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Showing results for "adverse events".
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1721. TeamSTEPPS for Diagnosis Improvement: Knowledge Assessment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/dxsafety-knowledge-assessment.pdf
      February 01, 2022 - They are leadership strategies that structure team events for planning and learning. c. … Consequences may include lawsuits, business losses, and adverse media coverage. d. … They are leadership strategies that structure team events for planning and learning.

1722. Guiding Principles Help Healthcare Community Address Potential Bias Resulting From Algorithms | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/894.html
      December 01, 2023 - region, is applying a human factors engineering approach to healthcare delivery to reduce patient safety events … including a toolkit to help introduce emergency medicine clinical pharmacist programs to hospitals to avoid adverse … drug events in emergency department patients.

1723. TeamSTEPPS for Diagnosis Improvement: Knowledge Assessment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-knowledge-assessment.pdf
      February 01, 2022 - They are leadership strategies that structure team events for planning and learning. c. … Consequences may include lawsuits, business losses, and adverse media coverage. d. … They are leadership strategies that structure team events for planning and learning.

1724. 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

1725. 2019 National Healthcare Quality and Disparities Report Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es.pdf
      December 01, 2020 - Importance of Patient Safety Mortality Prevalence Cost Findings on Patient Safety Improving Trend: Adverse … Drug Events With Heparin and Factor Xa Improving Trend: Inpatient Adverse Drug Events With Anticoagulants

1726. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=49
      January 01, 2024 - Accuracy of pressure ulcer events in US nursing home ratings. … There were no vaccine-related adverse events and four breakthrough infections. … This study examined the association between chronic disease and adverse financial outcomes. … complications evaluated, 4 demonstrated a significant increase in the proportion of post-discharge events … Keywords: Surgery, Adverse Events, Hospital Discharge Glynn A , Hernandez I , Roberts ET

1727. 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.

1728. Creating a Work-Around to Implement Fall Risk Screening For Older Adults Using Appointment Notes Case Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-work-around.pdf
      December 15, 2023 - The QI goal was to identify the patients at highest risk for an adverse event (i.e., fall) before a

1729. Final Progress Report: Four Safety Strategies: A Symposium on Implementation (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/pittman-report.pdf
      January 01, 2024 - educate staff on the science of safety; 3) identify staff’s safety concerns through a survey; 4) analyze events … Healthcare Improvement and has co-chaired two Institute for Healthcare Improvement Collaboratives on adverse … drug events. … patient safety director briefly discusses concepts of patient safety and the importance of reporting events

1730. 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

1731. 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

1732. 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

1733. 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

1734. 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

1735. 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

1736. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
      January 01, 2022 - lags far behind other types of patient safety events. … Unlike the types of safety events defined by existing Common Formats, diagnostic safety events tend … events) and to email written feedback within approximately 4 weeks. … The reliability of AHRQ Common Format Harm Scales in rating patient safety events. … A human factors and survey methodology-based design of a web-based adverse event reporting system for

1737. 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.

1738. 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

1739. 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

1740. 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.