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pbrn.ahrq.gov/data/infographics/adverse-drug-events.html
August 01, 2018 - Drug Events Occurring in U.S. … Hospitals
Adverse Drug Events Occurring in U.S. … Hospitals (PDF, 1.5 MB)
Source: HCUP Statistical Brief #164: Characteristics of Adverse Drug Events … Drug Events Occurring in U.S. … https://www.ahrq.gov/data/infographics/adverse-drug-events.html
Back
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pbrn.ahrq.gov/sites/default/files/wysiwyg/data/infographics/adverse-drug-events.pdf
July 02, 2015 - Adverse Drug Events occurring in U.S. … Hospitals
0 10 20 30 40 50 60 70 80
Adverse Drug Events
Occurring in U.S. … Hospitals
Adverse drug events (ADEs) are the most common nonsurgical adverse events that occur in hospitals … By hospital region
Source: Statistical Brief #164: Characteristics of Adverse Drug Events Originating
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/videos/notification.html
August 01, 2022 - Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … Education & Training
Resources
Notification of Adverse Event: Video … institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events … This video demonstrates an example of caregivers notifying the CANDOR team of an adverse event. … reviewed August 2022
Page originally created April 2016
Internet Citation: Notification of Adverse
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pbrn.ahrq.gov/news/newsletters/e-newsletter/899.html
February 01, 2024 - Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals … [PDF, 9 MB])
Today's Headlines:
Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing … Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals
Patients with heart … Additional articles featured this week include:
Adverse safety events in emergency medical services … Impact of reducing time-to-antibiotics on sepsis mortality, antibiotic use, and adverse events.
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pbrn.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
July 01, 2022 - Researchers of this study tracked a total of 21 adverse events over the study period. … Examples of the events included adverse medication events such as those associated with the use of insulin … Adverse events are often defined as physical or psychological harm caused by a person’s interaction with … Tracking the rates of adverse events is a common way of measuring changes in patient safety. … In the study, researchers examined the rates of adverse events by looking at the raw (observed) rates
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pbrn.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - Events Associated With Hip Joint Replacements
MPSMS
Adverse Events Associated With Knee Joint Replacements … events for all patients to adverse events for patients with one of the four diagnoses. … Events Associated With Hip Joint Replacements
1.02
3.70
0.28
All Other HACs
Adverse Events … Events Associated With Hip Joint Replacements
30,413
32,750,000
0.929
MPSMS
Adverse Events … events for all diagnoses to adverse events for the four diagnoses.
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pbrn.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - events were occurring in order to prevent them. … This chart review-based surveillance system determines national rates for 21 types of adverse events, … events. … use/misuse, surgical site infections, and other surgical and anesthesia-related adverse events, as well … as obstetric and neonatal adverse events.
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pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
January 01, 2024 - Between 19 to 28 percent of patients experience adverse events during care transitions. … These adverse events, which may lead to hospital readmissions, represent an ongoing threat to patient … events. … Building on his efforts to reduce adverse events during care transitions, Dr. … It also will help patients to understand their individualized risks of adverse events during care transitions
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
August 01, 2022 - Slide 1
Say:
When adverse patient events occur, the patient and their family are looking for … events. … Following patient harm events, the patient and/or family might sue the caregiver and/or organization, … When harm occurs, patients often express the desire to protect others from future events. … These metrics include organizational performance relative to adverse events, financial impact, as well
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
August 01, 2022 - events. … events and promote better care for patients through candid, caring communication in the wake of an adverse … events from happening in the future. … It also emphasizes the organization's commitment to improve the reporting and monitoring of adverse events … event (see Adverse Event (Reasonable Care) and Adverse Event (Unreasonable Care)) .
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … 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 potentially lead to lower malpractice … and practitioners can use to respond in a timely, thorough, and just way to unexpected patient harm events … Slide 16
Say:
A good response to adverse events really hinges on knowing about them immediately
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
September 01, 2014 - Events Associated With Hip Joint Replacements
MPSMS Adverse Events Associated With Knee Joint Replacements … events for all patients to adverse events for patients with one of the four diagnoses. … Events Associated
With Hip Joint Replacements
1.02 3.70 0.28
All Other
HACs
Adverse Events Associated … Events Associated With
Hip Joint Replacements
30,413 32,750,000 0.929
MPSMS Adverse Events Associated … events for all diagnoses to adverse events for the four
diagnoses.
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/index.html
August 01, 2022 - Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events … In short, the CANDOR process is a more patient-centered approach that emphasized early disclosure of adverse … events and a more proactive method to achieving an amicable and fair resolution for the patient/family … Care
Video: Notification of Adverse Event
Video: Planning for Meetings with Family
Video: Disclosure
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pbrn.ahrq.gov/topics/a.html
April 22, 2024 - 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
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pbrn.ahrq.gov/antibiotic-use/long-term-care/improve/intervention.html
June 01, 2021 - 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
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pbrn.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
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
August 01, 2022 - Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … 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.
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pbrn.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?
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pbrn.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
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pbrn.ahrq.gov/hai/hac/tools.html
March 01, 2024 - 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