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Showing results for "adverse event".
Users also searched for: patient safety indicators

1681. Final Progress Report: Preventing Opioid Misuse Through Safe Opioid Use Agreements Between Patients and Surgical Providers (PROMISE-ME) (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/stulberg-report.pdf
      January 01, 2024 - Nonmedical use of opioids can lead to adverse drug events (ADEs) and frequently is a pathway to use

1682. Discussion of Findings | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/findings.html
      March 01, 2017 - to improve medication safety in primary care should improve not only safety, including reductions in adverse

1683. Meeting Minutes, July 2016 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2016-07-nac/nacmtg0716-minutes.html
      November 01, 2016 - With AHRQ support, researchers developed a new tool to retrospectively identify adverse events in pediatric

1684. Meeting Minutes, March 27, 2015 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2015-03-nac/nacmtg0315-minutes.html
      July 01, 2015 - AHRQ-supported medical records review published in December reported that concerted efforts by hospitals reduced adverse

1685. Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
      April 02, 2008 - Background/Assessment/Recommendation) Nurse staffing ratios “Falls” Medication errors/preventable adverse

1686. Final Progress Report: Connected Emergency Care (CEC) Patient Safety Learning Lab (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/hinson-levin-report.pdf
      January 01, 2025 - critical decision method interviews, we learned that less than 20% of ED clinicians were aware of adverse

1687. Final Progress Report: Incorporating Temporary Health States into Decision Support (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/col-report.pdf
      January 01, 2024 - Decision aids reduced the use of discretionary surgery without apparent adverse effects on health outcomes

1688. Improving Patient Safety in Long-Term Care Facilities, Module 1 (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
      June 01, 2012 - a lower surface,” whether it is an observed and assisted transition to the floor or an unwitnessed event … and staff – benefits from an environment that supports discussion and learning from near misses and adverse

1689. Final Progress Report: HIV/HCV Support Team to Improve Medication Safety and Engagement in Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/berry-report.pdf
      January 01, 2024 - Thus, adverse effects are likely to occur before an outpatient HIV provider can correct the error. … α=0.05 for all calculations; most done with the clustersampsi add-in to Stata) Control hosps with event … Detectable alternative Intervention hosps with event Power Hypothesis 1A HIV Rx errors (all) 91

1690. Final Progress Report: National Claims-Based Quality Measures for Surgical Site Infections (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/platt-report.pdf
      January 01, 2025 - Second, adverse events may be higher in hospitals performing fewer procedures (described below).

1691. Final Progress Report: Safe delivery of primary care to vulnerable populations: Using simulation to assess team performance in responding to behavioral and social determinants of health (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/zabar-report.pdf
      January 01, 2024 - Errors of omission are almost impossible to detect unless they can be traced to an adverse event.

1692. Best Practices in the Diagnosis and Treatment of Sepsis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/sepsis-facilitator-guide.pdf
      November 01, 2019 - worse outcomes after the decision was made to de-escalate therapy, and were spared from potential adverse

1693. Best Practices in the Diagnosis and Treatment of Clostridioides difficile Infections (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CDI-facilitator-guide.pdf
      November 01, 2019 - Although all antipseudomonal beta-lactam antibiotics have the potential for adverse events, if you are

1694. Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
      January 01, 2004 - and health, e.g., reductions in mortality, lessened disability, improved functioning, and decreased adverse

1695. Making a Case for Organizational Change in Patient Safety Initiatives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Ramanujam.pdf
      January 01, 2003 - availability of resources (e.g., financial, skilled care providers), and history (e.g., experience with adverse

1696. Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-fullreport.pdf
      February 01, 2020 - The event is a second outpatient visit in which weight is addressed during the measurement year. … One study found that among female adolescents who were obese, patterns of observation showed more adverse … The event is a second outpatient visit in which weight is addressed during the measurement year. … The event is a second outpatient visit in which weight is addressed during the measurement year.

1697. Attachments 5.1 through 5.5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-v-a.pdf
      June 25, 2014 - care clinician should titrate doses of medication for ADHD to achieve maximum benefit with minimum adverse … therapy requires a higher level of family involvement, whereas methylphenidate has some potential adverse … might experience increased mood lability and dysphoria.57 For the nonstimulant atomoxetine, the adverse … nonstimulant a2­ adrenergic agonists extended-release guanfacine and extended-release clo­ nidine, adverse … therapy al­ lowed for the use of lower dosages of stimulants, which possibly reduced the risk of adverse

1698. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/match.pdf
      August 01, 2012 - Specifically, the first model demonstrates a cost- benefit analysis of reducing preventable adverse drug … The estimated cost of a preventable ADE was $4,800 per event, based on a 1997 study done by Bates et … The costs of adverse drug events in hospitalized patients. … Adverse Drug Events Prevention Study Group. JAMA. 1997; 277(4):307-11 8. … Identifying hospital admissions due to adverse drug events using a computer-based monitor.

1699. Availability of Outpatient Maternal Fetal Medicine and Specialty Care for Women with High-Risk Pregnancies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-fullreport.pdf
      January 01, 2019 - Additional studies suggest that on the continuum of care to adverse pregnancy outcomes, there are a … has shown that less frequent visits to a subspecialist for women with chronic illness results in adverse … for high-risk pregnant women represents a safety failure, as all pregnancies are at higher risk for adverse … frequent visits to subspecialists or lack of pregnancy care for women with chronic illness results in adverse … Preventing Maternal Death: Sentinel Event Alert 2010.

1700. External-Stakeholder-Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pcor/external-stakeholder-report.pdf
      June 23, 2023 - lifestyle interventions, especially among populations at highest risk for progression to diabetes and adverse