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Showing results for "adverse events".
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1701. Systemic and Public Policy Changes Needed To Improve Care for Patients With Psychiatric Conditions and Substance Use Disorders | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/847.html
      January 01, 2023 - Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving

1702. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/index.html
      April 01, 2025 - drug events. … drug events. … events and disease progression. … events, and improve efficiency for ED healthcare providers. … events in the context of the home-work system.

1703. Final Progress Report: Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration in Outpatients (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/weinger-france-report.pdf
      January 01, 2024 - Timely intervention is needed, particularly in medically complex patients, to mitigate the effects of adverse … events, disease progression, and medical error. … intervention is needed, particularly in medically complex (e.g., cancer) patients, to mitigate the effects of adverse … events, disease progression, and medical error. … Patient had an adverse response to chemotherapy involving involuntary spasms while sitting.

1704. Final Progress Report: Short-term Clinical Deterioration After Acute Pulmonary Embolism (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/weekes-report.pdf
      January 01, 2025 - performance of more than 120 clinically available candidate predictor variables for short-term serious adverse … events in pulmonary embolism (PE) patients. … events in PE patients. … events in pulmonary embolism (PE) patients. … events of the interventions and increased lengths of stay and medical costs.

1705. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=144
      January 01, 2024 - that these approaches will help prevent incorrect dosing which is common and puts patients at risk of adverse … events. … Keywords: Blood Thinners, Medication, Patient Safety, Implementation, Adverse Drug Events (ADE), Adverse … Events, Medical Errors Walter AW, Julce C, Sidduri N AW , Julce C , Sidduri N Study protocol

1706. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=178
      January 01, 2024 - Keywords: Children/Adolescents, Adverse Events, Surgery, Healthcare-Associated Infections (HAIs) … Effectiveness, Patient-Centered Outcomes Research, Outcomes, Evidence-Based Practice, Treatments, Men's Health, Adverse … Events, Surgery Parchman ML , Ike B , Osterhage KP Barriers and facilitators to implementing … (HAIs), Surgery, Medical Devices, Prevention, Heart Disease and Health, Cardiovascular Conditions, Adverse … Events Beaulieu ND , Dafny LS , Landon BE Changes in quality of care after hospital mergers

1707. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=122
      January 01, 2024 - Keywords: Blood Clots, Adverse Events, Patient Safety, Surgery, Risk Harris AD , Morgan DJ … Keywords: Antibiotics, Medication: Safety, Medication, Adverse Drug Events (ADE), Adverse Events

1708. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=207
      January 01, 2024 - Keywords: Adverse Events, Elderly, Emergency Department, Falls, Risk, Patient Safety Weinberger … Keywords: Adverse Events, Children/Adolescents, Neurological Disorders, Risk Ahluwalia SC , … fracture risk in women with osteoporosis; long-term bisphosphonate treatment may increase risk for rare adverse … events, and continuing treatment beyond 3 to 5 years may reduce risk for vertebral fractures; and long-term

1709. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=223
      January 01, 2024 - To limit development of unnecessary antibiotic resistance and reduce possible adverse reactions to antibiotics … Keywords: Adverse Drug Events (ADE), Adverse Events, Electronic Health Records (EHRs), Health Information … calcitonin users to experience hip fracture, but had similar rates of nonvertebral fracture and esophagitis events

1710. Evidence-based Practice Center Systematic Review Protocol: Platelet-rich Plasma for Wound Care in the Medicare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/platelet-rich-plasma-protocol-amendment.pdf
      March 30, 2020 - Normal wound healing involves a complex process characterized by orderly and sequential events resulting … in the restoration of tissue integrity and function.2 The cascade of events starts from hemostasis, … function, reduction of wound size, pain, opioid medication use, exudate and odor, quality of life and adverse … of daily living and function • Wound size • Pain • Opioid medication use • Quality of life • Adverse … the studies (i.e., risk of bias); precision (based on the size of the body of evidence, number of events

1711. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=298
      January 01, 2024 - Keywords: Adverse Drug Events (ADE), Cancer: Breast Cancer, Medication, Medication: Safety, Patient … Lee AK , Warren B , Lee CJ The association of severe hypoglycemia with incident cardiovascular events … The association of severe hypoglycemia with incident cardiovascular events and mortality in adults with … Keywords: Adverse Events, Cardiovascular Conditions, Diabetes, Mortality Domenick Sridharan

