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Showing results for "adverse events".
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1461. Use of Higher-Than-Recommended Doses of Antipsychotics in Children and Adolescents (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-177-fullreport.pdf
      May 01, 2018 - antipsychotic medication during the measurement year with at least two antipsychotic medication dispensing events … Worrisome adverse effects of atypical antipsychotics have, however, been documented even at low doses … schizophrenia found that high doses were not associated with better outcomes but were associated with more adverse … outcomes and side effects associated with the use of higher-than-recommended doses in these populations, adverse … Adverse effects of second-generation antipsychotics in children and adolescents: a Bayesian meta-analysis

1462. TeamSTEPPS for Improving Diagnosis Facilitator's Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
      February 04, 2022 - Team members have a systematic process in place to capture and learn from near-misses and no-harm adverse … events that occur because of communication gaps. … These events are excellent learning opportunities for team members. … Consequences may include lawsuits, business losses, and adverse media coverage. d. … These events are excellent learning opportunities for team members.

1463. Final Progress Report: SAFER: Standardizing Admissions for Elderly residents (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/coburn-report.pdf
      January 01, 2024 - care facilities during transfers of care may adversely affect the patient’s quality of care, lead to adverse … events, and contribute to the overall cost of the services provided. … and then to the hospital emergency department (ED) can lead to delays in diagnosis and treatment, adverse … events, patient complaints, and increased costs and length of stay.(8-12) The literature suggests that

1464. Appendix C. Detailed Descriptions of Agency Research Portfolios | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-c.html
      July 01, 2021 - effective strategies to reduce medical errors and harms, such as healthcare-associated infections, adverse … drug events, and preventable hospital readmissions ( Agency for Healthcare Research and Quality, 2018 … Safety Organizations program, which enables health care providers to uniformly report patient safety events

1465. Exhibit 9. Top five minimal cut sets for the basic case | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraexh9.html
      April 01, 2018 - Model Probability Estimates References Cut Set Contributed Probability Events

1466. Severe Hypertension Scenarios: PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-hypertension-scenarios.pptx
      July 01, 2023 - anesthesiologist Beth, L&D Nurse Frontline SPPC-II SCRIPT  Debriefs should occur after all clinical events … I would like to discuss some of the events surrounding Ms. Smith’s delivery yesterday. … I would like to discuss some of the events surrounding Ms. Smith’s delivery yesterday. … lead to stroke or seizures, she needs to know what treatment options are available to prevent such adverse

1467. Six Building Blocks How-To-Implement Toolkit: Design and Implement Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-design.pdf
      February 18, 2021 - pain is important for several reasons: • Any patient using LtOT, regardless of dose, has a risk of adverse … events, including overdose; • Identifying patients using LtOT provides an opportunity to identify those … dangerous opioid dosages or combinations—such as with sedatives—are putting patients at risk for adverse … events. … dvce=1 https://cmeregistration.hms.harvard.edu/events/identification-counseling-and-treatment-of-oud/

1468. Patient Access to Medical Notes in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/opennotes-1.pdf
      May 01, 2016 - subject to aggressive treatment goals and complex medication regimens, and are at significant risk of adverse … events in ambulatory and primary care.5,6 2 Lack of understanding of how to take medications properly

1469. Final Progress Report: Developing and Training Interruption Management Strategies for Emergency Physicians (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/ratwani-report.pdf
      January 01, 2024 - In addition, the report suggested that there are serious medical errors and adverse patient outcomes … Simulation events were retrieved from the Society for Academic Emergency Medicine (SAEM) simulation

1470. Nursingnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/nursing/nursingnotes.docx
      June 02, 2025 - Slide 22 SAY: Nurse managers should obtain data on quality outcomes and adverse events monthly

1471. Speaking Plainly: Communicating the Patient’s Role in Health Care Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Miranda.pdf
      July 01, 2004 - collaborative patient-physician relationship (e.g., “Make sure your doctor knows about any allergies and adverse … Medications and adverse drug events are a key and often-cited patient safety topic that patient behavior

1472. Final Progress Report: Risk of Acute Asthma Associated with the Pediatric Use of Opioids (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/chen-report.pdf
      January 01, 2024 - asthma exacerbation in the 12 months prior to the survey.1 Asthma exacerbations are acute episodic events … The mean duration between these historical events indicating uncontrolled asthma and the index analgesic … Given most of these asthma -related events happened on average 5 to 6 months before the index analgesic … Outpatient Opioid Prescriptions for Children and Opioid- Related Adverse Events. Pediatrics.

1473. Final Progress Report: Caregiver innovations to reduce harm in Neonatal Intensive Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/thomas-report.pdf
      January 01, 2025 - to enable the frontline caregivers, including parents and parent advisors, to identify errors and adverse … events and their respective causes and to design and implement the changes needed to improve care and … Briefly, the Safer Dx e-trigger tools can be used to detect potential diagnostic events, allowing health … Such events have also been shown to have a financial impact on hospital costs and to increase hospital … us to capture 100% of our UPEs, and we feel confident that we are capturing a vast majority of the events

1474. Final Progress Report: : State of the Science on Safe Medication Administration (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/barnsteiner-report.pdf
      January 01, 2024 - Scope and Methods: One out of every three adverse drugs events precipitated by a medication error occurs

1475. Urine Culturing Stewardship in the ICU Setting Facilitator Notes
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing.pptx
      April 01, 2022 - cultures are reported Improve CPOE order sets to require indication “Guidance at point of care” Publicize adverse … events to increase engagement; keep personal Abbreviations: C. diff = Clostridium difficile; CPOE =

1476. Resources for Advanced Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/advanced-practice-guide-brochure.pdf
      March 01, 2016 - families, and health care teams have clear roles and are fully engaged as partners in their care, adverse … events are reduced and health outcomes are better.

1477. A Model of Care Delivery to Reduce Falls in a Major Cancer Center (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
      March 03, 2008 - Introduction Patient falls are the most frequently reported adverse event in hospitals and the leading … responsible for closing the gaps in the defensive barriers and reporting near misses, as well as actual events

1478. Getting Started: Laying the Groundwork for Implementing Automatic Referral and Effective Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-implementation-guide.pdf
      March 01, 2023 - Messaging for a Clinical Manager Clinical Manager CR Benefits -Improving patient health -Reducing adverse … events Evidence of Benefits -CR reduces morbidity and mortality and improves quality of life -CR … implementation Ways to Reduce Barrier/Opposition Generally, CR improves patient health and reduces adverse … events, which are metrics tracked, incentivized by some value-based payers Example: CR reduces the

1479. Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-192-fullreport.pdf
      November 01, 2019 - Simple febrile seizures are generally felt to be benign events with little to no increased risk of subsequent … Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the … Sedation and general anesthesia in children undergoing MRI and CT: Adverse events and outcomes.

1480. Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
      June 15, 2003 - Every hospital used an internal standard for tracking these events, and methods varied. … Reporting of adverse events. N Engl J Med 2003 Nov;347(20):1633–8. 12. Burke JP.