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Showing results for "adverse event".
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9341. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49827/psn-pdf
      April 01, 2018 - Although rare, adverse events during early mobilization have included falls, line dislodgement, ventilator … Implementing best practices such as those recommended by the AANN may reduce adverse events associated … nurse and physical therapist in this case, before and immediately after physical therapy may prevent adverse … in early mobilization in the intensive care unit should be established to ensure safety and reduce adverse … Effective interdisciplinary communication may reduce adverse events resulting from the mobilization

9342. Ptsd-Adult-Treatment Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/ptsd-adult-treatment_executive.pdf
      April 01, 2013 - Posttraumatic stress disorder (PTSD) is a mental disorder that may develop following exposure to a traumatic event … posttraumatic stress disorder Criterion Symptom or Description Criterion A: Trauma (both) • Traumatic event … symptoms (1 or more) • Intrusive recollections of events • Recurrent distressing dreams of the event … • Acting or feeling as if the traumatic event were recurring • Distress at internal or external reminders … i.e., those that treat PTSD by directly addressing thoughts, feelings, or memories of the traumatic event

9343. Nurses' communication of safety events to nursing home residents and families. | PSNet
      psnet.ahrq.gov/issue/nurses-communication-safety-events-nursing-home-residents-and-families
      September 23, 2020 - November 16, 2022 Families as partners in hospital error and adverse event surveillance

9344. Leadership Role in Improving Safety | PSNet
      psnet.ahrq.gov/primer/leadership-role-improving-safety
      September 15, 2024 - Most health care organizations are still striving to attain high reliability —the ability to minimize adverse … Current Context The Joint Commission issued a 2009  sentinel event alert  highlighting the importance … The Joint Commission evaluates adherence to the recommendations in sentinel event alerts during the accreditation … Hospitals Health Care Executives and Administrators Medicine Epidemiology of Errors and Adverse

9345. 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

9346. Evidence Summary: Pharmacologic and Nonpharmacologic Therapies in Adult Patients With Exacerbation of COPD (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-221-copd-evidence-summary_0.pdf
      October 01, 2019 - • Antibiotics and corticosteroids are not associated with increase in serious adverse events. … • Vitamin D supplementation may improve quality of life. • Serious adverse events were not found to … Aminophyllines were associated with more gastrointestinal adverse events than placebo. … Few adverse events were reported in studies of nonpharmacologic therapies. … of adverse events with imipenem plus cilastatin compared with meropenem.

9347. Final Progress Report: Ambulatory Patient Safety of Clients in Treatment for Substance Abuse (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/mcfarland-report.pdf
      January 01, 2025 - charting, concerns about staff training, coordination of care, patient and staff safety, reporting adverse … Treatment for Substance Abuse, 1P20HS017137 PI: Bentson McFarland, MD, PhD 6  Reporting Adverse … Self-Disclosing a Serious Event If you committed an error resulting in serious event for the client … (circle all that apply) Near Miss  Minor, temporary event  Minor, permanent event Major, temporary  … event  Major, permanent event  Serious event I don’t know 8.

9348. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48161/psn-pdf
      January 01, 2021 - investigating-impact-intensive-care-unit-interruptions-patient-safety-events-and-electronic https://psnet.ahrq.gov/issue/critical-care-safety-study-incidence-and-nature-adverse-events-and-serious-medical-errors

9349. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46993/psn-pdf
      July 18, 2018 - Less that 10% of reported events were deemed adverse events, and the vast majority of these were preventable

9350. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72702/psn-pdf
      February 03, 2021 - outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative The Wake Up Safe initiative includes a registry of serious adverse

9351. Real-time debriefing after critical events: exploring the gap between principle and reality. | PSNet
      psnet.ahrq.gov/issue/real-time-debriefing-after-critical-events-exploring-gap-between-principle-and-reality
      December 15, 2021 - Debriefing is an established strategy teams use to learn from critical events , reduce event occurrence … June 16, 2009 Association of provider specialty with abortion-related morbidity and adverse

9352. Hepatitis-C-Treatment-Adherence Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/hepatitis-c-treatment-adherence_executive.pdf
      September 22, 2011 - event management interventions versus usual care or placebo. … event management interventions compared with usual care. … Adverse Event Management Interventions Versus Usual Care/Placebo Key Points • There were no studies … of the effects of adverse event management interventions on health outcomes besides QOL. … Adverse Event Management Interventions Versus Usual Care/Placebo The strength of evidence on QOL was

9353. Electronic Prescribing and Electronic Transmission of Discharge Medication Lists (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017029-kaushal-final-report-2011.pdf
      January 01, 2011 - It did so by use of a novel HIE to attempt to decrease medication discrepancies and adverse drug events … Adverse drug events in ambulatory care. The New England journal of medicine. … The incidence and severity of adverse events affecting patients after discharge from the hospital. … Adverse events among medical patients after discharge from hospital. Cmaj. … Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to

9354. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49868/psn-pdf
      July 02, 2019 - Because of the drug's risks for adverse effects, clozapine must be prescribed and dispensed in accordance … A key point to consider is that the REMS program is not designed to mitigate all adverse drug events … to Assure Safe Use can be found on the FDA website.(3,6) In this case, the patient experienced an adverse … drug event, not from the risks that were managed through the REMS, but from missing his treatment due … event=RemsDetails.page&REMS=351 https://www.ismp.org/resources/assess-err-worksheets Click on thumbnail

9355. 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

9356. 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-

9357. 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.

9358. 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

9359. 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

9360. 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