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Showing results for "adverse".

81. Final Progress Report: Conference on Medical Error Communication and Dispute Resolution (pdf file)
    www.ahrq.gov/sites/default/files/2024-07/liebman-hyman-report.pdf
    January 01, 2024 - of individuals from various disciplines to share information about disclosure of medical errors and adverse … discussed three areas: 1) communication between patients and their families following a medical error or adverse … their understanding about the complexity of communication with patients and their families after an adverse … Presenters explored the benefits and risks of apology and disclosure after an adverse event or medical … Words: Apology, mediation, medical malpractice claims, patient safety, disclosure of medical error/adverse

82. Table 5.A.1. Evidence Table (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
    January 01, 2014 - events, including adverse drug events (ADEs). … The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in … Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study … Automated adverse event detection collaborative: electronic adverse event identification, classification … Adverse Inspector adverse event (AE) detection methods in a Events in Hospitals: General Report population

83. Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
    January 01, 2024 - Rates of preventable warfarin-related adverse events were lower in intervention homes, although this … events and potential warfarin-related adverse events. … adverse events. … For potential warfarin-related adverse events, the IRR was 0.77 (95% CI, 0.45, 1.3). Table 2. … Dementia and the Incidence of Adverse Drug Events in the Nursing Home.

84. On World Patient Safety Day, AHRQ Highlights the Urgent Need to Address Diagnostic Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day-2024.html
    September 01, 2024 - A notable example is the recent release of  Adverse Events Among In-Hospital Medicare Patients in 2021 … The QSRS is a new one-of-a-kind national repository that includes data on 41 types of adverse events … event per hospital stay, with 83.6 adverse events per 1,000 discharges. … These rates improved in 2022, decreasing to 6.2 percent of patients and 71.1 adverse events per 1,000 … In both 2021 and 2022, the three most common individual adverse events for populations with sufficient

85. Patient and Family Engagement | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/modules/patient-family-engagement/sl-pat-fam.html
    September 01, 2013 - Introduction to Adverse Events Slide 23. Immediate Response to an Adverse Event 4 Slide 24. … Next Steps in Responding to an Adverse Event 5 Slide 25. … How to Communicate About an Adverse Event 6 Slide 26. … Introduction to Adverse Events Adverse event: An injury to a patient caused by medical intervention … Next Steps in Responding to an Adverse Event 5 Investigation.

86. Preface | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/hotline/preface.html
    May 01, 2016 - demonstrated the feasibility and promise of collecting information from health care professionals about adverse … data about concerns that patients have about the safety of their health care, including errors and adverse

87. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
    September 01, 2014 - The estimate includes a wide variety of adverse events, including the nine HACs selected for special … than as a rate for the subpopulation that has the opportunity to experience the adverse event. … In order to estimate the rate of adverse events for each of the 21 HACs for all patients for which the … 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.

88. Results | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/pfp/haccost2017-results.html
    November 01, 2017 - Adverse Drug Events Based on two studies reporting cost data, we estimated the additional cost for … Obstetric Adverse Events Based on two studies reporting cost data, we estimated the additional cost … events included postpartum hemorrhage, preeclampsia/eclampsia, and anesthesia-related adverse events … adverse events as the end point. … events and the risk of death among women experiencing maternal adverse events.

89. Patient Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-ptsafety.html
    September 01, 2015 - Ambulatory Medical Care Visits Due to Adverse Effects of Care Adult ambulatory medical care visits … due to adverse effects of medical care per 1,000 population, by sex, 2006-2007, 2008-2009 Source: … Importance: Adverse effects of medical care can arise from medical and surgical procedures as well as … from adverse drug reactions. … Ambulatory Medical Care Visits Due to Adverse Effects of Care Adult ambulatory medical care visits

90. Final Progress Report: Improving Patient Safety and Disease Management While on Contact Isolation (pdf file)
    www.ahrq.gov/sites/default/files/2024-12/morgan-report.pdf
    January 01, 2024 - Results: We found no increase in adverse events related to patient isolation. … It is used to decrease the rates of the most common hospital adverse event, nosocomial infections … A multitude of potential adverse outcomes associated with being on contact isolation are recognized … The effect of universal glove and gown use on adverse events in intensive care unit patients. … The effect of contact precautions on frequency of hospital adverse events.