1712. From Quality Measures to Quality Care: Examples of Quality Improvement at Work | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
      June 01, 2018 - Preventing Adverse Drug Reactions Preventable adverse drug events cause significant mortality each … drug events. … LDS Hospital in Salt Lake City, Utah, has taken steps to improve its rate of adverse drug events. … drug events in its cardiac monitoring unit in 1 year ( Leape, 1998 ). … Event Policy, which encourages accredited health care organizations to voluntarily report unexpected events

1713. 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
      April 03, 2008 - care delivery process, especially from small mistakes and problems, rather than from consequential adverse … events, are rare.”1 The timely review and rating of close calls can provide valuable diagnostic information … Sensemaking also assists in categorizing and prioritizing the risk knowledge that comes from reported events … Reduction of adverse drug events and medication errors in a community hospital setting.

1714. A Strategic Approach for Funding Research: The Agency for Healthcare Research and Quality’s Patient Safety Initiative 2000–2004 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keyes.pdf
      January 01, 2004 - impact of systems and culture on errors and patient safety, defined as initiatives designed to prevent adverse … These changes may have an adverse affect on health care workers and the quality and safety of the care … • Impact of working conditions on adverse events in home health care. … • Reducing the risk of adverse events associated with blood transfusions. … into clinical practice so that patient injuries caused by the delivery of health care become rare events

1715. Chapter 3. Regulatory Requirements | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/policies/informedconsent/ictoolkit3.html
      November 01, 2015 - The AHRQ Informed Consent and Authorization Toolkit for Minimal Risk Research Chapter 3. Regulatory Requirements Previous Page Next Page Table of Contents The AHRQ Informed Consent and Authorization Toolkit for Minimal Risk Research Chapter 1. Background Chapter 2. How To Improve Informed Consen…

1716. Strategies for Improving Patient Safety in Small Rural Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Tupper_73.pdf
      March 20, 2008 - size and lower census in rural hospitals means that they do not experience a sufficient volume of events … ) that enables the user to quickly check drug information, such as dosing, drug-drug interactions, adverse … practice efficiency and provider knowledge, improved drug- related decisionmaking, and prevention of adverse … drug events.11 Immediate access to necessary 8 drug information was reported as a key benefit … Protocols become even more necessary at small facilities with low frequency of certain clinical events

1717. Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Abscesses – Slides (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-guide.docx
      September 01, 2022 - how that informs empiric therapy · Identify empiric antibiotic regimens for cellulitis that minimize adverse … events · Discuss duration of antibiotic therapy for cellulitis and · Discuss the expected time course … These adverse events are more common with prolonged durations of therapy, underscoring the importance

1718. Strategy 3: Bedside Shift Report (Tool 3)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
      July 23, 2010 - For example, one study found that more than 70 percent of adverse events are caused by breakdowns in … As noted above, one study found that more than 70 percent of adverse events are caused by breakdowns … infections, and air embolism, all of which are on CMS’s list of hospital-acquired complications “never events … successful transfer of information between nurses going off duty and nurses coming on duty to prevent adverse … events and medical errors.

1719. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=132
      January 01, 2024 - Sites used the Institute for Healthcare Improvement’s definition in defining an adverse event and a modified … They reviewed a total of 4735 cases and identified 381 events, of which 287 were near-misses, and 94 … had adverse events (AEs). … Quality concern rate (events without harms) was 6.06% (5.42-6.78%). … They found that intraoperative hand-offs were frequent and not well coordinated with intraoperative events

1720. The Nature, Characteristics and Patterns of Perinatal Critical Events Teams (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Riley_58.pdf
      April 02, 2008 - The Nature, Characteristics and Patterns of Perinatal Critical Events Teams The Nature, Characteristics … and Patterns of Perinatal Critical Events Teams William Riley, PhD; Helen Hansen, PhD, RN; Ayse … teams as they form and reform during critical obstetrical events. … In this paper, these teams will be referred to as “critical events teams.” … Effects of teamwork training on adverse outcomes and process of care in labor and delivery: A randomized