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Showing results for "adverse events".
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21. PowerPoint Presentation
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
    January 01, 2014 - event. 1.5% experienced harm that contributed to death. 44% of adverse events were preventable. … event. 1.5% experienced harm that contributed to their death. 44% of adverse events were preventable … Potential decrease in adverse events being litigated, which can lead potentially led to lower malpractice … and practitioners can use to respond in a timely, thorough, and just way to unexpected patient harm events … events really hinges on knowing about them immediately.

22. Gap Analysis Facilitator's Guide: Appendix B | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
    August 01, 2022 - Is there a clear process for communication among staff in response to adverse events? … Identification and Analysis of Actual and Potential Adverse Events: Is there a process in place for … identifying, managing, and analyzing adverse events, near miss events, and unsafe conditions? … Do staff have access to a system for reporting adverse events? … Is an attempt made to disclose within the first 24 hours following an adverse event?

23. Gap Analysis Facilitator's Guide: Appendix C | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
    August 01, 2022 - Is there a clear process for communication among staff in response to adverse events?         … Identification and Analysis of Actual and Potential Adverse Events Is there a process in place for … identifying, managing, and analyzing adverse events, near miss events, and unsafe conditions?     … Do staff have access to a system for reporting adverse events?         … Is an attempt made to disclose within the first 24 hours following an adverse event?        

24. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/hai/pfp/hacrate2011-12.html
    January 01, 2018 - The annual estimates include a wide variety of adverse events, including the nine HACs selected for special … Normalized to 32,750,000 Discharges— Based on 2010 Baseline) 2012 PFP Measured HACs per 1,000 Discharges Adverse … 17,000 0.51 Falls MPSMS In-Hospital Patient Falls 260,000 7.80 230,000 7.16 Obstetric Adverse … Femoral Artery Puncture for Catheter Angiographic Procedures 57,000 1.75 65,000 1.97 MPSMS Adverse … Events Associated With Hip Joint Replacements 33,000 1.00 31,000 0.93 MPSMS Adverse Events

25. AHRQ Views Blog: At the American Society of Health Economists Conference, AHRQ Highlights Its Deep Dive Into COVID-19 | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/868.html
    June 01, 2023 - Video-Assisted Coaching Reduced Intubation-Associated Adverse Events in Children, but Apneic Oxygenation … Video-Assisted Coaching Reduced Intubation-Associated Adverse Events in Children, but Apneic Oxygenation … Did Not Adverse tracheal intubation-associated events—unwanted events that occur as a result of the … tracheal intubation-associated events. … events.

26. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
    August 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … their institutions include how to: Engage patients and families in disclosure communication following adverse … events. … Implement a Care for the Caregiver program for providers involved in adverse events. … Investigate and analyze an adverse event to learn from it and prevent future adverse events.

27. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/hai/pfp/2015-interim.html
    December 01, 2016 - About 42 percent of this reduction is from adverse drug events, about 23 percent from pressure ulcers … The MPSMS methodology to identify adverse events within each chart is identical to prior years. … It should be noted that for every year from 2010 to 2014, the VTE adverse events contributed less than … Events Associated With Hip Joint Replacements 16,000 0.49 MPSMS (2015) Adverse Events Associated … indicated that in 2012 and 2013, adverse events were less frequent at hospitals that had implemented

28. Data Resources | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/data/resources/index.html
    April 28, 2024 - Data Resource Name Search   Filter by Topic Access to Care (4) Adverse … Events (1) Ambulatory (2) By Payer (2) By State (3) Children (3) Children (1) … HCUP Statistical Briefs: Adverse Events These HCUP Statistical Briefs provide statistics about adverse … events and patient safety-related events in U.S. hospitals. … Topics include infections (CDI and MRSA), adverse drug events (ADEs), and potentially avoidable injuries

29. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
    August 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … Disclosure communication following an adverse event should include answers to the following questions … Apology–say you are sorry for the adverse event in a sincere manner early in the conversation. … The communicator can also note that most adverse events have multiple causes that include a mixture of

30. AHRQ Tools To Reduce Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/hai/hac/tools.html
    March 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … To reduce these HACs and other adverse events in hospitals, frontline clinicians and others use many … Antibiotic use:  Toolkit To Improve Antibiotic Use in Acute Care Hospitals Adverse drug events: Medications … ICUs Medical devices: Toolkit for Decolonization of Non-ICU Patients With Devices Obstetrical adverse … events: Toolkit for Improving Perinatal Safety Pressure ulcers: Preventing Pressure Ulcers in Hospitals

31. Staff-Safety-Assessment (doc file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/staff-safety-assessment.docx
    June 01, 2021 - Safety Assessment PURPOSE OF THIS FORM: To discuss issues that may result in antibiotic-associated adverse … events or have the potential to cause adverse events that could negatively impact patient safety.

32. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/hai/pfp/2014-final.html
    January 01, 2018 - events. … About 40 percent of the overall reduction is from adverse drug events, about 28 percent from pressure … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … Events Associated With Hip Joint Replacements 19,000 0.59 MPSMS (2014) Adverse Events Associated … indicated that in 2012 and 2013, adverse events were less frequent at hospitals that have implemented

33. Mod03-Gap-Analysis-Guide (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
    April 01, 2016 - Identification and Analysis of Actual and Potential Adverse Events a. … Is there a process in place for identifying, managing, and analyzing adverse events, near miss events … Do staff have access to a system for reporting adverse events? c. … identifying, managing, and analyzing adverse events, near miss events, and unsafe conditions? … Do staff have access to a system for reporting adverse events?

34. Choosing an Intervention and Measuring Change | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/antibiotic-use/long-term-care/improve/intervention.html
    June 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … The Staff Safety Assessment Form and the Learning from Antibiotic-Associated Adverse Events Form … Staff Safety Assessment Form (DOCX, 330.3 KB) Learning From Antibiotic-Associated Adverse Events Form

35. Analyzing Big Datasets to Improve Healthcare Quality, Equity | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/funding/grantee-profiles/grtprofile-hernandez-boussard.html
    April 01, 2024 - her career to analyzing “clinical big data” to identify quality and safety issues that can result in adverse … events. … ), she profiled adverse events for various surgical events such as heart bypass surgery, breast reconstruction … Hernandez-Boussard also examined factors that could contribute to adverse events such as hospital surgical … Her research focuses on older patients and aims to mitigate the risk of adverse outcomes related to postoperative

36. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/cpi/about/otherwebsites/qsrs.ahrq.gov/index.html
    March 01, 2021 - and other Federal partners—realized that hospitals needed to understand specifically how and where adverse … events were occurring in order to prevent them. … Therefore, CMS created the MPSMS to measure the magnitude of adverse events among hospital patients covered … Features The QSRS: Offers an expanded array of adverse event measures. … Provides additional detail for the most frequently occurring events.

37. A | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/topics/a.html
    April 22, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Information in Spanish Topics Browse A - Z A Access to Care Adverse … Drug Events (ADE) Adverse Events Alcohol Use All-Payer Claims Ambulatory Care and Surgery

38. 2017Qdr-Patsafchartbook (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
    October 01, 2018 - drug event to warfarin (Adverse drug events) …  Procedure-related events.  Adverse drug events. … events associated with hip joint replacement, adverse events associated with knee joint replacement … events associated with hip joint replacement, adverse events associated with knee joint replacement … Events 30-Day Mortality for Colorectal Surgery Adverse Drug Events Adverse Events With Hypoglycemic

39. Prioritization Worksheet (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheetinstructions.pdf
    June 05, 2016 - This number is the total raw number of events occurring within your organization for your chosen time … Patients who experience adverse events often tend to have more comorbidities and other risk factors … and thus have accrued more costs even prior to the adverse event. … Compare the total costs of having an adverse event (Column G, Total Cost) with the anticipated cost … In other words, you are measuring the cost of implementation vs. the cost of not stopping these events

40. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
    August 01, 2022 - The diagram, developed by Robert Watcher, shows the distinction between adverse events and errors. … Not all adverse events are medical errors and not all medical errors are adverse events. … Do: Explain the diagram to others, and ask others to provide examples of adverse events that are not … errors and errors that are not adverse events. … events.”