Results

Total Results: 2,756 records

Showing results for "adverse events".
Users also searched for: patient safety indicators

101. Medical Product Safety Network (MedSun) Collaborates with Medical Product Users to Create Specialty Subnetworks (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Engleman_86.pdf
     June 04, 2008 - In particular, the exchange of device-related safety information and reports on adverse events with … Given that the FDA does not have unlimited resources to investigate and address adverse events with … adverse events and situations indicating the potential for harm related to these devices. … Obstacles to reporting adverse events to the FDA were identified as well. … KidNet’s focus is on identifying and reporting all medical device-related adverse events that occur

102. Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-ptsafety.html
     September 01, 2015 - from adverse drug reactions. … Although patient safety initiatives focus mainly on inpatient hospital events, adverse effects of medical … Providers treating adverse events in outpatient settings may include office-based physicians, hospital … Some adverse events, such as known side effects of appropriately prescribed medications, may be unavoidable … sense of the burden these events place on the population.

103. PowerPoint Presentation
     www.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

104. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/slides.html
     December 01, 2014 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … Slide 6: On-Time Reports Being Developed for Four Adverse Events Four Reports: Pressure Ulcer … Commitment to work with the Facilitator to learn how to use the reports to prevent adverse events. … How the facility investigates adverse events.

105. PowerPoint Presentation
     www.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

106. On-Time Pressure Ulcer Healing: Facilitator Training Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
     December 01, 2017 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … Slide 6: On-Time Reports for Four Adverse Events Available Reports Pressure Ulcer Prevention … Commitment to work with the Facilitator to learn how to use the reports to prevent adverse events. … Slide 15: Facilitator Discussion: Value of On-Time Reports Focus on preventing adverse events.

107. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facslides.html
     September 01, 2017 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … Slide 6: On-Time Reports for  Four Adverse Events Four Reports: Pressure Ulcer Prevention. … Commitment to work with the Facilitator to learn how to use the reports to prevent adverse events. … Slide 15: Facilitator Discussion: Value of On-Time Reports Focus on preventing adverse events.

108. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining-slides.html
     October 01, 2017 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … Slide 6: On-Time Reports for Four Adverse Events Four Reports Pressure Ulcer Prevention Pressure … Provide a snapshot at the resident, unit, or facility level for residents at high risk for adverse events … Slide 15: Facilitator Discussion: Value of On-Time Reports Focus on preventing adverse events.

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

110. Acute Care Learning From Defects
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
     November 01, 2019 - Events Adverse event: Patient develops acute kidney injury Learning from antibiotic-associated adverse … events: What happened? … 10 Antibiotic-related adverse events are events that either caused harm or had the potential to cause … Events Five categories of factors that contribute to adverse events Patient factors are related to the … events related to antibiotics should be evaluated to determine areas for improvement.

111. Conceptual Paradigms of Diagnostic Quality, Safety, and Excellence | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology5.html
     April 01, 2025 - events in hospitalized patients.  … events .   … Thus, a subcategory of adverse events ascribed to error or substandard care, called preventable adverse … Few investigators focus on these types of diagnostic adverse events. … Safety-I often defines factors that contribute to adverse events as failures or errors, even if it uses

112. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-references.html
     June 01, 2023 - The missing evidence: a systematic review of patients’ experiences of adverse events in health care. … Can we rely on patients’ reports of adverse events? Med Care  2011;49(10):948-955. … Comparing patient-reported hospital adverse events with medical record review: do patients know something … An exploration of the implementation of open disclosure of adverse events in the UK: a scoping review … A patient-initiated voluntary online survey of adverse medical events: the perspective of 696 injured

113. Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
     June 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 … The literature on medical errors documents that the long-term harms associated with adverse events are … diagnostic events. … First, when patients experience adverse medical events, they frequently switch to alternative venues

114. I. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/intro1.html
     May 01, 2016 - Importantly, none of these events were documented in the hospital’s adverse event reporting systems. … Two-thirds of the adverse events were detected by patient interview alone, demonstrating that patients … could identify adverse events of which the hospital was unaware. … Weingart and colleagues 29 found that 73 percent of adverse events occurring in primary care practices … The collection of data was to focus on adverse events, near-miss events, and unsafe conditions as perceived

115. 2018 National Healthcare Quality and Disparities Report Executive Summary
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2018qdr-patsaf-chartbook.pptx
     October 01, 2019 - adverse events in adults receiving hip joint replacement due to fracture Inpatient adverse events in … adverse events in adults receiving hip joint replacement due to fracture Inpatient adverse events in … events in adults receiving hip joint replacement due to fracture Inpatient adverse events in adults … events associated with hip joint replacement, adverse events associated with knee joint replacement, … adverse events Inpatient adverse events in adults receiving hip joint replacement due to degenerative

116. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
     July 01, 2020 - infections, adverse drug events, and injuries due to procedures, as well as pressure ulcers/pressure … For example, measured adverse drug events continued to drop from 2014 to 2017, while measured pressure … Urinary Tract Infections Adverse Drug Events 99 92 88 86 https://www.ahrq.gov/sites/default/files … National number of adverse events captured by PSIs 18 and 19 on obstetric injury and national number … To estimate the rate of adverse events for each of the 21 HACs for all patients for which the MPSMS

117. Patient and Family Engagement | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/patient-family-engagement/sl-pat-fam.html
     September 01, 2013 - Introduction to Adverse Events Slide 23. Immediate Response to an Adverse Event 4 Slide 24. … How to Communicate About an Adverse Event 6 Slide 26. … 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.

118. A | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/a.html
     March 13, 2025 - Topics Browse A - Z A Access to Care Adverse Drug Events (ADE) Adverse Events

119. Patient and Family Engagement for Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-slides.html
     July 01, 2023 - Discuss how to communicate an adverse event to a patient and family members. … Engaging after an adverse event. Engaging in planning and design. … Slide 17: Engaging After Adverse Events An adverse event is an injury to a patient caused by medical … events happen. … Organizations should be prepared to respond and communicate proactively when adverse events occur.

120. Past Research on Patient Perceptions of Safety and Diagnostic Mishaps | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
     June 01, 2023 - clinicians typically focus on errors, that is, what they would perceive as preventable and harmful events … events. 35 A study of pediatric hospitalizations in the United States documented that family reports … identified five times as many errors and three times as many other adverse events as incident reports … A substantial body of literature addresses patient interactions with clinicians after adverse events, … repeated adverse events may be particularly reticent to report those experiences.