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Showing results for "adverse events".
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1541. Nutritional Research Series - Volume 4: Effects of Eicosapentanoic Acid and Docosahexanoic Acid on Mortality Across Diverse Settings: Systematic Review and Meta-Analysis of Randomized Trials and Prospective Cohorts (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp4.pdf
      February 01, 2012 - For RCTs we extracted number of events in the intervention and control groups. … We back-calculated the ―effective counts‖ of events in each category of EPA and DHA intake based on … different considerations compared with other nutrients whose reference intakes are set to prevent adverse … Effects of eicosapentaenoic acid on major coronary events in hypercholesterolaemic patients (JELIS) … Omega-3 dietary supplements and the risk of cardiovascular events: a systematic review.

1542. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
      January 01, 2012 - • Pressure ulcers represent an important patient adverse event that is associated with significant

1543. Ratio of Magnetic Resonance Imaging Scans to Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-fullreport.pdf
      January 01, 2020 - EHRs may be limited by interoperability with other providers’ EHRs that may likewise capture imaging events … 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.

1544. Final Progress Report: Risk Assessment of Pediatric Emergency Transfers (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/holl-report.pdf
      January 01, 2025 - Serious adverse outcomes occurred in 55 reports (31%), including major physiological derangement (15% … subsequent audit of 100 adult inter-hospital transfers over 14 months, Ligtenberg et al. found that adverse … effects occurred in 34% of transports. 2 The study suggests that “70% of these events could have been … issues…”15 In addition, communication was identified as a contributing factor in nearly 70% of sentinel events … In situations when failure events are likely to occur, hazard evaluation techniques can be effectively

1545. 10-Year Experience Integrating Strategic Performance Improvement Initiatives: Can the Balanced Scorecard, Six Sigma®, and Team Training All Thrive in a Single Hospital? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meliones_40.pdf
      January 01, 2006 - Six Sigma initiatives in these areas have resulted in a 44 percent reduction in adverse drug events,

1546. 047-Evidence-Behind-Decolonization-Strategies-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/047-evidence-behind-decolonization-strategies-notes.docx
      October 01, 2024 - Slide 6 Decolonization Prevents a Cascade of Unfortunate Events SAY: HAIs represent a cascade of unfortunate … events. … Findings consistently identify a sizable reduction in both MDRO carriage and bloodstream infection events … There is evidence to support iodophor as better tolerated than mupirocin, with patients reporting fewer adverse … events and higher levels of satisfaction with the decolonization experience compared with mupirocin.

1547. Final Progress Report: Communicating Probabilities through Interactive Computer Graphics (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/kukafka-report.pdf
      January 01, 2024 - For example, as described in prospect theory 29, people usually overweight the probability of rare events … However, they underweight the probability of rare events when learning from experience 27, 28. … been suggested as a source of communication barriers between doctors, who may learn about medical events … (such as change of adverse effects from a beneficial vaccine) than in increasing attention to common … Decisions from experience and the effect of rare events in risky choice.

1548. The “Usually Antibiotics” Diagnoses: Community-Acquired Pneumonia – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-guide.docx
      September 01, 2022 - moxifloxacin—are not recommended as first-line therapy due to concerns about fluoroquinolones causing adverse … events like Clostridioides difficile, tendonitis and tendon rupture, low blood sugar, changes in mental

1549. Final Progress Report: Improving quality of postoperative pain care through innovative use of electronic health records (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/hernandez-boussard-report.pdf
      January 01, 2024 - postoperative pain is common and too often poorly managed, which may cause severe functional impairment, adverse … events, impaired care of the underlying diseases, transition to chronic pain, and decreased quality … and multivariate modeling were used to estimate associations between inpatient gabapentin use and adverse

1550. Diagnostic Safety Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
      August 01, 2024 - However, it is difficult to infer changes in safety or adverse outcomes based on test use or even inappropriate … consider the total value of diagnostic stewardship, including downstream effects on length of stay, adverse … events, clinician satisfaction, and patient experience. … Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event … Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events.

1551. Module 3. Falls Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mgdod3.html
      October 01, 2014 - Return to Contents   Workbook Content Overview Clinical Content Falls are serious, unwanted events … first session starts by describing what it takes to make a safe work environment in which sharing of events … to define and explain what a fall is, noting that falls should be distinguished from sudden medical events … objectives, which are to: Gain knowledge and skills to understand systems of care and minimize adverse

1552. Final Progress Report: Problem Density, Workload, and Medical Error in Primary Care Practice: a WREN Study (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/temte-report.pdf
      January 01, 2024 - Outlying events were identified as those with an absolute standardized residual of 2.0 or greater, thus … In addition, occasional “interesting” events that were significantly displaced from the regression line … Error in medicine: adverse events in intensive care.

1553. 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

1554. CHIPRA 119 Section 5, Literature Review and Discussion (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-section-5-lit-review.pdf
      March 19, 2012 - These risk factors put infants at risk for hypothermia and are associated with adverse outcomes. … This chain of events contributes to peripheral vasoconstriction, pulmonary vasoconstriction deterioration … The study concluded that hypothermia is associated with adverse outcomes. … newborns with cold injury or hypothermia, or during hypoxia could lead to malnourishment, and fatal events … Resuscitative efforts also improved chance of hypothermic events.

1555. Decision Support System Design and Implementation for Outpatient Prescribing: The Safety in Prescribing Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdf
      January 01, 2004 - drug interactions, the outcome measure is the number of the targeted contraindicated coprescribing events … , divided by the sum of the number of the contraindicated coprescribing events plus the desired coprescribing … Impact of basic computerized prescribing on outpatient medication errors and adverse drug events.

1556. Making Healthcare Safer Practices: 10. Harms Due to Opioids (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
      March 01, 2020 - National Action Plan for Adverse Drug Event Prevention.Washington, DC: U.S. … events, and patient-reported outcomes. … Of 103 patients in this observational study, no cases of severe precipitated withdrawal or adverse events … No serious adverse events related to treatment occurred. … No cases of severe precipitated withdrawal and no serious adverse events were observed.

1557. Documentation of Mandated Discharge Summary Components in Transitions from Acute to Subacute Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Kind_31.pdf
      March 31, 2008 - vulnerable group of patients who are often unable to advocate for themselves and who are at high risk for adverse … admission/discharge diagnoses noted in the discharge summary) Hospital course (a description of the events

1558. PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-slides.pptx
      November 01, 2019 - Improving Antibiotic Use – Acute Care Treatment of ASB May Cause Harm6-9, 14 Treatment is associated with— Adverse … events and development of resistance An increased risk of subsequent UTIs 9 ASB and UTI AHRQ Safety

1559. Pain Management Injection Therapies for Low-back Pain: Topic Refinement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/lbpinject-topicref.pdf
      March 03, 2014 - years of age and remains common in persons 65 years of age and older.3 Low back pain can have major adverse … health care utilization • For Key Question 4: Harms, including bleeding, infection, neurological events

1560. 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