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Showing results for "adverse events".
Users also searched for: patient safety indicators

2381. Is Your Organization Ready for TeamSTEPPS™? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/readiness/tsreadiness.pdf
      August 01, 2005 - Objective information can originate from a variety of sources, including adverse event and near-miss

2382. Is Your Organization Ready for TeamSTEPPS™? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-3-readiness-form.pdf
      August 01, 2005 - Objective information can originate from a variety of sources, including adverse event and near-miss

2383. FY 2019 Congressional Justification (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2019/NIRSQ.pdf
      January 01, 2019 - National Action Plan to Prevent Health Care-Associated Infections and the National Action Plan for Adverse … (“adverse events”) in order to better understand risks to patients so that harm can be prevented. … continues to be important, increasingly, the Agency is also supporting measurement and reporting on adverse … events. … face challenges in conducting research on reducing patient harm, acquiring relevant data to assess adverse

2384. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=421
      January 01, 2024 - Keywords: Heart Disease and Health, Adverse Events, Patient Safety Salemi JL , Salinas-Miranda … cohort, black participants were less likely than white participants to experience infection and sepsis events

2385. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=472
      January 01, 2024 - They estimated 15,000-165,000 misdiagnosed cerebrovascular events annually in US EDs, disproportionately … Keywords: Adverse Events, Blood Clots, Patient Safety, Risk Camp KM , Parisi MA , Acosta

2386. Screening for Family and Intimate Partner Violence: Systematic Evidence Review (pdf file)
      www.ahrq.gov/downloads/pub/prevent/pdfser/famviolser.pdf
      March 01, 2004 - Arrow 3: What are the adverse effects of screening? … larger battery of measures, families completed the 10-item KFI including questions about stressful events … and neglect such as medical care utilization, parent-child interactions, punishment, stressful life events … ' perceptions of child abuse and neglect, punishment, and child rearing, medical visits, and life events … Arrow 3: What are the adverse effects of screening?

2387. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
      August 01, 2022 - physician to observe overt and many times more subtle clues, such as changes in vital signs, sensorium, or events … physician by presenting a case and receiving feedback.42 The study reported a significant reduction in adverse … events and near- misses,42 suggesting that distributed cognition played a role by having the physician … Effect of systematic physician cross-checking on reducing adverse events in the emergency department

2388. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
      August 01, 2022 - physician to observe overt and many times more subtle clues, such as changes in vital signs, sensorium, or events … physician by presenting a case and receiving feedback.42 The study reported a significant reduction in adverse … events and near- misses,42 suggesting that distributed cognition played a role by having the physician … Effect of systematic physician cross-checking on reducing adverse events in the emergency department

2389. 2014 National Healthcare Quality and Disparities Report
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqdr16/2016nhqdr.pptx
      June 28, 2017 - changes overall were observed in measures such as adult hospital patients with an anticoagulant-related adverse … discharges in 2014 Percentage of adult patients receiving hip joint replacement due to fracture who had adverse … events, which improved from 16.4% in 2009 to 9.8% in 2014 Percentage of adult hospital patients with … an anticoagulant-related adverse drug event to low-molecular-weight heparin and factor Xa, which improved … toolkits are available on the AHRQ Web site to help clinicians and hospitals reduce ventilator-associated events

2390. Appropriate Emergency Department Pain Assessment for Children With Sickle Cell Disease (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-fullreport.pdf
      April 01, 2018 - Painful events are the most common cause of ED visits and hospitalizations for children. … Further, unfamiliarity with the effective use of analgesics and fear of adverse effects, such as respiratory … a result, patients with SCD may be undertreated for 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.

2391. Final Progress Report: The National Quality Forum Annual Meeting 2005 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/nishimi2-report.pdf
      January 01, 2025 - voluntary consensus measure sets: hospital care (initial performance measure set), serious reportable events … Serious Reportable Adverse Events in Healthcare The “Never Events” Maintenance Committee was appointed … A call for comments on the original list of events (changes or deletions) and/or proposed new events … As noted in the previous report, recent interest in the implementation of the list of 27 events is increasing … The Department of Defense requires all TRICARE contractors to collect the events, as specified.

