Disparities Report Patient Safety Chartbook (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
     October 01, 2018 - drug event to warfarin (Adverse drug events) …  Adverse drug events. … Adverse Drug Events • An adverse drug event (ADE) is an injury—including physical harm, mental harm, … Adverse Drug Events With Warfarin Adult hospital patients with an anticoagulant-related adverse drug … Events 30-Day Mortality for Colorectal Surgery Adverse Drug Events Adverse Events With Hypoglycemic

246. Final Progress Report: Improving Safety After Hospitalization in Older Persons on High-Risk Medications (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/gurwitz2-report.pdf
     January 01, 2024 - drug events or potential adverse drug events by the physician reviewers. … The combined incidence rate of adverse drug events and potential adverse drug events in the intervention … Emergency hospitalizations for adverse drug events in older Americans. … Adverse events among medical patients after discharge from hospital. … Adverse drug events resulting from patient errors in older adults.

247. Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
     January 01, 2024 - drug events (PADEs) and adverse drug events (ADEs) through a retrospective chart review. … Understanding the Nature of Adverse Events in the Emergency Department. … Incidence and types of adverse events and negligent care in Utah and Colorado. … The nature of adverse events in hospitalized patients. … Incidence of adverse events and negligence in hospitalized patients.

248. Using Technology to Alert Clinicians to Potential Allergy, Drug Interactions | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-zhou.html
     July 01, 2024 - prominent patient safety researcher who has investigated how information technology can be used to prevent adverse … “Drug allergy is a major type of adverse drug reaction, and it has great impact on quality of care and … Hospital Grantee Since: 2009 Type of Grant: Various Related AHRQ Resources Medication Errors and Adverse

249. Improving Error Reporting in Ambulatory Pediatrics with a Team Approach (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Neuspiel_43.pdf
     March 05, 2008 - The IOM has called for a reporting system that includes both adverse events and near misses. … A physician- based voluntary reporting system for adverse events and medical errors. … Confidential clinician-reported surveillance of adverse events among medical inpatients. … Adverse drug events in primary care. N Engl J Med. 2003; 348: 1556-1564. 15. … Will, ideas, and execution: Their role in reducing adverse medication events.

250. Final Progress Report: Pharmacist Technology for Nursing Home Resident Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lapane-report.pdf
     January 01, 2024 - A recent study of residents in 18 Massachusetts nursing homes estimated 1.89 adverse drug effects (ADEs … Heightened awareness of adverse drug events may have occurred in the intervention homes. … The prevention of adverse drug events. ECPN 2005;June:26-32. Feinberg JL. … Improving patient safety through early recognition of adverse medication effects. … Incidence and preventability of adverse drug events in nursing homes.

251. Final Progress Report: Developing Best Practices for Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/baker-report.pdf
     January 01, 2024 - Systems analysis of adverse drug events. … Adverse drug events in hospitalized patients. … Preventing adverse drug events in hospitalized patients. … The Nature of Adverse Events in Hospitalized Patients. … Incidence of Adverse Drug Events and Potential Adverse Drug Events: Implications for Prevention.

252. Foundational Terminology for Diagnosis Relating to Suboptimal Processes and Outcomes | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology7.html
     April 01, 2025 - Adverse Events, Diagnostic Adverse Events Defined under the Safety Paradigm section above, adverse event … to an event that results in unintended harm encountered during medical care. 3 In general, medical adverse … Diagnostic adverse events commonly include errors of omission (e.g., failure to order or properly interpret

253. Mod03-Gap-Analysis-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
     April 01, 2016 - Identification and Analysis of Actual and Potential Adverse Events a. … Do staff have access to a system for reporting adverse events? c. … Is an attempt made to disclose within the first 24 hours following an adverse event? h. … Do staff have access to a system for reporting adverse events? … Is an attempt made to disclose within the first 24 hours following an adverse event?

254. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
     January 01, 2004 - NYSDOH) expanded its New York Patient Occurrence Reporting and Tracking System (NYPORTS) mandatory adverse … Rare or unfamiliar circumstances compounded the potential that an adverse event would occur. … • Establish intravenous access for rapid intervention if an adverse effect occurs. … In some situations, once there was onset of symptoms, the adverse effects could not be reversed and … Leape LL, Bates DW, Cullen DJ, et al., Systems analysis of adverse drug events.

255. Understanding SOPS Surveys: A Primer for New Users - Famolaro (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-4-famolaro-2018.pdf
     January 01, 2018 - SOPS to Hospital CAHPS patient experience • Hospital SOPS to AHRQ Patient Safety Indicator (PSI) adverse … Hospital SOPS & PSI Adverse Event Rates Higher patient safety culture scores associated with lower … adverse event rates r = -.36 0 2 4 6 8 10 12 14 16 18 40% 45% 50% 55% 60% 65% 70% 75% 80% … Exploring Relationships Between Hospital Patient Safety Culture and Adverse Events. … Linking SOPS to Other Outcomes Hospital SOPS & Hospital CAHPS Patient Experience Hospital SOPS & PSI Adverse

256. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
     May 01, 2011 - the best care possible to patients, health care providers are sometimes faced with the aftermath of adverse … It is estimated that one in seven patients is affected by adverse events, and that as many as half of … all clinicians will be involved in a serious adverse event at least once during their career.   … adverse events. … Ensure adverse event report completed. Manage unit/team’s overall response.

257. Discussion | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication5.html
     July 01, 2024 - We found very little data about the frequency or nature of adverse outcomes associated with immediate … Likewise, SMEs identified few known adverse events. … Only one study used administrative and operational data sources such as patient complaints to identify adverse

258. Making Information Technology a Team Player in Safety: The Case of Infusion Devices (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
     January 01, 2002 - Adverse events including device- related deaths and serious injuries must be reported to the FDA and … A fourth phase reviewed the MAUDE database for all adverse event reports related to the infusion pumps … reports Adverse incidents with infusion devices may have severe consequences. … Attempts have been made to create adverse event reporting systems to capture and analyze incidents … The methods described provide a useful basis for study the evolution of adverse events.

259. Chartbook on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
     January 01, 2020 - For example, Medication or Other Substance events that were reported as Adverse reaction in patient … For example, Medication or Other Substance events that were reported as Adverse reaction in patient … For example, Medication or Other Substance events that were reported as Adverse reaction in patient … For example, Medication or Other Substance events that were reported as Adverse reaction in patient … For example, Medication or Other Substance events that were reported as Adverse reaction in patient

260. Final Progress Report: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
     January 01, 2024 - potentially high-yield and likely-to-be-successful interventions for lowering rates of preventable adverse … study identified seven major proximal errors in the medication handling process that cause serious adverse … Key words: probabilistic risk assessment, adverse drug events, ambulatory setting 2 Purpose In our … previous study of preventable adverse drug events among 30,000 older adults treated in the ambulatory … setting by a multispecialty group practice over a 1-year period,1 we found a rate of adverse drug events