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Showing results for "adverse events".
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2441. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
      June 03, 2014 - On average, every patient who’s admitted to an intensive care unit has or suffers an adverse event. … organization and that way that those systems are put together really either hinders or helps the occurrence of adverse … events and poor patient outcomes. … very good at recovering when things go wrong, but we’re not always that good at learning about why events

2442. Readiness Assessment Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/trainershandouts_all.pdf
      September 01, 2012 - Patient safety events that affect limited-English-proficient (LEP) patients tend to be more severe and … 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.

2443. Readiness Assessment Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/stafftrainhandouts_all.pdf
      September 01, 2012 - Patient safety events that affect limited-English-proficient (LEP) patients tend to be more severe … 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.

2444. References (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docx
      January 01, 2017 - duration of mechanical ventilation, ICU length of stay, hospital length of stay, ventilator-associated events … of SSD on duration of mechanical ventilation, ICU and hospital length of stay, ventilator-associated events … does not clearly decrease duration of mechanical ventilation, length of stay, ventilator-associated events … availability of equipment and the perception that subglottic suctioning may cause patient discomfort or adverse … events.

2445. 2018-Actioniii-Projectsummaries (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/translating/action3/2018-ACTIONIII-ProjectSummaries.pdf
      January 01, 2018 - Background and Significance Omissions of care, adverse events, and poor health outcomes are continuing … these harms are avoidable and that omission of care is a significant factor in a large percentage of events … These avoidable harms—for example, healthcare-acquired infections, falls, and adverse drug events—lead

2446. Practice and Quality Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-improvement.html
      May 01, 2024 - California, San Francisco; School of Medicine, Family Medicine Develops a tool for patients to report adverse … drug events (ADEs) to their ambulatory care teams. … interventions, and decrease health disparities, in States with a high prevalence of preventable cardiovascular events

2447. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
      January 01, 2012 - • Pressure ulcers represent an important patient adverse event that is associated with significant

2448. National Institute for Research on Safety and Quality (NIRSQ) FY 2018 Budget Justification (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2018/NIRSQ.pdf
      January 01, 2018 - invested heavily in patient safety to assist doctors and nurses in their efforts to reduce or eliminate adverse … events – such as drug interactions, surgical site or central line infections, and post-op thromboembolisms … Today, we are closer than ever to the time when hospital-acquired conditions become “never events” ( … National Action Plan to Prevent Health Care-Associated Infections and the National Action Plan for Adverse … infections and other surgical complications in inpatient and ambulatory surgery, and ventilator-associated events

2449. Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-206-fullreport.pdf
      November 01, 2019 - In States where the denominator is large (at least 2,000 events), the reliability is very good; observed … However, in Utah, where the denominator is 672 13 CT imaging events, reliability was lower … This suggests that this measure should be used in health plans with over 2,000 CT imaging events in … Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the … Sedation and general anesthesia in children undergoing MRI and CT: Adverse events and outcomes.

2450. Appropriate Emergency Department Pain Management for Children with Sickle Cell Disease (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-218-fullreport.pdf
      May 01, 2019 - Painful events are the most common cause of ED visits and hospitalization for children with SCD. … Further, unfamiliarity with the effective use of analgesics and fear of adverse effects—such as respiratory … receiving inadequate amounts of medication due to the provider’s concern 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.

2451. A Participatory Research Approach to Reducing Surgical Site Infections (SSIs): Development of an Automated SSI Surveillance Tool | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article17.html
      June 01, 2014 - relevant toolkit that could be implemented in a variety of delivery system settings. 1 Prevention of adverse … events is both a longstanding problem that has plagued hospitals around the world and a priority for … validity of current findings, while providing an opportunity for real-time notification of at-risk patient events

2452. A Participatory Research Approach to Reducing Surgical Site Infections (SSIs): Development of an Automated SSI Surveillance Tool | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article17.html
      June 01, 2014 - relevant toolkit that could be implemented in a variety of delivery system settings. 1 Prevention of adverse … events is both a longstanding problem that has plagued hospitals around the world and a priority for … validity of current findings, while providing an opportunity for real-time notification of at-risk patient events

