Results

Total Results: over 10,000 records

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

9101. Administering High-Strength Insulin from a Pen Device in Hospital. | PSNet
      psnet.ahrq.gov/issue/administering-high-strength-insulin-pen-device-hospital
      September 21, 2022 - April 20, 2022 An initiative to reduce insulin-related adverse drug events in a children's … Sweet Case of Hidden Hydrogen Ions April 28, 2021 Outpatient insulin-related adverse

9102. Forgive and forget: recognition of error and use of apology as preemptive steps to ADR or litigation in medical malpractice cases. | PSNet
      psnet.ahrq.gov/issue/forgive-and-forget-recognition-error-and-use-apology-preemptive-steps-adr-or-litigation
      July 24, 2018 - February 17, 2011 The disclosure dilemma—large-scale adverse events. … May 7, 2008 A mediation skills model to manage disclosure of errors and adverse events

9103. Point-of-care Mixup: 1 Shot Turns Into 3 | PSNet
      psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
      February 14, 2024 - which each vaccine protects, illness severity, the benefits of herd immunity, untoward reactions and adverse … Adverse effects are few and not age dependent, making it both illogical and dangerous to delay the timing … Despite the advent of combination vaccines, children experience pain and parents fear adverse effects … The Vaccine Adverse Event Reporting System database includes immunization errors. … August 26, 2020 Adverse events in infants less than 6 months of age after ambulatory

9104. All consumer medication information is not created equal: implications for medication safety. | PSNet
      psnet.ahrq.gov/issue/all-consumer-medication-information-not-created-equal-implications-medication-safety
      June 15, 2022 - Medication management in outpatient settings requires patients to recognize adverse medication effects … standardized information from a large Canadian retail pharmacy lacked key information about possible adverse … August 9, 2023 Adverse drug events caused by three high-risk drug-drug interactions in … October 4, 2011 Diagramming patients' views of root causes of adverse drug events in

9105. Patient safety and workplace bullying: an integrative review. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-workplace-bullying-integrative-review
      March 11, 2020 - Researchers found that bullying affected fall rates, medication or treatment errors, delays, adverse … April 12, 2011 Introduction of discharge plan to reduce adverse events within 72 hours

9106. Amphotericin Toxicity | PSNet
      psnet.ahrq.gov/web-mm/amphotericin-toxicity
      April 01, 2014 - of these agents may increase the incidence and severity of these reactions.( 1,2 ) Infusion-related adverse … Given the frequency and severity of amphotericin B–related adverse events, safeguards should exist to … Smart pumps may also decrease amphotericin B infusions-related adverse events, as these reactions are … Amphotericin B adverse effects are frequent and sometimes severe. … Pretreatment regimens for adverse events related to infusion of amphotericin B.

9107. Medical errors: should you apologize? | PSNet
      psnet.ahrq.gov/issue/medical-errors-should-you-apologize
      August 13, 2010 - This article discusses disclosure of adverse events from various perspectives and provides suggestions … August 9, 2017 Post-discharge adverse events among urban and rural patients of an urban

9108. AHRQ Safety Program for Improving Antibiotic Use. | PSNet
      psnet.ahrq.gov/issue/ahrq-safety-program-improving-antibiotic-use
      December 24, 2008 - May 1, 2017 Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. … Facility and Group Administrators Medicine Medication Safety Epidemiology of Errors and Adverse

9109. Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/wei-report.pdf
      January 01, 2024 - exposure --- and risk for ORAEs by flexibly modeling the exposure at varying proximities to the event … non-benzodiazepines, anticonvulsants, antidepressants, antipsychotics, and anxiolytics, in the 6 months before the event … Prognostic factors were measured in the 6 months before the event date for cases or matched date for … approved for use in the US between 2011 and 2018 were captured from the Medicare Part D Prescription Event … Prescription opioid exposures and adverse outcomes among older adults.

9110. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa2.pdf
      January 01, 2018 - replacement -12.31 0.0 0.014 MPSMS 8 (2009- 2016) Hospital patients with an anticoagulant-related adverse … drug event to low-molecular-weight heparin (LMWH) and factor Xa -11.33 0.0 0.00 MPSMS 8 (2009- 2016 … ) Inpatient adverse events in adults receiving hip joint replacement due to degenerative conditions … drug event with IV heparin in adult hospital patients who received an anticoagulant -6.08 0.0 0.014 … drug event to warfarin -2.74 0.028 0.366 MPSMS 8 (2009- 2016) Bloodstream infection in adult patients

9111. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74133/psn-pdf
      January 01, 2022 - system-wide-approach-explaining-variation-potentially-avoidable-emergency-admissions-national https://psnet.ahrq.gov/issue/racial-disparities-preventable-adverse-events-attributed-poor-care-coordination-reported

9112. Archived: Final Research Plan: Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: Preventive Medication | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan98/statin-use-in-adults-preventive-medication-november-2016
      May 02, 2014 - as identified in the literature) KQs 1, 4, 5: Outcomes not listed as included KQ 2: Adverse … outcomes not associated with screening KQ 3: Outcomes not listed as included KQ 6: Other adverse … presence of specific CVD risk factors Populations in other age groups or with a prior CVD-related event … outcomes (e.g., lipid levels or measures of atherosclerosis, such as intima media thickness) KQ 2: Adverse

9113. 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

9114. 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

9115. 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

9116. 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-

9117. 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.

9118. 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

9119. 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

9120. 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