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Showing results for "adverse events".
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61. Improving Patient Safety in Healthcare | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/funding/grantee-profiles/grtprofile-fairbanks.html
    December 01, 2023 - care, where the complexity of the system and the fragility of the patients creates a greater risk for adverse … events. … a 2-year AHRQ grant in 2005 to evaluate an emergency medicine clinical pharmacist program to avoid adverse … drug events in emergency department (ED) patients. … Fairbanks evaluated over 10,000 ED cases for adverse events, and interviewed ED physicians and nurses

62. Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/programs/index.html?page=2
    April 28, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … To reduce HACs and other adverse events in hospitals, frontline clinicians and others use many of the … uses electronic medical records to develop weekly reports that identify residents at risk of common adverse … events in nursing homes to help clinical staff intervene early.

63. Toolkit for Improving Perinatal Safety | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/index.html
    July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … improve the patient safety culture of labor and delivery (L&D) units and decrease maternal and neonatal adverse … events resulting from poor communication and system failures. … Simulations—that an L&D unit can use to teach team members how to apply CUSP to prevent obstetrical adverse … events.

64. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
    April 02, 2020 - Detecting adverse events for patient safety research: a review of current methodologies. … Measuring errors and adverse events in health care. … Lessons from a patient partnership intervention to prevent adverse drug events. … Computerized surveillance of adverse drug events in hospital patients. … Adverse events during hospitalization: results of a patient survey.

65. Health Systems Research | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/opioids/health-systems-research.html
    July 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Older adults have a high prevalence of chronic pain and are especially vulnerable to adverse events from … Characterizing Opioid-Related Adverse Events in Older Adults After Hospital Discharge.  … Prescribing of opioids at hospital discharge and associated adverse patient outcomes.

66. Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/research/findings/studies/index.html
    January 01, 2024 - Drug Events (ADE) (321) Adverse Events (737) Alcohol Use (61) Ambulatory Care and Surgery … airway outcomes, including adverse tracheal intubation (TI)-associated events (TIAEs) and/or severe … Adverse tracheal intubation events in critically ill underweight and obese children: retrospective study … Keywords: Diagnostic Safety and Quality, Medical Errors, Adverse Events, Patient Safety, Quality of … The study did not find significant differences in adverse events. AHRQ-funded; HS024511.

67. Outpatient Medication Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/848.html
    January 01, 2023 - section News Newsroom Blog Newsletter AHRQ News Now Events … published in the journal Cancer found that 10 percent of children with leukemia or lymphoma experienced adverse … drug events due to outpatient medication errors. … systematic review, from AHRQ’s Effective Health Care Program, also found PBI had significantly fewer acute adverse … events than WBI, though there was no apparent difference in late adverse events.

68. Search Evidence-Based Reports | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/research/findings/evidence-based-reports/search.html
    April 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Affiliation: RTI International—University of North Carolina at Chapel Hill Report Status: Final Adverse … Status: Final Computerized Clinical Decision Support To Prevent Medication Errors and Adverse … International—University of North Carolina at Chapel Hill Report Status: Final Reducing Adverse … Drug Events Related to Anticoagulant Use in Adults Date: January 2024 Report Type: Rapid Evidence

69. Care for the Caregiver Program Implementation Guide | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
    August 01, 2022 - ensure that these tiers of support are provided to caregivers after they have in been involved in an adverse … responsible for item or Action Plan Reporting Culture Are policies in place to support reporting adverse … clinical events? … Does your facility review patient safety events openly and share lessons learned? … YES  NO       Adverse Event Investigation Process Is an adverse event policy in place?

70. E-Fetal-Monitoring Facguide (doc file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.docx
    May 01, 2017 - individual staff skills with respect to EFM interpretation may not be enough to reduce perinatal safety events … Slide 12 SAY: A unit can decide its approach to debriefing events based on seriousness of event, expertise … Informal debriefings can be used by the clinical team immediately following a near miss or actual adverse … events. … events related to EFM use

71. Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Slide Presentation | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-slides.html
    July 01, 2023 - Professional Liability EFM interpretation and management are a common issue in litigation involving adverse … Slide 13: Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverse events … Have a process in place to review severe maternal or neonatal morbidity and mortality events. … Disclosing any unintended outcomes using unit policy for adverse events. … Past adverse events related to EFM use. Synergy with related or similar initiatives.

