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Total Results: 2,230 records

Showing results for "adverse".

361. Silence A Commentary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/silence.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 … Some of the key elements of CRPs are reporting and responding to adverse events, continuous communication … When things go wrong: responding to adverse events: a consensus statement of the Harvard Hospitals.

362. AHRQ Safety Program for MRSA Prevention: Targeting SSI
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/002-ss-antimicrobial-prophylaxis-part-1.pptx
     April 01, 2025 - Prevent SSI-related morbidity and mortality Reduce duration and cost of healthcare Cost effective Have no adverse … effects Have no adverse consequences on microbial flora | 6 AHRQ Safety Program for MRSA Prevention … tissue concentrations Dose, timing Be safe Be administered for the shortest effective period Minimizing adverse … Surgical Services Antimicrobial Prophylaxis Part 1 12 Use for Shortest Effective Period1 Minimize adverse

363. AHRQ Quality Indicator Tools for Data Analytics | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/qualityindicators/index.html
     January 01, 2025 - hospital level, the QIs are used to support internal quality improvement, monitoring, and assessment of adverse … Patient Safety Indicators (PSIs) help hospitals assess the incidence of adverse events and in-hospital … More specifically, they focus on potential in-hospital complications and adverse events following surgeries

364. Making Healthcare Safer III: Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.html
     March 01, 2020 - Reducing Adverse Drug Events in Older Adults: Deprescribing Drug burden index scores Adverse … Reducing Adverse Drug Events in Older Adults: Using the Screening Tool of Older Persons’ Potentially … The decision to engage a team and conduct a risk assessment was often in response to a specific adverse … Team Simulation Adverse outcome score Use of teamwork skills Confidence in emergencies … Use of the checklist was associated with a decrease in adverse events.

365. The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
     December 01, 2017 - In addition, surgery is linked to half of all hospital adverse events. … Most hospital adverse events are avoidable. … can redesign care and delivery processes to improve care and minimize the occurrence of errors and adverse … shows the continuum of system factors that can influence health care delivery and the occurrence of adverse … This evaluation provides the means to identify interventions that can reduce the risk of future adverse

366. Importance of MRSA and SSI Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/018-ss-importance-ssi-mrsa-prevention.pptx
     April 01, 2025 - Define the concepts of surgical site infection (SSI) surveillance and causes of SSIs Recognize the adverse … MRSA Prevention: Targeting SSI | Surgical Services Importance of MRSA and SSI Prevention 4 SSIs and Adverse … AHRQ Safety Program for MRSA Prevention | Surgical Services Importance of MRSA and SSI Prevention Adverse … Adverse clinical and economic outcomes attributable to methicillin resistance among patients with Staphylococcus … MRSA is associated with many adverse outcomes, but key strategies can prevent transmission and infection

367. Final Progress Report: Optimizing OTC labels for older adults (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/becker-bix-report.pdf
     January 01, 2024 - Among the risks are preventable adverse drug events (ADEs) (1). … These incongruencies are the ones most likely to lead to adverse drug events. … Adverse drug reactions in older patients during hospitalisation: Are they predictable. … Contribution of adverse drug reactions to hospital admission of older patients. … Adverse drug events as a cause of hospital admission in the elderly.

368. Toolkit for Improving Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/index.html
     July 01, 2023 - improve the patient safety culture of labor and delivery (L&D) units and decrease maternal and neonatal adverse … Simulations—that an L&D unit can use to teach team members how to apply CUSP to prevent obstetrical adverse

369. Advances in Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/advances/index.html
     July 01, 2022 - Hackworth Outpatient Benzodiazepine Prescribing, Adverse Events, and Costs (   PDF , 172 KB) Dustin … Masheter, Paul Hougland, Wu Xu Surveillance of Surgery-related Adverse Events in Missouri Using ICD … Spehar, Dustin French, Polly Palacios A Study of Adverse Occurrences and Major Functional Impairment … Glasgow Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting ( … Hickner, Deborah Graham, Michele Johnson Lessons Learned from the Evolution of Mandatory Adverse Event