91. Final Progress Report: Improving Medication Safety Across Clinical Settings (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
    January 01, 2024 - Key Words: Surveillance and reporting of adverse events; adverse drug events in ambulatory pediatrics … adverse warfarin-related events were identified. … Bates DW, Cullen D, Laird N, et al: Incidence of adverse drug events and potential adverse drug events … Adverse drug events in ambulatory care. … Bates DW, Cullen D, Laird N, et al: Incidence of adverse drug events and potential adverse drug

92. CommonSpirit Health Expands CANDOR Toolkit Across Entire Health System | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/202104.html
    October 01, 2021 - CommonSpirit Health clinicians have communicated promptly and candidly with patients about an adverse … event or potential adverse event, and officials estimate 85 patients were spared the additional harm … “It’s all about how to communicate an adverse event or a potential adverse event promptly and candidly … In regularly scheduled “Patient Safety Roundtables,” CommonSpirit Health clinical leaders review adverse … “CANDOR is absolutely the right approach for all involved in an adverse event,” Pelletreau said.

93. Prologue | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/liability/prologue.html
    August 01, 2017 - System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Transitional Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential Adverse … culture among staff in medical institutions, to find lasting and systemic prevention strategies for adverse … in this publication in the last 20 years, and programs that embrace transparency and prevention of adverse

94. Cover slide
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
    May 01, 2013 - tools to improve communication among patients, families, and clinicians Discuss how to communicate an adverse … event Introduction to Adverse Events Adverse event: An injury to a patient caused by medical intervention … events happen When an adverse even occurs, it can be difficult for a health care worker to take ownership … when, where, and why) Document the event in the medical record Next Steps in Responding to an Adverse … process improvement Measurement and evaluation Education and training How to Communicate About an Adverse

95. AHRQ Safety Program for Perinatal Care Summary Report (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/sppc-summary_report.pdf
    May 01, 2017 - Summary of impact on maternal and neonatal adverse events for L&D units submitting adverse event data … Events5 • Modified Adverse Outcome Index (MAOI)6 • Modified Weighted Adverse Outcome Score (MWAOS … Impact on adverse events. … composite measures of maternal and neonatal adverse events, two maternal adverse event measures, two … The measures used for adverse events were limited by the fact that most adverse events are rare, may

96. Building the Business Case for CANDOR Worksheet | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/worksheet2.html
    August 01, 2022 - Analyze the organization's frequency of adverse events and malpractice claims to support the rationale … Discuss efforts to improve communication and response to adverse events to date, including the clinical … event: Number of adverse events reported >24 hours after occurrence Severity level of … adverse events reported. … Determine a return on investment that ties to reduced adverse events.  

97. Implementation Guide for the CANDOR Process: Appendix A | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apa.html
    August 01, 2022 - Analyze the organization's frequency of adverse events and malpractice claims to support the rationale … Discuss efforts to improve communication and response to adverse events to date, including the clinical … event: Number of adverse events reported >24 hours after occurrence Severity level of … adverse events reported. … Determine a return on investment that ties to reduced adverse events.  

98. Final Progress Report: Encoding and Processing Patient Allergy Information in EHRs (pdf file)
    www.ahrq.gov/sites/default/files/2024-07/zhou-report.pdf
    January 01, 2024 - We analyzed 2,471,004 adverse reactions from 2.7 million patients’ allergy data stored in PEAR. … existence of several standards for adverse sensitivity (e.g., allergy and intolerance) information … sensitivity information models and 2) evaluate the coverage of the adverse sensitivity information … Also, adverse sensitivity exceptions were not well represented among the information models. … A value set for documenting adverse reactions in electronic health records.

99. On-Time Pressure Ulcer Healing: Facilitator Training Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
    December 01, 2017 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … Slide 6: On-Time Reports for Four Adverse Events Available Reports Pressure Ulcer Prevention … Commitment to work with the Facilitator to learn how to use the reports to prevent adverse events. … Investigate the root cause when an adverse event occurs.

100. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining-slides.html
     October 01, 2017 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … Discussion Can you think of examples when knowledge of risk factors might be used to prevent adverse … Slide 15: Facilitator Discussion: Value of On-Time Reports Focus on preventing adverse events. … Investigate the root cause when an adverse event occurs.