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Showing results for "adverse event".
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  1. 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.
  2. 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 adverseAdverse 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
  3. 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.
  4. 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.
  5. 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,
  6. 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.
  7. 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.
  8. 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
  9. 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
  10. 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
  11. Paul Tedrick (doc file)

    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
  12. 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
  13. 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
  14. 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.
  15. 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.
  16. 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
  17. 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.
  18. 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
  19. 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
  20. 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.

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