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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-7b.pdf
February 02, 2018 - Table VII.B.1 – Distribution of numbers of Chronic Condition Indicators per patient and
adverse … <0.001
3 or more body systems 125 (3.6%) 0.27 <0.001
Table VII.B.2 – Analysis of differences in adverse
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module1/1_ts_office_intro.pptx
January 01, 2010 - critical role in providing quality health care
Clinical outcomes include:
50% reduction in the Weighted Adverse … Outcome Score, which describes the adverse event score per delivery
50% decrease in the Severity Index … , which measures the average severity of each delivery with an adverse event (Mann, et al., 2006)
Reduced … rate of adverse drug events
Improved medication reconciliation at patient admission (Haig, et al., 2006
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
April 01, 2018 - The Canadian Adverse Events Study: The incidence of
adverse events among hospital patients in Canada … Detecting adverse events using information technology. … Adverse events among children in Canadian hospitals:
The Canadian Paediatric Adverse Events Study. … Automated adverse event detection
collaborative: Electronic adverse event identification, classification … Adverse events and preventable adverse events in children.
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www.monahrq.ahrq.gov/hai/hac/tools.html
March 01, 2024 - To reduce these HACs and other adverse events in hospitals, frontline clinicians and others use many … Antibiotic use: Toolkit To Improve Antibiotic Use in Acute Care Hospitals
Adverse drug events: Medications … ICUs
Medical devices: Toolkit for Decolonization of Non-ICU Patients With Devices
Obstetrical adverse
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www.monahrq.ahrq.gov/data/resources/index.html
April 29, 2024 - Data Resource Name
Search
 
Filter by Topic
Access to Care
(4)
Adverse … HCUP Statistical Briefs: Adverse Events These HCUP Statistical Briefs provide statistics about adverse … Topics include infections (CDI and MRSA), adverse drug events (ADEs), and potentially avoidable injuries
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www.monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
August 01, 2022 - their institutions include how to:
Engage patients and families in disclosure communication following adverse … Implement a Care for the Caregiver program for providers involved in adverse events. … Investigate and analyze an adverse event to learn from it and prevent future adverse events.
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www.monahrq.ahrq.gov/hai/pfp/hacrate2013.html
January 01, 2018 - Half of these inpatients experienced one or more adverse events that resulted in a prolonged hospital … events—such as adverse drug events, falls, and pressure ulcers—occurred. … Data for obstetric adverse events come from AHRQ Patient Safety Indicators (PSIs) 18 and 19. … who use a structured protocol and software tool to determine whether any of 21 specific measures of adverse … MPSMS data provide inpatient mortality data for the patients who experienced each type of adverse event
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www.monahrq.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - patient safety practices in eight categories encompassing commonly occurring care and disease specific adverse … ADEs: Harms Due to Diabetic Agents
ADEs: Reducing Adverse Drug Events in Older Adults
ADEs: Harms … Systems
Summary of Evidence
Update
(Not reviewed)
The Clinical Pharmacist's Role in Preventing Adverse … Drug Events
Summary of Evidence
Update
(Not reviewed)
Protocols for High-Risk Drugs: Reducing Adverse … Evidence
Teach-Back
(Not reviewed)
(Not reviewed)
Summary of Evidence
ADEs: Reducing Adverse
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - drug event to warfarin (Adverse
drug events) … Adverse drug events. … Adverse Drug Events
• An adverse drug event (ADE) is an injury—including physical harm, mental harm, … Adverse Drug Events With Warfarin
Adult hospital patients with an anticoagulant-related adverse drug … Events
30-Day Mortality for Colorectal Surgery
Adverse Drug Events
Adverse Events With Hypoglycemic
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www.monahrq.ahrq.gov/news/newsletters/e-newsletter/818.html
June 01, 2022 - Study Finds Relationship Between Readmission Rates, Adverse Events in Hospitals . … Study Finds Relationship Between Readmission Rates, Adverse Events in Hospitals
Patients with pneumonia … admitted to hospitals with high readmission rates were more likely to experience adverse events, a new … The authors of the study, published in JAMA Network Open , cross-referenced Medicare patient-level adverse … records between 2010 and 2019, they found that patients were 13 percent more likely to suffer from an adverse
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www.monahrq.ahrq.gov/cpi/about/otherwebsites/qsrs.ahrq.gov/index.html
March 01, 2021 - and other Federal partners—realized that hospitals needed to understand specifically how and where adverse … Therefore, CMS created the MPSMS to measure the magnitude of adverse events among hospital patients covered … Features
The QSRS:
Offers an expanded array of adverse event measures.
