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Showing results for "adverse".

361. Final Progress Report: Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations: The San Francisco Ambulatory Safety CEnter for iNnovaTion (ASCENT) (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/sarkar3-report.pdf
     January 01, 2025 - Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. … Adverse Drug Events in U.S. Adult Ambulatory Medical Care. … Medication Errors and Adverse Drug Events. … Ambulatory Computerized Prescribing and Preventable Adverse Drug Events. … Adverse Drug Events | health.gov [Internet]. [cited 2020 Dec 13].

362. 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

363. 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.

364. 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

365. 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

366. 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

367. 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.

368. 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

369. 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

370. 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

371. 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.

372. 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

373. 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

374. 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

375. 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

376. 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

377. 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

378. 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.

379. 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

380. 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