2392. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/vtguide/guideref.html
      July 01, 2018 - A simple reminder system improves venous thromboembolism prophylaxis rates and reduces thrombotic events … Impact of a venous thromboembolism (VTE) prophylaxis "smart order set": improved compliance, fewer events … Multivariable predictors of postoperative venous thromboembolic events after general and vascular surgery … Impact of a venous thromboembolism (VTE) prophylaxis "smart order set": improved compliance, fewer events … Adverse drug event trigger tool: a practical methodology for measuring medication related harm.

2393. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guideref.html
      July 01, 2018 - A simple reminder system improves venous thromboembolism prophylaxis rates and reduces thrombotic events … Impact of a venous thromboembolism (VTE) prophylaxis "smart order set": improved compliance, fewer events … Multivariable predictors of postoperative venous thromboembolic events after general and vascular surgery … Impact of a venous thromboembolism (VTE) prophylaxis "smart order set": improved compliance, fewer events … Adverse drug event trigger tool: a practical methodology for measuring medication related harm.

2394. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guideref.html
      July 01, 2018 - A simple reminder system improves venous thromboembolism prophylaxis rates and reduces thrombotic events … Impact of a venous thromboembolism (VTE) prophylaxis "smart order set": improved compliance, fewer events … Multivariable predictors of postoperative venous thromboembolic events after general and vascular surgery … Impact of a venous thromboembolism (VTE) prophylaxis "smart order set": improved compliance, fewer events … Adverse drug event trigger tool: a practical methodology for measuring medication related harm.

2395. Development and Implementation of a Consensus Algorithm to Optimize Preoperative Antimicrobial Prophylaxis and Decrease Gram-Positive Surgical Site Infections for Cardiac and Orthopedic Procedures | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article3.html
      June 01, 2014 - Jason Hickok, Eli Perencevich, Ed Septimus Abstract Surgical site infections (SSIs) are serious adverse … events for patients. … Introduction Surgical site infections (SSIs) are serious adverse events for patients; SSI rates after … surgical-site infections following orthopedic surgery at a community hospital and a university hospital: adverse

2396. Development and Implementation of a Consensus Algorithm to Optimize Preoperative Antimicrobial Prophylaxis and Decrease Gram-Positive Surgical Site Infections for Cardiac and Orthopedic Procedures | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article3.html
      June 01, 2014 - Jason Hickok, Eli Perencevich, Ed Septimus Abstract Surgical site infections (SSIs) are serious adverse … events for patients. … Introduction Surgical site infections (SSIs) are serious adverse events for patients; SSI rates after … surgical-site infections following orthopedic surgery at a community hospital and a university hospital: adverse

2397. 012-Blood-Culture-Practices-Webinar (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/012-blood-culture-practices-webinar.docx
      October 01, 2024 - False positives caused by contamination result in further adverse consequences, including unnecessary

2398. TeamSTEPPS for Improving Diagnosis Participant Workbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/dxsafety-particpant-workbook.pdf
      February 04, 2022 - Team members have a systematic process in place to capture and learn from near-misses and no-harm adverse … events that occur because of communication gaps. … Huddles • • • • Discuss critical issues and emerging events. … Consequences may include lawsuits, business losses, and adverse media coverage. d. … These events are excellent learning opportunities for team members.

2399. TeamSTEPPS for Improving Diagnosis Participant Workbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
      February 04, 2022 - Team members have a systematic process in place to capture and learn from near-misses and no-harm adverse … events that occur because of communication gaps. … Huddles • • • • Discuss critical issues and emerging events. … Consequences may include lawsuits, business losses, and adverse media coverage. d. … These events are excellent learning opportunities for team members.

2400. National Strategy for Quality Improvement in Health Care: Agency-Specific Quality Strategic Plans (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/workingforquality/nqsplans.pdf
      January 01, 2020 - Adverse drug events are the leading cause of death and injury in the United States. … chronic disease, the lack of coordination across health care providers increases these patients’ risk of adverse … drug events such as polypharmacy, duplication of therapy, or incorrect drugs or dosages. 4. … Increase care coordination for people with chronic disease to reduce adverse drug events. … Adverse events from drug use are estimated to result in more than 4 million visits to emergency departments