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2381. 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

2382. 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

2383. 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

2384. 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

2385. 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…

2386. 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

2387. 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

2388. 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, 2025 - 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

2389. 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, 2025 - 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

2390. 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.

2391. 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.

2392. 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.

2393. 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

2394. 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?

2395. Follow-Up Visit for Children and Adolescents on Antipsychotics (pdf file)
      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

2396. Toolkit for Decolonization of Non-ICU Patients With Devices_Toolkit Overview and Recommended Prelaunch Activities (pdf file)
      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%

2397. 1. Are we ready for this change? | Agency for Healthcare Research and Quality
      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?

2398. 1. Are we ready for this change? | Agency for Healthcare Research and Quality
      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?

2399. Appendix III (continued) | Agency for Healthcare Research and Quality
      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

2400. Agency for Healthcare Research and Quality
      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