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  1. 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
  2. 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
  3. 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
  4. 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.
  5. 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 EventsEvents Associated With Hip Joint Replacements 30,413 32,750,000 0.929 MPSMS Adverse Eventsevents for all diagnoses to adverse events for the four diagnoses.
  6. 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
  7. 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.
  8. 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
  9. 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
  10. 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 adverseevents 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)) .
  11. 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
  12. 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 adverseevents 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
  13. 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 AdverseEvents Associated With Hip Joint Replacements 33,000 1.00 31,000 0.93 MPSMS Adverse Events
  14. 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.
  15. 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
  16. 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
  17. 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 adverseevents. … 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.
  18. pbrn.ahrq.gov/data/resources/index.html
    April 28, 2024 - Data Resource Name Search   Filter by Topic Access to Care (4) AdverseEvents (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 adverseevents and patient safety-related events in U.S. hospitals. … Topics include infections (CDI and MRSA), adverse drug events (ADEs), and potentially avoidable injuries
  19. 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?
  20. 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 adverseevents: Toolkit for Improving Perinatal Safety Pressure ulcers: Preventing Pressure Ulcers in Hospitals

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