-
www.ahrq.gov/sites/default/files/2024-01/basco-report.pdf
January 01, 2024 - prescriptions. (7) Choice of incorrect drug is also a common error, occurring in up to 5% of potential
adverse … Medication errors
and adverse drug events in pediatric inpatients.
-
www.ahrq.gov/sites/default/files/2025-03/singer-benneyan-phillips-report.pdf
January 01, 2025 - frameworks and prototyped a redesigned
system for urgent referrals using a lean/rapid improvement event … supported preoperative care
process that frontloads the work to improve patient experience and reduce adverse … Adverse drug events in ambulatory care. N Engl J Med. 2003 Apr 17;348(16):1556–1564. … Incidence and preventability of adverse drug events among older persons in the ambulatory
setting. … A classification of medical errors and preventable adverse events in primary care: A
synthesis of the
-
www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guideref.html
July 01, 2018 - Adverse drug event trigger tool: a practical methodology for measuring medication related harm.
-
www.ahrq.gov/patient-safety/settings/hospital/vtguide/guideref.html
July 01, 2018 - Adverse drug event trigger tool: a practical methodology for measuring medication related harm.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
September 02, 2022 - Nurse leaders can also encourage and support nurses’ participation in patient safety event reviews, diagnostic … SBAR),27-30 to structure communication with physicians and other diagnostic team
members and reduce adverse … ■ Individual institutions’ data sources, such as patient safety event reporting, patient reports,
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-fullreport.pdf
November 01, 2019 - Each scan obtained on or within 30 days after the date of evaluation of
atraumatic seizure is an event … Each scan
obtained on or within 30 days after the date of evaluation of atraumatic seizure is the event … The ratio of MRI to CT scans of eligible children
using the first imaging event on or within 30 days … Incidence and nature of adverse events during pediatric
sedation/anesthesia for procedures outside the … Sedation and general anesthesia in children
undergoing MRI and CT: Adverse events and outcomes.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-fullreport.pdf
January 01, 2020 - scan
obtained on or within the 30 days after the date of evaluation for atraumatic headache is the
event … scan
obtained on or within the 30 days after the date of evaluation for atraumatic headache is the
event … The ratio of MRI to CT scans of eligible children
using the first imaging event on or within 30 days … Incidence and nature of adverse events during pediatric
sedation/anesthesia for procedures outside the … Sedation and general anesthesia in children
undergoing MRI and CT: Adverse events and outcomes.
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/qdr-blackhealth-slides.html
November 01, 2020 - They have been scientists, educators, laborers, and leaders; they have been part of every major event … as well as from adverse drug reactions. … Providers treating adverse events in outpatient settings may include office-based physicians, hospital … Overall Rate: In 2008-2009, the rate of ambulatory care visits for adverse effects of medical care was … Importance: Patients who have problems taking their medications as prescribed are at risk for adverse
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion-notes.docx
April 01, 2022 - This should be a minimum of annually, whenever new products or processes are introduced or when adverse
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
December 01, 2017 - On average, every patient who's admitted to an intensive care unit has or suffers an adverse event. … their investigation was the safety culture at NASA was partially to blame for the occurrence of that event … organization and that way that those systems are put together really either hinders or helps the occurrence of adverse
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
June 03, 2014 - On average, every patient who’s admitted to an intensive care unit has or suffers an adverse event. … their investigation was the safety culture at NASA was partially to blame for the occurrence of that event … organization and that way that those systems are put together really either hinders or helps the occurrence of adverse
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure1.html
June 01, 2018 - Transitions increase the risk of adverse events due to the potential for miscommunication as responsibility
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiib.html
June 01, 2010 - collection compared)
Total Items/indicators: Six measures, each is a numeric sum of a number of adverse … tenure; they also found adequate paraprofessional and informal home care decreased the likelihood of adverse … Six measurement areas are: self-report of unmet need; satisfaction with care; morale, adverse health
-
www.ahrq.gov/news/events/nac/2018-03-nac/nacmtg0317-minutes.html
July 01, 2018 - For example, rates of HACs related to adverse drug events have been falling for the past 5 years.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-fullreport.pdf
March 01, 2019 - inhalation technique leads to
poor asthma control, followed by an increased risk of exacerbations and adverse … followed, this teaching process leads to improved control and decreased
risk of exacerbations and adverse … of education at follow-up visits is very important, this measure focuses on the first
prescribing event … The initial prescription of a new medication device is
an important clinical event and is often more … This leads to poor asthma control and an increased risk of
exacerbations and adverse effects.
-
www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-improvement.html
May 01, 2024 - ExPERTS-PC: Engaging Patients in Event ReporTing for Safety in Primary Care (K08) PI: Anjana Estelle … California, San Francisco; School of Medicine, Family Medicine Develops a tool for patients to report adverse
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-206-fullreport.pdf
November 01, 2019 - Drivers of Overuse
Headache experienced by a child, especially when recurrent, can be a stressful event … Incidence and nature of adverse events during pediatric
sedation/anesthesia for procedures outside the … Sedation and general anesthesia in children
undergoing MRI and CT: Adverse events and outcomes.
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/chcanys-qi-primer.pdf
August 01, 2017 - If
the team’s overall aim is at a system level (for example, "Reduce adverse drug events in
critical … team members may find that focusing for a time on a
smaller part of the system (for example, "Reduce adverse
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Furmaga.pdf
January 01, 2005 - pressure during hypertensive urgencies and emergencies, due
to fears of precipitating an acute ischemic event … Advances in Patient Safety: Vol. 3
278
approved by the Food and Drug Administration (FDA).3, 4 Similar adverse … was already tolerating it—may play a part,22 as may, for
example, misperceptions about drug-related adverse
-
www.ahrq.gov/sites/default/files/publications/files/cdifftoolkit.pdf
September 01, 2012 - part of its Patient Safety Component to
encourage infection surveillance or laboratory-identified event … Your facility had a notable adverse event that was C. difficile related. … C. difficile is a rare event, so each facility would need to look at a large volume of patients
and … )
Ø 3E RESOURCE: Instructions for Completion of the Laboratory-Identified MDRO or
CDI Event Form … Excessive use can lead to:
o Adverse reactions.
o Increased antimicrobial resistance.