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Showing results for "adverse events".
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41. The safety and effectiveness of pediatric chiropractic: a survey of chiropractors and parents in a practice-based research network | Practice-Based Research Networks | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/tools-and-resources/pbrn-literature/safety-and-effectiveness-pediatric-chiropractic-survey
    January 09, 2022 - Chiropractor responders indicated three adverse events per 5,438 office visits from the treatment of … The parent responders indicated two adverse events from 1,735 office visits involving the care of 239 … children's initial clinical presentations 9 2009 Volume:  5 Pages:  290-295 Keywords:  Adolescent, Adult, adverse

42. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
    June 01, 2014 - The annual estimates include a wide variety of adverse events, including the nine HACs selected for … 32,750,000 Discharges— Based on 2010 Baseline) 2012 PFP Measured HACs per 1,000 Discharge s Adverse … 1,000 Discharge s Falls MPSMS In-Hospital Patient Falls 260,000 7.80 230,000 7.16 Obstetric Adverse … MPSMS 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 Associated

43. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
    December 01, 2016 - About 40 percent of the overall reduction is from adverse drug events, about 28 percent from pressure … Falls Obstetric Adverse Events Pressure Ulcers Surgical Site Infections Ventilator-Associated Pneumonias … Falls Obstetric Adverse Events Pressure Ulcers Surgical Site Infections Ventilator-Associated Pneumonias … (see https://www.ncbi.nlm.nih.gov/pubmed/26854418) indicated that in 2012 and 2013, adverse events were … Events Associated With Hip Joint Replacements 19,000 0.59 MPSMS (2014) Adverse Events Associated

44. PowerPoint Presentation
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
    January 01, 2014 - event. 1.5% experienced harm that contributed to death. 44% of adverse events were preventable. … 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 lead potentially led to lower malpractice … and practitioners can use to respond in a timely, thorough, and just way to unexpected patient harm events … events really hinges on knowing about them immediately.

45. AHRQ’s Safety Program for Nursing Homes: On-Time Prevention | Agency for Healthcare Research and Quality
    pbrn.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 .

46. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
    August 01, 2022 - 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 … It is important that the clinicians and the health care organization apologize for the adverse event, … 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

47. Disclosure Checklist | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.html
    August 01, 2022 - 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.   … APOLOGIZE   Say you are sorry for the adverse event in a sincere manner early in the conversation

48. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
    pbrn.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

49. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
    pbrn.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
    October 01, 2015 - events—such as adverse drug events, falls, and pressure ulcers—occurred. … Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … Adverse drug events in hospitalized patients. … Adverse events in hospitals: methods for identifying events. Washington, DC: U.S. … Adverse events in hospitals: methods for identifying events. Washington, DC: U.S.

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

51. Staff-Safety-Assessment (doc file)
    pbrn.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.

52. Mod03-Gap-Analysis-Guide (pdf file)
    pbrn.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?

53. Improving Safety for Patients with Limited English Proficiency: TeamSTEPPS
    pbrn.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

54. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/sops/about/patient-safety-culture.html
    March 01, 2022 - 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.

55. Develop a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/antibiotic-use/acute-care/safety/index.html
    June 01, 2021 - Use Commitment Poster (DOCX) Antibiotic Time Out Tool (DOCX) Identifying Antibiotic–Associated Adverse … Events Form (DOCX) Learning From Antibiotic–Associated Adverse Events Form (DOCX)

56. Prioritization Worksheet (pdf file)
    pbrn.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

57. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
    August 01, 2022 - events focus on re-education, re-training, disciplinary actions, or the creation of new policies. … 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. … 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

58. AHRQ Quality Indicator Tools for Data Analytics | Agency for Healthcare Research and Quality
    pbrn.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. … reflect quality of care inside hospitals, such as potentially avoidable complications and iatrogenic events … 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

59. Patient Safety Organizations: A Summary of 2014 Profiles (pdf file)
    pbrn.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

60. Toolkit for Improving Perinatal Safety | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/index.html
    July 01, 2023 - Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … improve the patient safety culture of labor and delivery (L&D) units and decrease maternal and neonatal adverse … events resulting from poor communication and system failures. … Simulations—that an L&D unit can use to teach team members how to apply CUSP to prevent obstetrical adverse … events.