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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pdf
May 22, 2013 - • Nearly 20 percent of patients experience an adverse event
within a month of discharge, of which ¾ … could be prevented
• Common complications post-discharge are adverse drug
events, hospital-acquired
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preventiveservices.ahrq.gov/data/infographics/index.html
March 01, 2024 - Studies
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Events … Family Premiums for Employer-Sponsored Health Insurance
Growing Pain of Spinal Stenosis
Adverse … Drug Events Occurring in U.S.
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Events … treatment options and have the strongest evidence base for improving ADHD symptoms but are associated with adverse … events, such as appetite suppression.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
July 12, 2018 - diagnostic errors
were a chief concern
in outpatient visits
1 in 9
ED admissions
are related to an
adverse
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preventiveservices.ahrq.gov/funding/grantee-profiles/grtprofile-mazur.html
March 01, 2023 - Studies
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Events … Simulation is a technique that mimics real-world clinical events in a training environment so clinicians
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4.html
March 01, 2013 - culture and language in the discharge planning process may expose patients to otherwise preventable adverse … events and readmissions.
… have LEP. 7 People with LEP are 40 percent more likely to experience physical harm associated with an adverse … event than English-speaking patients, and adverse events reported by LEP patients are more likely to … events following discharge.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es-cs061721.pdf
December 01, 2020 - Importance of Patient Safety
Mortality
Prevalence
Cost
Findings on Patient Safety
Improving Trend: Adverse … Drug Events With Heparin and Factor Xa
Improving Trend: Inpatient Adverse Drug Events With Anticoagulants
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preventiveservices.ahrq.gov/coronavirus/long-covid.html
March 01, 2024 - Studies
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Events … pattern and progression or worsening over time, with the possibility of severe and life-threatening events … to improve the care of people living with multiple chronic conditions who are at increased risk for adverse
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November 01, 2023 - Studies
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Events … Adverse drug event prevention and detection in older emergency department patients .
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
April 01, 2023 - Staff can use this decision tree when analyzing
an error or adverse event in an organization to help … events and close calls. … events, and near-misses. … These organizations consistently minimize adverse events despite carrying out
intrinsically complex and … drug events (ADEs).
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preventiveservices.ahrq.gov/workingforquality/events/webinar-better-care-healthier-communities.html
November 01, 2016 - Studies
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Events … For the Quality and Disparities Report, we observed significant improvements in adverse events and falling … https://www.ahrq.gov/workingforquality/events/webinar-better-care-healthier-communities.html
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preventiveservices.ahrq.gov/questions/resources/glossary.html
November 01, 2020 - Studies
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Events … Top of Page
M
Medical Error: An unintended but preventable adverse effect of care, whether or … Morbidity also refers to adverse effects caused by a treatment.
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October 01, 2020 - Studies
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Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
September 01, 2023 - care, especially related to diagnostic testing.54 In addition, this
population is more susceptible to adverse … not immune to MDOs, with diagnostic issues being
second only to management concerns as the source of adverse … The morbidity and mortality conference as an adverse event
surveillance tool in a paediatric intensive … Adverse events in the paediatric emergency depart-
ment: a prospective cohort study. BMJ Qual Saf. … The prevalence of quality issues and adverse out-
comes among 72-hour return admissions in the emergency
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
July 23, 2010 - For example, one study found that more than 70 percent of adverse events are caused by breakdowns in … As noted above, one study found that more than 70 percent of adverse events are caused by breakdowns … infections, and air embolism, all of which are on CMS’s list of hospital-acquired complications “never events … successful transfer of information between nurses going off duty and nurses coming on duty to prevent adverse … events and medical errors.
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September 01, 2023 - Studies
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Events … of implementation factors related to addressing social determinants to reduce racial disparities in adverse
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preventiveservices.ahrq.gov/teamstepps-program/curriculum/intro/overview.html
July 01, 2023 - Studies
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/PrimaryCareEffortsToReduceReadmissions-envscan.pdf
March 01, 2020 - One particular challenge identified by Armor was the high rate of adverse drug events and
lack of systematic … In addition, patients experienced: medication
problems and adverse events, issues with follow-up appointments … Addressing post-discharge adverse events: a neglected
area. … Evaluation of adverse drug events and medication
discrepancies in transitions of care between hospital … The incidence and severity of adverse events
affecting patients after discharge from the hospital.
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preventiveservices.ahrq.gov/teamstepps/readiness/index.html
August 01, 2015 - Studies
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Events … Objective information can originate from a variety of sources, including adverse event and near-miss
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preventiveservices.ahrq.gov/news/blog/ahrqviews/uneven-impact-covid19.html
December 01, 2021 - Studies
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