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Showing results for "adverse events".
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  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/003-ss-antimicrobial-prophylaxis-part-2-fg.docx
    April 01, 2025 - Doing so minimizes adverse side effects of the medication, minimizes the development of resistance, and … This practice increases the risk for several adverse outcomes, without doing anything to reduce SSIs. … retrospective cohort study within the Veterans Affairs (VA) system examined types of prophylaxis and adverseevents among various surgical types , including cardiac and joint replacement surgeries, in over 79,000 … To prevent these adverse effects, document a thorough allergy history, and engage in pre op allergy testing
  2. www.ahrq.gov/patient-safety/reports/liability/pichert.html
    August 01, 2017 - System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of AdverseEvents in Labor and Delivery Patient Safety Culture and Medical Liability—Recommendations for Measurement … Transitional Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home James W. … Patient complaints and adverse surgical outcomes. Am J Med Qual 2016; 31(5):415–22. xxix.
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Snow.pdf
    January 01, 2010 - errors of omission, such as not providing perioperative beta-blockade to patients at risk for cardiac events … , thus increasing the patient’s risk of an adverse event and reducing the safety of their care. … Adverse events and their association with treatment regimens in the Diabetes Control and Complications
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
    March 31, 2004 - This represents a significant culture shift, which can be prompted by tragic events (as in the case … from multiple professions together to search for the multiple contributory factors at the root of an adverse … in patient safety concepts as well as in fostering cultural changes leading to open discussion of adverseevents and an improved rate of safety-based changes.26 Lack of interprofessional education related
  5. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-fullreport.pdf
    November 01, 2017 - grams per deciliter for red cell transfusion can decrease transfusion requirements without increasing adverseevents, ICU and hospital LOS, mortality, and daily Pediatric Logistic Organ Dysfunction (PELOD) assessment … infection, gut ischemia, transfusion reactions, stimulation of the inflammatory response, and other events … grams per deciliter for red cell transfusion can decrease transfusion requirements without increasing adverse … is to safely decrease the number of transfusions in PICUs and thereby decrease transfusion-related events
  6. www.ahrq.gov/sites/default/files/2024-12/reeves-report.pdf
    January 01, 2024 - selecting hospitalization reported a lower overall QOL 7 days after the episode of care (assuming no adverse … Under the assumption of not suffering an adverse outcome, when patients were forced to take the alternative
  7. www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
    June 01, 2012 - When things go wrong (adverse events) or look as if they are about to (near-misses), we may feel embarrassed … – residents and staff – does better when people support discussion and learn from near misses and adverseevents.
  8. www.ahrq.gov/patient-safety/reports/liability/mincer.html
    August 01, 2017 - System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of AdverseEvents in Labor and Delivery Patient Safety Culture and Medical Liability—Recommendations for Measurement … Transitional Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home Shawn L.
  9. www.ahrq.gov/sites/default/files/2024-01/joseph2-report.pdf
    January 01, 2024 - with other factors (e.g., organizational culture, operation) in complex ways, impacting the risk of adverseevents. … It will be a significant step forward in enhancing patient and staff safety through reducing adverse … Safety First: Designing Healthcare Spaces To Avoid Adverse Events. Healthcare Design Magazine. … Safety by Design: How Teams Can Proactively Use Facility Design to Reduce Adverse Events.
  10. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-fullreport.pdf
    February 14, 2018 - of psychiatric disorders in children, these medications are associated with a number of potentially adverse … Fiscal Burden Although there is little research available on the fiscal burden associated with adverse … aspect of proper medication management in this population, as these medications are associated with adverse … Antipsychotics are associated with potentially adverse metabolic impacts that include weight gain, diabetes … Health-care costs of pediatric clients developing adverse events during treatment with antipsychotics
  11. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
    February 04, 2022 - Team members have a systematic process in place to capture and learn from near-misses and no-harm adverseevents that occur because of communication gaps. … Huddles • • • • Discuss critical issues and emerging events. … Consequences may include lawsuits, business losses, and adverse media coverage. d. … These events are excellent learning opportunities for team members.
  12. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/intro-overview.pdf
    March 01, 2022 - Err Is Human: Building a Safer Health System” galvanized efforts to prevent healthcare- associated adverse … regimen under conditions of actual use and assess both its impact on infections and the frequency of adverse … the manufacturer states that fewer than 1 percent of patients in clinical trials withdrew due to adverseevents. … The most frequently reported adverse events were as follows: rhinitis (1.0%), taste perversion (0.8%
  13. www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide7.html
    May 01, 2016 - treating physician received an unsolicited e-alert, resulting in improved prophylaxis rates and fewer VTE events … Address Central Venous Catheter-Related VTE/Upper Extremity DVT Upper extremity DVT (UE DVT) events … outcomes, including VTE, across a number of inpatient populations without the potential consequences of adverse
  14. www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.html
    May 01, 2016 - treating physician received an unsolicited e-alert, resulting in improved prophylaxis rates and fewer VTE events … Address Central Venous Catheter-Related VTE/Upper Extremity DVT Upper extremity DVT (UE DVT) events … outcomes, including VTE, across a number of inpatient populations without the potential consequences of adverse
  15. www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/table2.html
    August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Table 2. … Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events
  16. www.ahrq.gov/patient-safety/settings/hospital/match/chapter-2.html
    July 01, 2022 - point could be the facility's readmission rates (the Finance department usually creates these data), adverse … drug events (ADEs) for the facility (the Pharmacy department usually collects these data), or data specific
  17. www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-2.html
    July 01, 2022 - point could be the facility's readmission rates (the Finance department usually creates these data), adverse … drug events (ADEs) for the facility (the Pharmacy department usually collects these data), or data specific
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/nursedr-early-mobility-protocols-facguide.docx
    January 01, 2017 - ventilator length of stay, ICU and hospital length of stay, incidents and duration of delirium, and adverseevents.
  19. www.ahrq.gov/hai/tools/mvp/modules/technical/nurse-early-mobility-protocols-fac-guide.html
    January 01, 2017 - ventilator length of stay, ICU and hospital length of stay, incidents and duration of delirium, and adverseevents.
  20. www.ahrq.gov/sites/default/files/2024-07/peck-report.pdf
    January 01, 2024 - I will continue my efforts to push for support systems to be in place for adverse events; support that … dispute resolution, remedial action, and magnitude of compensation after the occurrence of preventable adverseevents. … I will continue my efforts to push for support systems to be in place for adverse events; support that … events.

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