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Total Results: 498 records

Showing results for "adverse".

61. Gap Analysis Facilitator's Guide: Appendix B | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
    August 01, 2022 - Is there a clear process for communication among staff in response to adverse events? … Identification and Analysis of Actual and Potential Adverse Events: Is there a process in place for … identifying, managing, and analyzing adverse events, near miss events, and unsafe conditions? … Do staff have access to a system for reporting adverse events? … Is an attempt made to disclose within the first 24 hours following an adverse event?

62. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
    January 01, 2003 - Relationship between medication errors and adverse drug events. … Incidence of adverse events and negligence in hospitalized patients. … drug events, and adverse drug reactions. … Adverse Drug Prevention Study Group. The costs of adverse drug events in hospitalized patients. … Adverse drug events in hospitalized patients.

63. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/patient-safety/reports/liability/sands.html
    August 01, 2017 - 1986, 1 and it has been an early adopter of the Disclosure, Apology, and Offer (DA&O) approach to adverse … Its goals are to (1) proactively identify adverse events, (2) differentiate between injuries caused by … The DA&O approach to adverse events initially did not gain momentum as a risk management practice and … Physician name-based reporting : education; process change allowing institution-based reporting for adverse … When things go wrong: responding to adverse events: a consensus statement of the Harvard Hospitals. 

64. Gap Analysis Facilitator's Guide: Appendix C | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
    August 01, 2022 - Is there a clear process for communication among staff in response to adverse events?         … Identification and Analysis of Actual and Potential Adverse Events Is there a process in place for … identifying, managing, and analyzing adverse events, near miss events, and unsafe conditions?     … Do staff have access to a system for reporting adverse events?         … Is an attempt made to disclose within the first 24 hours following an adverse event?        

65. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/research/findings/making-healthcare-safer/index.html
    July 01, 2023 - Harms such as adverse drug events, healthcare-associated infections, falls, and obstetric adverse events … patient safety practices in eight categories encompassing commonly occurring care- and disease-specific adverse

66. Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/research/findings/studies/index.html
    January 01, 2024 - Drug Events (ADE) (321) Adverse Events (737) Alcohol Use (61) Ambulatory Care and Surgery … airway outcomes, including adverse tracheal intubation (TI)-associated events (TIAEs) and/or severe … Keywords: Diagnostic Safety and Quality, Medical Errors, Adverse Events, Patient Safety, Quality of … The study did not find significant differences in adverse events. AHRQ-funded; HS024511. … The objective of this observational cohort study was to compare rates of adverse functional outcomes

67. Return on Investment Tool (doc file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
    January 01, 2013 - The cost of adverse drug events in hospitalized patients. JAMA 1997;277:307-11. … Costs of adverse events in intensive care units. Crit Care Med 2007;35(11)2637-8. Pappas SH. … The cost of nurse-sensitive adverse events. J Nurs Adm 2008;38(5):230-6. … The costs and savings associated with prevention of adverse events by critical care nurses. … allows users to track the change in rate of any type of adverse event over time.

68. AHRQ’s Safety Program for Nursing Homes: On-Time Prevention | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
    November 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Prevention provides a strategy for preventing adverse … uses electronic medical records to develop weekly reports that identify residents at risk of common adverse … Adverse Events Pressure Ulcer Prevention . Pressure Ulcer Healing .

69. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
    August 01, 2022 - An adverse event is "any injury caused by medical care" and doesn't imply "error," "negligence," or poor … The diagram, developed by Robert Watcher, shows the distinction between adverse events and errors. … Not all adverse events are medical errors and not all medical errors are adverse events. … Do: Explain the diagram to others, and ask others to provide examples of adverse events that are not … errors and errors that are not adverse events.

70. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
    March 01, 2021 - primary care teams should consider individual patients’ risk factors for developing postdischarge adverse … If left unaddressed, behavioral health and social needs are key risk factors for postdischarge adverse … facilitating the implementation of these elements is important to enhance patient safety since the risk of adverse … new approach primary care teams can use to engage patients and families to help reduce postdischarge adverse

71. Advances in Patient Safety and Medical Liability | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/patient-safety/reports/liability/index.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 … Hickson Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor … Bolkan Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital

72. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
    May 17, 2016 - regarding the definition of true postoperative respiratory failure, it still remains an important patient adverse … at increased risk for postoperative respiratory failure to better prepare clinicians to anticipate adverse … Decreased central nervous system input (head injury, ingestion of central nervous system depressant, adverse … Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality

73. A Patient Safety Program & Research Evaluation of U.S. Navy Pharmacy Refill Clinics (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Reige.pdf
    March 01, 2004 - knowledge in clinical practices produces greater efficiency in crowded clinics, while addressing potential adverse … This process improves access to timely drug renewals and minimizes adverse effects. … The clinical pharmacist is given the opportunity to discuss with patients such issues as adverse drug … The pharmacists may discover upon reviewing labs and discussing adverse events with the patient that … Pharmacist on rounding teams reduce preventable adverse drug events in hospital general medicine units

74. CHIPRA 150 Section 6, Antipsychotics Testing Summary (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-metabolic-monitoring-testing-summary.pdf
    December 31, 2015 - Antipsychotics are associated with potentially adverse metabolic impacts that include weight gain, … psychiatric disorders in children, these medications are associated with a number of potentially adverse … Fiscal Burden Although there is little research available on the fiscal burden associated with adverse

75. Advances in Patient Safety | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/patient-safety/reports/advances/index.html
    July 01, 2022 - Hackworth Outpatient Benzodiazepine Prescribing, Adverse Events, and Costs (   PDF , 172 KB) Dustin … Masheter, Paul Hougland, Wu Xu Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9 … Spehar, Dustin French, Polly Palacios A Study of Adverse Occurrences and Major Functional Impairment … Glasgow Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting (   … Hickner, Deborah Graham, Michele Johnson Lessons Learned from the Evolution of Mandatory Adverse Event

76. Table 7.B (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-6b-table-b1.pdf
    February 02, 2018 - Table 7.B Table VI.B.1 Identifying a record with one or more adverse

77. Improving Patient Safety Systems for Patients With Limited English Proficiency | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/health-literacy/professional-training/lepguide/index.html
    September 01, 2020 - PowerPoint Presentation: Executive Summary A Guide for Hospitals Research suggests that adverse … Common Causes of Adverse Events for LEP and Culturally Diverse Patients     Systems and Strategies To … Safety     Why Hospitals Should Focus on Patient Safety for LEP Populations     Common Causes of Adverse … Research suggests that adverse events affect LEP patients more frequently, are often caused by communication

78. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/sops/about/patient-safety-culture.html
    March 01, 2022 - 2 Hospitals with more positive SOPS scores had: Lower rates of in-hospital complications or adverse … Exploring relationships between hospital patient safety culture and adverse events. … The relationship between culture of safety and rate of adverse events in long-term care facilities.

79. AHRQ News Now | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/news/newsletters/e-newsletter/index.html?page=2
    April 05, 2022 - ascending Top Story April 5, 2022 Dental Opioid Prescriptions Associated With Adverse … Patient-Generated Health Data Into Electronic Health Records February 8, 2022 Opioid Prescribing, Adverse … Change, Environmental Justice and AHRQ October 5, 2021 Drug Label Changes Could Reduce Adverse

80. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
    January 01, 2004 - Unfortunately, a small portion of errors do result in an “adverse event”—an injury caused by medical … We have since come to realize that preventable medical deaths and adverse events happen in Wisconsin … of a facility with its equipment and technology lower or eliminate preventable medical errors and adverse … Second, designing for patient safety will help to eliminate near-miss incidents, errors, and adverse … Systems analysis of adverse drug events. JAMA 1995;288:501–13. 3. Borden S. U.S.