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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-147-fullreport.pdf
February 01, 2019 - increase a child’s risk
for developing serious health concerns and are associated with a number of adverse … Antipsychotic medications are associated with a number of potentially adverse side effects,
including … Fiscal Burden
Although there is little research available on the fiscal burden associated with adverse … Antipsychotic use in children and adolescents: Minimizing adverse effects to
maximize outcomes. … Health-care costs of pediatric clients developing adverse events during
treatment with antipsychotics
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiib.html
June 01, 2010 - collection compared)
Total Items/indicators: Six measures, each is a numeric sum of a number of adverse … tenure; they also found adequate paraprofessional and informal home care decreased the likelihood of adverse … health events. … Six measurement areas are: self-report of unmet need; satisfaction with care; morale, adverse health
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-tech-specs.pdf
December 14, 2011 - 7 g per deciliter for red-cell transfusion can decrease
transfusion requirements without increasing adverse
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - Have there been any notable adverse events that were pressure-ulcer related?
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - Have there been any notable adverse events that were pressure-ulcer related?
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www.ahrq.gov/research/findings/studies/index.html?page=70
January 01, 2024 - Keywords: Patient Safety, Adverse Events, Diagnostic Safety and Quality, Imaging
Jacobsohn GC
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/intro-overview.pdf
March 01, 2022 - Err Is Human: Building a Safer Health System” galvanized efforts to prevent healthcare-
associated adverse … regimen under conditions of actual use and assess both its impact on infections
and the frequency of adverse … the
manufacturer states that fewer than 1 percent of patients in clinical trials withdrew due to
adverse … events. … The most frequently reported adverse events were as follows: rhinitis (1.0%),
taste perversion (0.8%
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/comments/hmv-disposition-of-comments.pdf
March 14, 2019 - Peer Reviewer #1
Results Page 3 Key Message 4
“The most commonly reported serious adverse event … events.” ---
Unclear what is meant by this. … We did not re-
report this analysis under adverse events. … Same concerns as above about adverse event under-
reporting. … 29.3% vs 31.0 ± 25.7%, P=
0.0007) and in autotriggerings (4.2 (IQR 1.3–10.0) vs 0.9 (IQR
0.0–3.0) events
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www.ahrq.gov/research/findings/studies/index.html?page=37
January 01, 2024 - to synthesize and appraise the literature describing the application of machine learning to predict adverse … ) described services provided in the HHC setting, 2) applied machine learning algorithms to predict adverse … Adolescents, Surgery, Neurological Disorders, Pneumonia, Respiratory Conditions, Hospital Readmissions, Adverse … Events
Ehlers AP , Howard R , Lai YL Postacute care utilization and episode of care payments
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www.ahrq.gov/sites/default/files/2024-02/vaughan-report.pdf
January 01, 2024 - SCOPE
Background: Older adults are a vulnerable population at high risk for medication adverse drug events … Potential Adverse Drug Interactions in the Emergency Room: An Issue in
the Quality of Care. … Potentially inappropriate
medications and adverse drug effects in elders in the ED.
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www.ahrq.gov/research/findings/final-reports/stpra/stpra3.html
April 01, 2018 - Exhibit 11 presents the events from the ST-PRA model ranked in order of criticality. … for Intervention
The criticality analysis provided a foundation for understanding the basic level events … However, the real power of ST-PRA stems from the combinations of events and probabilities to identify … in four of the five top cut sets, "Event 642 Fail to effectively protect patient," and its component events … variability in how the policies and procedures are monitored and enforced, further highlighting this set of events
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide1.html
October 01, 2017 - We understand that even small failures in safety protocols can lead to catastrophic or adverse events
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
July 12, 2017 - We understand that even small failures in safety protocols can lead to catastrophic or adverse events
-
www.ahrq.gov/sites/default/files/2024-05/bruzzese3-report.pdf
January 01, 2024 - had the chance to meet sources, strengthened their reporting skills, and
attended breaking newsmaker events … Dive into
the country's deepest database of adverse events and near misses as patient safety analysts … share
lessons learned from national and statewide adverse event reporting systems. … You must sign up in advance for these events
7:45 a.m.
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www.ahrq.gov/sites/default/files/2024-01/basco-report.pdf
January 01, 2024 - prescriptions. (7) Choice of incorrect drug is also a common error, occurring in up to 5% of potential
adverse … drug events in one inpatient study. (8) The Institute for Safe Medication Practices publishes
LASA … Medication errors
and adverse drug events in pediatric inpatients.
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www.ahrq.gov/research/findings/studies/index.html?page=1
January 01, 2024 - Keywords: Patient Safety, Diabetes, Home Healthcare, Adverse Drug Events (ADE), Adverse Events, Medication
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www.ahrq.gov/research/findings/studies/index.html?page=5
February 14, 2024 - Compared with the other-AKI group, the COVID-AKI group had lower major adverse kidney events (MAKE) ( … Secondary outcomes include 30-day patient outcomes and antibiotic-associated adverse events.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/trainershandouts_all.docx
September 01, 2012 - Patient safety events that affect limited-English-proficient (LEP) patients tend to be more severe and … receive professional interpretation services.3
Hospitals have been held liable for LEP patient safety events … Language proficiency and adverse events in U.S. hospitals: a pilot study.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/stafftrainhandouts_all.docx
September 01, 2012 - Patient safety events that affect limited-English-proficient (LEP) patients tend to be more severe and … receive professional interpretation services.3
Hospitals have been held liable for LEP patient safety events … Language proficiency and adverse events in U.S. hospitals: a pilot study.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-hitve_datafilespec.pdf
September 16, 2019 - 5 = Always
9 = Does Not Apply or Don’t Know
blank = MISSING
SECTION D: Reporting Patient Safety Events … In the past 12 months, how
many patient safety events
have you reported? … Hospital management
seems interested in patient
safety only after an adverse
event happens
F3 Column … Supervisor, Manager, or Clinical Leader
Section C: Communication
Section D: Reporting Patient Safety Events