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Showing results for "adverse".

41. References | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/hotline/refs.html
    May 01, 2016 - Study of Adverse Events (ENEAS). … The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. … Incidence and types of adverse events and negligent care in Utah and Colorado. … Adverse events in British hospitals: preliminary retrospective record review. … What can hospitalized patients tell us about adverse events?

42. Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care (pdf file)
    www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
    January 01, 2024 - Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care Adverse Event-Directed … the underlying causes of the adverse events, and improving processes of care to prevent future adverse … Medication-related Adverse Events – An interesting finding of the BI-OTT1 work was that many adverse … clearly are millions of adverse events each year. … event is and why they think it is an adverse event.

43. Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
    March 01, 2020 - Reducing Adverse Drug Events in Older Adults Reducing Adverse Drug Events in Older Adults 9-1 9. … Adverse Drug Events in U.S. … Terms used to find deprescribing literature included “deprescribing,” “adverse reactions/PC,” “adverse … Reducing Adverse Drug Events in Older Adults PRISMA Diagrams Figure A.1: Reducing Adverse Drug Events … Reducing Adverse Drug Events in Older Adults Evidence Tables Table B.1: Reducing Adverse Drug Events

44. Appendix G. Safety and Adverse Events | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apg.html
    September 01, 2013 - Safety and Adverse Events Previous Page   Table of Contents Universal ICU Decolonization … Safety and Adverse Events Chlorhexidine (CHG) Risk The risks associated with the use

45. Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home (pdf file)
    www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
    January 01, 2024 - Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home … Detects and manages adverse drug events………... 1 2 3 4 5 1 2 3 4 5 13. … Detecting adverse drug events using a nursing home specific trigger tool.  … Epidemiology of medication‐related adverse events in nursing homes.  … Incidence and preventability of adverse drug events in nursing homes. 

46. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
    April 09, 2004 - Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems 135 Lessons Learned … from the Evolution of Mandatory Adverse Event Reporting Systems Ellen Flink, C. … Incidence of adverse events and negligence in hospitalized patients. … Detecting adverse events using information technology. … Reporting on adverse events. NEJM 2002 Nov20;347(20):1633–8.

47. Appendix G. Safety and Adverse Events | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apg.html
    September 01, 2013 - Safety and Adverse Events Previous Page   Table of Contents Universal ICU Decolonization … Safety and Adverse Events Chlorhexidine (CHG) Risk The risks associated with the use

48. Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
    January 01, 2003 - of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting Andrew C. … Incidence of adverse drug events and potential adverse drug events: Implications for prevention. … Adverse drug events in ambulatory care. NEJM 2003;348:1,556–64. 4. … Multifacted approach to reducing preventable adverse drug events. … Relationship between medication errors and adverse drug events.

49. Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/liability/baker.html
    August 01, 2017 - Patient Safety and Medical Liability Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … First, we sought to identify adverse clinical events that are highly dependent on provider teamwork, … First, we reviewed a report by the RAND Corporation  6 that identified adverse events in which team … For example, the mean rating for risk across adverse events was 2.47. … If adverse event type had no effect on ranking failure, these correlations would be high.

50. Executive Summary | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-1.html
    June 01, 2023 - Although the literature has established that patients can identify and reliably report on a range of adverse … substantial aftereffects can persist for many years, elicitation techniques must inquire about the impact of adverse … responsibility for eliciting accounts in ways compatible with how patients and families respond after an adverse … Identifying practices that affect the persistence of adverse effects long after a perceived diagnostic

51. Communication and Optimal Resolution (CANDOR) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/index.html
    August 01, 2022 - In short, the CANDOR process is a more patient-centered approach that emphasized early disclosure of adverse … Interaction—Nurse Module 7: Resolution Resolution Facilitator Notes ( PowerPoint , 757 KB) Adverse … Event—Reasonable Care Video; Resolution Planning Video: Conversation with Family Adverse Event—Unreasonable … Care Video: Notification of Adverse Event Video: Planning for Meetings with Family Video: Disclosure

52. The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
    April 01, 2004 - The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse … The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse … Vaccine Adverse Event Reporting System. … Coding symbols for a thesaurus of adverse reaction terms (COSTART). … Surveillance of adverse events following immunization.