370. Information to Help Hospitals Get Started (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pdf
     June 02, 2025 - Research shows patient-centered communication can improve: – Patient safety • More than 70% of adverse … • Nearly 20% of patients experience an adverse event within a month of discharge, of which ¾ could be … prevented • Common complications post-discharge are adverse drug events, healthcare-associated infections

371. Investigating Interventions to Reduce Unsafe Use of Antibiotics | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-grigoryan.html
     November 01, 2024 - inappropriately—for instance, not finishing all doses prescribed—leads to increased antibiotic resistance and adverse … Many had been unaware of any negative effects, such as antibiotic resistance and adverse drug reactions

372. Exhibit 5.10. Experiential Training and Project Activities | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-10.html
     November 01, 2014 - Pareto, or "80/20," analysis is often used to reveal core sources of adverse outcomes. … followed by documentation of the current process ("current state map") with identification of points where adverse

373. Table 7.B (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-6b-table-b1.pdf
     June 02, 2025 - Table 7.B Table VI.B.1 Identifying a record with one or more adverse

374. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-references.html
     June 01, 2023 - Families as partners in hospital error and adverse event surveillance. … Comparing patient-reported hospital adverse events with medical record review: do patients know something … An exploration of the implementation of open disclosure of adverse events in the UK: a scoping review … Health care complaints and adverse events as a means of user involvement for quality and safety improvement

375. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
     March 01, 2021 - primary care teams should consider individual patients’ risk factors for developing postdischarge adverse … If left unaddressed, behavioral health and social needs are key risk factors for postdischarge adverse … facilitating the implementation of these elements is important to enhance patient safety since the risk of adverse … new approach primary care teams can use to engage patients and families to help reduce postdischarge adverse

376. 2018 National Healthcare Quality and DIsparities Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-final-es.pdf
     September 01, 2019 - Patient Safety Importance of Patient Safety Mortality Prevalence Cost Findings on Patient Safety Adverse … Events With Knee Replacement Adverse Events With Hip Replacement Adverse Drug Events With Heparin … Fibrinolytic Medication for Heart Attack Disparities for Asians Largest Disparities Anticoagulant-Related Adverse

377. Appendix E | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-ape.html
     April 01, 2018 - Thromboembolism 0 414 Medication Safety 126 416  -- Medication Errors/Preventable Adverse … Ordering/Prescribing Errors 6 418  ---- Transcription Errors 5 415  -- Side Effects/Adverse … Robotic-Assisted Surgery 0 665  ---- Computer-Assisted Radiotherapy 0 661  -- Computerized Adverse

378. Final Progress Report: Safety in the Home Healthcare Sector: A Pilot Study (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdf
     January 01, 2024 - HHC patients may be at risk of adverse events caused by medical management or medical errors as well … as from adverse events related to household hazards. … Household hazards can result in adverse outcomes. … Incidence and Preventability of Adverse Drug Events in Hospitalized Adults. … Adverse health effects among adults exposed to home dampness and molds.

379. Patient Imaging Quality and Safety Laboratory (PIQS Lab) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/imaging-quality-long-desc.html
     April 01, 2021 - The PIQs Lab assessed adverse event reports related to VIR over a 6-year period, finding that 45 percent … The most commonly reported adverse events were procedural complications (109; 29.1%), many of which had … Adverse events associated with peri-procedural handoffs, under review. 2020 Garry K, et al.

380. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
     June 01, 2021 - Learning From Antibiotic-Associated Adverse Events Form Changing the System 12 What Happened? … Use the Learning From Antibiotic-Associated Adverse Events form to develop a plan.   … Completion Guide for the Four Moments of Antibiotic Decision Making Form Learning From Antibiotic-Associated Adverse