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Showing results for "adverse event".
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8861. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
      November 01, 2010 - of this educational activity, participants should be able to: Understand types and frequencies of adverse … 2000;160:1074-1081. http://www.ncbi.nlm.nih.gov/pubmed/10789599 Problems Surrounding Discharge Adverse … Intern Med. 2006;166:1822-1828. http://www.ncbi.nlm.nih.gov/pubmed/17000937   * * Take-Home Points Adverse … events after discharge are common and include adverse drug events, nosocomial infections, procedural … Patients are particularly vulnerable to adverse events at discharge because the discharge care transition

8862. ISMP Canada identifies themes associated with fatal medication events in the home. | PSNet
      psnet.ahrq.gov/issue/ismp-canada-identifies-themes-associated-fatal-medication-events-home
      March 15, 2022 - patients and nonprofessional caregivers lacked understanding about their medication, such as potential adverse … May 28, 2014 Assessing adverse events among home care clients in three Canadian provinces

8863. Presentation: Science of Improving Patient Safety and Identifying Defects
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
      December 01, 2017 - In addition, surgery is linked to half of all hospital adverse events. … Most hospital adverse events are avoidable. … AHRQ Safety Program for Surgery – Onboarding SAY: Simply put, a defect is any clinical or operational event … Event reporting systems, liability claims, sentinel events, morbidity and mortality conferences Perioperative … We’re used to thinking about event reporting systems, liability claims, sentinel events, and mortality

8864. Customizing Value-Based Methods to Prioritize Implementation of Pharmacogenomic Clinical Decision Support for Learning Health Systems | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/customizing-value-based-methods-prioritize-implementation-pharmacogenomic
      January 01, 2023 - Condition Cardiovascular Disease Population Adults Health Care Theme Adverse … research were as follows: Estimate the cost-effectiveness of PGx-CDS alerts, versus no alerts, on adverse … Three outcomes were modeled: implementation outcome and cost per alert fired, clinical outcomes of adverse

8865. Clinical decision support and malpractice risk. | PSNet
      psnet.ahrq.gov/issue/clinical-decision-support-and-malpractice-risk
      September 24, 2017 - November 27, 2012 Effects of teamwork training on adverse outcomes and process of care … February 15, 2011 A mediation skills model to manage disclosure of errors and adverse

8866. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37181/psn-pdf
      October 06, 2011 - Inter-rater reliability of a classification system for hospital adverse drug event reports. … Inter-rater reliability of a classification system for hospital adverse drug event reports. … https://psnet.ahrq.gov/issue/inter-rater-reliability-classification-system-hospital-adverse-drug-event-reports … https://psnet.ahrq.gov/issue/inter-rater-reliability-classification-system-hospital-adverse-drug-event-reports

8867. Medication Errors. | PSNet
      psnet.ahrq.gov/issue/medication-errors-0
      October 03, 2012 - Health Care Providers Health Care Executives and Administrators Medication Errors/Preventable Adverse … Drug Events Epidemiology of Errors and Adverse Events Quality Improvement Strategies View

8868. Juvenile-Arthritis-Dmards Surveillance (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/juvenile-arthritis-dmards_surveillance.pdf
      March 14, 2013 - comparisons of the rate and type of adverse events among the various DMARDs. … Recently published studies of adverse event reporting databases provide indirect evidence that suggests … Adverse events were generally mild, and the four serious adverse events resolved spontaneously or … comparisons of the rate and type of adverse events among the various DMARDs. … Recently published studies of adverse event reporting databases provide indirect evidence that suggests

8869. Juvenile-Arthritis-Dmards Surveillance (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/juvenile-arthritis-dmards_surveillance.pdf
      March 14, 2013 - comparisons of the rate and type of adverse events among the various DMARDs. … Recently published studies of adverse event reporting databases provide indirect evidence that suggests … Adverse events were generally mild, and the four serious adverse events resolved spontaneously or … comparisons of the rate and type of adverse events among the various DMARDs. … Recently published studies of adverse event reporting databases provide indirect evidence that suggests

