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Showing results for "adverse events".
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdfJuly 01, 2003 - patients.1 Among these, surgical site infections (SSIs) constitute the second most common category of adverse … events—approximately 20 percent of all nosocomial infections—and rank third with respect to cost.2 … systems improvements, test the effectiveness of interventions designed to reduce the occurrence of adverse … events, and disseminate and share successful intervention strategies. … The nature of adverse events in hospitalized patients: results of the Harvard Medical Practice Study
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Suydam.pdfJanuary 01, 2001 - The report estimated that potentially preventable adverse events attributable to medical errors during … regarding practices, devices, techniques, systems, and policies that may either reduce or contribute to adverse … might include— • What kinds of data do we feel comfortable sharing—from the highest (actual patient adverse … events) to the lowest (structure of quality assurance and safety initiatives) risk? … Risk of reporting sentinel events. Health Aff 2000;19:112–20. 15. Friedenthal JH.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Riley_58.pdfApril 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
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www.ahrq.gov/sites/default/files/2025-02/silver2-report.pdfJanuary 01, 2025 - the current literature (although a Canadian study reported a 4% rate of preventable or ameliorable adverse … events among home health clients).4 Among US all home health episodes, 11% end with hospitalization … In 1999 Gray et al, using patient self-report, estimated a 20% adverse drug event rate among home health … This study did not examine patient mortality, satisfaction with the experience of care, other adverse … Adverse events among Winnipeg home care clients.
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www.ahrq.gov/health-literacy/improve/precautions/tool4e.htmlMarch 01, 2024 - stages) late stages, far along advantageous helpful, better, useful adverse … bad adverse event injury or hurt adversely affect/impact hurt,
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nishisaki_44.pdfApril 19, 2008 - found that simulation-based training effectively improved clinical operational performance with fewer adverse … events.20, 21 The U.S. … Tracheal intubation-associated events were prospectively defined as: • SpO2 <60 percent. … (transport nurse: median 2 events, IQR (1.5, 2.5) vs. emergency medicine fellows: 2 events (1.5, 3.5 … Endotracheal intubation attempts during neonatal resuscitation: Success rates, duration, and adverse
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdfDecember 01, 2022 - Standard forms for the data collection and model procedures for the uniform registration of events are … , such as medication prescriptions and laboratory test results that are relevant to patient safety events … Measures and modules included in calculation of adverse event rates Measure Module One or more adverse … outcomes Birth - Maternal Adverse event associated with hypoglycemic agent Medication Adverse event … events Pressure Ulcer Venous thromboembolism/pulmonary embolism (VTE/PE) not related to procedure
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www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdfJanuary 01, 2024 - sleep/wake patterns of nurses before and after implementation of protocols designed to minimize adverse … of Shift Duration and Risk of Making an Error Working longer than scheduled (overtime) also had an adverse … Incidence of adverse drug events and potential adverse drug events: Implications for prevention. … Adverse drug reactions: A critical review. JAMA. 1975 1975;234:1236-1241. 14. … Systems analysis of adverse drug events. JAMA. 1995;274:35-43. 15.
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www.ahrq.gov/research/findings/studies/index.html?page=356January 01, 2024 - They concluded that patient-reported outcomes are not correlated with early perioperative events, but … Keywords: Surgery, Obesity, Adverse Events, Patient-Centered Outcomes Research, Patient Safety … Keywords: Adverse Events, Outcomes, Public Reporting, Quality Measures, Surgery Kirby JS ,
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www.ahrq.gov/research/findings/studies/index.html?page=465January 01, 2024 - Keywords: Adverse Drug Events (ADE), Maternal Care, Medication: Safety, Medication, Pregnancy … Keywords: Adverse Drug Events (ADE), Health Information Technology (HIT), Patient Safety, Medication … Over an average follow-up of 3.3 ± 1.0 years, 297 stroke events occurred.
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www.ahrq.gov/research/findings/studies/index.html?page=440January 01, 2024 - Keywords: Adverse Events, Cancer: Breast Cancer, Diagnostic Safety and Quality, Patient-Centered Outcomes … was to evaluate the association of medication selection on specific tracheal intubation–associated events … Keywords: Children/Adolescents, Patient Safety, Intensive Care Unit (ICU), Adverse Events, Medication
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www.ahrq.gov/research/findings/studies/index.html?page=437January 01, 2024 - Safety and Quality, Healthcare-Associated Infections (HAIs), Orthopedics, Surgery, Injuries and Wounds, Adverse … Events Latulipe C , Gatto A , Nguyen HT Design considerations for patient portal adoption … The initial 3-month experience confirmed that a majority of pediatric DAW events are associated with … Keywords: Adverse Events, Comparative Effectiveness, Evidence-Based Practice, Healthcare-Associated
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www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-care-transitions4.htmlJune 01, 2023 - Secondary outcomes will include information omissions and adverse events.
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www.ahrq.gov/news/newsletters/e-newsletter/793.htmlDecember 01, 2021 - Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions4.htmlJune 01, 2023 - Secondary outcomes will include information omissions and adverse events.
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57-Senior-Executives-Facilitator (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/57-senior-executives-facilitator.docxJune 01, 2023 - practices in ISCR improve surgical outcomes for our patients, leading to reduced length of stay and fewer adverse … events such as surgical site infections, venous thromboembolism (VTE), and catheter-associated urinary -
www.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/funded-resources.htmlNovember 01, 2021 - The majority of older adults have MCC, and MCC increases the risk of adverse events from opioid use.
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www.ahrq.gov/news/newsletters/e-newsletter/625.htmlJuly 01, 2018 - Adverse events in hospitalized pediatric patients .
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www.ahrq.gov/news/newsletters/e-newsletter/689.htmlNovember 01, 2019 - Preventable adverse drug events: Descriptive epidemiology .
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www.ahrq.gov/news/newsletters/e-newsletter/682.htmlOctober 01, 2019 - Gurwitz has focused on reducing adverse events in a range of settings, including hospitals, nursing homes
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