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Showing results for "adverse events".
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1621. 019-Ss-Periop-Infection-Prevention-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/019-ss-periop-infection-prevention-fg.docx
      April 01, 2025 - This guideline also stated that there was no increased risk of major adverse events, based upon low quality

1622. Depression Remission or Response for Adolescents and Adults: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-244-fullreport.pdf
      December 01, 2019 - treatment goals and outcomes, including assessing depressive symptoms and function, monitoring for adverse … events during antidepressant treatment, and reassessing diagnosis and treatment if no improvement is … in Primary Care (GLAD-PC) recommends systematic assessment of symptoms and function, monitoring for adverse … events during antidepressant treatment, and reassessing diagnosis and treatment if no improvement is

1623. Ed-Catheter-Insertions-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.doc
      September 10, 2013 - So one event can lead to multiple other events, and I’m now on the slide – that is slide 6, I think – … Adverse drug events can lead to urinary retention, so the use of the catheter.

1624. Final Progress Report: National Claims-Based Quality Measures for Surgical Site Infections (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/platt-report.pdf
      January 01, 2025 - Second, adverse events may be higher in hospitals performing fewer procedures (described below). … national (CMS value-based purchasing) and state level for targeting these high cost and high morbidity events … ICD-9) codes suggestive of an SSI within 90 days of the surgical procedure were used to identify SSI events … Evaluation of Diagnosis Codes Used to Identify Candidate SSI Events during CMS Validation.

1625. Six Building Blocks How-To-Implement Toolkit: Prepare and Launch Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-prepare.pdf
      February 18, 2021 - For instance, the champion could share a story of an adverse outcome—such as overdose, death, or diversion—for

1626. Emergency Department and Catheter Insertion | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
      December 01, 2017 - So one event can lead to multiple other events, and I’m now on the slide – that is slide 6, I think – … Adverse drug events can lead to urinary retention, so the use of the catheter.

1627. Final Progress Report: Care and Safety Practices During the COVID-19 Pandemic in Home-Based Long-Term Services and Supports (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/wendel-hummell-report.pdf
      January 01, 2024 - widely reported.10 Among community dwelling older adults in the U.S., over 2 million reported an adverse … event related to unmet household assistance needs, and over 3 million reported an adverse event related … The adverse consequences of unmet need among older persons living in the community: dual- eligible versus

1628. Learn About CUSP, Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/learn/fac-cusp.html
      December 01, 2012 - It provides a comprehensive process to investigate harmful events or patient safety concerns and determine

1629. The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
      April 08, 2004 - suggest that CME courses on patient safety teach system structures of health care and that they focus on adverse … drug events, errors of omission and commission, discharge planning, transitions in levels of care,

1630. CHIPRA 209 Report: Neonatal Intensive Care Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-209-fullreport.pdf
      June 01, 2019 - Rates of these adverse outcomes are increased in infants experiencing one or more of the complications … including BPD, ROP, IVH, bacterial infection, and NEC, result in increased hospital costs and long-term adverse … For risk adjustment, we included characteristics of the infant that may increase the risk of adverse … Identification of a baseline number of expected events is a much more difficult prospect, which complicates … bacterial infection, and necrotizing enterocolitis (NEC)— result in increased hospital costs and long-term adverse

1631. Discussion of Findings | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/findings.html
      March 01, 2017 - to improve medication safety in primary care should improve not only safety, including reductions in adverse … drug events, but also quality of care.

1632. Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
      April 02, 2008 - Background/Assessment/Recommendation) Nurse staffing ratios “Falls” Medication errors/preventable adverse … drug events “Medication reconciliation” Culture of safety “Communication” Look-alike, sound-alike

1633. White Paper - Redefining Primary Care for the 21st Century (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/white_paper.pdf
      January 01, 2020 - Forum: Efforts to Measure and Improve Patient-Centered Primary Care http://www.mathematica-mpr.com/events … primarycaremeasures.ahrq.gov/team-based-care/downloads/ccteam/Team-based_Primary_Care_Atlas.pdf http://www.mathematica-mpr.com/events … /chce-forum-measuring-comprehensiveness-of-primary-care http://www.mathematica-mpr.com/events/chce-forum-measuring-comprehensiveness-of-primary-care

1634. From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
      February 09, 2005 - ambulatory setting, specialized anticoagulation clinics lead to more consistent anti-coagulation and fewer adverse … Reducing adverse drug events and medication errors using rapid cycle improvement.

1635. Final Progress Report: What About Mom? Using Administrative Data To Develop Measures for Monitoring Healthcare Quality in Pregnancy & Childbirth (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
      January 01, 2024 - from hospital specific analyses because of the difficulty in estimating rates of relatively rare events … study, we feel that all maternal deaths and near misses should be monitored and evaluated as sentinel events … Significant adverse outcomes are rare, prompting the need for Maternal Health Surveillance Indicators … How often are potential patient safety events present on admission?

1636. Final Progress Report: Incorporating Temporary Health States into Decision Support (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/col-report.pdf
      January 01, 2024 - therapy is decreasing in popularity due to its known risks of CVD, breast cancer, and venous thrombotic events … Decision aids reduced the use of discretionary surgery without apparent adverse effects on health outcomes … PROTOTYPE Appendix C: SELECTED ABSTRACTS FROM DIRECTLY RELATED PUBLICATIONS Appendix D: TIMELINE OF MAJOR EVENTS

1637. Final Progress Report: Connected Emergency Care (CEC) Patient Safety Learning Lab (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/hinson-levin-report.pdf
      January 01, 2025 - This data repository also enabled our team to respond rapidly to unanticipated events and to make important … critical decision method interviews, we learned that less than 20% of ED clinicians were aware of adverse … clinical events that occurred after their involvement in the patients’ care ended.

1638. Nutritional Research Series, Volume 2 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp2.pdf
      March 01, 2009 - UL, defined as the highest average daily nutrient intake level that is likely to pose no risk of adverse … Adverse events would also be considered as clinical outcomes. … Very small studies (e.g., case series) may provide useful lists of potential adverse events but are

1639. Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging (pdf file)
      www.ahrq.gov/sites/default/files/2025-07/fenton2-report.pdf
      January 01, 2025 - self-reported use and efficacy of advising watchful waiting with actual low back pain patients; and d) have no adverse … Is Excessive Resource Utilization an Adverse Event? JAMA. 2017 Feb 28;317(8):849–50. 5.

1640. Final Progress Report: NPSF Joint Medical-Legal Conference at SMU (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/nance-report.pdf
      January 01, 2025 - patient who has been apologized to and fully informed about the details of a medical error that had adverse … has to be the faith of the practitioners/reporters that there will be no retribution or personally adverse