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Showing results for "adverse".

61. Grant Final Report: Toward an Optimal Patient Safety Information System (TOPSIS) (pdf file)
    www.ahrq.gov/sites/default/files/2024-04/koss-report.pdf
    January 01, 2024 - Perceived Value of Adverse Event Reporting. … Results Phase 1: Determining the Landscape of Adverse Event Reporting The Adverse Event Reporting … Use of Adverse Event Data. … Sources of Reports of Adverse Events. … Use of Adverse Event Data.

62. Final Progress Report: Incident Reporting Practices in Nursing Homes (pdf file)
    www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
    January 01, 2025 - This study found numerous barriers and few facilitators to adverse event reporting. … One start to reducing adverse incidents is to use reporting systems. … Their design allows ease of entering and analysis of adverse incidents. … State Policies Associated with Adverse Event Reporting in Nursing Homes. … The epidemiology of adverse and unexpected events in the long-term care setting.

63. Final Progress Report: Reducing Adverse Drug Events From Anticoagulants, Diabetes Agents and Opioids in Primary Care (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/wessell2-report.pdf
    January 01, 2024 - Final Progress Report: Reducing Adverse Drug Events From Anticoagulants, Diabetes Agents and Opioids … in Primary Care Final Progress Report Reducing Adverse Drug Events from Anticoagulants, Diabetes … National Action Plan for Adverse Drug Event Prevention. Washington, DC. … Emergency Hospitalizations for Adverse Drug Events in Older Americans. … Trends in adverse events over time: why are we not improving? BMJ Quality & Safety.

64. About the Toolkit Development | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
    July 01, 2023 - Background Of the 3.9 million births in the United States each year, 2 percent are estimated to involve an adverse … inappropriate interventions, or interventions provided in an unsafe manner, also increases the risk of adverse

65. Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement (pdf file)
    www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
    January 01, 2024 - Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement … Improving the Safety of Primary Care by Measuring Adverse Events and Improvement Principal Investigator … to characterizing the utility of and potential generalization of a method to evaluate the rate of adverse … Key Words: adverse events, patient safety, primary care, trigger tool 2 I. … adverse event, and the outcome of the treatment for each scenario.

66. Final Progress Report: Improving the safety of pediatric tracheal intubation in ICUs with apneic oxygenation and video laryngoscopes (pdf file)
    www.ahrq.gov/sites/default/files/2025-06/nishisaki3-report.pdf
    January 01, 2025 - The purpose of this project was to decrease adverse TIAEs in critically ill children by implementing … These pediatric-specific features increase risks and adverse events associated with TI procedures. … We also identified that oxygen desaturation is closely associated with adverse TIAEs. … Primary video laryngoscope use was significantly associated with lower adverse TIAEs. … Primary video laryngoscope use was significantly associated with lower adverse TIAE rates.

67. Healthcare Spending Higher Among Adults Who Had Adverse Childhood Experiences | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsletters/e-newsletter/926.html
    August 01, 2024 - Healthcare Spending Higher Among Adults Who Had Adverse Childhood Experiences Issue Number 926 … Today's Headlines: Healthcare Spending Higher Among Adults Who Had Adverse Childhood Experiences . … Healthcare Spending Higher Among Adults Who Had Adverse Childhood Experiences A first-time estimate of … healthcare spending among adults with adverse childhood experiences (ACEs) is the subject of a new AHRQ

68. The Relationship Between Hospital Workload and Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
    January 01, 2024 - Table E2: Adverse events explicitly specified for identification during chart review Adverse event … events and the time of adverse event occurrence. … adverse events (false negative). … We chose to focus on Adverse Drug Events (ADE) as the initial type of adverse events modeled. … Demonstration of the Computerized Adverse Event Detection Tool (CADET).

69. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
    January 01, 2003 - Hellinger Abstract Objective: To estimate the impact of potentially preventable adverse events on … adverse events. … care during the 90 days, as opposed to $486 for those patients without adverse events. … Incidence and types of adverse events and negligent care in Utah and Colorado. … The incidence and nature of surgical adverse events in Colorado and Utah in 1992.

