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Showing results for "adverse events".
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www.ahrq.gov/sites/default/files/2024-11/golden-west-report.pdfJanuary 01, 2024 - • Stories of “sentinel events” -- errors that carried serious or life-threatening consequences - … according to the Preliminary Research Agenda: Medical Errors and Patient Safety.2 The reporting of adverse … events, near misses, or observed hazards, with the purpose of identifying lessons learned, is needed … Participants agreed that some mechanism for reporting sentinel events would be of value to identify … The Bureau investigates complaints and adverse events and manages the adverse event reporting process
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0082-fullreport.pdfMarch 01, 2016 - The measure will provide a mechanism to help assess the appropriateness of deliveries and prevent adverse … The evidence behind the inappropriate use of cesarean delivery and its link to increased risk of adverse … We set the minimum number required as 10 events. … events. … evaluated at the minimum number of quality reporting events.
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www.ahrq.gov/research/findings/studies/index.html?page=153January 01, 2024 - Keywords: Medication, Medication: Safety, Adverse Drug Events (ADE), Adverse Events, Kidney Disease … antibiotic use decreases incidence of Clostridioides difficile (C difficile) infections, as well as adverse … Demographic, quality of life (QOL), psychological distress, perceived stress, adverse childhood experiences … medical conditions (YCMC) use alcohol at levels similar to their healthy peers but face elevated risk for adverse
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160413/hp-survey-strategies-webcast-transcript.pdfApril 01, 2016 - acutely aware of the propensity within the Medicaid population to have experienced early childhood -- adverse … childhood events, what are known as ACEs, and the culture of poverty.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14283-Dresselhaus-draft-1.pdfSeptember 29, 2005 - Medication errors, including preventable adverse drug events, are especially common in the inpatient … A computer alert system to prevent injury from adverse drug events: development and evaluation in a … Drug Events Data Sources & Measures. … events. … Although most of the adverse drug events that occur during the study period will be linked to a specific
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www.ahrq.gov/funding/grantee-profiles/grtprofile-zhou.htmlJuly 01, 2024 - prominent patient safety researcher who has investigated how information technology can be used to prevent adverse … drug events. … “Drug allergy is a major type of adverse drug reaction, and it has great impact on quality of care and … Hospital Grantee Since: 2009 Type of Grant: Various Related AHRQ Resources Medication Errors and Adverse … Drug Events Medication Safety Consistent with its mission, AHRQ provides a broad range of extramural
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www.ahrq.gov/sops/events/webinars/just-culture/presentation.htmlJanuary 01, 2017 - Policies; Corrective Action, Sentinel Events, Adverse Event Reporting. Patient Safety Plan.
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www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article19.htmlJune 01, 2014 - It utilizes quantitative and qualitative data to "map" the risks associated with adverse outcomes. … points interact with one another and either individually or collectively combine to contribute to the adverse … is determining the probabilities associated with breakdowns in human performance that contribute to adverse … Is proactive, identifying the possible adverse events before they actually occur, thereby enabling the … Models complex interactions and dependencies among the multiple risk points that may lead to the adverse
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www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article19.htmlJune 01, 2014 - It utilizes quantitative and qualitative data to "map" the risks associated with adverse outcomes. … points interact with one another and either individually or collectively combine to contribute to the adverse … is determining the probabilities associated with breakdowns in human performance that contribute to adverse … Is proactive, identifying the possible adverse events before they actually occur, thereby enabling the … Models complex interactions and dependencies among the multiple risk points that may lead to the adverse
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www.ahrq.gov/research/findings/studies/index.html?page=320January 01, 2024 - Keywords: Adverse Drug Events (ADE), Children/Adolescents, Disabilities, Medication, Patient Safety … Meaningful use of health information technology and declines in in-hospital adverse drug events. … Keywords: Health Information Technology (HIT), Electronic Health Records (EHRs), Adverse Drug Events … Keywords: Medication, Guidelines, Diabetes, Adverse Drug Events (ADE) Chandakkar PS , Venkatesan … Keywords: Adverse Drug Events (ADE), Diabetes, Medication, Risk Loucas CA , Brand SR , Bedoya
