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Showing results for "adverse events".
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Linzer.pdfJanuary 01, 2002 - , our finding from the focus groups that hectic office environments may potentially contribute to adverse … 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 such … remediable contributors to a chaotic environment, the relationship between the chaotic environment and adverse
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www.ahrq.gov/sites/default/files/2025-02/nishimi2-report.pdfJanuary 01, 2025 - voluntary consensus measure sets: hospital care (initial performance measure set), serious reportable events … Serious Reportable Adverse Events in Healthcare The “Never Events” Maintenance Committee was appointed … A call for comments on the original list of events (changes or deletions) and/or proposed new events … As noted in the previous report, recent interest in the implementation of the list of 27 events is increasing … The Department of Defense requires all TRICARE contractors to collect the events, as specified.
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www.ahrq.gov/sites/default/files/2025-03/isbell-boudreaux-report.pdfJanuary 01, 2025 - Consequently, little is known about how to mitigate adverse effects of emotions on patient safety. … events, such as emergency medicine (EM) (16–18). … estimated one in 18 patients receives an incorrect diagnosis in the ED, with one in 50 experiencing an adverse … implement interventions aimed at reducing unwanted negative emotional experiences and mitigating adverse … different emotions (including positive emotions) and (2) develop and test interventions to mitigate adverse
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Final Progress Report: Health Journalism 2011, national conference on healthcare journalism (pdf file)
www.ahrq.gov/sites/default/files/2024-05/bruzzese3-report.pdfJanuary 01, 2024 - had the chance to meet sources, strengthened their reporting skills, and attended breaking newsmaker events … Dive into the country's deepest database of adverse events and near misses as patient safety analysts … share lessons learned from national and statewide adverse event reporting systems. … You must sign up in advance for these events 7:45 a.m. -
www.ahrq.gov/sites/default/files/2024-01/basco-report.pdfJanuary 01, 2024 - prescriptions. (7) Choice of incorrect drug is also a common error, occurring in up to 5% of potential adverse … drug events in one inpatient study. (8) The Institute for Safe Medication Practices publishes LASA … Medication errors and adverse drug events in pediatric inpatients.
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www.ahrq.gov/sites/default/files/2024-11/mader-poronsky-report.pdfJanuary 01, 2024 - cohort, this simple outcome predictor has been shown to accurately quantify the likelihood of a major adverse
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www.ahrq.gov/research/findings/final-reports/ptflow/section5.htmlJuly 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Section 5. Preparing to Launch Previous Page Next Page Table of Contents Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Acknowledgments Executive Summary Section 1…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-fullreport.pdfApril 01, 2018 - Painful events are the most common cause of ED visits and hospitalizations for children. … Further, unfamiliarity with the effective use of analgesics and fear of adverse effects, such as respiratory … a result, patients with SCD may be undertreated for pain out of concerns about addiction or other adverse … Vaso‐occlusive painful events in sickle cell disease: Impact on child well‐being. … Management of vaso‐occlusive pain events in sickle cell disease.
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www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment.pdfDecember 01, 2023 - A policy and agreed upon standard of practice about screening for risks of adverse events in older
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide1.htmlOctober 01, 2017 - We understand that even small failures in safety protocols can lead to catastrophic or adverse events
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www.ahrq.gov/research/findings/final-reports/stpra/stpra3.htmlApril 01, 2018 - Exhibit 11 presents the events from the ST-PRA model ranked in order of criticality. … for Intervention The criticality analysis provided a foundation for understanding the basic level events … However, the real power of ST-PRA stems from the combinations of events and probabilities to identify … in four of the five top cut sets, "Event 642 Fail to effectively protect patient," and its component events … variability in how the policies and procedures are monitored and enforced, further highlighting this set of events
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www.ahrq.gov/research/shuttered/acfselection/chapter4.htmlJuly 01, 2018 - In the case of large events, it is likely that a separate individual will have to be assigned to each … ICS can be used as the management system for a wide range of events (e.g., parades, concerts, or sporting … events). … There were also no comments in our questionnaire about adverse patient outcomes because of health care … Ventilators 1 Section References: Rocky Mountain Regional Care Model for Bioterrorist Events
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.htmlOctober 01, 2014 - Have there been any notable adverse events that were pressure-ulcer related?
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.htmlOctober 01, 2014 - Have there been any notable adverse events that were pressure-ulcer related?
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-089-fullreport.pdfJanuary 30, 2017 - Such adverse effects have been described in the literature as pain, headaches, and sleep disturbance … For the nonstimulant atomoxetine, the adverse effects include initial somnolence and gastrointestinal … For the nonstimulant alpha-2–adrenergic agonists extended-release guanfacine and clonidine, adverse … An uncommon additional significant adverse effect of stimulants is the occurrence of hallucinations … For the nonstimulant alpha-2–adrenergic agonists extended-release guanfacine and clonidine, adverse
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide4.htmlOctober 01, 2022 - positive potential to reduce VTE must be balanced with the discomfort, bleeding, expense, and other adverse … Median length of stay was just 4 days; although most VTE events were diagnosed postdischarge, the surveillance … 0.42, while patients with a score ≥3 had a VTE event rate of 1.29. 59 The vast majority of the VTE events
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.htmlOctober 01, 2022 - positive potential to reduce VTE must be balanced with the discomfort, bleeding, expense, and other adverse … Median length of stay was just 4 days; although most VTE events were diagnosed postdischarge, the surveillance … 0.42, while patients with a score ≥3 had a VTE event rate of 1.29. 59 The vast majority of the VTE events
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-203-fullreport.pdfApril 10, 2017 - Research and Quality (AHRQ) pediatric-specific Patient Safety Indicators (PSI) were used to identify adverse … events in 431,524 discharges from 38 freestanding, academic, not-for-profit pediatric hospitals affiliated … Stage III and IV ulcers are serious, reportable events. … this eMeasure electronically, providing electronic output for 106 unique patients representing 109 events … Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality
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References (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docxJanuary 01, 2017 - duration of mechanical ventilation, ICU length of stay, hospital length of stay, ventilator-associated events … of SSD on duration of mechanical ventilation, ICU and hospital length of stay, ventilator-associated events … does not clearly decrease duration of mechanical ventilation, length of stay, ventilator-associated events … availability of equipment and the perception that subglottic suctioning may cause patient discomfort or adverse … events. -
www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.htmlOctober 01, 2015 - asymptomatic bacteriuria can lead to antimicrobial resistance, Clostridium difficile infection, and adverse … drug events.
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