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Showing results for "adverse".

1. Adverse Drug Events Occurring in U.S. Hospitals | Agency for Healthcare Research and Quality
   www.monahrq.ahrq.gov/data/infographics/adverse-drug-events.html
   August 01, 2018 - FAQs Home Data & Analytics Data Infographics Adverse … States Health Information Knowledgebase Data Sources Available from AHRQ Adverse … Hospitals Adverse Drug Events Occurring in U.S. … Hospitals (PDF, 1.5 MB) Source:   HCUP Statistical Brief #164: Characteristics of Adverse Drug Events … https://www.ahrq.gov/data/infographics/adverse-drug-events.html   Back

2. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
   www.monahrq.ahrq.gov/patient-safety/reports/liability/neumiller.html
   August 01, 2017 - Incidence and preventability of adverse drug events in nursing homes. … Incidence of adverse drug events and potential adverse drug events; implications for prevention: ADE … The Canadian adverse events study: the incidence of adverse events among hospital patients in Canada. … National surveillance of emergency department visits for outpatient adverse drug events. … Adverse drug events in ambulatory care. N Engl J Med 2003; 348:1556‑64. 33.

3. Major Study Finds Significant National Patient Safety Improvement | Agency for Healthcare Research and Quality
   www.monahrq.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
   July 01, 2022 - Researchers of this study tracked a total of 21 adverse events over the study period. … Tracking the rates of adverse events is a common way of measuring changes in patient safety. … In the study, researchers examined the rates of adverse events by looking at the raw (observed) rates … In the observed data for 2010 and 2019, adverse event rates fell 36 percent for heart attack patients … After adjustment, the relative risk of experiencing an adverse event diminished for all five patient

4. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
   www.monahrq.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 … 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 Associated With Hip Joint Replacements 1.02 3.70 0.28 All Other HACs Adverse Events … events for all diagnoses to adverse events for the four diagnoses.

5. Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals | Agency for Healthcare Research and Quality
   www.monahrq.ahrq.gov/news/newsletters/e-newsletter/899.html
   February 01, 2024 - Home News Newsletter AHRQ News Now Heart Failure Patients’ Risk of Adverse … Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals Patients with heart … readmission rates and deaths from all causes have a 24 percent higher risk of suffering one or more adverse … Additional articles featured this week include: Adverse safety events in emergency medical services … Impact of reducing time-to-antibiotics on sepsis mortality, antibiotic use, and adverse events.

6. Module 7: Resolution | Agency for Healthcare Research and Quality
   www.monahrq.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 for … 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. … Slide 7 Say: The first step of the Resolution component is to apologize for the adverse event … Potential future injuries that may result from the adverse event.

7. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
   www.monahrq.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
   September 01, 2022 - This chart review-based surveillance system determines national rates for 21 types of adverse events, … Overall, the QSRS will generate adverse event rates and trend performance over time. … The QSRS also: Offers an expanded array of adverse event measures, including ones related to opioid … use/misuse, surgical site infections, and other surgical and anesthesia-related adverse events, as well … as obstetric and neonatal adverse events.

8. Using Digital Health Tools to Improve Patient Safety during Acute Care | Agency for Healthcare Research and Quality
   www.monahrq.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 … Building on his efforts to reduce adverse events during care transitions, Dr. … that “clinically-integrated digital health apps have the potential to more accurately predict risk of adverse … undergone at other facilities, enabling continuous and quality care and reducing the potential for adverse

9. Final Progress Report: Advancing Patient Safety Innovation in Rheumatology (ASPIRE) (pdf file)
   www.monahrq.ahrq.gov/sites/default/files/2024-02/yazdany-report.pdf
   January 01, 2024 - Results: The project generated new epidemiological evidence of patient safety risks and adverse events … Despite the frequency of ambulatory patient safety errors and adverse events, most efforts to study … Second, rare adverse events are challenging to accurately identify. … Food and Drug Administration Adverse Event Reporting System (FAERS). … Adverse drug events in the outpatient setting: an 11-year national analysis.

10. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
    August 01, 2022 - delivery organizations. 2 Recent research shows a significant correlation between the frequency of adverse … In the short term, hospitals will develop processes to improve the reporting and monitoring of adverse … events and promote better care for patients through candid, caring communication in the wake of an adverse … and to promote better care for patients through candid, caring communication in the wake of an adverse … event (see Adverse Event (Reasonable Care) and Adverse Event (Unreasonable Care)) .

