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Showing results for "adverse events".
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1421. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/098-cusp-why-choose-cusp-approach.pptx
      October 01, 2024 - Exploring relationships between hospital patient safety culture and adverse events.

1422. Postdisphone (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/postdisphone.docx
      June 02, 2025 - Medicines High Alert Medicines Use the guide below to help monitor medicines with significant risk for adverse … events.

1423. Postdischarge Followup Phone Call Script (Patient Version) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/postdisphone.pdf
      June 02, 2025 - Medicines High Alert Medicines Use the guide below to help monitor medicines with significant risk for adverse … events.

1424. Postdischarge Followup Phone Call Script (Patient Version) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/postdischarge-phone.html
      March 01, 2025 - Medicines High Alert Medicines Use the guide below to help monitor medicines with significant risk for adverse … events.

1425. Chapter 6. Measure Maps and Profiles (continued, 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6a.html
      June 01, 2014 - would be particularly important post-discharge, when patients might be at increased risk for subsequent adverse … events (urgent ambulatory visits, missed appointments, or medication changes).

1426. Postdischarge Followup Phone Call Script (Patient Version) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/postdischarge-phone.html
      March 01, 2025 - Medicines High Alert Medicines Use the guide below to help monitor medicines with significant risk for adverse … events.

1427. Transitions of Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure1.html
      June 01, 2018 - Transitions increase the risk of adverse events due to the potential for miscommunication as responsibility

1428. Final Progress Report: Teamwork and Error in Neonatal Intensive Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/thomas2-report.pdf
      January 01, 2024 - Purpose Medical errors and the adverse events they lead to are common and expensive. … Subsequently, two investigators (E.J.T., J.B.S.) viewed 132 events together. … We then developed a list of candidate behaviors that was refined as additional events were observed. … Events with good examples of behaviors or complicated events (e.g., babies that require intubation) … The nurses carried the code beeper and attended as many events as possible between October 1, 2003,

1429. Suicide Risk Response: Enhancing Patient Safety Through Development of Effective Institutional Policies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bonner.pdf
      January 01, 2004 - to a clinician who can assess the level of urgency of the situation is part of a complex chain of events … Only one reportable adverse event ensued.11 No revisions of the policy were necessary. … Risks to patient privacy in adverse event reporting for HSR&D studies.

1430. Patients Safer as Hospital-Acquired Conditions Decline (Data Graphic) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-interim-data-graphic-2014.pdf
      January 01, 2014 - 2.1 MILLION 2.1 MILLION From 2010–2014, 17 percent of hospital-acquired conditions (HACs) such as adverse … drug events, healthcare-associated infections, and pressure ulcers have been prevented in hospital

1431. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guideref.html
      July 01, 2018 - A simple reminder system improves venous thromboembolism prophylaxis rates and reduces thrombotic events … Impact of a venous thromboembolism (VTE) prophylaxis "smart order set": improved compliance, fewer events … Multivariable predictors of postoperative venous thromboembolic events after general and vascular surgery … Impact of a venous thromboembolism (VTE) prophylaxis "smart order set": improved compliance, fewer events … Adverse drug event trigger tool: a practical methodology for measuring medication related harm.

1432. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guideref.html
      July 01, 2018 - A simple reminder system improves venous thromboembolism prophylaxis rates and reduces thrombotic events … Impact of a venous thromboembolism (VTE) prophylaxis "smart order set": improved compliance, fewer events … Multivariable predictors of postoperative venous thromboembolic events after general and vascular surgery … Impact of a venous thromboembolism (VTE) prophylaxis "smart order set": improved compliance, fewer events … Adverse drug event trigger tool: a practical methodology for measuring medication related harm.

1433. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
      October 01, 2014 - Root cause analysis is a systematic process during which all factors contributing to an adverse event … Surveys are also labor intensive and rely on staff members' recall of specific events.

1434. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
      October 01, 2014 - Root cause analysis is a systematic process during which all factors contributing to an adverse event … Surveys are also labor intensive and rely on staff members' recall of specific events.

1435. Final Progress Report: Minimizing Error, Maximizing Outcome (MEMO): The Physician Worklife Study II (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/linzer-schwartz-report.pdf
      January 01, 2024 - on our focus group findings regarding the potential contribution of a hectic office environment to adverse … published guidelines for care of our three targeted diseases, lack of changes in care after signal events … One finding, the potential contribution of a hectic office environment to adverse patient outcomes, … We encourage the internal reporting of all adverse patient care events. 2.5 (0.9) z. … The chaotic office environment plays a prominent role in explaining adverse physician reactions including

1436. Maternal and Child Health Care: References | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/mch-ref.html
      April 01, 2018 - New frontiers in patient-reported outcomes: adverse event reporting, comparative effectiveness, and quality

1437. The Future of Pediatric Diagnostic Safety Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-5.html
      August 01, 2023 - In addition, we must consider challenges such as developing clinician trust and mitigating possible adverse

1438. Background for AHRQ Quality Indicators
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c3_pdi_staffpresentation.pptx
      January 01, 2006 - events that children, adolescents, and, where specified, neonatal patients may experience as a result … PDIs measure events likely to be preventable through changes at the system or provider level. … Consider inserting here the deidentified story of a patient who suffered the adverse event captured by … on: Comparison between our hospital and peer hospitals Our performance over time Volume and cost of events … You may also want to report the number of patients with the adverse event to make it more tangible to

1439. Final Progress Report: Using Public Deliberation To Define Patient Roles in Reducing Diagnostic Error (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/nabatchi-report.pdf
      January 01, 2024 - The control group, consisting of 108 individuals, did not participate in any project events. … The research team then contacted all applicants to confirm their availability for events. … • All treatment groups reported high levels of satisfaction with all elements of the events in which … of Public Deliberation about Diagnostic Error: A Preliminary Analysis of Three Healthcare Consumer Events … Paid malpractice claims for adverse events in inpatient and outpatient settings.

1440. 021-Ss-Mrsa-Surveillance-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/021-ss-mrsa-surveillance-fg.docx
      April 01, 2025 - Slide 6 Adverse Outcomes Associated With SSIs and MRSA SAY: SSIs are associated with numerous adverse … The Root Cause Analysis process is used in the case of an adverse event, such as an SSI.