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Showing results for "adverse events".
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2321. Safety Climate on Hospital Units: A New Measure (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
      January 01, 2004 - our study of the impact of working conditions of nurses on medication administration accuracy and adverse … The Safety Climate Scale focuses on organizational commitment to safety, knowledge of how to report adverse … events, and beliefs about systems problems as a cause of error.

2322. ACTION III 2019 Project Summaries (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/translating/action3/ACTION%20-III-2019-Project-Summaries.pdf
      January 01, 2019 - Each year, approximately 965,000 individuals will have a coronary event, and more than 30 percent of events … It is associated with a wide range of adverse consequences related to physical and mental health (e.g … The risks of adverse medication events also differ for older adults, including falls, respiratory depression … events and opioid use, misuse, and OUD in older adults in primary care; o Their experiences caring … drug events: a systematic review.

2323. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-091317.pptx
      January 01, 2017 - Leaders Team Perceptions Annual Culture of Safety HCAHPS - Satisfaction Core Measures Incident Reports Adverse … Events Switch Model Identify Coaches and Leaders Fundamentals of TeamSTEPPS Simulation Involve Pt.

2324. 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

2325. 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

2326. Suicide Risk Response: Enhancing Patient Safety Through Development of Effective Institutional Policies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bonner.pdf
      January 01, 2004 - to a clinician who can assess the level of urgency of the situation is part of a complex chain of events … Only one reportable adverse event ensued.11 No revisions of the policy were necessary. … Risks to patient privacy in adverse event reporting for HSR&D studies.

2327. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/098-cusp-why-choose-cusp-approach.pptx
      October 01, 2024 - Exploring relationships between hospital patient safety culture and adverse events.

2328. 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

2329. 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

2330. 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.

2331. 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, 2025 - Medicines High Alert Medicines Use the guide below to help monitor medicines with significant risk for adverse … events.

2332. 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

2333. 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).

2334. 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, 2025 - Medicines High Alert Medicines Use the guide below to help monitor medicines with significant risk for adverse … events.

2335. 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.

2336. 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.

2337. 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

2338. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=67
      January 01, 2024 - Keywords: Cardiovascular Conditions, Medication, Stroke, Adverse Drug Events (ADE), Adverse Events,

2339. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=47
      January 01, 2024 - Keywords: Emergency Department, Medical Errors, Adverse Events, Patient Safety Sneed NM , Azuero … They also recorded 30-day major adverse limb events (MALE) defined as major amputation or reintervention

2340. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=6
      January 01, 2024 - Keywords: Kidney Disease and Health, Adverse Events, Risk Powell-Wiley TM , Martinez MF , … Key categories of adverse impacts that emerged included: emergency medical service transport; availability … intensive care units (PICUs) to promote shared situation awareness among medical teams to prevent safety events