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Showing results for "adverse events".
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101. Patient Experience, Patient Safety, and Provider Well-Being: Associations and Paths (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2023-virtual-research-meeting-summary-patient-experience.pdf
     January 01, 2023 - Black adults, compared to White adults, are more likely to report preventable adverse events. … events for patients. … events, and reduce racial disparities. … Patients perceive that issues arise due to a combination of errors/adverse events and communication … We make the case (a) that patient 14 safety surveys must inquire about all adverse events, not

102. Medical Injury Identification Using Hospital Discharge Data (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
     January 01, 2003 - adverse drug events or nosocomial infections. … Reporting of adverse events. NEJM 2002;347:1,633–8. 4. Halperin W. … Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical … Incidence and types of adverse events and negligent care in Utah and Colorado. … Measuring errors and adverse events in health care. J Gen Intern Med 2003;18:61–7.

103. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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.

104. Dashboard Information | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/npsd/data/dashboard/info.html
     June 01, 2019 - data that follow the Common Formats for Event Reporting – Hospital Version (CFER-H) definitions of Adverse … Events, i.e., the Common Formats Event Descriptions. … modules for specific types of adverse events that are common. … The Generic module allows classification of all events as Incident, Near miss, or Unsafe condition as … well as provides other information relevant to all events (e.g., harm).

105. Understanding SOPS Surveys: A Primer for New Users (Webcast) - Famolaro (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-SOPS_101_Webcast-FAMOLARO.pdf
     January 01, 2020 - 2.0 Webcast Replay, PowerPoint slides, and Transcript are available on the AHRQ SOPS website under Events … Hospital SOPS to AHRQ Patient Safety Indicator (PSI) adverse event rates 3. … Journal of Patient Safety. 8(3), 131-139. 38 HSOPS 1.0 & Patient Safety Indicator (PSI) Adverse Event … en t R at e— PS I C om po si te Higher patient safety culture scores associated with lower adverse … Exploring Relationships Between Hospital Patient Safety Culture and Adverse Events.

106. 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
     ce.effectivehealthcare.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.

107. “Near-miss” Reporting System Development and Implications for Human Subjects Protection (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
     January 01, 2004 - Many clinical medicine organizations use institutional-level detection of adverse events, followed … Outside the VHA, after studying aggregate data on adverse drug events, it was determined that many … Understanding and responding to adverse events. N Engl J Med 2003;348(11):1051–6. 8. Nolan TW. … Systems analysis of adverse drug events. ADE Prevention Study Group. … Reporting of adverse events. N Engl J Med 2002;347(20):1633–8. 39.

108. Pf-Engagement-Facilitator-Guide (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
     May 01, 2017 - Slide 16 SAY: Adverse events occur when a patient is harmed as a result of receiving medical care. … Medical providers are committed to caring for their patients; however, adverse events can happen. … Slide 21 SAY: Adverse events are often system failures. … Hospitals today recognize that health care workers are the second victims of adverse events and often … Organizations need to engage in strategies to address adverse events.

109. CommonSpirit Health Expands CANDOR Toolkit Across Entire Health System | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/202104.html
     October 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events … CommonSpirit Health clinicians have communicated promptly and candidly with patients about an adverse … “It’s all about how to communicate an adverse event or a potential adverse event promptly and candidly … However, “We’re never looking at events or other hard data to substantiate our position.

110. 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
     ce.effectivehealthcare.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

111. Data Resources | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/data/resources/index.html
     May 01, 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

112. Improving Patient Safety Systems for Limited-English-Proficient (LEP) Patients: A Guide for Hospitals | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/lep/hospitalguide/lephospitalguide.html
     December 01, 2012 - (continued) Slide 10: Causes of Adverse Events for LEP and Culturally Diverse Patients Slide 11: Systems … Identify common causes of adverse events for LEP and culturally diverse patients. … Language proficiency and adverse events in U.S. hospitals: a pilot study. … Return to Contents Slide 10: Causes of Adverse Events for LEP and Culturally Diverse Patients Use … Language proficiency and adverse events in U.S. hospitals: a pilot study.

113. Executive Summary | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-1.html
     June 01, 2023 - References Patient perspectives offer unique information about how diagnosis-related events … enrich clinicians’ understanding of patient and family experience and reduce the harms that follow adverse … diagnostic events. … Although patient and family conceptions of adverse events do not always conform to clinical definitions … diagnostic errors, it is important to identify and understand the broader scope of patient-defined adverse

114. Six New Jersey Hospitals Reduce Adverse Events With AHRQ Medication Reconciliation Toolkit | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/ktcquips85.html
     October 01, 2014 - News Newsroom Impact Case Studies Six New Jersey Hospitals Reduce Adverse … Events With AHRQ Medication Reconciliation Toolkit … Six New Jersey Hospitals Reduce Adverse Events With AHRQ Medication Reconciliation … Page originally created March 2012 Internet Citation: Six New Jersey Hospitals Reduce Adverse … Events With AHRQ Medication Reconciliation Toolkit.

115. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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

116. Executive Summary | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/summary.html
     August 01, 2022 - to establish an initiative to help States and health care systems test new models of care delivery, adverse … previously collected patient complaint data suggests that patient complaints may be a predictor of adverse … events. … drug events. … that would also be Automatically Compensable Events (ACEx2), a list of 18 events meeting these criteria

117. Staff-Safety-Assessment (doc file)
     ce.effectivehealthcare.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.

118. AHRQ Tools To Reduce Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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

119. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Patient and Family Engagement
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/engagement.pptx
     May 01, 2017 - Events An adverse event is an injury to a patient caused by medical intervention rather than by the … The mission of health care providers is to help and care for patients without harming them, but adverse … events happen. … Prompt, compassionate, and honest communication with the patient and family after an adverse event is … Organizations should be prepared to respond and communicate proactively when adverse events occur.

120. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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