72. Infographic - New AHRQ Report Compares Early Stage Breast Cancer Radiotherapy Approaches (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/data/infographics/breast-cancer-radiotherapy.pdf
    February 21, 2023 - Cancer-Free Survival Outcomes Similar at 5 and 10 Years Whole Breast Irradiation (WBI) Acute Adverse … Events Were Significantly Fewer With PBI Compared With WBI Partial Breast Irradiation (PBI)

73. Selected Best Practices and Suggestions for Improvement (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
    May 17, 2016 - regarding the definition of true postoperative respiratory failure, it still remains an important patient adverse … at increased risk for postoperative respiratory failure to better prepare clinicians to anticipate adverse … events postoperatively, as well as improve allocation of resources after surgery.5 • Some risk factors … Decreased central nervous system input (head injury, ingestion of central nervous system depressant, adverse … Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality

74. Final Topic Refinement Document: Home Mechanical Ventilators (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
    October 01, 2017 - events? … events Through a noninvasive interface after HMV, BPAP, or CPAP Patients with chronic respiratory … (KQ 5) Adverse Events using the “CBK” approval code and home BPAP machines using the “MNT” and “ … These physiologic aberrations may result in several adverse outcomes that include, but are not limited … events Timing • At least 1 month of treatment Setting • Home • Assisted living residence

75. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - Do they believe the organization is aware of all the patient harm events? … Have they heard of events that should have been reported but were not reported? … Other methods of reporting CANDOR events may include in-person reporting. … The sole objective of the Event Investigation and Analysis of an adverse event or near miss is to prevent … future adverse events.

76. Board and Senior Leadership PowerPoint Presentations on the AHRQ Quality Indicators (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pdf
    October 01, 2015 - • AHRQ QIs are indicators of hospital quality and adverse events that patients may experience as … • Pediatric Quality Indicators (PDIs) reflect quality of care inside hospitals and adverse events … • The PSIs are a set of 18 hospital-level indicators of safety-related adverse events following operations … and Safety • The PDIs are a set of 16 indicators that reflect quality of care inside hospitals and adverse … • PDIs measure events likely preventable through changes at the system or provider level.

77. Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/research/findings/studies/index.html?page=484
    January 01, 2024 - Drug Events (ADE) (321) Adverse Events (737) Alcohol Use (61) Ambulatory Care and Surgery … Keywords: Adverse Events, Falls, Hospitals, Patient Safety, Prevention Braithwaite S , Friedman … events. … events. … Keywords: Adverse Events, Hospitals, Medical Errors, Patient Safety, Quality Indicators (QIs)

78. Monitoring for Perinatal Safety: Electronic Fetal Monitoring (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
    May 01, 2017 - 3 SAY: Further, EFM interpretation and management is a common issue in litigation involving adverse … individual staff skills with respect to EFM interpretation may not be enough to reduce perinatal safety events … Perinatal Care Electronic Fetal Monitoring 8 SAY: A unit can decide its approach to debriefing events … events. … • Past adverse events related to EFM use. • Synergy with related or similar initiatives (e.g., initiatives

79. Rapid Response for Perinatal Safety: Slide Presentation | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-slides.html
    July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Slide 14: Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverse events … Have a process in place to review serious maternal or neonatal adverse outcomes. … Consider these factors: Unit data suggesting adverse events or near misses that may have been minimized … Debrief regularly after rapid response events, and solicit ongoing feedback from staff and patients to

80. New Toolkit Can Improve Post-Surgery Complications and Enhance Patient Recovery | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/870.html
    June 01, 2023 - section News Newsroom Blog Newsletter AHRQ News Now Events … Researchers found that the interventions could prevent more than 3,100 ASCVD events over 10 years and … Walsh is working to prevent medication errors and adverse drug events among children, particularly those … Associated With Financial Distress An analysis of more than 132,000 individuals’ credit reports showed adverse … Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog