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Total Results: 2,230 records

Showing results for "adverse".

341. From Quality Measures to Quality Care: Examples of Quality Improvement at Work | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
     June 01, 2018 - Preventing Adverse Drug Reactions Preventable adverse drug events cause significant mortality each … LDS Hospital in Salt Lake City, Utah, has taken steps to improve its rate of adverse drug events. … From 1990 to 1993, they discovered that 2.43 percent of hospital patients experienced an adverse drug … These efforts led to a 75-percent decline in adverse drug reactions related to antibiotics. … series, Michigan's Pontiac Osteopathic Hospital Medical Center achieved an 80-percent reduction in adverse

342. Final Progress Report: Drug-Drug Interaction Clinical Decision Support Conference Series (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/malone-report.pdf
     January 01, 2024 - Injury due to a known DDI is a preventable adverse drug event and constitutes a serious medication … Injury due to a known DDI is a preventable adverse drug event and serious medication error. … This 10-item scale assesses causality of an adverse event due to a DDI. … Severity is more ambiguous and describes the intensity of an adverse reaction in an individual. … Incidence of adverse drug events and potential adverse drug events. Implications for prevention.

343. Acknowledgments | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/acknowledgements.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

344. Making the Case That Improving Antibiotic Use Is a Patient Safety Issue (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-facilitator-guide.pdf
     November 01, 2019 - They can be associated with adverse events, and when administered to patients who do not need them, … Slide 4 Antibiotic-Associated Adverse Events SAY: All antibiotics have the potential to harm … Often, these adverse events occur after a patient is discharged from the hospital. … Overall, 20 percent of patients developed at least 1 antibiotic- associated adverse event. … Approximately 20 percent of hospitalized patients develop antibiotic-associated adverse events.

345. Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
     January 01, 2024 - To improve patient safety, it is critical to understand how clinical systems actually work and why adverse … A popular method is to examine adverse events that have occurred and “trace back” to attempt to pinpoint … This approach is limited, though, because adverse outcomes are relatively infrequent and retrospective … The state-of-the-art in patient safety efforts emphasize retrospective analysis of adverse events or … Finally, they coded the NRE for the presence of both binary (e.g., injury, impact, near miss, adverse

346. Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations in Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/wei-report.pdf
     January 01, 2024 - assess high-risk prescription opioid use patterns and risk factors associated with opioid-related adverse … Prior studies that explored prescription opioid use patterns and their association with adverse opioid … Association of Injury After Prescription Opioid Initiation with Risk of Opioid-Related Adverse Events … Patterns of Potential Opioid Misuse and Subsequent Adverse Outcomes in Medicare, 2008 to 2012. … Prescription opioid exposures and adverse outcomes among older adults.

347. Risk of Concurrent Use of Prescription Drugs with Herbal and Dietary Supplements in Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Graham_77.pdf
     March 05, 2008 - supplement (HDS) use among ambulatory patients who use prescription medications or about the risk of adverse … An observational study showed that herbal supplements are associated with adverse events of all levels … Adverse events associated with dietary supplements: An observational study. … Adverse drug events in ambulatory care. N Engl J Med 2003; 348: 1556-1564. 15. … Incidence of adverse drug events and potential adverse drug events. Implications for prevention.

348. 076-Antimicrobial-Prophylaxis-Duration-One-Pager (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/076-antimicrobial-prophylaxis-duration-one-pager.docx
     April 01, 2025 - Doing so minimizes adverse side effects of the medication, minimizes the development of resistance, and … Association of duration and type of surgical prophylaxis with antimicrobial-associated adverse events

349. Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/muller-report.pdf
     January 01, 2024 - The group also collected data on adverse drug event rates and patient, staff, and physician satisfaction … The number of adverse drug events decreased after the intervention. … Can adverse drug events for inpatients be reduced through the consistent application of a medication … Prevalence: The prevalence of adverse drug events was 0.004% in FY06. … Prevalence: The prevalence of adverse drug events was 0.004% in FY06.

