Results

Total Results: 2,813 records

Showing results for "adverse events".
Users also searched for: patient safety indicators

161. Making Effective Changes in Antibiotic Decision Making (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
     November 01, 2019 - events in this case. … In this patient’s case, antibiotic-related adverse events caused harm but when thinking of potential … Events SAY: When evaluating factors that contributed to an actual or potential adverse event, … Events SAY: The five main categories that can contribute to antibiotic-associated adverse events … Slide 20 Summary In summary, adverse events related to antibiotics should be evaluated to determine

162. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
     June 01, 2014 - The annual estimates include a wide variety of adverse events, including the nine HACs selected for … 32,750,000 Discharges— Based on 2010 Baseline) 2012 PFP Measured HACs per 1,000 Discharge s Adverse … 1,000 Discharge s Falls MPSMS In-Hospital Patient Falls 260,000 7.80 230,000 7.16 Obstetric Adverse … MPSMS Femoral Artery Puncture for Catheter Angiographic Procedures 57,000 1.75 65,000 1.97 MPSMS Adverse … Events Associated With Hip Joint Replacements 33,000 1.00 31,000 0.93 MPSMS Adverse Events Associated

163. Patient and Family Engagement | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
     September 01, 2013 - Introduction to Adverse Events Slide 23. Immediate Response to an Adverse Event 4 Slide 24. … Introduction to Adverse Events Say: Adverse events occur when a patient is harmed as a result of … Medical providers are committed to caring for their patients; however, adverse events can happen. … The Second Victim: Health Care Workers 7 Say: Adverse events are often system failures. … Organizations need to engage in strategies to address adverse events.

164. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.pdf
     December 01, 2016 - About 40 percent of the overall reduction is from adverse drug events, about 28 percent from pressure … Falls Obstetric Adverse Events Pressure Ulcers Surgical Site Infections Ventilator-Associated Pneumonias … Falls Obstetric Adverse Events Pressure Ulcers Surgical Site Infections Ventilator-Associated Pneumonias … (see https://www.ncbi.nlm.nih.gov/pubmed/26854418) indicated that in 2012 and 2013, adverse events were … Events Associated With Hip Joint Replacements 19,000 0.59 MPSMS (2014) Adverse Events Associated

165. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/interimhacrate2014_cx.pdf
     November 19, 2015 - About 40 percent of this reduction is from adverse drug events, about 28 percent from pressure ulcers … Falls Obstetric Adverse Events Pressure Ulcers Surgical Site Infections Ventilator-Associated Pneumonias … Falls Obstetric Adverse Events Pressure Ulcers Surgical Site Infections Ventilator-Associated Pneumonias … (Journal of Patient Safety, in press) indicated that in 2012 and 2013, adverse events were less frequent … Events Associated With Hip Joint Replacements 19,000 0.59 MPSMS (2014) Adverse Events Associated

166. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
     December 01, 2016 - About 40 percent of the overall reduction is from adverse drug events, about 28 percent from pressure … Falls Obstetric Adverse Events Pressure Ulcers Surgical Site Infections Ventilator-Associated Pneumonias … Falls Obstetric Adverse Events Pressure Ulcers Surgical Site Infections Ventilator-Associated Pneumonias … (see https://www.ncbi.nlm.nih.gov/pubmed/26854418) indicated that in 2012 and 2013, adverse events were … Events Associated With Hip Joint Replacements 19,000 0.59 MPSMS (2014) Adverse Events Associated

167. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
     November 19, 2015 - About 40 percent of this reduction is from adverse drug events, about 28 percent from pressure ulcers … Falls Obstetric Adverse Events Pressure Ulcers Surgical Site Infections Ventilator-Associated Pneumonias … Falls Obstetric Adverse Events Pressure Ulcers Surgical Site Infections Ventilator-Associated Pneumonias … (Journal of Patient Safety, in press) indicated that in 2012 and 2013, adverse events were less frequent … Events Associated With Hip Joint Replacements 19,000 0.59 MPSMS (2014) Adverse Events Associated

168. Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
     January 01, 2004 - Introduction Various types of algorithms that identify complications of care and adverse events in … Rates of inpatient hospital adverse event reporting were calculated, where the total number of events … The validation sample used for this analysis was selected for inpatient adverse events which are reportable … Potential laceration or puncture adverse events associated with five principal procedures Events captured … Potential laceration or puncture adverse events associated with five principal procedures

169. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
     January 01, 2014 - event. 1.5% experienced harm that contributed to death. 44% of adverse events were preventable. … event. 1.5% experienced harm that contributed to their death. 44% of adverse events were preventable … Potential decrease in adverse events being litigated, which can lead potentially led to lower malpractice … and practitioners can use to respond in a timely, thorough, and just way to unexpected patient harm events … events really hinges on knowing about them immediately.