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www.ahrq.gov/patient-safety/settings/hospital/candor/videos/nurses.htmlAugust 01, 2022 - institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events … This video demonstrates an example of emotional support provided for the nurse caregiver after an adverse
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www.ahrq.gov/patient-safety/settings/hospital/candor/videos/physicians.htmlAugust 01, 2022 - institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events … This video demonstrates an example of emotional support provided for the physician caregiver after an adverse
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Risk of Concurrent Use of Prescription Drugs with Herbal and Dietary Supplements in Ambulatory Care (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Graham_77.pdfMarch 05, 2008 - An observational study showed that herbal supplements are associated with adverse events of all levels … Adverse Drug Events Among Herbal and Dietary Supplement Users Twenty-nine (29 percent) of the 101 HDS … Adverse events associated with dietary supplements: An observational study. … Adverse drug events in ambulatory care. N Engl J Med 2003; 348: 1556-1564. 15. … Incidence of adverse drug events and potential adverse drug events. Implications for prevention. -
www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.htmlAugust 01, 2022 - clinician attitudes about the disclosure of individual, team, and system failures associated with four adverse … members tended to agree on which system failures were important to disclose, regardless of the type of adverse … Clinician responses were more varied and were affected by type of adverse event, but they did agree with … events, and conducting clinical safety interventions. … transitioning from hospital to home care to determine the potential for discrepancies to result in an adverse
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www.ahrq.gov/patient-safety/capacity/candor/demo-program/plan-grants/findings.htmlMay 01, 2016 - clinician attitudes about the disclosure of individual, team, and system failures associated with four adverse … members tended to agree on which system failures were important to disclose, regardless of the type of adverse … Clinician responses were more varied and were affected by type of adverse event, but they did agree with … events, and conducting clinical safety interventions. … transitioning from hospital to home care to determine the potential for discrepancies to result in an adverse
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www.ahrq.gov/sites/default/files/2024-01/lapane-report.pdfJanuary 01, 2024 - Heightened awareness of adverse drug events may have occurred in the intervention homes. … Trends in decreases in hospitalizations due to serious adverse events were observed but did not reach … The prevention of adverse drug events. ECPN 2005;June:26-32. Feinberg JL. … Incidence and preventability of adverse drug events in nursing homes. … A computer alert system to prevent injury from adverse drug events. JAMA 1998; 280: 1317-1320.
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www.ahrq.gov/talkingquality/translate/compare/choose/standard.htmlJanuary 01, 2023 - The Standard for “Never Events” There is one kind of standard that is beginning to emerge in health … care: the standard of “never” or zero percent for certain adverse and preventable events. … These events are preventable and should never happen.”
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/11835-Lapane-draft-1.pdfJanuary 01, 2006 - Heightened awareness of adverse drug events may have occurred in the intervention homes. … Trends in decreases in hospitalizations due to serious adverse events were observed but did not reach … The prevention of adverse drug events. ECPN 2005;June:26-32. Feinberg JL. … Incidence and preventability of adverse drug events in nursing homes. … A computer alert system to prevent injury from adverse drug events. JAMA 1998; 280: 1317-1320.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/common-cold-guide.docxSeptember 01, 2022 - Harm associated with antibiotics includes adverse drug events, microbiome disruption, and antibiotic … Adverse drug events from antibiotics are very common. … Patients are four times as likely to require an emergency department visit for an adverse event related … events from the medications should be taken into consideration before recommending them to individual … In fact, they could lead to an adverse event, like diarrhea, that could make it harder to participate
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.htmlAugust 01, 2022 - management Disruptive behavior and/or code of conduct Investigation of occurrences (i.e., sentinel events … Bylaws for medical staff and/or hospital Peer review process Oversight/management of adverse … or "harm" events ___ ___ Organizational safety and/or quality plan FMEAs
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