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Showing results for "adverse event".
Users also searched for: patient safety indicators
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www.ahrq.gov/news/events/nac/2019-04-nac/nacmtg0419-minutes.htmlJuly 01, 2019 - reducing the use of acute and institutional care, eliminating duplication of services, and reducing adverse
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www.ahrq.gov/sites/default/files/2025-02/nishimi2-report.pdfJanuary 01, 2025 - of the American Academy of Orthopedic Surgeons (AAOS) about the adoption of the NQF Patient Safety Event … This system differs from the hierarchical NQF Patient Safety Event Taxonomy that is organized according … Patient Safety Taxonomy The draft report recommending The Joint Commission's Patient Safety Event Taxonomy … Serious Reportable Adverse Events in Healthcare The “Never Events” Maintenance Committee was appointed … specifications; Texas has implemented at least 2 of 27 events and specifications; Georgia has implemented the event
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide7.htmlMay 01, 2016 - outcomes, including VTE, across a number of inpatient populations without the potential consequences of adverse
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.htmlMay 01, 2016 - outcomes, including VTE, across a number of inpatient populations without the potential consequences of adverse
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www.ahrq.gov/patient-safety/reports/liability/pichert.htmlAugust 01, 2017 - System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Transitional Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential Adverse … Patient complaints and adverse surgical outcomes. Am J Med Qual 2016; 31(5):415–22. xxix.
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www.ahrq.gov/sites/default/files/2024-02/schnipper2-report.pdfJanuary 01, 2024 - case to hospital leadership of the return on investment of hiring these personnel (i.e., in reducing adverse … Medication Reconciliation to Prevent Adverse Drug Events. … Secondary Medication Reconciliation to Prevent Adverse Drug Events 2018. http://www.ihi.org/Topics/ADEsMedicationReconciliation
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdfFebruary 04, 2022 - it’s real NAM, WHO SIDM, AHRQ, Diagnosis-based Patient Organizations Peer-Reviewed Publications Event … Team members have a systematic process in place to capture and learn from near-misses and no-harm adverse … Occurs after an event or shift. Designed to improve teamwork skills. … Consequences may include lawsuits, business losses, and adverse media coverage. d. … SBAR_NurseToPhysician-400-300.html Call-Out Tactic used to communicate critical information during an emergent event
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www.ahrq.gov/sites/default/files/2024-05/wendel-hummell-report.pdfJanuary 01, 2024 - widely reported.10 Among community dwelling older adults in the U.S., over 2 million reported an adverse … event related to unmet household assistance needs, and over 3 million reported an adverse event related … Panelist at: KU School of Social Welfare Grand Challenge Event. 2021 Oct 7. Virtual. … The adverse consequences of unmet need among older persons living in the community: dual- eligible versus
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www.ahrq.gov/sites/default/files/2024-02/chen-report.pdfJanuary 01, 2024 - with asthma; however, asthma exacerbation associated with analgesic use in children is an uncommon event … respiratory drive, respiratory rate, and tidal volume6,8-10; this could result in respiratory failure in the event … Discussion (Aim 2) Our findings suggested that, among children with asthma, the asthma exacerbation event … The findings suggest that an asthma exacerbation event following a prescription analgesic administration … Outpatient Opioid Prescriptions for Children and Opioid- Related Adverse Events. Pediatrics.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-7.htmlMarch 01, 2022 - Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of
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www.ahrq.gov/sites/default/files/2024-02/maynard-report.pdfJanuary 01, 2024 - This recommendation was based on overwhelming evidence that thromboprophylaxis reduces adverse patient … At Level 4, you are using high-reliability mechanisms to make it a rare event for a patient to enter
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www.ahrq.gov/sites/default/files/2025-04/newman-toker2-report.pdfJanuary 01, 2025 - about the aggregate burden of misdiagnosis-related morbidity, but 47% of diagnostic error-related adverse … Incidence and types of adverse events and negligent care in Utah and Colorado. … The nature of adverse events in hospitalized patients.
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6a.htmlJune 01, 2014 - would be particularly important post-discharge, when patients might be at increased risk for subsequent adverse
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www.ahrq.gov/sites/default/files/2024-01/lannon2-report.pdfJanuary 01, 2024 - Solutions for Patient Safety: In 2007, the CERT funded work on identifying Adverse Drug Events using … SPS has reduced falls by 81%, ventilator-associated pneumonias by 47%, adverse drug events by 42%, and
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Surgical Complication Prevention Guide (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-surgcomp.pdfDecember 01, 2017 - Some studies have found 3 percent to 27 percent of surgical patients suffer from a surgical adverse … event. … The incidence and nature of surgical adverse events in Colorado and Utah in 1992. -
www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment.pdfDecember 01, 2023 - A policy and agreed upon standard of practice about screening for risks of adverse events in older
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Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdfAugust 01, 2022 - physician by presenting a case and receiving feedback.42 The study reported a significant reduction in adverse … Effect of systematic physician cross-checking on reducing adverse events in the emergency department -
Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdfAugust 01, 2022 - physician by presenting a case and receiving feedback.42 The study reported a significant reduction in adverse … Effect of systematic physician cross-checking on reducing adverse events in the emergency department -
Spreadnotes (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docxJune 02, 2025 - ASK: · How did the pilot CUSP team make a case for their project targeting adverse drug events? -
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-fullreport.pdfAugust 07, 2018 - Additional adverse fetal effects that result in dysfunction of a formed organ or tissue include postnatal … We suggest availability of care is essential for women who are at risk of adverse pregnancy outcomes … The ability to minimize and/or prevent adverse fetal effects due to potentially teratogenic medication … In contrast to our hope that this would be a rare event, data analyses completed in 2012 New York State … Exposure to teratogens during pregnancy is associated with significant adverse outcomes and occurs with
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