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Showing results for "adverse events".
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221. Improving Safety for Patients with Limited English Proficiency: TeamSTEPPS
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-oct2013.pptx
     January 01, 2013 - know about patient safety and Limited English Proficiency (LEP) patients Identify common causes of adverse … Language proficiency and adverse events in U.S. hospitals: a pilot study. … Nearly 25 million people in the United States (8.6%) are defined as LEP and therefore at risk for adverse … Language proficiency and adverse events in U.S. hospitals: a pilot study. … 0.5 Sheet1 Adverse Event Characteristic English Speaking N (%) Limited English Proficient N (%) P-value

222. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
     November 01, 2017 - Obstetric Adverse Events (OBAE) An adverse maternal or fetal outcome that occurs during labor and/ … events included postpartum hemorrhage, preeclampsia/eclampsia, and anesthesia-related adverse events … adverse events as the end point. … events and the risk of death among women experiencing maternal adverse events. … ”[tiab] OR “adverse drug events”[tiab] OR “adverse drug reaction”[tiab] OR “adverse drug reactions”[

223. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
     November 01, 2017 - Obstetric Adverse Events (OBAE) An adverse maternal or fetal outcome that occurs during labor and/ … events included postpartum hemorrhage, preeclampsia/eclampsia, and anesthesia-related adverse events … adverse events as the end point. … events and the risk of death among women experiencing maternal adverse events. … ”[tiab] OR “adverse drug events”[tiab] OR “adverse drug reaction”[tiab] OR “adverse drug reactions”[

224. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
     November 01, 2017 - It uses the electronic medical record, or EMR, to make staff aware of residents at risk of adverse events … Slide 6: On-Time Reports for Four Adverse Events Say: There are four sets of On-Time reports to … help prevent four adverse events: pressure ulcers, pressure ulcers that are not healing appropriately … The reports: Focus on preventing adverse events. Are proactive rather than reactive. … Improve root cause analyses when adverse events occur.

225. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/factraining.html
     September 01, 2017 - Slide 6: On-Time Reports for Four Adverse Events Say: Four sets of On-Time reports are available … Commitment to work with a Facilitator to learn how to use the reports to prevent adverse events. … The reports: Focus on preventing adverse events. Are proactive rather than reactive. … The goal is to focus on preventing adverse events. … Improve root cause analyses when adverse events occur.

226. Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
     January 01, 2024 - Compared to other industries, medicine has a relatively high rate of serious errors and adverse events … The most common causes of adverse events were medication use, wound infections, operative complications … In a study of ADEs in a 700-bed hospital, adverse drug events (ADEs) and preventable ADEs were estimated … Preventable adverse events were not significantly different. 10 When broadening the assessment to … No adverse events occurred.

227. ChartBook On Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
     March 04, 2016 - events  Percentage of adults with mechanical adverse events associated with central venous catheter … Adverse Events Associated With Central Venous Catheter Placement Adults with mechanical adverse events … , and other cardiovascular adverse events (Chiu, et al., 2015) … To decrease the likelihood of adverse events, catheters should be used for less than 90 days. … Adverse Drug Events Measures of Patient Safety in the Hospital Setting: Adverse Drug Events Patient

228. Chapter 1: Background on Patient Safety and LEP Populations | Agency for Healthcare Research and Quality
     www.ahrq.gov/health-literacy/professional-training/lepguide/chapter1.html
     September 01, 2020 - Similarly, postoperative wound infections count as adverse events even if the operation proceeded with … Over time, the list has been expanded to signify adverse events that are unambiguous (clearly identifiable … However, the role of language barriers and its impact on adverse events is less well documented. … The one hospital that stratified their adverse event data by language found clusters of adverse events … Common Causes of Adverse Events for LEP and Culturally Diverse Patients In addition to gathering the

229. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=379
     January 01, 2024 - Keywords: Newborns/Infants, Mortality, Pregnancy, Labor and Delivery, Adverse Events Chen Y … Keywords: Clinical Decision Support (CDS), Adverse Drug Events (ADE), Medication: Safety, Medication … Parent-reported errors and adverse events in hospitalized children. … Keywords: Children/Adolescents, Hospitalization, Patient Safety, Adverse Events, Medical Errors … They tracked rehospitalization within 30 days after discharge and adverse drug events within 45 days.

