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  1. www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
    January 01, 2025 - EMS providers are needed to respond to recurring medical emergencies as well as mass casualty events … These applications have isolated causes of traffic accidents, such as large moose populations, weather eventsAdverse design of defibrillators: turning off the machine when trying to shock.
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
    April 23, 2004 - adhere, allergy info, meds from other physicians 2 Monitoring includes adherence, effectiveness, adverseevents, proper medication use. … drug interactions and allergies, or follow up on patients reporting that they have had a previous adverse … Reporting Program; Food and Drug Administration MedWatch; or the Centers for Disease Control Vaccine Adverse … Areas not routinely addressed by office-based counseling included cautions, risks, possible adverse
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Valade_46.pdf
    May 05, 2008 - What events should be reported? By whom? To whom? For what purposes? … patients and families access to information through normal channels when medical errors or unexpected events … patients/families and health professionals about health issues, treatments, patient safety concerns, and adverseevents
  4. www.ahrq.gov/sites/default/files/2024-02/herwaldt-report.pdf
    January 01, 2024 - Practices Implementation Challenge Grants HS-14312 -1- STRUCTURED ABSTRACT Purpose Reduce the risk of adverseevents throughout the entire transfusion process.
  5. www.ahrq.gov/sites/default/files/wysiwyg/topics/ed-boarding-summit-report.pdf
    March 01, 2025 - increased ambulance response times, and create the risk of exacerbating crises during mass public health events … patients and clinicians, and the precarious situation that boarding creates during mass public health events … • Higher rates of medication errors and adverse events. … Never Events. Accessed December 2024. https://psnet.ahrq.gov/primer/never-events 44 U.S. … www.acep.org/geda/accreditation-levels/accreditation-levels-silver https://psnet.ahrq.gov/primer/never-events
  6. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-fullreport.pdf
    November 01, 2019 - Drivers of Overuse Seizures can be stressful events that may prompt a parent to seek the assistance … 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.
  7. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load-references.html
    May 01, 2024 - Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event
  8. www.ahrq.gov/patient-safety/reports/engage/results.html
    March 01, 2017 - time with patients Medication issues Prescribing errors Medication nonadherence Adverse … drug events and interactions Overprescribing of opioids, antibiotics Errors in medication reconciliation
  9. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter3.html
    June 01, 2014 - Medication management. 13 Reconciling discrepancies in medication use in order to avoid adverse drug … events associated with transitions in care.
  10. www.ahrq.gov/sites/default/files/2024-11/stulberg-report.pdf
    January 01, 2024 - Nonmedical use of opioids can lead to adverse drug events (ADEs) and frequently is a pathway to use
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stock_72.pdf
    January 01, 2007 - It is well known that many adverse drug events (ADEs) occur within the hospital setting.
  12. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-fullreport.pdf
    April 01, 2019 - 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.
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Paige_6.pdf
    January 24, 2008 - In this high-risk setting, lapses in teamwork can potentially lead to adverse patient outcomes. … Each scenario 6 involved one of the following intraoperative critical events to act as a catalyst … debriefing discussions, the facilitator used video playback as needed to facilitate reflection on critical events … to real life OR settings facilitates implementation and minimizes cancellations due to unexpected events
  14. www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
    June 01, 2012 - three main components are to: › Gain knowledge and skills to understand systems of care and minimize adverse … Check with a co-worker about any previous history of similar events. d. All of the above. … When procedures for team communication are in place, the number of “adverse events” (negative effects … main components are to : › Gain knowledge and skills to understand systems of care and minimize adverse … objectives, which are to: › Gain knowledge and skills to understand systems of care and minimize adverse
  15. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcasttranscript.pdf
    January 09, 2018 - the Hospital SOPS survey, you would add the Value and Efficiency items between Section G, Number of Events … We've done it for a number of issues, including adverse drug reactions, restraint reduction, and it's … receiving email updates about the patient safety culture surveys, including announcements of future events … It helps to improve our offerings and plan future events that meet your needs.
  16. www.ahrq.gov/sites/default/files/2024-01/thamer-report.pdf
    January 01, 2024 - therapy has serious side effects and might be associated with decreased survival and increased risk of adverse … Implications Evidence of adverse events commonly emerges after a drug has been on the market for several
  17. www.ahrq.gov/sites/default/files/2024-07/ebeling-report.pdf
    January 01, 2024 - or cerebrovascular conditions, who are at high risk for experiencing medication errors, especially adverse … patient information and use of standard, evidence-based practices • Medication problems, including adverse … The plan will help guide direction of unforeseen events and opportunities.
  18. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-facilitator-guide.docx
    June 01, 2021 - Use the Staff Safety Assessment as well as the Learning From Adverse Antibiotic Events tools to help
  19. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-facilitator-guide.pdf
    November 01, 2019 - Treatment of ASB May Cause Harm SAY: Treatment of asymptomatic bacteriuria is associated with adverseevents related to antibiotics and development of resistant organisms causing future UTIs.
  20. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/019-perioperative-infection-prevention-strategies-notes.docx
    April 01, 2025 - This guideline also stated that there was no increased risk of major adverse events, based upon low quality

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