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www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-2.html
July 01, 2022 - point could be the facility's readmission rates (the Finance department usually creates these data), adverse … drug events (ADEs) for the facility (the Pharmacy department usually collects these data), or data specific
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www.ahrq.gov/patient-safety/settings/hospital/match/chapter-2.html
July 01, 2022 - point could be the facility's readmission rates (the Finance department usually creates these data), adverse … drug events (ADEs) for the facility (the Pharmacy department usually collects these data), or data specific
-
www.ahrq.gov/hai/tools/mvp/modules/technical/nurse-early-mobility-protocols-fac-guide.html
January 01, 2017 - ventilator length of stay, ICU and hospital length of stay, incidents and duration of delirium, and adverse … events.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/nursedr-early-mobility-protocols-facguide.docx
January 01, 2017 - ventilator length of stay, ICU and hospital length of stay, incidents and duration of delirium, and adverse … events.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
March 31, 2004 - This represents a significant culture
shift, which can be prompted by tragic events (as in the case … from multiple professions together to search for the multiple
contributory factors at the root of an adverse … in patient safety concepts as well as in fostering cultural changes
leading to open discussion of adverse … events and an improved rate of safety-based
changes.26
Lack of interprofessional education
related
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Snow.pdf
January 01, 2010 - errors of omission, such as not providing perioperative beta-blockade to patients
at risk for cardiac events … , thus increasing the patient’s risk of an adverse event and
reducing the safety of their care. … Adverse events and their association with treatment
regimens in the Diabetes Control and Complications
-
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.
-
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.
-
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.
-
www.ahrq.gov/sites/default/files/2024-11/mader-poronsky-report.pdf
January 01, 2024 - cohort, this simple outcome predictor has been shown to accurately quantify
the likelihood of a major adverse
-
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
-
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.
-
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.
-
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
-
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
-
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
-
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
-
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
-
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
-
www.ahrq.gov/sites/default/files/2025-04/newman-toker2-report.pdf
January 01, 2025 - about the aggregate burden of
misdiagnosis-related morbidity, but 47% of diagnostic error-related adverse … events result in serious disability.15
Thus, misdiagnoses represent an enormous source of preventable … Dizziness is the ED symptom most often linked to missed stroke,49 with 35% of cerebrovascular events … Incidence and types of adverse events and negligent care in Utah and Colorado. … The nature of adverse events in hospitalized patients.