230. The Impact of a Patient Safety Program on Medical Error Reporting (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
     January 01, 2001 - In 1998 there were 28 (14 percent) adverse events (patient minimally effected) and 25 (9 percent) in … 2001, compared with a rate of 86.00 near misses and 14.00 adverse events in 1998 (Table 1). … Incident type 1998 2001 Near misses 86.00 90.94 Adverse events 14.00 9.06 Figure 3. … Potential identifiability and preventability of adverse events using information systems. … Rate of near misses and adverse events per 100 incident Table 2.

231. Prologue: Technology and Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Prologue_Grady_Vol4.pdf
     July 25, 2008 - We are already using health IT in a number of ways: to help prevent medical errors, including adverse … drug events; reduce costs through streamlining processes and providing more targeted, efficient care … Underuse, overuse, adverse events, and medical errors associated with medications can cause serious … Medication errors are a frequent cause of adverse drug events, and they can occur at any point in the … drug events.

232. Data Measures Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/datameasures-guide.pdf
     January 01, 2017 - Event Incidence Rate Numerator Total number of adverse events which occurred during mobilization … Events Numerator Total number of adverse events in each of the 25 categories which occurred during … /Trach & Mech Vent were marked “Y” Example Display top 10 adverse events. … event occur Target Low adverse event rate Mobility NOT Intubated: Distribution of Adverse Events … Events (cont) Example Display top 10 adverse events.

233. Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
     January 01, 2024 - year in the US7; 5% experience potential adverse drug events,8 and 70% of these, or 3.8 million events … drug events (PADEs) and adverse drug events (ADEs) through a retrospective chart review. … The nature of adverse events in hospitalized patients. … Incidence of adverse events and negligence in hospitalized patients. … drug events (PADEs) and adverse drug events (ADEs) through a retrospective chart review.

234. 1 Preventablehospitaledvisits-Overview-Ig (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
     September 12, 2017 - Events SAY: Four sets of On-Time reports are available to help prevent four adverse events … • Commitment to work with a Facilitator to learn how to use the reports to prevent adverse events … The reports: • Focus on preventing adverse events. • Are proactive rather than reactive. … The goal is to focus on preventing adverse events. … • Improve root cause analyses when adverse events occur.

235. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
     October 01, 2015 - events—such as adverse drug events, falls, and pressure ulcers—occurred. … Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … Adverse drug events in hospitalized patients. … Adverse events in hospitals: methods for identifying events. Washington, DC: U.S. … Adverse events in hospitals: methods for identifying events. Washington, DC: U.S.

236. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/2014-final.html
     January 01, 2018 - events. … About 40 percent of the overall reduction is from adverse drug events, about 28 percent from pressure … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … Events Associated With Hip Joint Replacements 19,000 0.59 MPSMS (2014) Adverse Events Associated … indicated that in 2012 and 2013, adverse events were less frequent at hospitals that have implemented

237. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-2.html
     June 01, 2023 - their expectations. 11 Therefore, systematic elicitation of patients’ experiences related to safety events … diagnostic breakdowns during transitions among clinical settings. 19 , 25 Assessing the impact of adverse … events on the health and well-being of patients. 26 Understanding the impact of diagnostic problems … Throughout this brief, we refer to adverse diagnostic events as “diagnostic mishaps,” “diagnostic errors … But patients and families do not describe adverse diagnostic events with such uniformity.

238. Engage Patients and Families for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
     May 01, 2017 - Slide 16 SAY: Adverse events occur when a patient is harmed as a result of receiving medical care … Medical providers are committed to caring for their patients; however, adverse events can happen. … events are often system failures. … Hospitals today recognize that health care workers are the second victims of adverse events and often … • Organizations need to engage in strategies to address adverse events.

239. AHRQ Report to Congress Describes Sepsis’ Burgeoning Burden on Hospital Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/929.html
     September 01, 2024 - AHRQ Analysis Shows Progress in Reducing Patient Safety Events . … patients reveals a decline in adverse events since the peak of the COVID-19 pandemic, with a 13-to-15 … percent reduction in adverse events in 2022 compared to 2021. … The report, Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (PDF, 2 MB), was led … Among report highlights: in 2022, 6.2 percent of Medicare patients experienced at least one adverse event

240. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=285
     January 01, 2024 - Keywords: Children/Adolescents, Healthcare Cost and Utilization Project (HCUP), Adverse Events, Hospitals … Keywords: Labor and Delivery, Newborns/Infants, Pregnancy, Adverse Events, TeamSTEPPS, Injuries and … In the studied sample, preventable adverse events were identified, including adverse drug events, patient … An electronic trigger based on care escalation to identify preventable adverse events in hospitalised … Keywords: Adverse Events, Cancer, Patient Safety, Risk, Surgery Bozek DN , Dunn TB , Kuhr