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Total Results: 561 records

Showing results for "adverse".

81. AHRQ News Now | Agency for Healthcare Research and Quality
    www.cpsi.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

82. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
    www.cpsi.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.

83. Final Topic Refinement Document: Home Mechanical Ventilators (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
    October 01, 2017 - of life (QoL), activities of daily living (ADL), dyspnea, sleep quality, exercise tolerance, and adverse … emergency room visits, disease exacerbations, QoL, ADL, dyspnea, sleep quality, exercise tolerance, and adverse … (KQ 5) Adverse Events using the “CBK” approval code and home BPAP machines using the “MNT” and “ … These physiologic aberrations may result in several adverse outcomes that include, but are not limited … life (QoL) • Activities of daily living (ADL) • Dyspnea • Sleep quality • Exercise tolerance • Adverse

84. Making Health Care Safer II, Executive Summary (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
    March 01, 2013 - Regulators and accreditors encourage health care organizations to adopt “safe practices” and to avoid adverse … 100 hospitalizations as “common;” examples include falls, venous thromboembolism (VTE), potential adverse … Practices Designed for a Specific Patient Safety Target Adverse Drug Events High-alert drugs: patient … ‘Global trigger tool’ shows that adverse events in hospitals may be ten times greater than previously … Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. OEI-06-09-00090.

85. Information to Help Hospitals Get Started (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pdf
    May 14, 2013 - Research shows patient-centered communication can improve: – Patient safety • More than 70% of adverse … • Nearly 20% of patients experience an adverse event within a month of discharge, of which ¾ could be … prevented • Common complications post-discharge are adverse drug events, healthcare-associated infections

86. References | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/references.html
    July 01, 2022 - The costs of adverse drug events in hospitalized patients. … Adverse Drug Events Prevention Study Group. JAMA 1997; 277(4):307-11. … Identifying hospital admissions due to adverse drug events using a computer-based monitor.

87. Health Systems Research | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/opioids/health-systems-research.html
    July 01, 2021 - Older adults have a high prevalence of chronic pain and are especially vulnerable to adverse events from … Characterizing Opioid-Related Adverse Events in Older Adults After Hospital Discharge.  … Prescribing of opioids at hospital discharge and associated adverse patient outcomes.

88. About the Toolkit Development | Agency for Healthcare Research and Quality
    www.cpsi.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

89. Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/reports/liability/waever.html
    August 01, 2017 - Studies of claims have shown that the perceived cause, context, outcome, and response to a given adverse … Paid malpractice claims for adverse events in inpatient and outpatient settings. … Exploring relationships between hospital patient safety culture and adverse events. … Health care professionals as second victims after adverse events: a systematic review. … The natural history of recovery for the healthcare provider “second victim” after adverse patient events

90. Search Evidence-Based Reports | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/research/findings/evidence-based-reports/search.html
    April 01, 2024 - Affiliation: RTI International—University of North Carolina at Chapel Hill Report Status: Final Adverse … Status: Final Computerized Clinical Decision Support To Prevent Medication Errors and Adverse … International—University of North Carolina at Chapel Hill Report Status: Final Reducing Adverse

91. First-of-its-Kind Study Examines Disparities in Healthcare Costs and Outcomes of Cigarette Smoking in the United States | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/news/newsroom/press-releases/smoking-cessation-disparities.html
    December 01, 2023 - policymakers conduct cost-benefit analyses that accurately reflect the burden of healthcare costs and adverse … “Disparities in medical spending, as well as adverse health outcomes, are continuing to increase over

92. Develop a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/antibiotic-use/acute-care/safety/index.html
    June 01, 2021 - Use Commitment Poster (DOCX) Antibiotic Time Out Tool (DOCX) Identifying Antibiotic–Associated Adverse … Events Form (DOCX) Learning From Antibiotic–Associated Adverse Events Form (DOCX)

93. AHRQ National Scorecard on Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/hai/pfp/index.html
    July 01, 2020 - Condition Rate ( PDF , 237 KB) To improve how the Nation tracks its progress on reducing HACs and other adverse … This patient safety surveillance system will capture information about HACs and other adverse events

94. VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
    September 26, 2023 - and reliable operations across the system Unclear Policy Error in Data Report Unjust Response to Adverse … /AE reporting ratio may indicate a positive reporting culture in which Close Calls are reported and Adverse … Leadership Engagement Stop the Line Close Call (CC)/Adverse Event (AE) Reporting These documents

95. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
    August 01, 2022 - Contents A Systems Approach The sole objective of the event investigation and analysis of an adverse … event or near miss is the prevention of future adverse events. … When an adverse event occurs, too often, the focus is on an individual's performance and is corrected … other than the involved individual) that might have contributed to, facilitated, or even caused the adverse … The systems approach recognizes that all adverse events have multiple contributing factors, many of which

96. Early Mobility in the Intensive Care Unit: Slide Presentation | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-slides.html
    February 01, 2017 - Slide 11: Safety 3 No serious adverse events. … Slide 14: Adverse Events 4 9 patients had 14 adverse event (<1% of activities): Falls to knees … No documented adverse events. 6. Clark DE, Lowman JD, Griffin RL, et al. … Slide 26: Conclusions—Safety Adverse events ranged from agitation to transient physiological events … Adverse events ranged from 2.3 to 8.7 per 100 patients. 3-5 3.

97. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/reports/liability/corbett.html
    August 01, 2017 - A recent study suggests that up to 23 percent of patients experienced an adverse event within 5 weeks … To emphasize the importance of eliminating the occurrence of adverse events and ADEs, several health … The incidence and severity of adverse events affecting patients after discharge from the hospital. … Adverse drug reactions in older people. Rev Clin Gerontol 2010; 20(3):246-59. 18. … National burden of preventable adverse drug events associated with inpatient injectable medications:

98. Silence A Commentary | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/reports/liability/silence.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 … Some of the key elements of CRPs are reporting and responding to adverse events, continuous communication … When things go wrong: responding to adverse events: a consensus statement of the Harvard Hospitals.

99. Care for the Caregiver Program Implementation Guide | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
    August 01, 2022 - ensure that these tiers of support are provided to caregivers after they have in been involved in an adverse … responsible for item or Action Plan Reporting Culture Are policies in place to support reporting adverse … YES  NO       Adverse Event Investigation Process Is an adverse event policy in place?

100. Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/programs/index.html?page=2
     April 28, 2024 - To reduce HACs and other adverse events in hospitals, frontline clinicians and others use many of the … uses electronic medical records to develop weekly reports that identify residents at risk of common adverse