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Showing results for "adverse events".
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2241. Department of Health and Human Services National Institutes of Health - National Institute for Research on Safety and Quality (NIRSQ) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2021/FY_2021_CJ_NIRSQ.pdf
      January 01, 2021 - Nearly half of opioid stays among women aged 65 years and older were due to adverse events. … Research has shown that preventable adverse events constitute nearly 60% of harms experienced by residents … QSRS will generate adverse event rates, trend performance over time, and unlike MPSMS, QSRS was designed … to also serve as a local hospital and health system tool to identify and measure adverse events to … events, cost, and utilization).

2242. Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
      April 04, 2008 - PSIs) developed by the Agency for Healthcare Research and Quality identify potential patient safety events … time.3, 4, 5, 8 Previous research using PSIs has demonstrated that the odds of experiencing an adverse … Consequently, some events were extremely rare: only one Asian American and two American Indians had … Discussion Our goal was to examine whether patient safety events varied across different races in the … How often are potential “Patient Safety Events” present on admission?

2243. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
      August 01, 2010 - Nurse shift changes require the successful transfer of information between nurses to prevent adverse … events and medical errors. … One study found that more than 70 percent of adverse events are caused by breakdowns in communication … are on the Centers for Medicare and Medicaid Services’ list of hospital-acquired complications “never events … communication during nurse transitions, for example: Reduce the incidence of never events by 5 percent

2244. Final Progress Report: Off-Label Prescribing: Comparative Evidence, Regulation, and Utilization (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/18465-Kesselheim-draft-1.pdf
      January 01, 2015 - off-label”) uses of widely available prescription drugs and the scientific, market, and regulatory/legal events … these selected datasets, assessing the effect of various scientific, market, and regulatory/legal events … time trend before the first event, and binary terms and linear time trends for each of the studied events … a costly treatment that does not benefit patients and increases the risk for dangerous thrombotic events … The pharmaceutical market’s adverse effects (Bad Pharma (Goldacre, 2012)).

2245. Final Progress Report: Off-Label Prescribing: Comparative Evidence, Regulation, and Utilization (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/kesselheim-report.pdf
      January 01, 2024 - off-label”) uses of widely available prescription drugs and the scientific, market, and regulatory/legal events … these selected datasets, assessing the effect of various scientific, market, and regulatory/legal events … time trend before the first event, and binary terms and linear time trends for each of the studied events … a costly treatment that does not benefit patients and increases the risk for dangerous thrombotic events … The pharmaceutical market’s adverse effects (Bad Pharma (Goldacre, 2012)).

2246. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/issue-briefs/education-dx-outcomes-7.html
      March 01, 2022 - Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of … Serious misdiagnosis-related harms in malpractice claims: The "Big Three"—vascular events, infections … Internal medicine residents' exposure to and confidence in managing hospital acute clinical events .

2247. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-7.html
      March 01, 2022 - Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of … Serious misdiagnosis-related harms in malpractice claims: The "Big Three"—vascular events, infections … Internal medicine residents' exposure to and confidence in managing hospital acute clinical events .

2248. Specific Tools To Support Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g2_pdi_specifictoolstosupportchange.pdf
      January 01, 2011 - • Sentinel events: transfusion reaction, wrong blood type, wrong-site surgery, foreign body left … in during procedure, medical equipment-related adverse events, medication errors … • Other care-related adverse events: patient falls, in-hospital hip fracture or fall http://www.oecd.org … Hospital of Philadelphia annually reviews all findings from root cause analyses of serious safety events … This electronic toolbox provides States with tools they can use or modify as they develop or improve adverse

2249. Specific Tools To Support Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
      January 01, 2011 - • Sentinel events: transfusion reaction, wrong blood type, wrong-site surgery, foreign body left … in during procedure, medical equipment- related adverse events, medication errors … • Other care-related adverse events: patient falls, in-hospital hip fracture or fall http://www.oecd.org … Hospital of Philadelphia annually reviews all findings from root cause analyses of serious safety events … This electronic toolbox provides States with tools they can use or modify as they develop or improve adverse

2250. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=72
      January 01, 2024 - Keywords: Medication, Medication: Safety, Provider: Nurse, Adverse Drug Events (ADE), Adverse Events … The researchers describe such decisions as events of naturalistic decision-making which are influenced

2251. Appendix E: Resources and Tools To Address Language and Cultural Barriers and Improve Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/health-literacy/professional-training/lepguide/app-e.html
      September 01, 2020 - Update presents 34 practices that have been demonstrated to be effective in reducing the occurrence of adverse … healthcare events.

2252. The Future of Pediatric Diagnostic Safety Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-pediatric-safety-5.html
      August 01, 2023 - In addition, we must consider challenges such as developing clinician trust and mitigating possible adverse

2253. A Pharmacy Health Literacy Assessment Tool User's Guide: Appendix 3 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pharmhealthlit/pharmlit/pharmlitap3.pdf
      October 15, 2007 - Common severe side or adverse effects, interactions and contraindications that can happen, including

2254. The Future of Pediatric Diagnostic Safety Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-5.html
      August 01, 2023 - In addition, we must consider challenges such as developing clinician trust and mitigating possible adverse

2255. Maternal and Child Health Care: References | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/mch-ref.html
      April 01, 2018 - New frontiers in patient-reported outcomes: adverse event reporting, comparative effectiveness, and quality

2256. Final Progress Report: Improving patient and clinician safety during COVID-19 through a rapidly adaptive simulation intervention (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/evans-report.pdf
      January 01, 2024 - Clinician exposure to acute occupational stress events can activate the sympathetic nervous system, … Therefore, individual interviews may have been subject to recall bias, or significant events ongoing … interesting counterpoint to this data is that management becomes more interested in patient safety after an adverse … use these insights to improve resident preparation, wellness, and resilience in the face of future adverse … events.

2257. Appendix A. Members of the Technical Expert Panel | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/appa.html
      August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Appendix A. … Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events

2258. Postdischarge Followup Phone Call Script (Patient Version) (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/postdisphone.pdf
      February 14, 2013 - Medicines High Alert Medicines Use the guide below to help monitor medicines with significant risk for adverse … events.

2259. Postdisphone (doc file)
      www.ahrq.gov/sites/default/files/publications/files/postdisphone.docx
      January 31, 2013 - Medicines High Alert Medicines Use the guide below to help monitor medicines with significant risk for adverse … events.

2260. Postdischarge Followup Phone Call Script (Patient Version) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/red/toolkit/postdisphone.pdf
      February 14, 2013 - Medicines High Alert Medicines Use the guide below to help monitor medicines with significant risk for adverse … events.