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Total Results: 2,263 records

Showing results for "adverse".

521. 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

522. 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.

523. 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

524. 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

525. 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

526. Appendix A. Flow Chart for Implementing Universal Decolonization | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apa.html
     September 01, 2013 - Safety and Adverse Events

527. 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

528. 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.

529. 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.

530. Rapid Response for Perinatal Safety: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-slides.html
     July 01, 2023 - Slide 14: Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverse … Have a process in place to review serious maternal or neonatal adverse outcomes. … Consider these factors: Unit data suggesting adverse events or near misses that may have been minimized

531. Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
     May 01, 2004 - The impact of the errors was reported by leveraging a well-established severity scale wherein adverse … Percent of incorrect orders leading to a potential adverse drug event (pADE) pADEs June/July 2003 … Relationship between medication errors and adverse drug events. … Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and … Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA 1995;274(1):35–43. 9.

532. Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections – Slides
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-slides.pptx
     September 01, 2022 - sending urine cultures Discuss empiric antibiotic options for UTIs that are effective and minimize adverse … reduces subsequent risk of UTI6-8 Treatment of ASB is associated with— Avoidable antibiotic-associated adverse … Alternative therapy Oral cephalosporins Fluoroquinolones no longer recommended due to their associated adverse … patient’s previous urine culture results and associated susceptibility data, as well as antibiotic adverse … patient’s previous urine culture results and associated susceptibility data, as well as antibiotic adverse

533. Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
     August 01, 2022 - clinician attitudes about the disclosure of individual, team, and system failures associated with four adverse … members tended to agree on which system failures were important to disclose, regardless of the type of adverse … Clinician responses were more varied and were affected by type of adverse event, but they did agree with … Jackson Memorial Hospital) sought to improve patient safety by measuring safety problems, characterizing adverse … transitioning from hospital to home care to determine the potential for discrepancies to result in an adverse

534. Suggested Timeline for Implementation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/timeline-tasks.pdf
     June 01, 2021 - Providers Week 14 Changing the System To Improve Antibiotic Safety Learning From Antibiotic Adverse … Making Form Each Antibiotic Stewardship Team member should complete a Learning From Antibiotic Adverse … analyze data using the Monthly Data Collection Form Introduce the Learning from Antibiotic Adverse … data from the Monthly Data Collection Form • Use the Staff Safety Assessments and Learning From Adverse … Monthly • Learning From Antibiotic Adverse Events Form. Discuss quarterly.

535. Background for AHRQ Quality Indicators
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pptx
     January 01, 2006 - The QIs are a set of indicators for adverse events that patients may experience as a result of an inpatient … Consider inserting here the deidentified story of a patient who suffered the adverse event captured by … You may also want to report the number of patients with the adverse event to make it more tangible to

536. Nursing Home Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/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.

537. Major Hospital Quality Measurement Sets | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html
     February 01, 2023 - The Patient Safety Indicators (PSIs) identify adverse events occurring during hospitalization. … They provide information on potential in-hospital complications and adverse events following surgeries

538. Patients Safer as Hospital-Acquired Conditions Decline (Data Graphic) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-interim-data-graphic-2014.pdf
     January 01, 2014 - 2.1 MILLION 2.1 MILLION From 2010–2014, 17 percent of hospital-acquired conditions (HACs) such as adverse

539. Guide Promotional Postcard (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfeprimarycare-infographic.pdf
     April 01, 2018 - diagnostic errors were a chief concern in outpatient visits 1 in 9 ED admissions are related to an adverse

540. AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors in E.D. Patients | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201509.html
     January 01, 2018 - the technicians' work, the E.D. pharmacist can interpret the patient's medication history to look for adverse … Study Identifier: 2015-09 AHRQ Product(s): Research Topic(s): Adverse