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Showing results for "adverse events".
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2281. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=407
      January 01, 2024 - This study addressed whether those impacts include adverse nutritional states. … Keywords: Healthcare Cost and Utilization Project (HCUP), Ambulatory Care and Surgery, Surgery, Adverse … Events Chang AL , Hurwitz E , Miyamura J Maternal risk factors and perinatal outcomes among

2282. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=447
      January 01, 2024 - the sharing and borrowing of nonprescription medications and examine the effects of this behavior on adverse … Keywords: Medication, Children/Adolescents, Medicaid, Asthma, Adverse Drug Events (ADE) Guy

2283. Final Progress Report: Developing a Rational Clinical Approach to the Disposition of TIA Cases in the ED (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/reeves-report.pdf
      January 01, 2024 - selecting hospitalization reported a lower overall QOL 7 days after the episode of care (assuming no adverse … Under the assumption of not suffering an adverse outcome, when patients were forced to take the alternative

2284. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
      October 01, 2014 - Root cause analysis is a systematic process during which all factors contributing to an adverse event … Surveys are also labor intensive and rely on staff members' recall of specific events.

2285. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
      October 01, 2014 - Root cause analysis is a systematic process during which all factors contributing to an adverse event … Surveys are also labor intensive and rely on staff members' recall of specific events.

2286. The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Jones_29.pdf
      February 23, 2008 - Two dimensions are outcome measures: overall perceptions of safety and frequency of events reported … Two additional items are outcome measures: patient safety grade and number of events reported. … 73 46 91 11 74 55 94 11 3.c Hospital management seems interested in patient safety only after an adverse … Among the four nonparticipating CAHs, these scores decreased, except for frequency of events reported … In addition, errors in surgery and laboratory were described as events that were investigated by the

2287. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=274
      January 01, 2024 - cohort study, the investigators assessed whether bilirubin independently predicted the risk of CVD events … a lower risk of incident total CVD, acute myocardial infarction, heart failure, and ischemic stroke events … Keywords: Pregnancy, Newborns/Infants, Outcomes, Adverse Events, Women Westover AN , Nakonezny

2288. Postdischarge Followup Phone Call Script (Patient Version) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/hai/red/toolkit/postdischarge-phone.html
      March 01, 2013 - Medicines High Alert Medicines Use the guide below to help monitor medicines with significant risk for adverse … events.

2289. Transitions of Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure1.html
      June 01, 2018 - Transitions increase the risk of adverse events due to the potential for miscommunication as responsibility

2290. Postdischarge Followup Phone Call Script (Patient Version) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/postdischarge-phone.html
      March 01, 2013 - Medicines High Alert Medicines Use the guide below to help monitor medicines with significant risk for adverse … events.

2291. Postdischarge Followup Phone Call Script (Patient Version) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/postdischarge-phone.html
      March 01, 2013 - Medicines High Alert Medicines Use the guide below to help monitor medicines with significant risk for adverse … events.

2292. Chapter 6. Measure Maps and Profiles (continued, 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6a.html
      June 01, 2014 - would be particularly important post-discharge, when patients might be at increased risk for subsequent adverse … events (urgent ambulatory visits, missed appointments, or medication changes).

2293. Improving Patient Safety with the Military Electronic Health Record (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Charles.pdf
      January 24, 2004 - permits physicians to record prescribed medications and view alerts for drug allergies or potential adverse … For more than 10 years, CHCS has issued alerts for potential adverse drug interactions and warnings … patient’s prescription history is viewed in real time and the system alerts providers to any potential adverse … This capability augments patient safety and the quality of medical care by reducing the likelihood of adverse

2294. SITUATION MONITORING (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsinstructmod.ppt
      January 01, 2008 - should be prioritized based on the risk to patients and on the prevalence and severity of targeted adverse … events. … Quality Improvement – Supports Activators and Responders by reviewing RRS events and evaluating data … During a team huddle, response team members could: Discuss critical issues and emerging events. … and prescribe a course of action for future events.

2295. TeamSTEPPS: Rapid Response Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/instructor_slides/rrsinstructmod.pdf
      January 01, 2008 - should be prioritized based on the risk to patients and on the prevalence and severity of targeted adverse … events. … •Quality Improvement – Supports Activators and Responders by reviewing RRS events and evaluating … During a team huddle, response team members could: •Discuss critical issues and emerging events. … and prescribe a course of action for future events.

2296. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=358
      January 01, 2024 - Keywords: Newborns/Infants, Children/Adolescents, Medication: Safety, Adverse Drug Events (ADE), Medication … with MI had superior rates of medication adherence but higher rates of postdischarge readmission and adverse

2297. Current State of Diagnostic Safety: Implications for Research, Practice, and Policy - Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
      January 01, 2024 - ■ Measure Dx: A Resource To Detect, Analyze, and Learn From Diagnostic Safety Events (AHRQ). … Patient record review of the incidence, consequences, and causes of diagnostic adverse events. … Association between cancer-specific adverse event triggers and mortality: a validation study. … An electronic trigger based on care escalation to identify preventable adverse events in hospitalised … Reducing preventable adverse events in obstetrics by improving interprofessional communication skills

2298. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=60
      January 01, 2024 - Keywords: Adverse Drug Events (ADE), Adverse Events, Medication, Clinical Decision Support (CDS), Health … Vitamins D and E were not significantly associated with all-cause mortality, cardiovascular disease events

2299. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
      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 … 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

2300. Advancing the Science of Patient Safety and Quality Improvement to the Next Level | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article1.html
      June 01, 2014 - We learned that the aviation safety reporting system (ASRS) 8 was successful because it collected adverse … Commission repeatedly noted poor communication and teamwork as major contributing factors to all types of adverse … events. … A system factors analysis of airway events from the Intensive Care Unit Safety Reporting System (ICUSRS … Cardiopulmonary monitors and clinically significant events in critically ill children.