170. Patient Safety Research in Medical Group Practices: Measurement and Data Challenges (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Wilson.pdf
     December 01, 2004 - Researchers have put forth many definitions of patient safety, errors, and adverse events. … It is important to note that not all errors will result in adverse events. … The importance of studying adverse events is obvious. Patients suffer when they occur. … The importance of studying the errors that precede the adverse events is also obvious. … Adverse drug events in high risk older outpatients. [See Comment.]

171. Evaluation of a Medication Therapy Management Program in Medicare Beneficiaries at High Risk of Adverse Drug Events: Study Methods (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Masica_112.pdf
     November 30, 2010 - at High Risk of Adverse Drug Events: Study Methods Andrew L. … Six hundred subjects at high risk of adverse drug events (ADEs) will be enrolled across three study … The costs associated with adverse drug events among older adults in the ambulatory setting. … Risk factors for adverse drug events among older adults in the ambulatory setting. … Strategies for detecting adverse drug events among older persons in the ambulatory setting.

172. Drug Label Changes Could Reduce Adverse Drug Reactions Among Older Adults | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/783.html
     October 01, 2021 - Drug Label Changes Could Reduce Adverse Drug Reactions Among Older Adults Issue Number 783 … Today's Headlines: Drug Label Changes Could Reduce Adverse Drug Reactions Among Older Adults . … events. … events. … Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events

173. Mod4-Event-Checklist (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-event-checklist.pdf
     April 01, 2016 - How to use this tool: Use the checklist to ensure that appropriate action is taken following an adverse … ■ Online: Review and prioritize events. … ■ Report any adverse event to the appropriate professional responsible for patient safety events. … ■ Collect medical records and other documents to establish timeline of events. … ; or Centers for Medicare & Medicaid Services “never” events

174. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/factraining.html
     December 01, 2014 - Slide 6: On-Time Reports Being Developed for Four Adverse Events Say: On-Time reports are being … developed to help prevent four adverse events: pressure ulcers, pressure ulcers that are not healing … Commitment to work with a Facilitator to learn how to use the reports to prevent adverse events. … The reports: Focus on preventing adverse events. Are proactive rather than reactive. … Remind staff members that the On-Time reports can help identify risk for adverse events and that using

175. National Healthcare Quality and Disparities Report Chartbook on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2016-ptschartbook.pdf
     July 19, 2017 - ■ Procedure-related events. ■ Adverse drug events. … events associated with hip joint replacement, adverse events associated with knee joint replacement … events associated with hip joint replacement, adverse events associated with knee joint replacement … Adverse Drug Events With Warfarin Hospitalized adult patients with an anticoagulant-related adverse … To decrease the likelihood of adverse events, CVCs should be used for 90 days or less.

176. Final Progress Report: Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and Redesign (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17118-Dierks-report.pdf
     June 01, 2011 - This enabled us to model the quasi-oscillatory nature of risk tolerance around adverse events, as … This means that clinical units that experience infrequent adverse events are assumed to be safe, even … This means that clinical units that experience infrequent adverse events are assumed to be safe, even … A Hybrid Methodology for Modeling Risk of Adverse Events in Complex Healthcare Settings. … On Modeling Risk of Adverse Events in Complex Healthcare Settings.

177. Medical Injury Identification Using Hospital Discharge Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
     January 01, 2003 - adverse drug events or nosocomial infections. … Reporting of adverse events. NEJM 2002;347:1,633–8. 4. Halperin W. … Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical … Incidence and types of adverse events and negligent care in Utah and Colorado. … Measuring errors and adverse events in health care. J Gen Intern Med 2003;18:61–7.

178. Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
     January 01, 2024 - A popular method is to examine adverse events that have occurred and “trace back” to attempt to pinpoint … The state-of-the-art in patient safety efforts emphasize retrospective analysis of adverse events or … When adverse events do occur, it may be difficult retrospectively to accurately determine their etiology … NRE encompass a substantially larger class of events than adverse events, medical errors, or even “near … Cheney FW, Posner KL, Caplan RA: Adverse respiratory events infrequently leading to malpractice suits

179. USER GUIDE: COVID-19 Vaccination Tracking Tool for Use in Skilled Nursing Facilities (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/user-guide-covid-19-vaccination-tracking-tool-nursing-facilities.pdf
     July 01, 2022 - o How many and what type of adverse events occurred by specific vaccine brand. … This is important because if you are seeing increased adverse events related to a specific vaccine … This is important because if you are seeing increased adverse events related to a specific vaccine administrator … An additional pie chart (Figure 18) illustrates Resident or Staff Adverse Events by Manufacturer. … Figure 18 – Example Adverse Events pie chart Figure 17 - Example Vaccination Status To-Date pie chart

180. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
     August 01, 2022 - It is estimated that one in seven patients is affected by adverse events, and that as many as half of … events and errors, and recognizes that not all adverse events are medical errors, and not all medical … errors are adverse events. … Providers can also experience profound problems after adverse events that were not associated with medical … Therefore, it is important to recognize the distinction between medical errors and adverse events, as