Results

Total Results: 1,793 records

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

201. Special Considerations for Measurement of Diagnostic Safety (continued) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
     June 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … communication differences, will also need to be addressed to make the most of such efforts. 59,61,62 Real-time adverse … records is through the “trigger” approach, which aims to “alert patient safety personnel to possible adverse … events so they can review the medical record to determine if an actual or potential adverse event has … research has examined the predictive validity of NLP algorithms for detection of safety incidents and adverse

202. Making Information Technology a Team Player in Safety: The Case of Infusion Devices (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
     January 01, 2002 - Adverse events including device- related deaths and serious injuries must be reported to the FDA and … How do existing incident reports help to describe adverse events in terms of infusion device programming … Our study’s initial findings give us the opportunity to better understand actual adverse events that … It is possible that practitioners who are involved in adverse events that are reported in the MAUDE … The methods described provide a useful basis for study the evolution of adverse events.

203. Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
     April 14, 2008 - events (AEs) associated with drugs to initiate an investigation.8 Historically, voluntary spontaneous … These include an affiliation with the Research on Adverse Drug Events and Reports Project (RADAR),26 … events. … The Research on Adverse Drug Events and Reports (RADAR) project. … Outpatient benzodiazepine prescribing, adverse events, and costs.

204. AHRQ’s Measure Dx Tool: Discover and Learn From Diagnostic Errors | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/831.html
     September 01, 2022 - section News Newsroom Blog Newsletter AHRQ News Now Events … Potentially inappropriate medication administration is associated with adverse postoperative outcomes … Risk of metabolic and cardiovascular adverse events with abiraterone or enzalutamide among men with advanced … Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia … Trajectories of prescription opioid dose and risk of opioid-related adverse events among older Medicare

205. AHRQ's Patient Safety Culture Survey Used to Set Baselines for Improvements at Chicago Hospital | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/cquips0609.html
     October 01, 2014 - AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events … Importantly, the survey also highlighted that staff were more uncomfortable with filing reports of adverse … events than was previously recognized. … team targeted its initiatives to address three specific dimensions of patient safety: reporting of adverse … events, handoffs and communication, and feedback and awareness of adverse events.

206. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
     May 05, 2008 - Meliones MD, MS Abstract Background: During the analyses of adverse events, a commonly described … These patients are at increased risk for adverse events because of the complexity of their diagnosis … Understanding adverse events: Human factors. Qual Health Care 1995; 4: 80-89. 5. Reason J. … The nature of adverse events in hospitalized patients. … Understanding and responding to adverse events. N Engl J Med 2003; 348: 1051-1056. 16.

207. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
     January 01, 2003 - Relationship between medication errors and adverse drug events. … Incidence of adverse events and negligence in hospitalized patients. … drug events, and adverse drug reactions. … Adverse Drug Prevention Study Group. The costs of adverse drug events in hospitalized patients. … Adverse drug events in hospitalized patients.

208. AHRQ Safety Program For Long-Term Care: CAUTI
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/module-4-slides.pptx
     March 01, 2017 - HAIs/CAUTI Long-Term Care Safety Modules Teamwork and Communication | ‹#› 27 Communicating Adverse … Events Adverse event: An injury to a resident caused by medical intervention rather than by the underlying … The mission of frontline care providers is to help and care for residents without harming them, but adverse … events happen  When an adverse event occurs, it can be difficult for a care provider to take ownership … Outcomes Immediate Response to an Adverse Event Next Steps in Responding to an Adverse Event Care

209. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/sops/about/patient-safety-culture.html
     March 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … 2 Hospitals with more positive SOPS scores had: Lower rates of in-hospital complications or adverse … events as measured by AHRQ’s patient safety indicators (PSIs). 3 Patients who reported more positive … Exploring relationships between hospital patient safety culture and adverse events. … The relationship between culture of safety and rate of adverse events in long-term care facilities.

210. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
     March 01, 2021 - events. … If left unaddressed, behavioral health and social needs are key risk factors for postdischarge adverse … events. … events increases after hospitalization. … events.

211. AHRQ Quality Indicator Tools for Data Analytics | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/data/qualityindicators/index.html
     November 01, 2020 - hospital level, the QIs are used to support internal quality improvement, monitoring, and assessment of adverse … events related to patient safety. … Patient Safety Indicators (PSIs) help hospitals assess the incidence of adverse events and in-hospital … More specifically, they focus on potential in-hospital complications and adverse events following surgeries … PDIs focus on potentially preventable complications and iatrogenic events for pediatric patients treated

212. Developing the Tools to Administer a Comprehensive Hospital Discharge Program: The ReEngineered Discharge (RED) Program (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
     February 21, 2008 - Medical Errors and Adverse Events at Hospital Discharge Errors and Adverse Events Are Common on Both … 49, 50 3 Adverse Drug Events: Common, Serious, and Costly Adverse drug events (ADEs) are the … Adverse events among medical patients after discharge from hospital. … The costs of adverse drug events in hospitalized patients. … Events at Hospital Discharge Errors and Adverse Events Are Common on Both Sides of the Transition

213. New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi) (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
     January 01, 2018 - Safety Tejal Gandhi Handwriting 16 Ways IT Can Improve Safety • Prevent errors and adverse … events • Facilitating a more rapid response after an adverse event has occurred • Tracking and providing … feedback about adverse events Bates, Gawande 2003 Main Strategies for Preventing Errors and AEs

214. Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/waever.html
     August 01, 2017 - Studies of claims have shown that the perceived cause, context, outcome, and response to a given adverse … Paid malpractice claims for adverse events in inpatient and outpatient settings. … Exploring relationships between hospital patient safety culture and adverse events. … Health care professionals as second victims after adverse events: a systematic review. … The natural history of recovery for the healthcare provider “second victim” after adverse patient events

215. Facilitator Guide: Science of Safety Training & Identifying Defects (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
     December 01, 2017 - In addition, surgery is linked to half of all hospital adverse events. … Most hospital adverse events are avoidable. … events. … events and other defects. … events.

216. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
     January 01, 2004 - analyses (RCA) that examine systems issues and identify mechanisms for future prevention of these events … events.1 The subcommittee adopted the NCC MERP definition of a medication error:5 Analysis of … events. … Identification and classification of the causes of events in transfusion medicine. … Leape LL, Bates DW, Cullen DJ, et al., Systems analysis of adverse drug events.

217. Table of Contents: Volume 1. Assessment (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/TableofContents_Vol1.pdf
     December 22, 2008 - Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology Martin November, … Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance … News Media and Health Care Providers at the Crossroads of Medical Adverse Events Pamela Whitten, Mohan … Mahoney Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from … Drug Events: Study Methods Andrew L.

218. Table of Contents: Volume 4. Technology and Medication Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/TableofContents_Vol4.pdf
     December 22, 2008 - Drug Events: Study Methods Andrew L. … ix Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology Martin November … Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance … News Media and Health Care Providers at the Crossroads of Medical Adverse Events Pamela Whitten, Mohan … Mahoney Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from

219. Strategy 4: IDEA Discharge Planning (Tool 3) (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
     January 01, 2010 - engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse … three-quarters of these could have been prevented or ameliorated.1 Common post-discharge complications include adverse … drug events, hospital-acquired infections, and procedural complications.1 Many of these complications … The incidence and severity of adverse events affecting patients after discharge from the hospital.

220. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
     January 01, 2017 - events. … What are safety events in the clinical area? What systems may have led to the events? … events resulting in harm. … Adverse event reporting systems are common in hospitals. … Slide 16 Staff Safety Assessment SAY: Adverse reporting systems, sentinel events, and claims data