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Showing results for "adverse events".
Users also searched for: patient safety indicators
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module10/igmeasure.pdfJanuary 01, 2004 - PSIs are a set of measures that provide information about potential in- hospital complications and adverse … events (outcomes) following surgeries, procedures, and childbirth. … The PSIs can be used to help hospitals identify potential adverse events that might require further … also include indicators for complications occurring in-hospital that may represent patient safety events … Such events can be mitigated with the implementation of TeamSTEPPS tools and strategies.
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Standardizing Ambulatory Care Procedures in a Public Hospital System to Improve Patient Safety (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kleinpeter.pdfJanuary 01, 2004 - Despite all of these breakdowns in the system and potential sources for adverse events related to patient … Nurses verify written medication orders, administer medications, and monitor the patient for adverse … If an adverse event occurs, the physician is notified for assessment and additional orders, if necessary … , and an adverse event form is generated. -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdfFebruary 06, 2008 - Analysis of 495 communication events after toolkit implementation revealed decreased time to treatment … ineffective or insufficient communication among team members is a significant contributing factor to adverse … events. … , related issues, or for events on the unit, in the lab, or within the health care team. … Because ineffective communication among health care team members contributes to patient harm and adverse
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www.ahrq.gov/research/findings/studies/index.html?page=42January 01, 2024 - This study examined whether there is an association between thromboembolotic events (TEEs) and concomitant … Keywords: COVID-19, Blood Thinners, Medication, Adverse Drug Events (ADE), Adverse Events, Cardiovascular … this retrospective cohort study was to examine whether patients with dementia have a higher risk of adverse
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www.ahrq.gov/research/findings/studies/index.html?page=399January 01, 2024 - such an application to raise data quality and clinical decision support in reporting patient safety events … Keywords: Adverse Events, Medical Errors, Patient Safety, Public Reporting, Clinical Decision Support … Keywords: Adverse Drug Events (ADE), Medication: Safety, Medication, Practice Patterns Nadpara
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www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-psychological-safety-ref.htmlSeptember 01, 2023 - Voluntary electronic reporting of medical errors and adverse events. … Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/TS_OBC_Webinar_Plitt_FINAL.pptxJanuary 01, 2017 - patients with a diagnostic error Paid medical liability claims (Bishop, et al., 2011): Half related to events … When patients have difficulty with these self-management activities, they are at risk for adverse events
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-ref.htmlSeptember 01, 2023 - Voluntary electronic reporting of medical errors and adverse events. … Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events.
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www.ahrq.gov/workingforquality/events/webinar-better-care-healthier-communities.htmlNovember 01, 2016 - For the Quality and Disparities Report, we observed significant improvements in adverse events and falling
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www.ahrq.gov/sites/default/files/2025-03/newman-toker-report.pdfJanuary 01, 2025 - known about the aggregate burden of misdiagnosis-related morbidity, but 47% of diagnostic error-related adverse … events result in serious disability.7 Thus, misdiagnoses represent an enormous source of preventable … The nature of adverse events in hospitalized patients.
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www.ahrq.gov/es/research/findings/studies/index.htmlJanuary 01, 2021 - Keywords: Surgery, Provider Performance, Hospitals, Adverse Events, Back Health and Pain … complications, while patients with active cancer or recent cancer treatment had a similar risk for adverse … Keywords: Surgery, Adverse Events, Outcomes, Patient-Centered Outcomes Research … management for youth with acute agitation, including common classes of medications, indications for use, and 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/patient-safety/settings/hospital/hai/red/toolkit/redtool4ref.htmlMarch 01, 2013 - Language proficiency and adverse events in U.S. hospitals: a pilot study.
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www.ahrq.gov/news/newsletters/e-newsletter/654.htmlMarch 01, 2019 - Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency
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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/2024-05/felix-report.pdfJanuary 01, 2024 - safety events. … safety events. … Rates of Adverse Safety Events by BMI Category Fa lls Fa lls w ith in ju rie s Pr es su re … In fact, across the adverse safety events, we found that obesity was actually a protective factor for … Thus, it was unexpected that for-profit NHs had lower adverse events among their residents with obesity
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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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