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Showing results for "adverse".

341. Financial and Demographic Influences on Medicare Patient Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
     January 01, 2004 - financial pressure at hospitals is associated with the rate of patient safety events (e.g., preventable adverse … Indicators (2003) and conducted regression analyses in which we controlled for the patients’ risks of adverse … These five adverse events are indicated with an asterisk in Table 5. … Table 4 further indicates that the probability of adverse patient safety events vary by gender, race … Licensed nurse staffing and adverse events in hospitals. Med Care 2003;41(1):142–52. 16.

342. 3 Tk1 T5-Draft Policies And Procedures For The Antimicrobial Stewardship Program Final (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.pdf
     October 01, 2016 - The adverse consequences of unnecessary antibiotic use include adverse drug reactions or interactions … this procedure can help reduce unnecessary prescribing and lead to fewer antibiotic failures and/or adverse

343. Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2013-ap2.html
     December 01, 2014 - vs. 2010, and Baseline Projections Made in 2011 on the Additional Inpatient Mortality per HAC Adverse … $149,600,000 1,628 Falls 260,000 240,000 20,000 8% $144,680,000 1,100 Obstetric Adverse

344. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=5
     January 01, 2024 - Adults Publication Date: June 2019 Developing Evidence for Safety Surveillance from Device Adverse … Review Process of High-Risk Drugs Using a Patient-Centered, Telemedicine-Based Approach to Prevent Adverse … 023464 Topic(s): Medication Safety, Nursing Homes Publication Date: September 2018 Reducing Adverse

345. Information to Help Hospitals Get Started
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pptx
     July 23, 2010 - families Research shows patient-centered communication can improve: Patient safety More than 70% of adverse … For example, one study found that more than 70% of adverse events are caused by breakdowns in communication … One study found that more than 70 percent of adverse events are caused by breakdowns in communication … Nearly 20 percent of patients experience an adverse event within 30 days of discharge.1,2 Research shows … The incidence and severity of adverse events affecting patients after discharge from the hospital.

346. 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

347. Changing-System-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
     June 01, 2021 - These are adverse events most likely caused by an antibiotic that he probably did not need. … This four-step approach is incorporated into the Learning From Antibiotic-Associated Adverse Events form … Sometimes we forget to acknowledge the factors that reduce potential harm from the adverse event. … For example, you can obtain baseline data regarding number of adverse events related to antibiotic use … Use the Learning From Antibiotic-Associated Adverse Events form to develop a plan.

348. 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

349. Protecting Patients from Drug-Drug Medication Errors | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-malone.html
     September 01, 2023 - Taking certain medicines together can cause adverse effects in patients. … overridden DDI warnings and identified specific patient and drug attributes that influence the risk of an adverse … Grantee Since: 2009 Type of Grant: Various Related AHRQ Resources Medication Errors and Adverse

350. 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.

351. 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.

352. 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

353. 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.

354. 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.

355. 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

356. 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

357. 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

358. 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.

359. 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.

360. 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.