2453. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=254
      January 01, 2024 - “Stress” includes negative life events, psychological stress, and established stress biomarkers. … Keywords: Surgery, Healthcare-Associated Infections (HAIs), Infectious Diseases, Injuries and Wounds, Adverse … Events, Hospitals, Payment, Patient Safety, Provider Performance Lin L Bias caused by

2454. Assessing ICU Staff-Perceived Barriers to Implementation of an Enhanced Carbapenem-Resistant Enterbacteriaceae Control Intervention | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article4.html
      June 01, 2014 - increased frequency of depression and anxiety, and decreased satisfaction; they also suffer increased adverse … events and experience poorer outcomes relative to control patients not on contact isolation. 13,14,17 … Adverse outcomes associated with contact precautions: a review of the literature.

2455. Assessing ICU Staff-Perceived Barriers to Implementation of an Enhanced Carbapenem-Resistant Enterbacteriaceae Control Intervention | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article4.html
      June 01, 2014 - increased frequency of depression and anxiety, and decreased satisfaction; they also suffer increased adverse … events and experience poorer outcomes relative to control patients not on contact isolation. 13,14,17 … Adverse outcomes associated with contact precautions: a review of the literature.

2456. Use of Higher-Than-Recommended Doses of Antipsychotics in Children and Adolescents (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-177-fullreport.pdf
      May 01, 2018 - antipsychotic medication during the measurement year with at least two antipsychotic medication dispensing events … Worrisome adverse effects of atypical antipsychotics have, however, been documented even at low doses … schizophrenia found that high doses were not associated with better outcomes but were associated with more adverse … outcomes and side effects associated with the use of higher-than-recommended doses in these populations, adverse … Adverse effects of second-generation antipsychotics in children and adolescents: a Bayesian meta-analysis

2457. Ratio of Magnetic Resonance Imaging Scans to Computed Tomography Scans for the Evaluation of Children with Atraumatic Seizure: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-fullreport.pdf
      November 01, 2019 - Drivers of Overuse Seizures can be stressful events that may prompt a parent to seek the assistance … EHRs may be limited by interoperability with other providers’ EHRs that may likewise capture imaging events … Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the … Sedation and general anesthesia in children undergoing MRI and CT: Adverse events and outcomes.

2458. SOPS Frequently Asked Questions | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/about/faq/index.html
      June 01, 2022 - Safety culture surveys are useful for measuring organizational conditions that can lead to adverse events … Safety (3 items) Organizational Learning—Continuous Improvement (3 items) Reporting Patient Safety Events … items) HSOPS 2.0 also includes: One survey item that asks respondents how many patient safety events … Frequency of Events Reported. Hospital Handoffs & Transitions. … One item measuring the number of events the respondent has reported over the past 12 months.

2459. Making Healthcare Safer Practices: 15. Care Transitions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/care-transitions-1.pdf
      March 01, 2020 - adequate discharge arrangements can lead to costly and unnecessary hospital readmissions, preventable adverse … events, and drug-related errors.1-12 For example, in 2008 nearly one-fifth of Medicare beneficiaries … Safety lapses can result in negative clinical outcomes,1-4 preventable adverse events,5-9 and avoidable … The incidence and severity of adverse events affecting patients after discharge from the hospital. … that includes resources to address areas of the discharge process that are predisposed to result in adverse

2460. Chapter 4: Defining Language Need and Categories for Collection, cont. | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4c.html
      August 01, 2021 - Are language barriers associated with serious medical events in hospitalized pediatric patients? … Language proficiency and adverse events in US hospitals: A pilot study. … through June 30, 2005, interpretation was provided in Superior Court for 77 languages across 83,548 events … , with 16 major languages accounting for most events ( New Jersey Courts, 2009 ). 20 Personal communication