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Showing results for "adverse event".
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1421. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
      June 01, 2021 - Antibiotic Stewardship Team meetings Use the Staff Safety Assessment and Learning From Antibiotic-Associated Adverse

1422. AHRQ’s Surveys on Patient Safety Culture® for New Users - Rose Tyler (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-sops-overview-webcast-tyler.pdf
      January 01, 2025 - Lower readmission rates2 Better financial performance/operating margin if they had an EHR 2 Lower adverse

1423. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4d_pdi05-nqi01-pneumothorax-bestpractices.pdf
      May 16, 2016 - Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality

1424. Digital Healthcare | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2025-annual-report/digital-healthcare.html
      August 01, 2025 - of an app to support care transitions between the hospital, home, and primary care clinic to reduce adverse

1425. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4r_combo_pdi05-nqi01-pneumothorax-bestpractices.pdf
      May 16, 2016 - Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality

1426. Preventing Pressure Injuries in Hospitals
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
      June 16, 2017 - understanding that even small failures in safety protocols or processes can lead to catastrophic or adverse

1427. Discussion | Agency for Healthcare Research and Quality
      www.ahrq.gov/data/apcd/backgroundrpt/discuss.html
      April 01, 2017 - ordering of laboratory testing or imaging, outpatient visits for chronic disease, and ambulatory care for adverse

1428. The Sometimes Antibiotics” Diagnoses: Sinusitis – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-guide.docx
      September 01, 2022 - 7 days also may be adequate for children, and are likely associated with less antibiotic-associated adverse

1429. Part 1: Overviews of the Report and the Hispanic Population | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part1.html
      March 01, 2020 - the same time, several racial and ethnic disparities in rates of childhood immunization and rates of adverse

1430. Final Progress Report: Health Journalism 2011, national conference on healthcare journalism (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/bruzzese3-report.pdf
      January 01, 2024 - – plus Canada, England, and Hong Kong – heard from journalism and health experts during the 4-day event … Dive into the country's deepest database of adverse events and near misses as patient safety analysts … share lessons learned from national and statewide adverse event reporting systems. … The annual event was just one of several offerings to freelancers, with panels and a breakfast forum

1431. Final Progress Report: Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/schnipper-report.pdf
      January 01, 2024 - Scope: Unresolved medication discrepancies during hospitalization can contribute to adverse drug events … Unresolved medication discrepancies can contribute to adverse drug events (ADEs), resulting in patient … ongoing benefits to patient safety and the return on investment (ROI) in terms of decreased inpatient adverse … , communicating with postdischarge providers, and focusing efforts on patients at highest risk for adverse … • Sometimes it takes a critical, tangible event (e.g., a case of severe patient harm due to a serious

1432. Slide Presentation: An Introduction to Safe Transitions for Patients to New Appointments
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions.pptx
      June 02, 2025 - Evidence has shown fewer adverse events when patients and their family or friends are engaged as active

1433. Final Progress Report: Using Public Deliberation To Define Patient Roles in Reducing Diagnostic Error (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/nabatchi-report.pdf
      January 01, 2024 - The event opened with an introductory lecture by an expert on diagnostic error, which was followed by … Citizen Jury,17 which is akin to the Citizens’ Panel16 ; and (3) Participatory Feedback: a 6-hour event … deliberation group when the participants realized that diagnosis is a process rather than a one-time event … Study of Public Deliberation about Diagnostic Error: An Analysis of the 2016 Healthcare Consumer Event … Paid malpractice claims for adverse events in inpatient and outpatient settings.

1434. 4. Defining Language Need and Categories for Collection | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4.html
      May 01, 2018 - increased probability of receiving unnecessary diagnostic tests ( Hampers et al., 1999 ), and more serious adverse … without sufficient language fluency, and more than half of these patients could have experienced negative adverse … proficiency among the parents of pediatric patients has been correlated with a doubling of the risk of adverse

1435. Specific Tools To Support Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g2_pdi_specifictoolstosupportchange.pdf
      January 01, 2011 - blood type, wrong-site surgery, foreign body left in during procedure, medical equipment-related adverse … • Other care-related adverse events: patient falls, in-hospital hip fracture or fall http://www.oecd.org … This electronic toolbox provides States with tools they can use or modify as they develop or improve adverse … event reporting systems.

1436. Specific Tools To Support Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
      January 01, 2011 - blood type, wrong-site surgery, foreign body left in during procedure, medical equipment- related adverse … • Other care-related adverse events: patient falls, in-hospital hip fracture or fall http://www.oecd.org … This electronic toolbox provides States with tools they can use or modify as they develop or improve adverse … event reporting systems.

1437. Appendix A: References and Available Abstracts | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/shuttered/acfselection/appendixa.html
      July 01, 2018 - BACKGROUND: The terrorist bombings in London on July 7, 2005, produced the largest mass casualty event … of these actions, hospitals have been working vigorously to ensure that they would be "ready" in the event … The team, prepared and equipped for deployment four days after the event, arrived at its destination … The ability to deliver optimal medical care in the setting of a disaster event, regardless of its cause … The types and needs of patients following such an extensive event have not been well described.

1438. Meeting Minutes, July 24, 2015 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2015-03-nac/nacmtg0715-minutes.html
      December 01, 2015 - He cited work in central line–associated infections, other hospital adverse events, the Consumer Assessment … Mary Fermazin, M.D., M.P.A., stated the importance of diagnostic accuracy and of collecting data on adverse

1439. Appropriate Emergency Department Pain Assessment for Children With Sickle Cell Disease (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-fullreport.pdf
      April 01, 2018 - medical conditions, including the hallmark clinical manifestation of SCD, the acute vaso‐occlusive event … Further, unfamiliarity with the effective use of analgesics and fear of adverse effects, such as respiratory … medical record abstractors suggested that when discrepancies are found regarding the timing for an event … The acute vaso‐occlusive event is a unique type of pain that can start as early as 6 months of age, … a result, patients with SCD may be undertreated for pain out of concerns about addiction or other adverse

1440. Imbedding Research in Practice to Improve Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
      May 07, 2008 - Discussion Measuring medication errors avoided is a surrogate marker for reduced adverse outcomes. … familiar with reports of associations between drug interactions or lack of renal dosage adjustments and adverse … include improved patient safety and clinical outcomes and reduced costs due to fewer medication-related adverse