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Showing results for "adverse events".
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2401. Noninvasive Positive Pressure Ventilation in the Home: Research Review: Disposition of Comments (pdf file)
      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

2402. Agency for Healthcare Research and Quality
      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

2403. Final Progress Report: EQUIPPED (Enhancing Quality of Prescribing Practices for Older Adults Discharged from the Emergency Department) (pdf file)
      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.

2404. Agency for Healthcare Research and Quality
      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

2405. Agency for Healthcare Research and Quality
      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.

2406. Final Progress Report: Prescribing Errors in Ambulatory Pediatric Care (pdf file)
      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.

2407. Readiness Assessment Survey (doc file)
      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.

2408. Readiness Assessment Survey (doc file)
      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.

2409. Final Progress Report: Health Journalism 2011, national conference on healthcare journalism (pdf file)
      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.

2410. Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed | Agency for Healthcare Research and Quality
      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

2411. Module 1: Preventing Pressure Injuries in Hospitals (doc file)
      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

2412. 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

2413. 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

2414. 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

2415. 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.

2416. 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.

2417. 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.

2418. AHRQ Surveys on Patient Safety CultureTM (SOPSTM) Hospital Survey Version 2.0 with HIT and V&E Supplemental Items for the SOPS Hospital Survey Survey Data File Specifications (pdf file)
      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

2419. Chapter 3. Risk-Informed Interventions | Agency for Healthcare Research and Quality
      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

2420. 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