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www.ahrq.gov/hai/pfp/hacrate2013-refs.html
October 01, 2015 - Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … Adverse drug events in hospitalized patients. … Adverse drug events in U.S. hospitals, 2004. HCUP Statistical Brief #29. … Obstetric Adverse Events
Abuhamad A, Grobman WA. … Impact of a comprehensive strategy on obstetric adverse events.
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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.
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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.
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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
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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.
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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
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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
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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
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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.
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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.
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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.
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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
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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.
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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.
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www.ahrq.gov/news/blog/ahrqviews/healthcare-costs-childhood-experiences.html
August 01, 2024 - Views: Blog posts from AHRQ leaders
Healthcare Spending 26 Percent Higher Among Adults Who Had Adverse … Adverse childhood experiences (ACEs) are strong predictors of low-income status, risky health behaviors … , substance abuse, chronic physical and mental health conditions, and other adverse outcomes. … Our analysis showed associations between ACEs and a range of adverse adult circumstances, including financial
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www.ahrq.gov/news/newsroom/case-studies/202504.html
June 01, 2025 - A level 1 trauma center and safety net hospital, Harborview uses QIs to review adverse events and integrate … Using QIs has also improved Harborview’s Patient Safety and Adverse Events Composite rating ( PSI 90 … PSIs are a subset of QIs that focus on in-hospital safety issues, specifically for adverse events that
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www.ahrq.gov/patient-safety/reports/hotline/conclusios6.html
May 01, 2016 - What was known after two decades of prior research is that adverse events, errors, and even near-miss … When adverse event reporting systems were first built, they did not receive many reports. … It was not until the culture in hospitals changed around adverse event reporting that reports started … Overall, the number of reports received was disappointing, given the potential reservoir of adverse events … Depending on whether the information is used to supplement an existing adverse event report or is a new
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www.ahrq.gov/npsd/data/dashboard/info.html
June 01, 2019 - data that follow the Common Formats for Event Reporting – Hospital Version (CFER-H) definitions of Adverse … Generic module applies to all reported events, and nine event-specific modules for specific types of adverse
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www.ahrq.gov/news/newsletters/e-newsletter/917.html
June 01, 2024 - June 18, 2024
AHRQ Stats: Adverse Drug Events Involving Hypoglycemic Agents In 2021, 7.5 percent of … percent of patients with an “other” or unknown race, and 4.0 percent of White patients experienced adverse … Interdisciplinary videoconference model for identifying potential adverse transition of care events following
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Masica_112.pdf
November 30, 2010 - Evaluation of a Medication Therapy Management Program in Medicare Beneficiaries at High Risk of Adverse … Evaluation of a Medication Therapy Management
Program in Medicare Beneficiaries at High Risk
of Adverse … Risk factors
for adverse drug events among older adults in the
ambulatory setting. … Patient
reporting of potential adverse drug reactions: A
methodological study. … A method for
estimating the probability of adverse drug reactions.