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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
January 01, 2013 - The cost of adverse drug events in hospitalized patients.
JAMA 1997;277:307-11. … Costs of adverse events in intensive care units. Crit Care
Med 2007;35(11)2637-8.
Pappas SH. … The cost of nurse-sensitive adverse events. J Nurs Adm 2008;38(5):230-6. … Using patient safety indicators to estimate the
impact of potential adverse events on outcomes. … The costs and savings associated with prevention of
adverse events by critical care nurses.
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preventiveservices.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - events and associated systemic and contextual factors. … Table of Contents
Adverse Drug Events (ADEs): General Medication Topics
ADEs: Harms Due to … Anticoagulants
ADEs: Harms Due to Diabetic Agents
ADEs: Reducing Adverse Drug Events in Older Adults … Recognition
Surgery, Anesthesia, and Perioperative Medicine
Venous Thromboembolism
Adverse … Adverse Drug Events Related to Anticoagulants
Summary of Evidence
Update
(Not reviewed)
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preventiveservices.ahrq.gov/sops/about/patient-safety-culture.html
March 01, 2022 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … 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.
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preventiveservices.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. … 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 … PDIs focus on potentially preventable complications and iatrogenic events for pediatric patients treated
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preventiveservices.ahrq.gov/research/findings/studies/index.html
January 01, 2024 - Drug Events (ADE)
(321)
Adverse Events
(737)
Alcohol Use
(61)
Ambulatory Care and Surgery … airway outcomes, including adverse tracheal intubation (TI)-associated events (TIAEs) and/or severe … Adverse tracheal intubation events in critically ill underweight and obese children: retrospective study … Keywords: Diagnostic Safety and Quality, Medical Errors, Adverse Events, Patient Safety, Quality of … The study did not find significant differences in adverse events. AHRQ-funded; HS024511.
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preventiveservices.ahrq.gov/hai/pfp/index.html
July 01, 2020 - Studies
Blog
AHRQ Views
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AHRQ News Now
Events … Condition Rate ( PDF , 237 KB)
To improve how the Nation tracks its progress on reducing HACs and other adverse … events, AHRQ is developing the AHRQ Quality and Safety Review System . … This patient safety surveillance system will capture information about HACs and other adverse events
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/prp/prp-wound-care.pdf
September 17, 2020 - • There is no statistically significant difference in adverse events and serious adverse
events between … Adverse Events
Appendix L. … There was no statistically
significant difference in adverse events (AEs) and serious adverse events … Categories of adverse events
Type of Adverse Events Example
Dermatological Adverse event Dermatitis … • There was no significant difference on adverse events (AEs) and serious adverse events
between
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-111921.pdf
March 11, 2022 - Indian Health
Service
• Enhanced Adverse Event Reporting Capabilities:
o Reporting of adverse events
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-arlene.pdf
November 17, 2020 - risk” will go on to develop MCC
• Targeted interventions to improve health and reduce the
risk of adverse … events and complications among those
with multiple chronic conditions (e.g., diabetes,
depression, … interventions for those who have complex
management issues and who are at “high risk” for
avoidable adverse … events, and require a focus on
preventing decline, maximizing functioning, and
improving quality of
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - drug
events, or pressure ulcers. … In contrast, events an order of
magnitude or more lower in frequency were considered
“rare;” such events … Practices Designed for a Specific Patient Safety Target
Adverse Drug Events
High-alert drugs: patient … ‘Global trigger tool’
shows that adverse events in hospitals may be ten times
greater than previously … Adverse Events in Hospitals: National
Incidence
Among Medicare Beneficiaries. OEI-06-09-00090.
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preventiveservices.ahrq.gov/patient-safety/settings/long-term-care/resource/omissions.html
October 01, 2019 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … Resources
Understanding Omissions of Care in Nursing Homes
Adverse … events and poor health outcomes are continuing challenges for nursing home residents and staff.
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preventiveservices.ahrq.gov/research/findings/evidence-based-reports/search.html
May 01, 2024 - Affiliation: RTI International—University of North Carolina at Chapel Hill Report Status: Final
Adverse … Status: Final
Computerized Clinical Decision Support To Prevent Medication Errors and Adverse … Drug Events Date: February 2024
Report Type: Rapid Evidence Product Affiliation: Southern California … International—University of North Carolina at Chapel Hill Report Status: Final
Reducing Adverse … Drug Events Related to Anticoagulant Use in Adults Date: January 2024
Report Type: Rapid Evidence
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - Do they believe the organization is aware of all the patient harm events? … Have they heard of events that should have been reported but were not reported? … Other methods of reporting CANDOR events may include in-person reporting. … The sole objective of the Event Investigation and Analysis of an adverse event or near miss is to prevent … future adverse events.
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preventiveservices.ahrq.gov/hai/universal-icu-decolonization/index.html
September 01, 2013 - Studies
Blog
AHRQ Views
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AHRQ News Now
Events … Safety and Adverse Events
The REDUCE MRSA Trial (Randomized Evaluation of Decolonization … Safety and Adverse Events
Authors
University of California Irvine
Susan Huang, MD, MPH
Adrijana
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preventiveservices.ahrq.gov/es/programs/index.html?page=2
Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … To reduce HACs and other adverse events in hospitals, frontline clinicians and others use many of the … 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.
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preventiveservices.ahrq.gov/news/patient-safety-highlights.html
April 01, 2024 - Studies
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AHRQ Views
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AHRQ News Now
Events … AHRQ Social Media
AHRQ Stats
Impact Case Studies
Blog
Newsletter
Events … of team strategies and tools to improve performance and approaches to team-based error disclosure on adverse … events.
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/870.html
June 01, 2023 - section
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … Researchers found that the interventions could prevent more than 3,100 ASCVD events over 10 years and … Walsh is working to prevent medication errors and adverse drug events among children, particularly those … Associated With Financial Distress
An analysis of more than 132,000 individuals’ credit reports showed adverse … Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog
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preventiveservices.ahrq.gov/npsd/data/chartbook/index.html
September 01, 2023 - Studies
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AHRQ Views
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AHRQ News Now
Events … Event Reporting for Hospitals ( CFER-H, versions 1.1 and 1.2 ), including generic safety concerns and adverse … events involving blood or blood products, falls, devices and medical/surgical supply, medication and … , and location of events to provide readers an enhanced analysis of the circumstances surrounding patient … safety events.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
April 01, 2023 - • 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. … These organizations consistently minimize adverse events despite carrying out
intrinsically complex and … Patient Safety Primer: Medication Errors and Adverse Drug Events
https://psnet.ahrq.gov/primers/primer … Patient Safety Primer: Medication Errors and Adverse Drug Events
23.
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preventiveservices.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html
February 01, 2023 - Studies
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AHRQ Views
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AHRQ News Now
Events … The Patient Safety Indicators (PSIs) identify adverse events occurring during hospitalization. … They provide information on potential in-hospital complications and adverse events following surgeries