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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4c.html
August 01, 2021 - Language proficiency and adverse events in US hospitals: A pilot study.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdf
January 01, 2004 - In the event that a medication requiring dose or drug
modification was prescribed, an alert would present … Impact of
basic computerized prescribing on outpatient
medication errors and adverse drug events.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/047-evidence-behind-decolonization-strategies-notes.docx
October 01, 2024 - There is evidence to support iodophor as better tolerated than mupirocin, with patients reporting fewer adverse
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
March 01, 2020 - Accordingly, in the National Action Plan for Adverse Drug Event
Prevention, opioids are one of three … National Action Plan for Adverse Drug Event Prevention.Washington, DC: U.S. … Of 103 patients in this
observational study, no cases of severe precipitated withdrawal or adverse events … No serious
adverse events related
to treatment occurred. … No cases of severe
precipitated withdrawal
and no serious adverse
events were observed.
-
www.ahrq.gov/sites/default/files/2025-02/holl-report.pdf
January 01, 2025 - Serious adverse outcomes occurred in 55 reports (31%), including major
physiological derangement (15% … subsequent audit of 100 adult inter-hospital transfers over 14 months, Ligtenberg et al. found that
adverse
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp5.pdf
October 01, 2011 - The trials were expensive to conduct, and in some cases, they
identified adverse effects of nutrient … started from the results of an
unadjusted model, the effective counts would be identical to the actual event
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-177-fullreport.pdf
May 01, 2018 - Worrisome adverse effects of atypical antipsychotics have, however, been
documented even at low doses … schizophrenia found that high doses were not associated with
better outcomes but were associated with more adverse … outcomes and side effects associated
with the use of higher-than-recommended doses in these populations, adverse … Adverse effects of second-generation antipsychotics in
children and adolescents: a Bayesian meta-analysis
-
www.ahrq.gov/sites/default/files/2024-10/sills-report.pdf
January 01, 2024 - is that the EMR’s active patient-tracking system may have
resulted in discrepancies between the EMR event … time and the actual event time. … There may be good clinical and business cases for targeting high
occupancy or turnover as a “never event … finding that more than 20% of hospital midnights were
above 85% occupancy raises serious concerns about adverse
-
www.ahrq.gov/sites/default/files/publications2/files/calibrate-dx-guide.pdf
October 01, 2022 - reasoning evolved rather than
focusing on the ultimate accuracy of the diagnosis or any potential adverse
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-hypertension-scenarios.pptx
July 01, 2023 - Johnson invites the team members to provide their thoughts about the event and specifically asks for … the important issue of providing support and resources to patients and clinicians after a traumatic event … lead to stroke or seizures, she needs to know what treatment options are available to prevent such adverse
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
April 23, 2004 - adhere, allergy
info, meds from other physicians
2 Monitoring includes adherence, effectiveness, adverse … drug interactions and
allergies, or follow up on patients reporting that they have had a previous adverse … The most common reason why education takes place about a
medication safety issue was an event “trigger … Areas not routinely addressed by office-based counseling included cautions, risks,
possible adverse … in Patient Safety: Vol. 1
126
Error management
A vast majority of offices reacted to an error event
-
www.ahrq.gov/sites/default/files/2024-01/coburn-report.pdf
January 01, 2024 - care facilities during transfers of care may adversely
affect the patient’s quality of care, lead to adverse … and then to the hospital emergency department (ED) can
lead to delays in diagnosis and treatment, adverse
-
www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-c.html
July 01, 2021 - effective strategies to reduce medical errors and harms, such as healthcare-associated infections, adverse … experienced in a community setting (e.g., after an individual sustains a concussion) or a critical community event
-
www.ahrq.gov/sites/default/files/2024-07/hernandez-boussard-report.pdf
January 01, 2024 - postoperative pain is
common and too often poorly managed, which may cause severe functional impairment,
adverse … and multivariate modeling were used to estimate associations between
inpatient gabapentin use and adverse
-
www.ahrq.gov/sites/default/files/2024-07/kukafka-report.pdf
January 01, 2024 - be more helpful, in a public health context, in calming fears about rare
events (such as change of adverse
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
March 03, 2008 - Introduction
Patient falls are the most frequently reported adverse event in hospitals and the leading
-
www.ahrq.gov/policymakers/chipra/overview/background/next-steps2.html
December 01, 2009 - Health care-associated infections are regarded as "never events," that is, adverse events that should
-
www.ahrq.gov/sites/default/files/2024-02/herwaldt-report.pdf
January 01, 2024 - Practices Implementation Challenge Grants
HS-14312
-1-
STRUCTURED ABSTRACT
Purpose
Reduce the risk of adverse … Skipped Step = Sample Dispense scan event not performed completely.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/lbpinject-topicref.pdf
March 03, 2014 - years of age and remains common in persons 65 years of age and older.3 Low back
pain can have major adverse
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-slides.pptx
November 01, 2019 - Improving Antibiotic Use – Acute Care
Treatment of ASB May Cause Harm6-9, 14
Treatment is associated with—
Adverse