Results

Total Results: 2,809 records

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

2441. QDR 2014: Chartbook for Hispanic Health Care, Part 1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt1.pdf
      October 01, 2015 - same time, several racial and ethnic disparities in rates of childhood immunization and rates of adverse … events associated with procedures were eliminated, showing that elimination is possible

2442. Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-slides.pptx
      November 01, 2019 - cure in evaluable population: 95% for TMP/SMX and 86% for placebo (p < 0.001) TMP/SMX associated with adverse … events in ~10% of patients 16 AHRQ Safety Program for Improving Antibiotic Use – Acute Care Cellulitis

2443. Appendix B: Trends in Access, Quality and Disparities for Measures in 2016 Report | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/nhqdr16/appendixb5_qualitytrends.html
      June 01, 2017 - per 1,000 surgical hospital discharges, age 18 and over -0.328 -0.602 2005-2014 Mechanical adverse … events in adult patients receiving central venous catheter placement -0.041 -0.484 2009-2014 … admissions -0.033 -0.054 2001-2014 Hospital patients who received a hypoglycemic agent who had an adverse

2444. Appendix G. References for Fault Tree Model Probability Estimates | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraapg.html
      October 01, 2018 - during opern 0.001667 From Tony, Draping-related failure=0.01, split equally among its children events … not sterilize 0.001667 From Tony, Draping-related failure=0.01, split equally among its children events … pulls bug to SS 0.001667 From Tony, Draping-related failure=0.01, split equally among its children events … drape has holes 0.001667 From Tony, Draping-related failure=0.01, split equally among its children events … disinf bfr drape 0.001667 From Tony, Draping-related failure=0.01, split equally among its children events

2445. Appendix A. Review of the Literature | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/resdesign-tool/tkappa.html
      August 01, 2016 - Reporting of adverse events. New England Journal of Medicine 2002;347(20):1633-8. … Measuring errors and adverse events in health care.

2446. Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Furmaga.pdf
      January 01, 2005 - Advances in Patient Safety: Vol. 3 278 approved by the Food and Drug Administration (FDA).3, 4 Similar adverse … was already tolerating it—may play a part,22 as may, for example, misperceptions about drug-related adverse … events of antihypertensive agents, as previously noted for beta-blockers.23 Of course, other clinical

2447. Performance Appendix, FY 2012 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2012/2012opa.pdf
      January 01, 2012 - Hospitals are increasingly utilizing electronic systems to report patient safety events. … into an occurrence rate of patient safety events in healthcare. … increasing the appropriate use of drugs, biological products, and devices and by preventing their adverse … Reduction in antibiotic use by children is expected to reduce adverse reactions associated with medications … Adverse drug-drug interactions, including those which may increase the risk of bleeding from warfarin

2448. Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
      September 02, 2022 - Discuss the associated tasks and thought processes taking place during those events. 4 Domain 3: … SBAR),27-30 to structure communication with physicians and other diagnostic team members and reduce adverse … events. … in their day-to-day operations. 7 e Any safety events or “good catches” identified from these … Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events. July 2022.

2449. Antibiotic Stewardship Program Development: Part 1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part1-facilitator-guide.pdf
      November 01, 2019 - assisting teams by prompting on rounds regarding the type and day of antibiotic therapy; detecting adverse … events such as rash; obtaining microbiology specimens in optimal ways; and assisting with correct

2450. CUSP Toolkit Spread Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/spread/notes.html
      December 01, 2012 - Ask: How did the pilot CUSP team make a case for their project targeting adverse drug events?

2451. 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.

2452. 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.

2453. Assess and Adapt: Understanding the Science of Safety and Reliability (June 3, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
      December 01, 2017 - 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

2454. 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

2455. AHRQ Patient Safety Tools and Resources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/pstools/patient-safety-tools-flyer.pdf
      March 01, 2019 - The Common Formats can be used to collect data on all types of adverse events, near misses, and unsafe … of care inside hospitals to focus on potentially avoidable complications and healthcare-associated events

2456. TeamSTEPPS® Teamwork Perceptions Questionnaire Manual (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/reference/teamperceptionsmanual.pdf
      June 01, 2010 - safety, leadership, interpersonal interactions, attitudes toward stress, and knowledge of how to report adverse … events (Sexton, et al., 2006). … The 50-item T-TPQ was tested and refined during three critical events: cognitive interviews, small group

2457. Strategy 2: Communicating to Improve Quality (Implementation Handbook) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.docx
      April 30, 2013 - opportunities where they can interact with the health care team This handout gives information on routine events … One study found that more than 70 percent of adverse events are caused by breakdowns in communication … Communicating to Improve Quality strategy may also help to meet other goals related to patient safety and never events

2458. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/urine-culture-practices-icu.pptx
      March 01, 2015 - Slide 1 Urine Culture Practices in the ICU; Antibiotic Stewardship; Practical ICU Tools; Using Results from the Safety Culture Surveys 1 Mohamad Fakih, MD, MPH Medical Director, Infection Prevention and Control St John Hospital and Medical Center Professor of Medicine, Wayne State University School of Medicine Detro…

2459. Exhibit 11. Importance measures on events in rank order of criticality | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraexh11.html
      April 01, 2018 - Importance measures on events in rank order of criticality Previous Page Next Page Table

2460. 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