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www.ahrq.gov/data/resources/index.html?page=0
HCUP Statistical Briefs: Adverse Events
These HCUP Statistical Briefs provide statistics about adverse … Topics include infections (CDI and MRSA), adverse drug events (ADEs), and potentially avoidable injuries
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www.ahrq.gov/sites/default/files/2024-04/ratliff-report.pdf
January 01, 2024 - 1R01HS023800-01A1
Structured Abstract
Purpose: To develop a set of predictive models for common adverse … Overall adverse event
(AE) occurrence and types of AE occurrence during the 30-day postoperative follow-up … To our best knowledge,
there is not a well-defined optimal AUC value for predicting adverse outcomes … A machine learning approach for predictive models of
adverse events following spine surgery. … Accuracy of a machine learning
approach for predicting adverse events after spine surgery.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/TableofContents_Vol1.pdf
January 01, 2025 - Physician-Reported Adverse Events and Medical Errors in Obstetrics and
Gynecology
Martin November, … Voluntary Adverse Event Reporting in Rural Hospitals
Charles P. Schade, Patricia Ruddick, David R. … Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in
Patient Safety Surveillance … News Media and Health Care Providers at the Crossroads of Medical Adverse
Events
Pamela Whitten, Mohan … Mahoney
Views of Emergency Medicine Trainees on Adverse Events and Negligence:
Survey Results from
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-5.html
June 01, 2020 - Measuring errors and adverse events in health care. J Gen Intern Med 2003;18(1):61-7. … 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.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
January 01, 2018 - Safety
Tejal Gandhi
Handwriting
16
Ways IT Can Improve Safety
• Prevent errors and adverse … events
• Facilitating a more rapid response after an
adverse event has occurred
• Tracking and providing … feedback about adverse
events
Bates, Gawande 2003
Main Strategies for Preventing
Errors and AEs
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www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-fac-guide.html
February 01, 2017 - There were no adverse events due to physical therapy in either arm of the study and no cost difference … Slide 11: Safety
Say:
There were no serious adverse events. … Patients were started on a careful trial of activity, and close watch was kept for adverse events. … Slide 14: Adverse Events
Say:
Nine patients had a total of 14 adverse events. … This study had no documented adverse events in either arm.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/acute_care_implementation_guide.pdf
November 01, 2019 - identifying
technical versus behavioral (also known as adaptive) problems leading to antibiotic-associated
adverse … assist with these discussions between ASPs and frontline staff:
o “Identifying Antibiotic-Associated Adverse … on units for frontline providers to complete when they identify a
potential antibiotic-associated adverse … o “Learning From Antibiotic-Associated Adverse Events Form” is similar to a root cause
analysis form … be completed during structured meetings to guide strategies to
prevent future antibiotic-associated adverse
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/018-revision-summary-contact-precautions.docx
October 01, 2024 - reduced patient-healthcare worker contact, changes in care that contribute to delays and non-infectious adverse … injuries), increased symptoms of depression and anxiety, and decreased patient satisfaction.16
· Adverse … frequency of healthcare personnel entry into patient rooms but had no significant impact on the rate of adverse … Adverse outcomes associated with Contact Precautions: a review of the literature. … The effect of universal glove and gown use on adverse events in intensive care unit patients.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
February 21, 2008 - Medical Errors and Adverse Events at Hospital Discharge
Errors and Adverse Events Are Common on Both … 49, 50
3
Adverse Drug Events: Common, Serious, and Costly
Adverse drug events (ADEs) are the … Adverse
events among medical patients after discharge from
hospital. … The costs of
adverse drug events in hospitalized patients. … Can the frequency and risks of fatal
adverse drug events be determined?
