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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/resources/6bb-guide-stage1-prepareandlaunch.pdf
May 02, 2019 - For instance, this
could include a story of an adverse outcome (e.g., overdose, death, diversion) for
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www.ahrq.gov/patient-safety/resources/liability/pichert.html
August 01, 2017 - System in the Sanford Health System
Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Events in Labor and Delivery
Patient Safety Culture and Medical Liability—Recommendations for Measurement … Transitional Care Medication Safety: Stakeholders’ Perspectives
Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home
James … Patient complaints and adverse surgical outcomes. Am J Med Qual 2016; 31(5):415–22.
xxix.
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www.ahrq.gov/patient-safety/reports/liability/pichert.html
August 01, 2017 - System in the Sanford Health System
Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Events in Labor and Delivery
Patient Safety Culture and Medical Liability—Recommendations for Measurement … Transitional Care Medication Safety: Stakeholders' Perspectives
Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home
James W. … Patient complaints and adverse surgical outcomes. Am J Med Qual 2016; 31(5):415–22.
xxix.
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www.ahrq.gov/patient-safety/resources/consumer-exp/reporting/table2.html
October 01, 2014 - Designing Consumer Reporting Systems for Patient Safety Events
Table 2. … Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
December 01, 2017 - Recent data from the Medicare Patient Safety Monitoring
System found that rates of adverse events did … central line-associated
bloodstream infection, ventilator-associated pneumonia) and post-procedural adverse … events (e.g.,
postoperative venous thromboembolic events) significantly increased. … a program to improve local safety culture did not
lead to significant reductions in SSI and other adverse … events were handled; and
• Where improvements were needed.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/21114-Lannon-draft-1.pdf
September 01, 2017 - Solutions for Patient Safety: In 2007, the CERT funded work on identifying Adverse Drug Events using … SPS has reduced falls by 81%,
ventilator-associated pneumonias by 47%, adverse drug events by 42%, and … Situation Awareness to Reduce the Rate of UNSAFE Transfers and Serious Safety Events/Evaluating
Huddle
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www.ahrq.gov/sites/default/files/2024-01/lannon2-report.pdf
January 01, 2024 - Solutions for Patient Safety: In 2007, the CERT funded work on identifying Adverse Drug Events using … SPS has reduced falls by 81%,
ventilator-associated pneumonias by 47%, adverse drug events by 42%, and … Situation Awareness to Reduce the Rate of UNSAFE Transfers and Serious Safety Events/Evaluating
Huddle
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www.ahrq.gov/patient-safety/resources/liability/mincer.html
August 01, 2017 - System in the Sanford Health System
Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Events in Labor and Delivery
Patient Safety Culture and Medical Liability—Recommendations for Measurement … Transitional Care Medication Safety: Stakeholders’ Perspectives
Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home
Shawn
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
June 01, 2012 - When things go wrong (adverse events) or look as
if they are about to (near-misses), we may feel embarrassed … – residents and staff – does better when people support discussion and
learn from near misses and adverse … events.
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www.ahrq.gov/patient-safety/reports/liability/mincer.html
August 01, 2017 - System in the Sanford Health System
Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Events in Labor and Delivery
Patient Safety Culture and Medical Liability—Recommendations for Measurement … Transitional Care Medication Safety: Stakeholders' Perspectives
Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home
Shawn L.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/esrd-protocol-2019-amended.pdf
January 01, 2019 - intradialytic hypotension (and its complications including myocardial stunning), and
infectious events … outcomes (see Appendix B for a detailed list of outcomes): clinical
outcomes including cardiovascular events … , hospitalizations, QOL, pregnancy
outcomes, and mortality
o Adverse events (see Appendix B for a … ABPM average DBP
Number of BP meds
LV mass
Morbidity
Hospitalization rate
CVD event rate
MI events … Stroke events
CHF events
PAD events
Infection event rate
Vascular Access interventions/thrombosis
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www.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
September 01, 2013 - Safety and Adverse Events
3
Introduction and Welcome
This enhanced protocol is … from the manufacturer show that less than
1 percent of patients in clinical trials withdrew due to adverse … events. … /denominator of ICU patient days) by 1,000 = total events per 1,000 ICU patient days. … Product Safety and Adverse Events
Chlorhexidine (CHG) Risk
The risks associated with the use
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership-cx.pdf
June 03, 2021 - Federal agencies are actively developing standardized ways to capture diagnostic safety
events to guide … Learning from
malpractice claims about negligent, adverse events in primary care in the United States … for National Initiative on Preventing Harm
From Diagnostic Error. https://www.leapfroggroup.org/news-events … Serious misdiagnosis-related harms in malpractice claims: the “Big Three”
– vascular events, infections
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdf
June 03, 2021 - Federal agencies are actively developing standardized ways to capture diagnostic safety
events to guide … Learning from
malpractice claims about negligent, adverse events in primary care in the United States … for National Initiative on Preventing Harm
From Diagnostic Error. https://www.leapfroggroup.org/news-events … Serious misdiagnosis-related harms in malpractice claims: the “Big Three”
– vascular events, infections
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-fullreport.pdf
August 07, 2018 - Additional
adverse fetal effects that result in dysfunction of a formed organ or tissue include postnatal … maternal events. … We suggest availability of care is essential for women who
are at risk of adverse pregnancy outcomes … The ability to minimize
and/or prevent adverse fetal effects due to potentially teratogenic medication … Exposure to teratogens during pregnancy is
associated with significant adverse outcomes and occurs with
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/thomas2-report.pdf
May 01, 2004 - Purpose
Medical errors and the adverse events they lead to are common and expensive. … Subsequently, two investigators (E.J.T., J.B.S.) viewed 132 events together. … We then developed a list of candidate
behaviors that was refined as additional events were observed. … Events with good examples of behaviors or complicated events
(e.g., babies that require intubation) … The nurses carried the code beeper and attended as
many events as possible between October 1, 2003,
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www.ahrq.gov/sites/default/files/2024-01/thomas2-report.pdf
January 01, 2024 - Purpose
Medical errors and the adverse events they lead to are common and expensive. … Subsequently, two investigators (E.J.T., J.B.S.) viewed 132 events together. … We then developed a list of candidate
behaviors that was refined as additional events were observed. … Events with good examples of behaviors or complicated events
(e.g., babies that require intubation) … The nurses carried the code beeper and attended as
many events as possible between October 1, 2003,
-
www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/table2.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Table 2. … Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
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www.ahrq.gov/research/findings/studies/index.html?page=288
January 01, 2024 - The patients’ primary concerns with the adverse effects of corticosteroids: weight gain, organ damage … Keywords: Adverse Drug Events (ADE), Medication, Patient-Centered Outcomes Research
Rasmussen
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www.ahrq.gov/research/findings/studies/index.html?page=252
January 01, 2024 - Keywords: Adverse Events, Healthcare-Associated Infections (HAIs), Sepsis, Surgery
Leyenaar … differential prevalence of need for assistance with personal, instrumental, and mobility tasks and adverse