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Showing results for "adverse events".
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2461. 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

2462. | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html
      January 01, 2025 - by pregnant people with OUD and suggest that facilitating early Medicaid enrollment may help reduce adverse

2463. 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

2464. 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.

2465. 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

2466. 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

2467. 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

2468. 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

2469. 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.

2470. 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.

2471. Cms-Quality-Strategy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/workingforquality/cms-quality-strategy.pdf
      January 01, 2020 - million healthcare- associated infections occur each year, and these conditions lead to 99,000 deaths; adverse … medication events cause more than 770,000 injuries and deaths each year. … The cost of treating patients who are harmed by these events is estimated to be as high as $5 billion … eliminated Reduce inappropriate and unnecessary care • Healthcare organizations continually assess adverse … events in accordance with evidence-based practices • Healthcare cost reductions are attributable

2472. 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

2473. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=305
      January 01, 2024 - This review evaluated the comparative effectiveness and adverse events of cognitive behavioral therapy

2474. 1. Are you ready for this change? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/ready-change.html
      January 01, 2013 - Have there been any adverse events that were fall related?

2475. Person-Centered Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-person-centered.html
      May 01, 2024 - disabilities or increased social risks with the goal of increasing functioning and decreasing pain and adverse … events.

2476. Evidence in Use of Clinical Reasoning Checklists for Diagnostic Error Reduction (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
      September 04, 2020 - Patient record review of the incidence, consequences, and causes of diagnostic adverse events.

2477. The “Usually Antibiotics” Diagnoses: Community-Acquired Pneumonia – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-guide.docx
      September 01, 2022 - moxifloxacin—are not recommended as first-line therapy due to concerns about fluoroquinolones causing adverse … events like Clostridioides difficile, tendonitis and tendon rupture, low blood sugar, changes in mental

2478. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-transcript.doc
      July 09, 2013 - they released just this past February, we know that, for example, in 2010, there were 802 sentinel events … reported to the Joint Commission, and 82 percent of those events listed communication issues as one … of the key root causes contributing to those events. … Similarly, they were involved in 61 percent of events in 2011 and 59 percent of events in 2012. … It increases their risk of poor outcomes and adverse events.

2479. Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI (July 9, 2013) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-transcript.html
      December 01, 2017 - they released just this past February, we know that, for example, in 2010, there were 802 sentinel events … reported to the Joint Commission, and 82 percent of those events listed communication issues as one … of the key root causes contributing to those events.  … Similarly, they were involved in 61 percent of events in 2011 and 59 percent of events in 2012.  … It increases their risk of poor outcomes and adverse events.

2480. Strategy 2: Communicating to Improve Quality (Implementation Handbook) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.pdf
      April 30, 2013 - 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 … to Improve Quality strategy may also help to meet other goals related to patient safety and never events