Results

Total Results: 1,789 records

Showing results for "adverse event".
Users also searched for: patient safety indicators

1361. Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care (pdf file)
      www.ahrq.gov/downloads/pub/advances2/vol1/advances-hook_25.pdf
      February 26, 2008 - disorder, or cardiac arrhythmias, as well as patients recovering from physiologic events—such as an adverse … pressure (hypotension), syncope, and subsequent falling at certain high-risk times (e.g., after the event … Assess for FALL-RELATED SPECIAL CONDITIONS: • Syncope • Seizure disorder • Cardiac arrhythmia • Adverse … onset of probable indicators of fall risk (refer to screening criteria above) • Occurrence of a fall event … factors (e.g., first time out of bed after a surgery or procedure; patient is likely to have an adverse

1362. Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hook_25.pdf
      February 26, 2008 - disorder, or cardiac arrhythmias, as well as patients recovering from physiologic events—such as an adverse … pressure (hypotension), syncope, and subsequent falling at certain high-risk times (e.g., after the event … Assess for FALL-RELATED SPECIAL CONDITIONS: • Syncope • Seizure disorder • Cardiac arrhythmia • Adverse … onset of probable indicators of fall risk (refer to screening criteria above) • Occurrence of a fall event … factors (e.g., first time out of bed after a surgery or procedure; patient is likely to have an adverse

1363. Chapter 4. Choose the Model To Assess VTE and Bleeding Risk | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide4.html
      October 01, 2022 - or mechanical prophylaxis and efforts to improve mobility) based on the assessment of risk of a VTE event … positive potential to reduce VTE must be balanced with the discomfort, bleeding, expense, and other adverse … In the second external validation study, 68 percent of the cohort with a score of 0 to 2 had a VTE event … rate of 0.42, while patients with a score ≥3 had a VTE event rate of 1.29. 59 The vast majority of

1364. Chapter 4. Choose the Model To Assess VTE and Bleeding Risk | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.html
      October 01, 2022 - or mechanical prophylaxis and efforts to improve mobility) based on the assessment of risk of a VTE event … positive potential to reduce VTE must be balanced with the discomfort, bleeding, expense, and other adverse … In the second external validation study, 68 percent of the cohort with a score of 0 to 2 had a VTE event … rate of 0.42, while patients with a score ≥3 had a VTE event rate of 1.29. 59 The vast majority of

1365. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load-references.html
      May 01, 2024 - Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event

1366. Appropriateness of Red Cell Transfusions in the Pediatric Intensive Care Unit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-fullreport.pdf
      November 01, 2017 - measure is to decrease the number of transfusions in PICUs and thereby decrease transfusion-related event … grams per deciliter for red cell transfusion can decrease transfusion requirements without increasing adverse … included sepsis, transfusion reactions, nosocomial respiratory infections, catheter-related infections, adverse … How well do the measure specifications capture the event that is the subject of the measure? … grams per deciliter for red cell transfusion can decrease transfusion requirements without increasing adverse

1367. Final Progress Report: Acute Care Learning Laboratory - Reducing Threats to Diagnostic Fidelity in Critical Illness (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/pickering-report.pdf
      January 01, 2025 - considered to have experienced a diagnostic error or delay as a primary contributor to the deterioration event … The Critical Care Safety Study: The incidence and nature of adverse events and serious medical errors

1368. Care Management: Implications for Medical Practice, Health Policy, and Health Services Research (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/caremgmt-brief.pdf
      April 01, 2015 - between different locations (e.g., from hospital to primary care) are associated with increased risks of adverse … The need for CM can also be identified through gaps in evidence-based care or by a triggering event, … such as medication reconciliation, assessment of adherence to treatment plans, and identification of adverse

1369. Care Management: Implications for Medical Practice, Health Policy, and Health Services Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/mgmt.html
      August 01, 2018 - between different locations (e.g., from hospital to primary care) are associated with increased risks of adverse … The need for CM can also be identified through gaps in evidence-based care or by a triggering event, … such as medication reconciliation, assessment of adherence to treatment plans, and identification of adverse

1370. Screening for Asymptomatic Carotid Artery Stenosis, Evidence Synthesis, No. 50 (pdf file)
      www.ahrq.gov/downloads/pub/prevent/pdfser/cas/cases.pdf
      December 01, 2007 - identified 1,648 subjects from ACAS who had a baseline carotid ultrasound, and calculated rates of adverse … care population older than 65 years is 1%; all patients with a positive test go to surgery; and the event … deaths CAS 60-99% Screen with ultrasound/ confirmatory tests Treatment with CEA KQ3 KQ1 Adverse … effects of screening Adverse effects of CEA Asymptomatic Adults KQ2 KQ4 KQ4 KQ = … Good Kresowik 200444 4093 Not reported Combined events 3.8% The combined event rate by state

1371. From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
      January 01, 2004 - recognition, reporting, disclosure, and resolution of patient safety issues (including errors and adverse

1372. Strategy 2: Communicating for Improve Quality (Tool 6)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pptx
      July 23, 2010 - families Research shows patient-centered communication can improve: Patient safety More than 70 percent of adverse … For example, one study found that more than 70 percent of adverse events are caused by breakdowns in … Sentinel event root cause and trend data.

1373. Primary Care Practice-Based Research Networks and Publications, 2014–2023: Synthesis Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/pbrn/pbrn-final-synthesis-report.pdf
      September 01, 2025 - The Northern New England CO-OP Practice and Community Based Research Network’s “Screening for Adverse … This publication facilitated integration of adverse childhood experiences (ACEs) screening into primary … Screening for adverse childhood experiences in a family medicine setting: A feasibility study. … Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System … Screening for adverse childhood experiences in a family medicine setting: A feasibility study. 105

1374. Study Shows Strong Link Between Smoking, Opioid Use | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/923.html
      July 01, 2024 - A human right-based approach to dealing with adverse events in residential care facilities .

1375. Chronic Obstructive Pulmonary Disease Exacerbations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-COPD.pdf
      June 02, 2021 - sputum purulence plus either worsened shortness of breath or increased sputum production.1-3 • Known adverse

1376. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/stewardship-slides.pptx
      June 01, 2021 - from the Monthly Data Collection Form Use the Staff Safety Assessment and Learning From Antibiotic Adverse

1377. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
      May 20, 2016 - abdominal surgeries, and is associated with significant risk of mortality between 14% and 50%.1 Other adverse

1378. Re-engineering Postnatal Unit Care and the Transition Home to Reduce Perinatal Morbidity and Mortality | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/re-engineering-postnatal-unit-care-long-desc.html
      April 01, 2025 - An observational retrospective study of adverse events and behavioral outcomes during pediatric dental

1379. Challenges in Approaching Diagnostic Safety Unique to Children | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-2.html
      August 01, 2023 - , especially related to diagnostic testing. 54 In addition, this population is more susceptible to adverse

1380. Appendix E. Training and Educational Materials (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-ape4.html
      September 01, 2013 - Safety and Adverse Events Protocol Training, Part 1: Mupirocin Background 2% Topical