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Total Results: 2,230 records

Showing results for "adverse".

281. 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.

282. 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.

283. 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.

284. 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.

285. 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

286. 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.

287. 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.

288. 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

289. 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

290. 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. 

291. 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.

292. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication4.html
     July 01, 2024 - One study compiled problems and adverse events from a single institution using patient complaints, staff … (R9) Adverse outcomes related to test result release: Participants in clinical and operational roles … Participants identified few known reports of adverse events ranging in severity that were related to … We haven’t had many [reports of adverse outcomes]. … This is a pretty exceptional thing, but those are the two [known adverse events] that came before our

293. 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

294. 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.

295. Issue Brief 26: Exploration of Foundational Terminology and Paradigms for Improving Diagnosis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-terminology.pdf
     April 01, 2025 - Thus, a subcategory of adverse events ascribed to error or substandard care, called preventable adverse … Few investigators focus on these types of diagnostic adverse events. … Adverse Events, Diagnostic Adverse Events Defined under the Safety Paradigm section above, adverse … Incidence of adverse events and negligence in hospitalized patients. … The nature of adverse events in hospitalized patients.

296. Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdf
     May 19, 2003 - Further, 13.6 percent of the adverse events led to the death of the patient. … Death occurred in 6.6 percent (SD of 1.2 percent) of the adverse events. … Incidence of adverse events and negligence in hospitalized patients. … Incidence and types of adverse events and negligent care in Utah and Colorado. … The nature of adverse events in hospitalized patients.

297. 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.

298. Clinical Informatics and Its Usefulness for Assessing Risk and Preventing Falls and Pressure Ulcers in Nursing Home Environments (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Teigland.pdf
     March 01, 2004 - The adverse outcomes addressed in this study—falls and pressure ulcers—are associated with considerable … The goal of the project is to determine whether adverse outcomes for nursing home residents can be … Logistic regression was used to model the risk of an adverse event in the next quarter. … and adverse event did not occur); and (3) “unexpected” or potentially avoidable adverse outcomes (i.e … ., resident was “low risk” based on comprehensive risk model, but adverse event occurred).

299. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhacrate2014.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 this reduction is from adverse drug events, about 28 percent from pressure ulcers … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … paper by Furukawa, et al. ( Journal of Patient Safety , in press) indicated that in 2012 and 2013, adverse … Although the paper did not study trends in EHR adoption or trends in adverse event rates, one may hypothesize

300. Network of Patient Safety Databases Chartbook, 2019 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
     January 01, 2019 - include additional information the provider considers to be necessary for further documentation of adverse … For example, 2,438 Medication or Other Substance events that were reported as Adverse reaction in patient … It should also be noted that reports involving an Adverse reaction in Patient Safety Network of … For example, 2,438 Medication or Other Substance events that were reported as Adverse Patient Safety … The exclusion criteria for Medication or Other Substance reports are: ■ Adverse drug reaction with