70. Antibiotic Side Effects (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-side-effects.pdf
    June 01, 2021 - Antibiotic Side Effects Risk of antibiotic side effects and adverse reactions • Antibiotic use is … events are one of the most common reasons for emergency department (ED) visits for drug-related adverse … events • 1 in 1,000 antibiotic prescriptions leads to an ED visit for an adverse event. … Common side effects and adverse reactions • Gastrointestinal disturbances (such as diarrhea) occur … reactions Common side effects and adverse reactions Potential adverse reactions and drug-drug interactions

71. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/pfp/methods.html
    December 01, 2017 - The estimate includes a wide variety of adverse events, including the nine HACs selected for special … Events Associated With Hip Joint Replacements MPSMS Adverse Events Associated With Knee Joint … than as a rate for the subpopulation that has the opportunity to experience the adverse event. … events for all patients to adverse events for patients with one of the four diagnoses. … events for all diagnoses to adverse events for the four diagnoses.

72. Final Progress Report: Validation of an Innovative Approach to Error Reduction (pdf file)
    www.ahrq.gov/sites/default/files/2024-11/blumenthal-report.pdf
    January 01, 2024 - Previous studies suggest that EDs are a common site of occurrence for adverse events. … Negligent adverse events (defined as adverse events resulting from “care that fell below community standards … ”) were more common in EDs (70.4% of adverse events) than in any other settings. … Because adverse events and negligent adverse events were detected through reviewing charts of hospitalized … We defined a preventable adverse event as an adverse event associated with an error.

73. Project Overview: Designing Consumer Reporting Systems for Patient Safety Events | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/consumer-exp/systems/index.html
    October 01, 2014 - their family members are in a unique position to identify gaps in care that may have contributed to adverse … 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

74. Connecticut Hospital Reduces Emergency Wait Time, Adverse Events Using AHRQ Tools | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201806.html
    October 01, 2018 - Connecticut Hospital Reduces Emergency Wait Time, Adverse Events Using AHRQ Tools Search All Impact … questionnaire were part of a comprehensive patient safety program launched in 2013 for measuring preventable adverse … We’ve found that preventable adverse events resulting in moderate to severe harm or death have dropped

75. Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency (pdf file)
    www.ahrq.gov/downloads/pub/advances/vol2/Hunt.pdf
    July 01, 2004 - Exposure/adverse event (the name of the exposure/adverse event). 2. … Adverse event (a list of adverse events to be examined for each measure). … Thus, the five criteria for selecting adverse medical events were— • the adverse event can be found … The adverse event occurrence or the occurrence, of an event considered as a proxy for an adverse event … • the adverse event is common.

76. Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
    July 01, 2004 - Exposure/adverse event (the name of the exposure/adverse event). 2. … Adverse event (a list of adverse events to be examined for each measure). … Thus, the five criteria for selecting adverse medical events were— • the adverse event can be found … The adverse event occurrence or the occurrence, of an event considered as a proxy for an adverse event … • the adverse event is common.

77. Executive Summary | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/summary.html
    August 01, 2022 - to establish an initiative to help States and health care systems test new models of care delivery, adverse … communication interventions; (2) improving patient safety by measuring safety problems, characterizing adverse … previously collected patient complaint data suggests that patient complaints may be a predictor of adverse … occurred across all types of medications and in 41% of cases sampled in this study may have caused adverse

78. Module 7: Resolution | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
    August 01, 2022 - Slide 1 Say: When adverse patient events occur, the patient and their family are looking … This module will help an organization understand key resolution concepts and their relationship to adverse … However, litigation is not always a patient’s or family’s first instinct after an adverse event, so it … Resolution addresses the needs and concerns of patients after an adverse event. … Potential future injuries that may result from the adverse event.

79. Using Digital Health Tools to Improve Patient Safety during Acute Care | Agency for Healthcare Research and Quality
    www.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
    January 01, 2024 - Between 19 to 28 percent of patients experience adverse events during care transitions. … These adverse events, which may lead to hospital readmissions, represent an ongoing threat to patient … associate professor of medicine at Harvard Medical School in Boston, Massachusetts, is helping to reduce adverse … Building on his efforts to reduce adverse events during care transitions, Dr. … undergone at other facilities, enabling continuous and quality care and reducing the potential for adverse

80. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
    August 24, 2015 - Resolution addresses the needs and concerns of patients after an adverse event. … Determine fair and reasonable compensation for the patient/family after an adverse event. … Potential future injuries that may result from the adverse event. … of time to report the adverse event. … The severity level of adverse events reported. Length of time it takes to disclose the event.