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Total Results: 2,263 records

Showing results for "adverse".

441. TeamSTEPPS Additional Video: Labor and Delivery: Successful Outcome Using TeamSTEPPS | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/resources/additional/labor.html
     July 01, 2023 - techniques used in labor and delivery units can help improve communication and collaboration and reduce adverse

442. Clinical Inertia and Outpatient Medical Errors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
     January 01, 2003 - Clinical inertia is, therefore, a leading cause of potentially preventable adverse events, disability … Introduction The contribution of medical errors to adverse clinical outcomes is well documented in … events caused by overuse or misuse of therapies, and adverse events attributable to clinical inertia … In hospital settings misuse of a therapy may lead to adverse events in minutes to hours. … In the context of outpatient chronic disease care, clinical inertia will inexorably lead to adverse

443. Final Progress Report: The Effect of EMR on Medication Safety: A SPUR-Net Study (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/kuo-report.pdf
     January 01, 2024 - On the other hand, an ADE may have resulted from an ME or from adverse drug reactions not associated … Incidence and preventability of adverse drug events among older persons in the ambulatory setting. … Adverse outpatient drug events--a problem and an opportunity. N Engl J Med 2003; 348:1587-9. 18. … Impact of basic computerized prescribing on outpatient medication errors and adverse drug events. … Adverse drug events in ambulatory care.

444. Presentation: Science of Improving Patient Safety and Identifying Defects
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
     December 01, 2017 - events Most hospital adverse events are AVOIDABLE Science of Improving Patient Safety … 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 … This evaluation provides the means to identify interventions that can reduce the risk of future adverse

445. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa2.pdf
     January 01, 2018 - replacement -12.31 0.0 0.014 MPSMS 8 (2009- 2016) Hospital patients with an anticoagulant-related adverse … low-molecular-weight heparin (LMWH) and factor Xa -11.33 0.0 0.00 MPSMS 8 (2009- 2016) Inpatient adverse … 7.11 0.0 0.021 MPSMS 8 (2009- 2016) Hospital patients who received a hypoglycemic agent who had an adverse … prescription medications that should be avoided in older adults -6.35 0.0 0.00 MEPS 15 (2002- 2016) Adverse … Error P Value Data Source Number of Years Hospital patients with an anticoagulant-related adverse

446. Post-fielding Surveillance of a Guideline-based Decision Support System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
     January 01, 2004 - Post-fielding surveillance, akin to post-marketing surveillance for adverse events, may detect rarely … Timely analysis of such feedback revealed omissions of medications, diagnoses, and adverse drug reactions … Similarly, “missing” adverse drug reactions noted by clinicians were confirmed by chart review as not … One comment highlighted an instance where an adverse drug reaction (ADR) reaction to a substance was … Incorrect adverse drug reaction (ADR) notification 1 Error in the data conversion, leading to the

447. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
     September 01, 2012 - Evidence shows that unaddressed language barriers put patients at high risk for adverse events. … Adverse event*: Any injury caused by medical care. … The one hospital that stratified their adverse event data by language found clusters of adverse events … Language pro�ciency and adverse events in U.S. hospitals: a pilot study. … Language proficiency and adverse events in U.S. hospitals: a pilot study.

448. Transcript: How To Address Attitudes and Beliefs Around Infection Prevention Strategies and Techniques (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/attitudes-beliefs-transcript.pdf
     April 01, 2022 - And that also does a lot to prevent adverse events and to mitigate patient harm. … Kate: Let’s stay on adverse events for a second. … that we need to change attitudes and beliefs, for example, or how that might have played a part in an adverse … It used to be, you fill out an adverse event report, it went to the nurse manager, it went to risk management … program where they can, if they're on a CUSP team, for instance, and they've tackled several really big adverse

449. Cannabis-Final (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/cannabis-final.pdf
     June 02, 2025 - Adverse effects may include dizziness and nausea. Plant Extract

450. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
     August 01, 2022 - most hospitals across the country, many of the recommendations that come from root cause analyses of adverse … event or near miss is the prevention of future adverse events. … When an adverse event occurs, too often, the focus is on an individual's performance and is corrected … other than the involved individual) that might have contributed to, facilitated, or even caused the adverse … The systems approach recognizes that all adverse events have multiple contributing factors, many of which

451. Designing Consumer Reporting Systems for Patient Safety Events: Project Overview (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/system-design_0.pdf
     July 01, 2011 - more than 25 States have passed legislation or created regulations related to hospital reporting of adverse … view the continuum of care, which enables them to identify gaps in care that may have contributed to adverse

452. New Interactive Data Resource Illustrates Trends in Sepsis Hospital Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/949.html
     March 01, 2025 - therapy, the authors found that death occurred in 8.7 percent of delayed broad-spectrum treatment cases, adverse … In contrast, after early treatment, death occurred in 9.5 percent of cases, adverse drug events in 7.2 … Articles featured this week include— Ambulatory medication errors and adverse events involved in medicine-related

453. Identifying Targets for Improving Antibiotic Use
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-slides.pptx
     November 01, 2019 - Safety Program for Improving Antibiotic Use – Acute Care   6 Identifying Antibiotic-Associated Adverse … Multidisciplinary meetings Opportunity to elaborate on issues that have resulted in antibiotic-associated adverse … events or had the potential to cause adverse events that could jeopardize patient safety Decide as a

454. Arm in Arm with AcademyHealth, AHRQ is Poised to Build on Successes in Health Services Research | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/blog/ahrqviews/arm-in-arm-with-academyhealth.html
     June 01, 2024 - For example: AHRQ’s research supported efforts to significantly reduce in-hospital adverse events in … In a  JAMA article , researchers found that the relative risk of experiencing an adverse event diminished

455. 121-Importance-Mrsa-Prevention-One-Pager (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/121-importance-mrsa-prevention-one-pager.docx
     April 01, 2025 - Antimicrobial Prophylaxis10 · The right drug, dose, and timing target relevant bacteria and minimize adverse … Adverse clinical and economic outcomes attributable to methicillin resistance among patients with Staphylococcus

456. Special Considerations for Measurement of Diagnostic Safety (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
     June 01, 2020 - communication differences, will also need to be addressed to make the most of such efforts. 59,61,62 Real-time adverse … records is through the “trigger” approach, which aims to “alert patient safety personnel to possible adverse … events so they can review the medical record to determine if an actual or potential adverse event has … research has examined the predictive validity of NLP algorithms for detection of safety incidents and adverse

457. Module 4: Teamwork and Communication: Material Use Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/guide.html
     March 01, 2017 - Engaging the Family Addressing Challenges and Barriers Slides 27-28 Communicating Adverse … staff, including administrators and frontline staff; residents and families Topic: Communicating Adverse

458. Mod4-Event-Checklist (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-event-checklist.pdf
     April 01, 2016 - How to use this tool: Use the checklist to ensure that appropriate action is taken following an adverse … ■ Report any adverse event to the appropriate professional responsible for patient safety events.

459. Changing the System To Improve Antibiotic Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/long-term-care/safety/system-change.html
     June 01, 2021 - Improve Antibiotic Safety – Facilitator Guide (DOCX, 2.3 MB) Learning From Antibiotic-Associated Adverse

460. Identifying Targets for Improvement in Antibiotic Decision Making | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/acute-care/safety/improve.html
     November 01, 2019 - Making framework Slides (PPTX) Facilitator Guide (PDF) Identifying Antibiotic–Associated Adverse