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2341. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=477
      January 01, 2024 - postsurgical visits for CS-SSIs were low relative to all causes but may represent a substantial number of adverse … (HAIs), Injuries and Wounds, Ambulatory Care and Surgery, Surgery, Hospitalization, Patient Safety, Adverse … Events Nelson HD , Pappas M , Zakher B Risk assessment, genetic counseling, and genetic

2342. Appropriateness of Red Cell Transfusions in the Pediatric Intensive Care Unit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-fullreport.pdf
      November 01, 2017 - grams per deciliter for red cell transfusion can decrease transfusion requirements without increasing adverse … events, ICU and hospital LOS, mortality, and daily Pediatric Logistic Organ Dysfunction (PELOD) assessment … infection, gut ischemia, transfusion reactions, stimulation of the inflammatory response, and other events … grams per deciliter for red cell transfusion can decrease transfusion requirements without increasing adverse … is to safely decrease the number of transfusions in PICUs and thereby decrease transfusion-related events

2343. Anticipatory Guidance for Pain Management for Children with Sickle Cell Disease (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-223-fullreport.pdf
      January 17, 2014 - Pain events usually last a few days but may persist for several weeks. … Further, unfamiliarity with the effective use of analgesics and fear of adverse effects, such as respiratory … scores reported by children with SCD and may undertreat pain out of concerns about addiction or other adverse … Vaso‐occlusive painful events in sickle cell disease: Impact on child well‐being. … Management of vaso‐occlusive pain events in sickle cell disease.

2344. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=230
      January 01, 2024 - These audio and video recordings were then analyzed for themes and events. AHRQ-funded; HS024869. … Home blood pressure monitoring more accurately reflects the risk of cardiovascular events than office … Keywords: Adverse Events, Catheter-Associated Urinary Tract Infection (CAUTI), Critical Care, Healthcare-Associated

2345. Implementing a State-Level Quality Improvement Collaborative: A Resource Guide From the Medicaid Network for Evidence-based Treatment (MEDNET) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/mednetresourceguide/mednetresourcedguide.pdf
      October 01, 2014 - The registry tracks diagnosis, height, weight, symptoms, psychosocial treatments, adverse events, … The Home Page: The home page should display announcements, a calendar of upcoming events, a to-do list

2346. Section 5. Preparing to Launch | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptflow/section5.html
      July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Section 5. Preparing to Launch Previous Page Next Page Table of Contents Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Acknowledgments Executive Summary Section 1…

2347. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
      April 27, 2022 - The remaining 2 studies (Giardina et al29,30) analyzed existing data sets of patient reports of adverse … events and patient complaints, respectively. … Secondary analysis of patient reports of adverse Timeliness, accuracy, communication events ( … The determination of error depends on the temporal or sequential context of events. … Tracking Progress in improving diagnosis: a framework for defining undesirable diagnostic events.

2348. Tool 5: How To Conduct a Postdischarge Followup Phone Call | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
      March 01, 2013 - Pay special attention to medicines for which the adverse consequences of taking them incorrectly are … Interventions for patients reporting feeling worse since discharge due to primary discharge diagnosis, adverse

2349. Tool 5: How To Conduct a Postdischarge Followup Phone Call | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool5.html
      March 01, 2013 - Pay special attention to medicines for which the adverse consequences of taking them incorrectly are … Interventions for patients reporting feeling worse since discharge due to primary discharge diagnosis, adverse

2350. Chapter 7. Layering Interventions and Moving Toward Excellence | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/vtguide/guide7.html
      May 01, 2016 - treating physician received an unsolicited e-alert, resulting in improved prophylaxis rates and fewer VTE events … Address Central Venous Catheter-Related VTE/Upper Extremity DVT Upper extremity DVT (UE DVT) events … outcomes, including VTE, across a number of inpatient populations without the potential consequences of adverse

2351. Chapter 7. Layering Interventions and Moving Toward Excellence | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.html
      May 01, 2016 - treating physician received an unsolicited e-alert, resulting in improved prophylaxis rates and fewer VTE events … Address Central Venous Catheter-Related VTE/Upper Extremity DVT Upper extremity DVT (UE DVT) events … outcomes, including VTE, across a number of inpatient populations without the potential consequences of adverse

2352. Chapter 7. Layering Interventions and Moving Toward Excellence | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide7.html
      May 01, 2016 - treating physician received an unsolicited e-alert, resulting in improved prophylaxis rates and fewer VTE events … Address Central Venous Catheter-Related VTE/Upper Extremity DVT Upper extremity DVT (UE DVT) events … outcomes, including VTE, across a number of inpatient populations without the potential consequences of adverse

2353. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=243
      January 01, 2024 - This analysis evaluated whether Patient Safety Indicator (PSI) events after open surgical repair or endovascular … The investigators concluded that Agency for Healthcare Quality and Research PSI events may be used to … ; Compare associations of labor status at admission with oxytocin augmentation, cesarean birth, and adverse

2354. Final2016Qdr-Cx (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqdr16/final2016qdr-cx.pdf
      October 01, 2017 - ◆ Adult patients receiving hip joint replacement due to fracture who had adverse events, which … ◆ Adult hospital patients with an anticoagulant-related adverse drug event to low-molecular-weight … toolkits are available on the AHRQ website to help clinicians and hospitals reduce ventilator-associated events … events, age 18 and over, overall Source: Agency for Healthcare Research and Quality and Centers for … Patient Safety Improving overall: Hospital patients with an anticoagulant-related adverse

2355. Final Progress Report: Using Public Deliberation To Define Patient Roles in Reducing Diagnostic Error (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/nabatchi-report.pdf
      January 01, 2024 - The control group, consisting of 108 individuals, did not participate in any project events. … The research team then contacted all applicants to confirm their availability for events. … • All treatment groups reported high levels of satisfaction with all elements of the events in which … of Public Deliberation about Diagnostic Error: A Preliminary Analysis of Three Healthcare Consumer Events … Paid malpractice claims for adverse events in inpatient and outpatient settings.

2356. Indwelling Urinary Catheter Insertion Facilitator Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion-notes.docx
      April 01, 2022 - This should be a minimum of annually, whenever new products or processes are introduced or when adverse … These events evoke a visceral response and serve as a lesson to prevent similar mistakes in the future … mindfulness is as a flexible state of mind “engaged in the present with acute awareness of external events

2357. Practice Self-Assessment Tool for Opioid Use in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment.pdf
      December 01, 2023 - A policy and agreed upon standard of practice about screening for risks of adverse events in older

2358. Final Progress Report: Consumer-Led Workshop To Advance Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/peck-report.pdf
      January 01, 2024 - I will continue my efforts to push for support systems to be in place for adverse events; support that … dispute resolution, remedial action, and magnitude of compensation after the occurrence of preventable adverse … events. … I will continue my efforts to push for support systems to be in place for adverse events; support that … events.

2359. Use of Antipsychotics in Very Young Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-178-fullreport.pdf
      March 01, 2019 - events are of concern. … A small number of events may affect reliability. … A small number of events may affect reliability. … A small number of events may affect reliability. … There were concerns about small numerator events.

2360. Spreadnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
      August 28, 2012 - ASK: · How did the pilot CUSP team make a case for their project targeting adverse drug events?