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Total Results: 2,230 records

Showing results for "adverse".

461. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-slides.pptx
     January 01, 2017 - Mobility in the ICU ‹#› AHRQ Safety Program for Mechanically Ventilated Patients Safety3 No serious adverse … Early Mobility in the ICU ‹#› AHRQ Safety Program for Mechanically Ventilated Patients Adverse Events4 … 9 patients had 14 adverse events (<1% of activities) Falls to knees without injury (5) Systolic blood … 0.70-1.06) Fifty percent reduction in accidental extubation requiring reintubation No documented adverse … in the ICU ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 25 Conclusions – Safety Adverse

462. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-111921.pdf
     March 11, 2022 - Indian Health Service • Enhanced Adverse Event Reporting Capabilities: o Reporting of adverse events

463. Identifying Targets for Improvement in Antibiotic Decision Making (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-facilitator-guide.pdf
     November 01, 2019 - Targets Slide Title and Commentary Slide Number and Slide How Can You Identify Antibiotic- Associated Adverse … from a diverse group of health care workers about issues that have resulted in antibiotic-associated adverse … events or had the potential to cause adverse events that could jeopardize patient safety. … Four Moments each time an antibiotic course is prescribed is one example of an antibiotic- associated adverse … In fact, the analysis shows that overall, patients were spared from adverse events associated with

464. Medication Management | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/interventions/medmanage-slides.html
     May 01, 2017 - Adverse drug events result in as many as 4.5 million ambulatory visits each year. 1 Medication reconciliation … improves patient safety and reduces adverse drug events: prescribing errors, medication contraindications … Adverse drug events in U.S. adult ambulatory medical care.

465. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/ref.html
     June 01, 2010 - Rosenthal J, Takach M. 2007 Guide to State adverse event reporting systems. … As used in this report, the term "serious reportable adverse health event" is defined as an event that … The term is used broadly to encompass the terms "critical incidents," "sentinel events," and "adverse

466. Development of a Comprehensive Medical Error Ontology (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
     June 16, 2008 - goal of the project is to use the medical error ontology to identify strategies for preventing future adverse … The ultimate goal of the project is to identify strategies for improvement to prevent future adverse … • Capture the richness of the domain of errors and adverse events. … Conclusions and Future Work A critical step in the direction of reducing errors and adverse events … MEDWATCH - The FDA Safety Information and Adverse Event Reporting Program.

467. Final Progress Report: Transforming the Medication Regimen Review Process of High-Risk Drugs Using a Patient-Centered, Telemedicine-Based Approach to Prevent ADEs in the Nursing Home (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/kane-gill-report.pdf
     January 01, 2024 - Review Process of High-Risk Drugs Using a Patient- Centered, Telemedicine-Based Approach to Prevent Adverse … the effect of pharmacist-led medication management service using patient-centered telemedicine on adverse … Adverse drug event, telemedicine, nursing home, pharmacist Purpose We conducted a quality improvement … Post-admission Alerts Evaluated for Adverse Drug Events Telemedicine Communications. … Adverse drug events were defined as injuries resulting from a medication.

468. Nursing Home Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/nursing-home/resources/search.html?page=13
     January 01, 2022 - Vaccine Adverse Event Reporting System Reporting Form This webpage hosts a writable PDF form that provides … instructions for reporting a vaccine adverse event.

469. Final Progress Report: Quality Care and Error Reduction in Rural Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
     January 01, 2024 - patient care, and the identification, discussion, and disclosure of medical errors, near misses, and adverse … web-based curriculum that raised awareness, encouraged reporting, and built skills to address errors and adverse … patient care, and the identification, discussion, and disclosure of medical errors, near misses, and adverse … providers and designed to raise awareness, encourage reporting, and build skills to address errors and adverse … recognition, reporting, disclosure, and resolution of patient safety issues, including errors and adverse

470. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring.pptx
     May 01, 2017 - Professional Liability EFM interpretation and management are a common issue in litigation involving adverse … Fetal Monitoring 12 Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverse … episode involving an abnormal fetal tracing Disclosing any unintended outcomes using unit policy for adverse … Past adverse events related to EFM use Synergy with related or similar initiatives Interest and enthusiasm

471. Module 1 Implementation Guide: Welcome to the TAKEheart Initiative and an Overview of the Benefits of Increasing Cardiac Rehabilitation Participation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-1-implementation-guide.pdf
     January 01, 2018 - o CR reduces mortality over 1-3 years after a cardiac event o CR reduces re- hospitalization and adverse … multiple chronic conditions, diabetes, depression, mental stress and improves quality of life after an adverse … Ways to Reduce Barrier/Opposition Clinical manager -Improving patient health -Reducing adverse … implementation Generally, CR has a high return on investment given improved patient health, and reduced adverse

472. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
     March 01, 2017 - Slide 28: Communicating Adverse Events Say: Communication following an adverse event can been especially … Each facility has policies and procedures to follow after an adverse event occurs, and most involve working … Slide 30: How To Communicate About An Adverse Event Say: It is important to remember that residents … and family members can experience a number of emotions when an adverse event occurs, so communication … about an adverse event should be compassionate and sensitive.

473. Monitoring for Perinatal Safety: Electronic Fetal Monitoring (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
     May 01, 2017 - 3 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. • Synergy with related or similar initiatives (e.g., initiatives

474. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - Staff can use this decision tree when analyzing an error or adverse event in an organization to help … These organizations consistently minimize adverse events despite carrying out intrinsically complex … Patient Safety Primer: Medication Errors and Adverse Drug Events https://psnet.ahrq.gov/primers/primer … /23 A growing evidence base supports specific strategies to prevent adverse drug events (ADEs). … Patient Safety Primer: Medication Errors and Adverse Drug Events 9.

475. Efficacy and Safety of Screening for Postpartum Depression | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/postpartumdep.html
     June 01, 2018 - Maternal postpartum depression has been associated with an increased risk of infant mortality, adverse

476. Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/guide.docx
     March 01, 2017 - Communication and Engaging the Family Addressing Challenges and Barriers · Slides 27–28 Communicating Adverse … All staff, including administrators and frontline staff; residents and families Topic: Communicating Adverse

477. Mod4-System-Focused-Event-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
     April 01, 2016 - When an adverse event occurs, too often, the focus is on an individual’s performance and is corrected … The sole objective of the event investigation and analysis of an adverse event or near miss is the … prevention of future adverse events. … Causal factor: the suspected or confirmed factors that caused the adverse event. … Often, multiple factors must intersect for an adverse event to reach the patient.

478. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/measuredesc-dailyearlymobility-facguide.docx
     January 01, 2017 - whether your patients were evaluated by a physical or occupational therapist, and finally, whether any adverse … Slide 28 Events SAY: The next columns are designed to help track any adverse events that might have … Slide 29 Event Codes SAY: If no adverse events occurred, use “0” (the code for “none”) to indicate … that no adverse events took place. … and the percentage of patients achieving their RASS or SAS target, as well as determine the top 10 adverse

479. Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
     June 18, 2008 - capnography, assists clinicians in early identification of RD and other complications to prevent serious adverse … programming errors that would have likely caused serious negative outcomes, patients protected from adverse … a result of clinical interventions prompted by continuous respiratory monitoring data, a possible adverse … Misprogramming IV infusion pumps can result in serious, potentially life threatening adverse events.20 … response to opioid analgesics, even when correctly programmed, therapeutic doses can result in an adverse

480. Pf-Engagement-Facnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
     May 01, 2017 - If an adverse outcome occurs, take the following immediate steps: 1. … Report to appropriate parties – Providers will use their facility’s policies to report adverse events … Communication about adverse events is a delicate process that requires collaboration with and guidance … Communicate with the patient – Providers communicate by sharing relevant facts about an adverse event … Organizations should be prepared to respond and communicate proactively when adverse events occur.