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Total Results: 2,263 records

Showing results for "adverse".

281. Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program (pdf file)
     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

282. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
     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

283. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     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.

284. Using Home Visits to Understand Medication Errors in Children (pdf file)
     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.

285. Strategy 4: IDEA Discharge Planning (Tool 3) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
     January 01, 2010 - engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse … three-quarters of these could have been prevented or ameliorated.1 Common post-discharge complications include adverse … The incidence and severity of adverse events affecting patients after discharge from the hospital.

286. AHRQ's Patient Safety Culture Survey Used to Set Baselines for Improvements at Chicago Hospital | Agency for Healthcare Research and Quality
     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.

287. First-of-its-Kind Study Examines Disparities in Healthcare Costs and Outcomes of Cigarette Smoking in the United States | Agency for Healthcare Research and Quality
     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

288. Return on Investment Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
     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.

289. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
     August 01, 2022 - Assessment of rates of communication-sensitive adverse events. … Decreasing intrapartum malpractice: Targeting the most injurious neonatal adverse events. … of deliveries; Weighted Adverse Outcomes Scale (WAOS), which sums the weights for each of the adverse … events and maternal adverse events. … Incidence of adverse events and negligence in hospitalized patients.

290. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-2.html
     June 01, 2023 - diagnostic breakdowns during transitions among clinical settings. 19 , 25 Assessing the impact of adverse … Throughout this brief, we refer to adverse diagnostic events as “diagnostic mishaps,” “diagnostic errors … But patients and families do not describe adverse diagnostic events with such uniformity.

291. Morningbriefing (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/morningbriefing.doc
     June 02, 2025 - After receiving an update on the patients, proceed to Question II, unless there was an adverse event. … If an adverse event occurred, you should also use the Learn From Defects Form. II.

292. Return on Investment Estimation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_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.

293. AHRQ-Supported Publications and Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/coronavirus/ahrq-publications.html
     July 01, 2023 - Patient Adverse Financial Outcomes Before and After COVID-19 Infection  (May 2023) Primary Care's Challenges … Face of the COVID-19 Pandemic: Insights From AHRQ's Learning Community  (Jan 2023) Complications, Adverse

294. Detection of Inpatient Health Care Associated Injuries: Comparing Two ICD-9-CM Code Classifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Masheter.pdf
     March 01, 2004 - drug events (ADEs), or adverse events related to medications. … Detecting adverse drug events using ICD-9-CM codes. … Adverse events related to medical care, Utah: 1995–1999. 2001. … Utah/Missouri adverse event ICD-9-CM classification. 2002 Version 1. … Number and percentage of inpatient discharges with any adverse event class by adverse event type and

295. Client Functioning Measures and Gaps | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep3.html
     June 01, 2010 - Regardless, all programs strive to promote optimum client health and avoid preventable adverse health … promotion ix and the receipt of recommended health care services, but also the avoidance of serious adverse … In particular, the adverse relationship between disability and employment has been well established. … Health Promotion/Preventing Adverse Health Outcomes This subdomain comprises two complementary constructs … : measures of interventions intended to promote positive health outcomes and counts of adverse, undesirable

296. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/sands.html
     August 01, 2017 - System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … 1986, 1 and it has been an early adopter of the Disclosure, Apology, and Offer (DA&O) approach to adverse … Its goals are to (1) proactively identify adverse events, (2) differentiate between injuries caused by … The DA&O approach to adverse events initially did not gain momentum as a risk management practice and … When things go wrong: responding to adverse events: a consensus statement of the Harvard Hospitals. 

297. Final Progress Report: Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/umoren-report.pdf
     January 01, 2025 - Human factors are the root cause of 67% of avoidable adverse events on transport, with most adverse … Neonatal Transport Safety Metrics and Adverse Event Reporting: A Systematic Review. … Factors Associated with Adverse Events during Tracheal Intubation in the NICU. … Neonatal Transport Safety Metrics and Adverse Event Reporting: A Systematic Review. … Epidemiology of adverse events in air medical transport.

298. The Science of Improving Patient Safety
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafety.pptx
     March 01, 2009 - suffer a medication error2 On average, every patient admitted to an intensive care unit suffers an adverse … Incidence of adverse drug events and potential adverse drug events. JAMA. 1995;274(1):29–34. … An alternative strategy for studying adverse events in medical care.

299. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
     August 01, 2022 - UT and UW) expanded our understanding of the potential role for patients and their family members in adverse … extension of an existing program, UIC Medical Center showed improvements in malpractice outcomes and adverse … Development of an adverse event debriefing method Based on 62 interviews conducted using a debriefing … research in this area added to the existing knowledge base regarding what patients want following an adverse … Team communication training The rates of communication-sensitive adverse events (CSAEs) were examined

300. Strategy 4: IDEA Discharge Planning (Tool 3) (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.docx
     January 01, 2010 - for engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse … three-quarters of these could have been prevented or ameliorated.1 Common post-discharge complications include adverse … The incidence and severity of adverse events affecting patients after discharge from the hospital.