350. A Patient Safety Program & Research Evaluation of U.S. Navy Pharmacy Refill Clinics (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Reige.pdf
     March 01, 2004 - knowledge in clinical practices produces greater efficiency in crowded clinics, while addressing potential adverse … This process improves access to timely drug renewals and minimizes adverse effects. … The clinical pharmacist is given the opportunity to discuss with patients such issues as adverse drug … The pharmacists may discover upon reviewing labs and discussing adverse events with the patient that … Pharmacist on rounding teams reduce preventable adverse drug events in hospital general medicine units

351. Methodological Challenges in Describing Medication Dosing Errors in Children (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
     January 01, 2004 - Errors in medication ordering are the most common cause of preventable adverse drug events in hospitalized … patients.1, 7 In one adult study, half of all preventable adverse drug events occurred at the physician … Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … Medication errors and adverse drug events in pediatric inpatients. … A computer alert system to prevent injury from adverse drug events: development and evaluation in a

352. Early Mobility in the Intensive Care Unit: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-slides.html
     February 01, 2017 - Slide 11: Safety 3 No serious adverse events. … Slide 14: Adverse Events 4 9 patients had 14 adverse event (<1% of activities): Falls to knees … No documented adverse events. 6. Clark DE, Lowman JD, Griffin RL, et al. … Slide 26: Conclusions—Safety Adverse events ranged from agitation to transient physiological events … Adverse events ranged from 2.3 to 8.7 per 100 patients. 3-5 3.

353. Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
     January 01, 2024 - Key Words: adverse events, NICU, patient safety, quality improvement, risk assessment Purpose: Proactive … evaluation of error-prone healthcare processes may inform interventions to prevent adverse patient … Most errors and adverse events in this transition involve communication breakdowns in handoffs between … the process that was so critical that its failure would result in system failure, or an immediate adverse … outcomes Equipment or facility outcomes Damage less than $10,000 or loss of any utility without adverse

354. Improving Patient Safety in Healthcare | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-fairbanks.html
     December 01, 2023 - care, where the complexity of the system and the fragility of the patients creates a greater risk for adverse … a 2-year AHRQ grant in 2005 to evaluate an emergency medicine clinical pharmacist program to avoid adverse … Fairbanks evaluated over 10,000 ED cases for adverse events, and interviewed ED physicians and nurses

355. Barriers Associated with Medication Information Handoffs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
     January 01, 2004 - information across patient care settings is an important care process handoff with major potential for adverse … objective of this research was to enhance understanding of how patient handoffs are related to risk of adverse … events.13–15 A recent study showed 19 percent of patients had an adverse event following discharge … Polypharmacy, adverse drug-related events, and potential adverse drug interactions in elderly patients … Impact of emerging technologies on medication errors and adverse drug events.

356. Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/waever.html
     August 01, 2017 - System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Studies of claims have shown that the perceived cause, context, outcome, and response to a given adverse … Paid malpractice claims for adverse events in inpatient and outpatient settings. … Exploring relationships between hospital patient safety culture and adverse events. … Health care professionals as second victims after adverse events: a systematic review.

357. Improving Healthcare Safety by Enhancing Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
     April 30, 2025 - safety refers to the practices and measures implemented to minimize the risk of medication errors and adverse … In addition, evidence was found showing their use causes adverse events. … Study 5 highlighted the prevalence and preventability of warfarin-related adverse events in nursing … Publications from this work describe the researchers’ findings that potential opioid-related adverse … During chart review, they examined 10,224 cases and found no difference in adverse drug events with

358. Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
     February 01, 2017 - can redesign care and delivery processes to improve care and minimize the occurrence of errors and adverse … checklists, and create independent checks for key processes, we improve our ability to reduce the risks of adverse … Adverse event reporting systems are common in hospitals. … Slide 17: Staff Safety Assessment Say: Adverse reporting systems, sentinel events, and claims data

359. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
     January 01, 2024 - Key Words: patient safety, emergency medicine, errors, adverse events, harm Principal Investigator … Aim 2 – Compare errors and adverse events through active surveillance with those identified through … SCOPE In order to improve a system in any industry, the adverse events that take place within the system … Current knowledge about the number and types of errors and adverse events occurring within emergency … Only a small number of studies have evaluated the epidemiology of errors and adverse events within the

360. Highlights From AHRQ's Patient Safety Network | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/psnet.html
     March 01, 2025 - related to patient safety, features a new set of articles including: Ambulatory medication errors and adverse