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/primary-prevention-cvd-with-statins.pdf
May 10, 2018 - There is no good reason to use a high-
cost brand name statin.
10 Statins: Adverse Effects … The most
important adverse effect of statins is myopathy, or muscle pain, which is reported in about … Other hypothesized adverse effects
such as memory loss have not been confirmed when they’ve been examined … On the other hand, the adverse
effects appear to be relatively independent of CVD risks. … another way, what risk level is high enough such as the
expected benefits outweigh the potential adverse
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
April 01, 2016 - Identification and Analysis of Actual and Potential Adverse Events
a. … Do staff have access to a system for reporting adverse events?
c. … Is an attempt made to disclose within the first 24 hours following an adverse event?
h. … 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?
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www.monahrq.ahrq.gov/news/newsletters/e-newsletter/868.html
June 01, 2023 - Video-Assisted Coaching Reduced Intubation-Associated Adverse Events in Children, but Apneic Oxygenation … Video-Assisted Coaching Reduced Intubation-Associated Adverse Events in Children, but Apneic Oxygenation … Did Not
Adverse tracheal intubation-associated events—unwanted events that occur as a result of the … intervention in 14 pediatric intensive care units and found that apneic oxygenation did not reduce adverse … Researchers found that use of video laryngoscope coaching did reduce adverse tracheal intubation-associated
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www.monahrq.ahrq.gov/topics/a.html
April 29, 2024 - Information in Spanish
Topics Browse A - Z
A
Access to Care Adverse … Drug Events (ADE) Adverse Events Alcohol Use All-Payer Claims Ambulatory Care and Surgery
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www.monahrq.ahrq.gov/funding/grantee-profiles/grtprofile-hernandez-boussard.html
April 01, 2024 - her career to analyzing “clinical big data” to identify quality and safety issues that can result in adverse … datasets on safety events, including AHRQ’s Healthcare Cost and Utilization Project (HCUP), she profiled adverse … Hernandez-Boussard also examined factors that could contribute to adverse events such as hospital surgical … Her research focuses on older patients and aims to mitigate the risk of adverse outcomes related to postoperative
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www.monahrq.ahrq.gov/patient-safety/resources/improve-discharge/index.html
July 01, 2022 - PSNet Article: Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse … Readmission Rates With Mortality Rates After Hospital Discharge
AHRQ PS Net Primer: Readmissions and Adverse … Toolkit To Improve Medication Reconciliation Across Care Settings
Six New Jersey Hospitals Reduce Adverse … Patient Safety and Team Communication Through Daily Huddles
AHRQ PSNet Primer: Medication Errors and Adverse
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www.monahrq.ahrq.gov/health-literacy/professional-training/lepguide/exec-summary.html
September 01, 2020 - The role of language barriers and their impact on adverse events is now receiving greater attention. … Recent research suggests that adverse events that affect limited-English-proficient (LEP) patients are … Common Causes of Adverse Events for LEP and Culturally Diverse Patients
Below is a summary of common … Figure C: Types of Physical Harm Experienced From Adverse Events by English-Speaking and LEP Patients … Evidence shows that unaddressed language barriers put patients at high risk for adverse events.
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
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.
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
January 01, 2010 - engaging patients
and families in discharge planning
Nearly 20 percent of patients experience an adverse … three-quarters of these could have been prevented or
ameliorated.1 Common post-discharge complications
include adverse … The incidence
and severity of adverse events affecting patients
after discharge from the hospital.