11. Table 5.A.1. Evidence Table (pdf file)
    www.monahrq.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

12. Patient and Family Engagement | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
    September 01, 2013 - Introduction to Adverse Events Slide 23. Immediate Response to an Adverse Event 4 Slide 24. … How to Communicate About an Adverse Event 6 Slide 26. … What if an Adverse Event Occurs on the Unit? … Introduction to Adverse Events Say: Adverse events occur when a patient is harmed as a result of … of emotions when an adverse event occurs.

13. Declines in Hospital-Acquired Conditions (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
    January 01, 2019 - in Hospital- Acquired Conditions National efforts to reduce hospital-acquired conditions such as adverse … Adverse Drug Events -28% CAUTI* -5% CLABSI+ -6% Clostridioides difficile Infections -37% … Falls -5% Obstetric Adverse Events -3% Pressure Ulcers Surgical Site Infections Ventilator

14. References | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/hai/pfp/hacrate2013-refs.html
    October 01, 2015 - Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … Adverse drug events in hospitalized patients. … Adverse drug events in U.S. hospitals, 2004. HCUP Statistical Brief #29. … Obstetric Adverse Events Abuhamad A, Grobman WA. … Impact of a comprehensive strategy on obstetric adverse events.

15. Patient and Family Engagement for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
    July 01, 2023 - Engaging after an adverse event. Engaging in planning and design. … Slide 17: Engaging After Adverse Events Say: Adverse events occur when a patient is harmed as a … Immediately after an adverse event, care providers: Provide care. … a number of emotions when an adverse event occurs. … Rarely does an adverse event occur as a result of intent.

16. Patient and Family Engagement for Perinatal Safety | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-slides.html
    July 01, 2023 - Discuss how to communicate an adverse event to a patient and family members. … Engaging after an adverse event. Engaging in planning and design. … Slide 17: Engaging After Adverse Events An adverse event is an injury to a patient caused by medical … Slide 18: Immediate Response to an Adverse Event 4 Care for the patient. … Slide 21: Next Steps in Responding to an Adverse Event 6 Investigation.

17. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
    July 01, 2020 - the same 28 measures of patient safety events, including many types of hospital-acquired infections, adverse … For example, measured adverse drug events continued to drop from 2014 to 2017, while measured pressure … National number of adverse events captured by PSIs 18 and 19 on obstetric injury and national number … To estimate the rate of adverse events for each of the 21 HACs for all patients for which the MPSMS … Due to changes in how some conditions and adverse events are described in ICD-9 and ICD-10, the data

18. Appendix | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/hai/pfp/hacrate2013-appendix.html
    October 01, 2015 - 2013) Femoral Artery Puncture for Catheter Angiographic Procedures 59,000 1.8 MPSMS (2013) Adverse … Events Associated With Hip Joint Replacements 21,000 0.63 MPSMS (2013) Adverse Events Associated … in Measured HACs c Projected Cost Savings in 2013 d Projected Reductions in Deaths in 2013 e Adverse … $149,600,000 1,628 Falls 260,000 240,000 20,000 8% $144,680,000 1' 100 Obstetric Adverse … 50% 25% 10,000 $17,000 Falls 200,000 25% 50% 12.5% 25,000 $7,234 Obstetric Adverse

19. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
    January 01, 2019 - the same 28 measures of patient safety events, including many types of hospital-acquired infections, adverse … For example, measured adverse drug events continued to drop from 2014 to 2017, while measured pressure … Preliminary 2017 2019 Goal (20% Reduction of each HAC) Adverse Drug Events 33.7 30.0 27.1 … National number of adverse events captured by PSIs 18 and 19 on obstetric injury and national number … Due to changes in how some conditions and adverse events are described in ICD-9 and ICD-10, the data

20. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Patient and Family Engagement
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/engagement.pptx
    May 01, 2017 - Events An adverse event is an injury to a patient caused by medical intervention rather than by the … The mission of health care providers is to help and care for patients without harming them, but adverse … Prompt, compassionate, and honest communication with the patient and family after an adverse event is … essential. 17 AHRQ Safety Program for Perinatal Care Patient & Family Immediate Response to an Adverse … Organizations should be prepared to respond and communicate proactively when adverse events occur.