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Showing results for "adverse events".
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41. Mod03-Gap-Analysis-Guide (pdf file)
    healthcare411.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?

42. Choosing an Intervention and Measuring Change | Agency for Healthcare Research and Quality
    healthcare411.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

43. Analyzing Big Datasets to Improve Healthcare Quality, Equity | Agency for Healthcare Research and Quality
    healthcare411.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

44. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
    healthcare411.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.

45. Improving Safety for Patients with Limited English Proficiency: TeamSTEPPS
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-oct2013.pptx
    January 01, 2013 - know about patient safety and Limited English Proficiency (LEP) patients Identify common causes of adverse … Language proficiency and adverse events in U.S. hospitals: a pilot study. … Nearly 25 million people in the United States (8.6%) are defined as LEP and therefore at risk for adverse … Language proficiency and adverse events in U.S. hospitals: a pilot study. … 0.5 Sheet1 Adverse Event Characteristic English Speaking N (%) Limited English Proficient N (%) P-value

46. Disclosure Checklist | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.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 … Identify the adverse event early in the disclosure.   … Explain what is known about why the adverse event occurred; do not speculate.   … Tell the patient whether the adverse event was preventable, if known.  

47. A | Agency for Healthcare Research and Quality
    healthcare411.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

48. 2017Qdr-Patsafchartbook (pdf file)
    healthcare411.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

49. Prioritization Worksheet (pdf file)
    healthcare411.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

50. AHRQ Views Blog: We Must Not Underestimate the Impacts of Gun Violence on Healthcare Workers | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/news/newsletters/e-newsletter/842.html
    December 01, 2022 - Older Opioid Patients Experience More Adverse Events After Injury . … Older Opioid Patients Experience More Adverse Events After Injury Chronic non-cancer pain Medicare … events than those patients who did not experience an injury. … emerge after opioid initiation may assist in the early detection of older patients at high risk for adverse … events such as overdoses.

51. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
    healthcare411.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.”

52. AHRQ Researchers Find Link Between Job Flexibility and Healthcare Access and Use | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/news/newsletters/e-newsletter/818.html
    June 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Study Finds Relationship Between Readmission Rates, Adverse Events in Hospitals . … Study Finds Relationship Between Readmission Rates, Adverse Events in Hospitals Patients with pneumonia … admitted to hospitals with high readmission rates were more likely to experience adverse events, a new

53. Resources and Tools To Improve Discharge and Transitions of Care and Reduce Readmissions | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/patient-safety/resources/improve-discharge/index.html
    July 01, 2022 - PSNet Article: Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse … Readmission Rates With Mortality Rates After Hospital Discharge AHRQ PS Net Primer: Readmissions and Adverse … Toolkit To Improve Medication Reconciliation Across Care Settings Six New Jersey Hospitals Reduce Adverse … Patient Safety and Team Communication Through Daily Huddles AHRQ PSNet Primer: Medication Errors and Adverse … Drug Events AHRQ PSNet Primer: Medication Reconciliation AHRQ PSNet Perspective: Patient Safety

54. Patient Safety Organizations: A Summary of 2014 Profiles (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
    January 01, 2014 - Evaluation of perioperative medication errors and adverse drug events. … By addressing common, preventable adverse events, a health care setting can become safer, thereby enhancing … More than three-fourths of PSOs offered analytical support for adverse events, and a similar share … “The Importance of Reporting Safety Events.” 2014. Analytic Support for Adverse Events. … Copyright 2015 ECRI Institute. www.ecri.org • Adverse events • Near misses • Hazards • Common Formats

55. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
    August 01, 2022 - A pre-scripted immediate response to events, along with a tightened timeline for event reviews. … event or near miss is the prevention of future adverse events. … When an adverse event occurs, too often, the focus is on an individual's performance and is corrected … If these factors can be identified and modified, the chance of similar events can be reduced. … The systems approach recognizes that all adverse events have multiple contributing factors, many of which

56. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/research/findings/making-healthcare-safer/index.html
    July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Harms such as adverse drug events, healthcare-associated infections, falls, and obstetric adverse events … patient safety practices in eight categories encompassing commonly occurring care- and disease-specific adverse … events and associated systemic and contextual factors.

57. AHRQ’s Safety Program for Nursing Homes: On-Time Prevention | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
    November 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Prevention provides a strategy for preventing adverse … events in nursing homes. … 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. … Adverse Events Pressure Ulcer Prevention . Pressure Ulcer Healing .

58. About the Toolkit Development | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
    July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Background Of the 3.9 million births in the United States each year, 2 percent are estimated to involve an adverse … and 70 percent of sentinel neonatal events. … inappropriate interventions, or interventions provided in an unsafe manner, also increases the risk of adverse … events on L&D units.

59. Declines in Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/data/infographics/hac-rates_2019.html
    July 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … (PDF, 11.1 MB) Text Description: National efforts to reduce hospital-acquired conditions such as adverse … drug events and injuries from falls helped prevent 20,700 deaths and saved $7.7 billion between 2014 … Specific rates are: Adverse drug events: 28% decrease. CAUTI: 5% decrease. CLABSI: 6% decrease. … Obstetric events: 3% decrease. Pressure ulcers: 6% increase. Surgical site infections: 8% increase.

60. Return on Investment Tool (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
    January 01, 2013 - The cost of adverse drug events in hospitalized patients. JAMA 1997;277:307-11. … Costs of adverse events in intensive care units. Crit Care Med 2007;35(11)2637-8. Pappas SH. … The cost of nurse-sensitive adverse events. J Nurs Adm 2008;38(5):230-6. … Using patient safety indicators to estimate the impact of potential adverse events on outcomes. … The costs and savings associated with prevention of adverse events by critical care nurses.