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Showing results for "adverse".
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www.ahrq.gov/sites/default/files/2024-07/morrison-report.pdfJanuary 01, 2024 - Information Technology (HIT) has proven links to improved quality of patient care and the reduction of adverse … Finally, a plan for measuring adverse drug events was created. … Repository Purpose HIT has proven links to improved quality of patient care and the reduction of adverse … Such systems have been shown to decrease the incidence of adverse medical events, facilitate communication … the “high-risk” drugs and drugs for which there is evidence- based consensus on surveillance labs or adverse
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www.ahrq.gov/teamstepps-program/evidence-base/labor.htmlMay 01, 2023 - Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized … Impact of a comprehensive patient safety strategy on obstetric adverse events.
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www.ahrq.gov/news/newsletters/e-newsletter/967.htmlJuly 01, 2025 - A level 1 trauma center and safety net hospital, Harborview uses QIs to review adverse events and integrate … makes use of Patient Safety Indicators (PSIs), a subset of QIs that target in-hospital safety issues—adverse … Using QIs has also improved Harborview’s rating in the Patient Safety and Adverse Events Composite (
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find5.htmlDecember 01, 2012 - Thus, while the overall HCBS indicators exhibit a general pattern of higher rates of adverse outcomes … may be attributable to effectiveness of care—HCBS participants who receive more services have fewer adverse … HCBS as a percentage of total long-term care spending ( Burwell, et al., 2006 ) have lower rates of adverse … States that are more supportive of HCBS extend services to healthier individuals, resulting in fewer adverse … indicator rates, with lower income and higher poverty consistently associated with higher rates of adverse
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdfMarch 10, 2008 - These tools can be used to help hospitals identify potential adverse events that might need further … study and also to enable users to assess the occurrence of in-hospital adverse events using routinely … Adverse events among medical patients after discharge from hospital. … The Canadian Adverse Events Study: The incidence of adverse events among hospital patients in Canada … Knowledge translation and patient safety: The Canadian adverse events study.
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www.ahrq.gov/sites/default/files/2024-10/wilson-report.pdfJanuary 01, 2024 - Purpose: To determine if a relationship exists between labor and delivery (L&D) nurse staffing and adverse … Scope: Numerous studies indicate a relationship between nurse staffing and adverse outcomes for medical … Because adverse events are linked to staffing levels, they are often referred to as ‘nurse sensitive … Just as hospital- acquired pressure ulcers constitute an adverse hospital event and are sensitive to … SCOPE Numerous studies have identified a relationship between nurse staffing levels and adverse outcomes
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Intramuscular Injections – Best Practices for Safe Vaccine Administration in Nursing Homes (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/intramuscular-injections.pdfJune 01, 2021 - assess pulse • Oxygen • Pulse oximeter • Access to a phone to call 911 If a resident has an adverse … reaction after vaccination, nursing home staff should review the Vaccine Adverse Event Reporting System … Name and title of person who administered the vaccine • Vaccine route and site • Dosage in mL • Any adverse -
www.ahrq.gov/hai/cusp/modules/understand/alt-text.htmlJuly 01, 2018 - 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.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-slides.htmlJuly 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. … An alternative strategy for studying adverse events in medical care.
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www.ahrq.gov/patient-safety/quality-measures/21st-century/private-sector.htmlJune 01, 2018 - Incidence of adverse drug events and potential adverse drug events: implications for prevention. … The costs of adverse drug events in hospitalized patients. … Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice … Breakthrough Series Guide: Reducing Adverse Drug Events . … Adverse outcomes of underuse of beta-blockers in elderly survivors of acute myocardial infarction.
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www.ahrq.gov/patient-safety/reports/liability/corbett.htmlAugust 01, 2017 - System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … A recent study suggests that up to 23 percent of patients experienced an adverse event within 5 weeks … To emphasize the importance of eliminating the occurrence of adverse events and ADEs, several health … The incidence and severity of adverse events affecting patients after discharge from the hospital. … Adverse drug reactions in older people. Rev Clin Gerontol 2010; 20(3):246-59. 18.
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E-Fetal-Monitoring Facguide (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.docxMay 01, 2017 - Slide 4 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 … findings. · Whether timely and appropriate clinical responses occur with respect to EFM findings. · Past adverse -
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-slides.htmlMay 01, 2017 - Fear of litigation Transparency and adverse events, compliance with patient privacy laws. … Opportunities for Patient and Family Engagement in Your Facility Disclosure and apology for unexpected adverse … 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).
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool1ref.htmlMarch 01, 2025 - Adverse events in hospitals: overview of key issues. … Adverse events among medical patients after discharge from hospital. CMAJ 2004;170(3):345-9.
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool1ref.htmlMarch 01, 2025 - Adverse events in hospitals: overview of key issues. … Adverse events among medical patients after discharge from hospital. CMAJ 2004;170(3):345-9.
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www.ahrq.gov/hai/pfp/interimhac2013-ap4.htmlDecember 01, 2014 - 2014 Goal Met Projected Reductions in Deaths Associated With HACs in 2014 if 2014 Goal Met Adverse … Falls 200,000 25% 50% 12.5% 25,000 $7,234 .055 $180,850,000 1,375 Obstetric Adverse
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www.ahrq.gov/sites/default/files/2024-09/weissman-report.pdfJanuary 01, 2024 - The purpose of this study was to examine whether adverse events or complications in hospitals occur … Several recent studies, as well as an IOM report, show an increase in mortality and adverse events with … Relation between malpractice claims and adverse events due to negligence. … Incidence of adverse events and negligence in hospitalized patients. … Incidence of and risk factors for adverse events and negligent care in Colorado and Utah in 1992.
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www.ahrq.gov/sites/default/files/2025-03/connors-report.pdfJanuary 01, 2025 - Adverse events were not uniformly defined and wide ranges of occurrence of adverse events were described … How to define safety in terms of definitions of what constitutes an adverse event? 4 a. … If the patient experiences a brief monitored event but no lasting effects, is the event adverse? … Does the magnitude of a monitored response change constitute an adverse event at a particular level … Adverse sedation events in pediatrics: A critical incident analysis of contributing factors.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-slides.htmlJuly 01, 2023 - Professional Liability EFM interpretation and management are a common issue in litigation involving adverse … Slide 13: Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverse … Disclosing any unintended outcomes using unit policy for adverse events. … Past adverse events related to EFM use. Synergy with related or similar initiatives.
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www.ahrq.gov/funding/grantee-profiles/grtprofile-nishisaki.htmlJuly 01, 2025 - These adverse events are influenced by patient, provider, and practice factors. … Both the video laryngoscope and apneic oxygenation interventions resulted in reductions in adverse
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