Results

Total Results: 2,230 records

Showing results for "adverse".

381. CHIPRA 150 Section 6, Antipsychotics Testing Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-metabolic-monitoring-testing-summary.pdf
     December 31, 2015 - Antipsychotics are associated with potentially adverse metabolic impacts that include weight gain, … psychiatric disorders in children, these medications are associated with a number of potentially adverse … Fiscal Burden Although there is little research available on the fiscal burden associated with adverse

382. Transforming Care for People Living with Multiple Chronic Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-arlene.pdf
     November 17, 2020 - risk” will go on to develop MCC • Targeted interventions to improve health and reduce the risk of adverse … interventions for those who have complex management issues and who are at “high risk” for avoidable adverse

383. Looking for Trouble in All the Right Places: The Legal Implications Associated with “Electronic Signatures” and High-risk Clinical Situations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Escobar.pdf
     February 01, 2005 - Reasons for not reporting adverse incidents: an empirical study. … Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … Incidence of adverse events and negligent care in hospitalized patients. … The nature of adverse events in hospitalized patients. … Systems analysis of adverse drug events. ADE Prevention Study Group.

384. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
     January 01, 2004 - Unfortunately, a small portion of errors do result in an “adverse event”—an injury caused by medical … We have since come to realize that preventable medical deaths and adverse events happen in Wisconsin … of a facility with its equipment and technology lower or eliminate preventable medical errors and adverse … Second, designing for patient safety will help to eliminate near-miss incidents, errors, and adverse … Systems analysis of adverse drug events. JAMA 1995;288:501–13. 3. Borden S. U.S.

385. Improving Communication and Teamwork in the Surgical Environment
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-slide-set.pptx
     May 01, 2017 - PS 105: Patient Safety and Communicating with Patients After an Adverse Event (updated August 15, 2016 … , to Responding to Adverse Events). … Organizations should be prepared to respond and communicate proactively when adverse events occur. … PS 105: Patient Safety and Communicating with Patients After an Adverse Event (updated August 15, 2016 … , to Responding to Adverse Events).

386. Final Progress Report: Real-time assessment of risk factors for medication errors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/dresselhaus-report.pdf
     January 01, 2024 - Medication errors, including preventable adverse drug events, are especially common in the inpatient … In contrast to nonpreventable adverse drug reactions (due to the inherent properties of the agent … A computer alert system to prevent injury from adverse drug events: development and evaluation in a … In the prediction of adverse medication outcomes based on daily DHST data, our objective is to temporally … Although most of the adverse drug events that occur during the study period will be linked to a specific

387. Final Topic Refinement Document: Home Mechanical Ventilators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
     October 01, 2017 - of life (QoL), activities of daily living (ADL), dyspnea, sleep quality, exercise tolerance, and adverse … emergency room visits, disease exacerbations, QoL, ADL, dyspnea, sleep quality, exercise tolerance, and adverse … (KQ 5) Adverse Events using the “CBK” approval code and home BPAP machines using the “MNT” and “ … These physiologic aberrations may result in several adverse outcomes that include, but are not limited … life (QoL) • Activities of daily living (ADL) • Dyspnea • Sleep quality • Exercise tolerance • Adverse

388. Making Health Care Safer II, Executive Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
     March 01, 2013 - Regulators and accreditors encourage health care organizations to adopt “safe practices” and to avoid adverse … 100 hospitalizations as “common;” examples include falls, venous thromboembolism (VTE), potential adverse … Practices Designed for a Specific Patient Safety Target Adverse Drug Events High-alert drugs: patient … ‘Global trigger tool’ shows that adverse events in hospitals may be ten times greater than previously … Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. OEI-06-09-00090.

389. Understand the Science of Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
     July 01, 2018 - suffer a medication error. 2 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. 3. … An alternative strategy for studying adverse events in medical care. Lancet . 349:309-313,1997.

390. CAUTI Prevention Implementation in a Community Hospital
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-060314.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.

391. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
     January 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 16 Staff Safety Assessment SAY: Adverse reporting systems, sentinel events, and claims data

392. Patient Safety Organizations: A Summary of 2014 Profiles (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
     January 01, 2014 - Evaluation of perioperative medication errors and adverse drug events. … More than three-fourths of PSOs offered analytical support for adverse events, and a similar share … Analytic Support for Adverse Events. … Copyright 2015 ECRI Institute. www.ecri.org • Adverse events • Near misses • Hazards • Common Formats … Notably, they require all members wishing to submit information on an adverse event to their PSO to

393. Preface | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/preface.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

394. Facilitator Guide: Science of Safety Training & Identifying Defects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
     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

395. Final Progress Report: Systems Approach for Improving Region-Wide Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
     January 01, 2024 - Grant Award Number: 5U18HS011926-03 Abstract Purpose: Adverse events are among the nation’s most … Scope Preventable adverse patient events, including nosocomial or hospital-acquired infections and … The Institute of Medicine reports that adverse patient events are responsible for 44,000-98,000 deaths … Types of system failures that have been identified include inadequate adverse outcome reporting systems … Adverse Drug Events (ADEs), which can result from a medication error, occur at a rate of 2.4% to 4.6%

396. Appendix C. Sample Search Strategies | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/appc.html
     March 01, 2017 - systems approach"[All Fields] OR "medical error*"[All Fields] OR "medical mistake*"[All Fields] OR "adverse … Diagnostic errors [mh] OR iatrogenic disease [mh] OR sentinel surveillance [mh] OR safety [mh] OR (adverse

397. Improving Patient Safety by Engaging Patients and Families (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
     April 30, 2025 - ■ A project demonstrated that hospitalized patients can provide useful information about adverse … and analyze an adverse event to learn from it and prevent future adverse events. • Review and revise … A study of the decision aids reduced the use of discretionary surgery without apparent adverse effects … Key Findings/Impact: Researchers documented the capacity of hospitalized patients to identify adverse … This project helped show that hospitalized patients can provide information about adverse events and

398. Care for the Caregiver Program Implementation Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
     August 01, 2022 - ensure that these tiers of support are provided to caregivers after they have in been involved in an adverse … responsible for item or Action Plan Reporting Culture Are policies in place to support reporting adverse … YES  NO       Adverse Event Investigation Process Is an adverse event policy in place

399. PowerPoint Presentation (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-slides.PPT
     June 01, 2021 - not associated with increased morbidity or mortality Unnecessary antibiotics are associated with: Adverse … Common Antibiotics Used To Treat UTIs2,3 11 Antibiotic Route Information About Antibiotic Most Common Adverse … analyze data using the Monthly Data Collection Form Introduce the Learning From Antibiotic-Associated Adverse … of Antibiotic Decision Making Form Monthly Data Collection Form Learning From Antibiotic-Associated Adverse

400. Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-fac-guide.html
     July 01, 2023 - Liability Say: Further, EFM interpretation and management is a common issue in litigation involving adverse … unit-established parameters for provider notification of EFM findings ensures that signs of potential adverse … Informal debriefings can be used by the clinical team immediately following a near miss or actual adverse … Finally, unit staff should disclose any unintended outcomes related to EFM use using unit policy for adverse … Past adverse events related to EFM use.