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Showing results for "adverse events".
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1. Adverse Drug Events Occurring in U.S. Hospitals | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/data/infographics/adverse-drug-events.html
   August 01, 2018 - Drug Events Occurring in U.S. … 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.

2. Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals | Agency for Healthcare Research and Quality
   preventiveservices.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.

3. Major Study Finds Significant National Patient Safety Improvement | Agency for Healthcare Research and Quality
   preventiveservices.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

4. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
   preventiveservices.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.

5. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
   preventiveservices.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.

6. Results | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/hai/pfp/haccost2017-results.html
   November 01, 2017 - events included postpartum hemorrhage, preeclampsia/eclampsia, and anesthesia-related adverse events … adverse events as the end point. … events and the risk of death among women experiencing maternal adverse events. … events: 37.1 percent (2011-2013 data). 58 We included the following conditions as the adverse events … events, we estimated the annual number of inpatient deaths due to maternal adverse events in the United

7. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
   preventiveservices.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)) .

8. Patient and Family Engagement | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/hai/cusp/modules/patient-family-engagement/sl-pat-fam.html
   September 01, 2013 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Introduction to Adverse Events Slide 23. Immediate Response to an Adverse Event 4 Slide 24. … Introduction to Adverse Events Adverse event: An injury to a patient caused by medical intervention … events happen. … Organizations should be prepared to respond and communicate proactively when adverse events occur.

9. PowerPoint Presentation
   preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
   December 01, 2014 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … events? … December 2014 On-Time Overview 5 5 On-Time Reports Being Developed for Four Adverse Events Four Reports … for prevention discussion with On-Time reports How the facility investigates adverse events Talk to

10. PowerPoint Presentation
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
    November 01, 2016 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … events? … November 2016 On-Time Overview 5 5 On-Time Reports for Four Adverse Events Available Reports: Pressure … Commitment to work with the Facilitator to learn how to use the reports to prevent adverse events November

11. PowerPoint Presentation
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
    May 01, 2017 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … events? … May 2017 On-Time Overview 5 5 On-Time Reports for Four Adverse Events Four Reports Pressure Ulcer … events.

12. Patient and Family Engagement | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
    September 01, 2013 - Introduction to Adverse Events Slide 23. Immediate Response to an Adverse Event 4 Slide 24. … Introduction to Adverse Events Say: Adverse events occur when a patient is harmed as a result of … Medical providers are committed to caring for their patients; however, adverse events can happen. … The Second Victim: Health Care Workers 7 Say: Adverse events are often system failures. … Organizations need to engage in strategies to address adverse events.

13. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
    July 01, 2023 - Expanding the scope to also include “problems” encourages reporting of adverse events where patients … Given the uncertainties inherent in diagnosis, a portion of adverse diagnostic events that are not always … The literature on medical errors documents that the long-term harms associated with adverse events are … First, when patients experience adverse medical events, they frequently switch to alternative venues … An exploration of the implementation of open disclosure of adverse events in the UK: a scoping review

14. Cover slide
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
    May 01, 2013 - tools to improve communication among patients, families, and clinicians Discuss how to communicate an adverse … event Introduction to Adverse Events Adverse event: An injury to a patient caused by medical intervention … events happen When an adverse even occurs, it can be difficult for a health care worker to take ownership … when, where, and why) Document the event in the medical record Next Steps in Responding to an Adverse … events occur Tools Am I Ready To Become an Advisor?

15. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
    August 01, 2022 - Slide 5 Say: Multiple studies have shown that involvement in medical errors and adverse events … It is estimated that one in seven patients is affected by adverse events, and that as many as half of … events and errors, and recognizes that not all adverse events are medical errors, and not all medical … errors are adverse events. … Therefore, it is important to recognize the distinction between medical errors and adverse events, as

16. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
    January 01, 2016 - infections, adverse drug events, and injuries due to procedures, as well as pressure ulcers and falls … For example, measured adverse drug events continued to drop from 2014 to 2016, while measured pressure … Infections (CLABSI) Clostridium difficile Infections Falls Obstetric Adverse Events Pressure Ulcers … Rate of 21 MPSMS adverse events in the MPSMS sample provided by CMS, including those in the Surgical … National number of adverse events captured by PSIs 18 and 19 on obstetric injury and national number

17. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
    November 01, 2017 - Obstetric Adverse Events (OBAE) An adverse maternal or fetal outcome that occurs during labor and/ … events included postpartum hemorrhage, preeclampsia/eclampsia, and anesthesia-related adverse events … adverse events as the end point. … events and the risk of death among women experiencing maternal adverse events. … ”[tiab] OR “adverse drug events”[tiab] OR “adverse drug reaction”[tiab] OR “adverse drug reactions”[

18. Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/pfp/haccost2017.html
    November 01, 2017 - Obstetric Adverse Events. Pressure Ulcers. Surgical Site Infections. … Bloodstream Infections          Falls          Obstetric Adverse Events          Pressure Ulcers … Central Line-Associated Bloodstream Infections Falls Obstetric Adverse Events Pressure Ulcers … Stream Infections (CLABSI) Falls Obstetric Adverse Events (OBAE) Pressure Ulcers Surgical Site … Obstetric Adverse Events (OBAE) An adverse maternal or fetal outcome that occurs during labor and/or

19. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
    preventiveservices.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

20. USER GUIDE: COVID-19 Vaccination Tracking Tool for Use in Skilled Nursing Facilities (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/user-guide-covid-19-vaccination-tracking-tool-nursing-facilities.pdf
    July 01, 2022 - o How many and what type of adverse events occurred by specific vaccine brand. … This is important because if you are seeing increased adverse events related to a specific vaccine … This is important because if you are seeing increased adverse events related to a specific vaccine administrator … An additional pie chart (Figure 18) illustrates Resident or Staff Adverse Events by Manufacturer. … Figure 18 – Example Adverse Events pie chart Figure 17 - Example Vaccination Status To-Date pie chart