53. Introduction | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-intro.html
    August 01, 2024 - The health system uses an anonymous incident reporting system, enabling employees to report potential adverse … 8 years, a specialized team made up of nurses, doctors, and medical specialists has analyzed these adverse … the Root Cause Analysis and Action (RCA2) methodology. 1 An analysis of 276 severe and catastrophic adverse

54. QSRS 2020–2024 Sampling Design and Weighting Methodology | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/quality-measures/qsrs/sampling-design.html
    September 01, 2025 - Introduction The Quality and Safety Review System (QSRS) was designed to identify the occurrence of specified adverse … for Healthcare Research and Quality (AHRQ) gathers data in the QSRS to produce national estimates of adverse … Thus, for the QSRS data to produce adverse event estimates that are nationally representative, weighting … For QSRS data, an estimated adverse event is considered reliable if it has a relative standard error … Adverse Events Among Medicare Hospitalizations in 2021–2023. AHRQ Publication No. 25-0067.

55. Final Progress Report: Incident Reporting Practices in Nursing Homes (pdf file)
    www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
    January 01, 2025 - This study found numerous barriers and few facilitators to adverse event reporting. … One start to reducing adverse incidents is to use reporting systems. … Their design allows ease of entering and analysis of adverse incidents. … State Policies Associated with Adverse Event Reporting in Nursing Homes. … The epidemiology of adverse and unexpected events in the long-term care setting.

56. Grant Final Report: Toward an Optimal Patient Safety Information System (TOPSIS) (pdf file)
    www.ahrq.gov/sites/default/files/2024-04/koss-report.pdf
    January 01, 2024 - Perceived Value of Adverse Event Reporting. … Results Phase 1: Determining the Landscape of Adverse Event Reporting The Adverse Event Reporting … Use of Adverse Event Data. … Sources of Reports of Adverse Events. … Use of Adverse Event Data.

57. Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
    March 01, 2004 - Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes 245 Surveillance … Methods ICD-9-CM codes suggestive of surgical adverse events An adverse event was considered to be … ICD-9-CM code-identified adverse events confirmed by medical record abstraction Adverse event class … Adverse events related to medical care, Utah: 1995–1999. … ICD-9-CM code-identified adverse events confirmed by medical record Table 2.

58. Final Progress Report: Improving the safety of pediatric tracheal intubation in ICUs with apneic oxygenation and video laryngoscopes (pdf file)
    www.ahrq.gov/sites/default/files/2025-06/nishisaki3-report.pdf
    January 01, 2025 - The purpose of this project was to decrease adverse TIAEs in critically ill children by implementing … These pediatric-specific features increase risks and adverse events associated with TI procedures. … We also identified that oxygen desaturation is closely associated with adverse TIAEs. … Primary video laryngoscope use was significantly associated with lower adverse TIAEs. … Primary video laryngoscope use was significantly associated with lower adverse TIAE rates.

59. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
    January 01, 2022 - Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report PATIENT SAFETY … e Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 Preliminary Report … Trends in adverse event rates in hospitalized patients, 2010-2019. … QSRS adverse events by module Module Adverse Event (AE) Outcome 1. … Determining Adverse Event Rates D. Weighting Methodology IV.

60. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
    January 01, 2003 - Hellinger Abstract Objective: To estimate the impact of potentially preventable adverse events on … adverse events. … care during the 90 days, as opposed to $486 for those patients without adverse events. … Incidence and types of adverse events and negligent care in Utah and Colorado. … The incidence and nature of surgical adverse events in Colorado and Utah in 1992.