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www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
January 01, 2024 - Aim 3: Hospital leaders think mandatory reporting discourages adverse
event reporting in their hospitals … They decided to use the phrase “negative effects” instead of
“adverse events.” … The adverse event was assigned to one of 19 categories. … which they provided open-ended responses that
described possible adverse events. … Adverse drug events were the highest type of
adverse event reported by patients and recorded in the
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www.ahrq.gov/hai/pfp/index.html
July 01, 2020 - Condition Rate ( PDF , 237 KB)
To improve how the Nation tracks its progress on reducing HACs and other adverse … This patient safety surveillance system will capture information about HACs and other adverse events
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
January 01, 2013 - The cost of adverse drug events in hospitalized patients.
JAMA 1997;277:307-11. … Costs of adverse events in intensive care units. Crit Care
Med 2007;35(11)2637-8.
Pappas SH. … The cost of nurse-sensitive adverse events. J Nurs Adm 2008;38(5):230-6. … The costs and savings associated with prevention of
adverse events by critical care nurses. … allows users to track the change
in rate of any type of adverse event over time.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
January 01, 2003 - Relationship between medication errors and adverse
drug events. … Incidence of
adverse events and negligence in hospitalized patients. … drug events, and adverse drug reactions. … Adverse Drug
Prevention Study Group. The costs of adverse drug
events in hospitalized patients. … Adverse drug
events in hospitalized patients.
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www.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
June 01, 2025 - patient safety practices in eight categories encompassing commonly occurring care and disease specific adverse … Table of Contents Adverse Drug Events (ADEs): General Medication Topics ADEs: Harms Due to Anticoagulants … ADEs: Harms Due to Diabetic Agents ADEs: Reducing Adverse Drug Events in Older Adults ADEs: Harms Due … Topics Patient Safety Practices MHS I (2001) MHS II (2013) MHS III (2020) MHS IV (2023-24) Computer Adverse … Drug Events Summary of Evidence Summary of Evidence (Not reviewed) (Not reviewed) Reducing Adverse Drug
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
January 01, 2005 - The barrier to the movement of information within a facility is that an adverse
event report made by … Step 3: Train the MedSun representatives to write
complete and accurate adverse event reports. … Step 5: Improve users’ recognition of medical device adverse events. … Step 6: Motivate users to report device
adverse events within their own institutions. … A short video is being produced that depicts a device-related adverse event
and demonstrates why it
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www.ahrq.gov/antibiotic-use/acute-care/safety/index.html
June 01, 2021 - Use Commitment Poster (DOCX)
Antibiotic Time Out Tool (DOCX)
Identifying Antibiotic–Associated Adverse … Events Form (DOCX)
Learning From Antibiotic–Associated Adverse Events Form (DOCX)
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-facguide.docx
January 01, 2017 - There were no adverse events due to physical therapy in either arm of the study and no cost difference … Slide 10
Safety
SAY:
There were no serious adverse events. … Patients were started on a careful trial of activity, and close watch was kept for adverse events. … Slide 13
Adverse Effects
SAY:
Nine patients had a total of 14 adverse events. … This study had no documented adverse events in either arm.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
May 28, 2008 - Incidence
and impact of adverse drug events in pediatric
inpatients. … Medication
errors and adverse drug events in pediatric inpatients. … Using chart review to screen for
medication errors and adverse drug events. … Adverse
drug events resulting from patient errors in older
adults. … Incidence of
adverse drug events and potential adverse drug events:
Implications for prevention.
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www.ahrq.gov/news/newsroom/press-releases/smoking-cessation-disparities.html
December 01, 2023 - policymakers conduct cost-benefit analyses that accurately reflect the burden of healthcare costs and adverse … “Disparities in medical spending, as well as adverse health outcomes, are continuing to increase over
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www.ahrq.gov/news/newsroom/case-studies/cquips0609.html
October 01, 2014 - Importantly, the survey also highlighted that staff were more uncomfortable with filing reports of adverse … team targeted its initiatives to address three specific dimensions of patient safety: reporting of adverse … events, handoffs and communication, and feedback and awareness of adverse events.