8870. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72477/psn-pdf
      January 01, 2021 - inpatient-patient-safety-events-vulnerable-populations-retrospective-cohort-study https://psnet.ahrq.gov/issue/language-proficiency-and-adverse-events-us-hospitals-pilot-study

8871. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
      September 01, 2019 - event happens. … (F3R) Hospital management seems interested in patient safety only after an adverse event happens. … (G1) (No event reports, 1 to 2, 3 to 5, 6 to 10, 11 to 20, 21 event reports or more) 45% 44% 1% … event happens. … (F3R) Hospital management seems interested in patient safety only after an adverse event happens

8872. Final Progress Report: Topical Vancomycin for Neurosurgery Wound Prophylaxis (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/connolly-report.pdf
      January 01, 2024 - not previously noted in preoperative evaluation or self-reported as pre-existing, were qualifying adverse … Any exacerbation of preoperative hearing changes was reported as an adverse event as well. … In addition, patients were screened for adverse events, including hearing loss and local or systemic … If either an infection or an adverse event of any kind was suspected per checklist criteria, the site … Similar statistical analyses were performed to assess secondary outcomes, safety outcomes, adverse events

8873. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44217/psn-pdf
      November 10, 2015 - Assessing the potential adoption and usefulness of concurrent, action-oriented, electronic adverse drug … event triggers designed for the outpatient setting. … event triggers designed for the outpatient setting. … Trigger tools have been shown to be an efficient way to screen for adverse events. … This AHRQ-funded study assessed the usefulness of different adverse drug event triggers in the outpatient

8874. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36895/psn-pdf
      March 10, 2011 - A systematic review of the performance characteristics of clinical event monitor signals used to detect … adverse drug events in the hospital setting. … A systematic review of the performance characteristics of clinical event monitor signals used to detect … adverse drug events in the hospital setting. … The authors analyzed the literature and identified laboratory and pharmacy triggers used to detect adverse

8875. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44635/psn-pdf
      June 21, 2016 - Evaluation of perioperative medication errors and adverse drug events. … At least one medication error or adverse drug event occurred in nearly half of the 277 operations observed … drug event; 80% of these errors were deemed preventable. … There were no differences in event rates among resident physicians, nurse anesthetists, and staff anesthesiologists … ://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-potential-adverse-drug-events-implications-prevention

8876. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73473/psn-pdf
      January 01, 2022 - Improving safety recommendations before implementation: a simulation-based event analysis to optimize … interventions designed to prevent recurrence of adverse events. … Improving safety recommendations before implementation: a simulation-based event analysis to optimize … interventions designed to prevent recurrence of adverse events. … https://psnet.ahrq.gov/issue/improving-safety-recommendations-implementation-simulation-based-event-

8877. Data Collection Form | Digital Healthcare Research
      digital.ahrq.gov/document-type/data-collection-form
      January 01, 2023 - ADE Incident Identification Form Description This form identifies an adverse … drug event using data reported by a clinician. … Chart Review Form Description This is a chart review form for an adverse … drug event (ADE) study. … drug event study.

8878. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43567/psn-pdf
      October 21, 2016 - National Action Plan for Adverse Drug Event Prevention. … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention This national action … aims to align the efforts of multiple federal programs committed to reducing patient harms related to adverse … common usage and their very high potential to cause clinically significant, preventable, and measurable adverse … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention https://psnet.ahrq.gov

8879. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35023/psn-pdf
      March 04, 2011 - Building a framework for trust: critical event analysis of deaths in surgical care. … Building a framework for trust: critical event analysis of deaths in surgical care. … commentary discusses the role of the Scottish Audit of Surgical Mortality (SASM) on trends in adverse … Findings include a decrease over time in the percentage of deaths for which adverse events in management … conclude that voluntary mortality audits may lead to important changes in practice and focusing on adverse

8880. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45468/psn-pdf
      October 11, 2017 - Identification and characterization of adverse drug events in primary care. … Identification and Characterization of Adverse Drug Events in Primary Care. … https://psnet.ahrq.gov/issue/identification-and-characterization-adverse-drug-events-primary-care Adverse … drug event during a change in medications. … Less than 10% of patients experienced an adverse drug event, which the authors conclude represents an