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Showing results for "adverse event".
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1441. Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
      December 01, 2017 - health literacy: Poor compliance with medical management Increased risk of: Poor outcomes/adverse

1442. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
      October 01, 2014 - Root cause analysis is a systematic process during which all factors contributing to an adverse event

1443. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
      October 01, 2014 - Root cause analysis is a systematic process during which all factors contributing to an adverse event

1444. Family-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-facilitator-guide.docx
      June 01, 2021 - Inform the family that infections are expected at the end of life, and may often be the terminal event … goal is comfort, consider not starting antibiotics as they may prolong suffering or lead to additional adverse

1445. AHRQ Timeline | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/timeline/index.html
      March 01, 2025 - Hospital-Acquired Conditions show that national efforts to reduce hospital-acquired conditions, such as adverse

1446. National Healthcare Quality and Disparities Report (QDR): Care Coordination Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pdf
      June 16, 2016 -  Patients need to understand their medication (indications, administration, adverse effects) to … some providers do not know about all of a patient's medications, patients are at greater risk for adverse … adoption and effective use of health information technology can: ■ Help reduce medical errors and adverse … The effect of electronic prescribing on medication errors and adverse drug events: a systematic review … The incidence and severity of adverse events affecting patients after discharge from hospital.

1447. Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Graham.pdf
      April 14, 2004 - approve consent forms (where applicable), monitor ongoing studies, and investigate reports of alleged adverse … The General Errors study collected anonymous event reports from clinicians, staff, and patients. … The Testing Process Errors study collected anonymous event reports from clinicians and staff and also

1448. Teamwork in Quality Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Teamwork_in_QI_2012_02_01_Transcript.pdf
      January 01, 2012 - access to those results or lower quality of care with potential safety issues, such as we see with adverse

1449. SOPS Bibliography | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/sops/bibliography/index.html?page=7
      January 01, 2025 - The relationship between patient safety culture and adverse events: A questionnaire survey.

1450. SOPS Bibliography | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/bibliography/index.html?page=7
      January 01, 2025 - The relationship between patient safety culture and adverse events: A questionnaire survey.

1451. CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-5.8.pdf
      January 01, 2014 - outcomes, self-reported health, adherence to treatment, preventive care, health care resource use, adverse … information were obtained from the Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse … measure patients’ experiences of care, while SRTR-reported 1-month and 1-year observed-to-expected event … The authors conclude that when patient-experience surveys address a specific event or visit, focus

1452. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
      August 01, 2010 - Nurse shift changes require the successful transfer of information between nurses to prevent adverse … One study found that more than 70 percent of adverse events are caused by breakdowns in communication … Sentinel event root cause and trend data.

1453. SOPS Bibliography | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/sops/bibliography/index.html?page=2
      January 01, 2025 - The relationship between culture of safety and rate of adverse events in long-term care facilities.

1454. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-refs.html
      September 01, 2013 - Safety and Adverse Events 1. Klevens RM, Edwards JR, Richards CL Jr, et al.

1455. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-refs.html
      September 01, 2013 - Safety and Adverse Events 1. Klevens RM, Edwards JR, Richards CL Jr, et al.

1456. SOPS Bibliography | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/bibliography/index.html?page=2
      January 01, 2025 - The relationship between culture of safety and rate of adverse events in long-term care facilities.

1457. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4h_pdi10-sepsis-bestpractices.pdf
      May 17, 2016 - Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality

1458. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
      May 17, 2016 - Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality

1459. Initial Risk Assessment for Immobility-Related Pressuer Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-203-fullreport.pdf
      April 10, 2017 - Research and Quality (AHRQ) pediatric-specific Patient Safety Indicators (PSI) were used to identify adverse … Records with a pressure ulcer event had mean excess length of stay of 8.07 days and mean excess hospital … How well do the measure specifications capture the event that is the subject of the measure? … This often resulted in tests being administered without documentation of the event in the available … Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality

1460. Postdisphone (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/postdisphone.docx
      June 02, 2025 - Medicines High Alert Medicines Use the guide below to help monitor medicines with significant risk for adverse