-
www.ahrq.gov/research/findings/final-reports/stpra/stpraexh9.html
April 01, 2018 - Model Probability Estimates
References
Cut Set
Contributed Probability
Events
-
www.ahrq.gov/sites/default/files/2024-07/hernandez-boussard-report.pdf
January 01, 2024 - postoperative pain is
common and too often poorly managed, which may cause severe functional impairment,
adverse … events, impaired care of the underlying diseases, transition to chronic pain, and
decreased quality … and multivariate modeling were used to estimate associations between
inpatient gabapentin use and adverse
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-section-5-lit-review.pdf
March 19, 2012 - These risk factors put infants at risk for hypothermia and are associated with
adverse outcomes. … This chain of events contributes to peripheral vasoconstriction, pulmonary vasoconstriction
deterioration … The study concluded that hypothermia is associated with adverse outcomes. … newborns with cold injury or
hypothermia, or during hypoxia could lead to malnourishment, and fatal events … Resuscitative efforts also improved chance of hypothermic events.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/HSOPS_2-0_HIT_WP_VE%20%20Data_Specs-2021.pdf
January 01, 2021 - 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
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/HSOPS-2-0-Survey-HIT-WP-VE-Data-File-Spec.pdf
March 24, 2022 - 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
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule1.pptx
January 01, 2011 - Washington state, improved the time from decision to the performance of a Caesarean section, with no adverse … Video Discussion
Think about the breakdowns you observed
in the stories:
Can you think of similar events … Of course, you would want to scrub them so that you're only sharing the sequence of events.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-fullreport.pdf
January 01, 2019 - Hydroxyurea is indicated for pediatric patients with SCA who have recurrent vaso‐occlusive
events, including … even more pronounced in older
children with SCA, as they are hospitalized more often for the pain events … • Hydroxyurea works in all age groups to prevent acute events and chronic organ dysfunction. … complications have
been associated thus far with hydroxyurea use in children, though research about adverse … Impact of hydroxyurea on clinical events in the BABY
HUG trial. Blood 2012; 120(22):4304‐10.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support-speaker-notes.pdf
July 01, 2023 - I would like to
discuss some of the events surrounding Ms. Smith’s
delivery yesterday. … I would like to discuss some of the events surrounding Ms. Smith’s delivery
yesterday. … lead to stroke or seizures she needs to know what treatment
options are available to prevent such adverse
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support.pptx
July 01, 2023 - I would like to discuss some of the events surrounding Ms. Smith’s delivery yesterday. … I would like to discuss some of the events surrounding Ms. Smith’s delivery yesterday. … can lead to stroke or seizures she needs to know what treatment options are available to prevent such adverse
-
www.ahrq.gov/sites/default/files/2024-11/dy-report.pdf
January 01, 2024 - diagnoses;
• Delay in proper treatment or preventive services;
• Medication errors and preventable adverse … drug events;
3
R01HS024859 What is Patient Safety in the Medical Home? … Primary care workers anticipated safety events by thinking about
the information they may be missing … that primary care workers used omissions as a
cognitive representation to anticipate unwanted safety events … Agency for Healthcare
Research and Quality, Rockville, MD
http://archive.ahrq.gov/news/events/other
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/urine-culture-practices-icu-slides.html
December 01, 2017 - Urine Culture Practices in the ICU; Antibiotic Stewardship; Practical ICU Tools; Using Results from the Safety Culture Surveys
Slide 1
Urine Culture Practices in the ICU; Antibiotic Stewardship; Practical ICU Tools; Using Results from the Safety Culture Surveys
Mohamad Fakih, MD, MPH
Medical Director, Infect…
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/hycr-tools-resources-guide.pdf
April 28, 2023 - ......................................................................................... 84
4a: Adverse … Events and Emergency Protocol ...................................................................... … The contributor for each resource is
included.
4a: Adverse Events and Emergency Protocol
Contributor … • Implement record of critical and non-critical events and complications on site vs HYCR
• Although
-
www.ahrq.gov/research/findings/studies/index.html?page=206
January 01, 2024 - This article considers how health literacy plays a part in events that lead up to children's hospitalizations … Keywords: Adverse Events, Catheter-Associated Urinary Tract Infection (CAUTI), Community-Acquired Infections
-
www.ahrq.gov/research/findings/studies/index.html?page=219
January 01, 2024 - Keywords: Adverse Events, Education: Continuing Medical Education, Medical Errors, Patient Safety, Provider … Laboratory test results were delayed an average of 62% during downtime events.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meliones_40.pdf
January 01, 2006 - Six Sigma initiatives in these areas have resulted in a 44 percent
reduction in adverse drug events,
-
www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
August 01, 2024 - However, it is difficult to infer changes
in safety or adverse outcomes based on test use or even inappropriate … consider the total value of diagnostic stewardship, including downstream effects on length of stay, adverse … events, clinician satisfaction, and patient experience. … Common contributing
factors of diagnostic error: a retrospective analysis of 109 serious adverse event … Measure Dx: A Resource To Identify, Analyze, and
Learn From Diagnostic Safety Events.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-fullreport.pdf
January 01, 2020 - 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.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
March 01, 2020 - National Action Plan for Adverse Drug Event Prevention.Washington, DC: U.S. … events, and patient-reported outcomes. … Of 103 patients in this
observational study, no cases of severe precipitated withdrawal or adverse events … No serious
adverse events related
to treatment occurred. … No cases of severe
precipitated withdrawal
and no serious adverse
events were observed.
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/final-rapid-cycle-research-guidance.pdf
June 01, 2015 - http://pbrn.ahrq.gov/events/advanced-methods-primary-care-research-stepped-wedge-design
AHRQ PBRN … View the
Webinar recording on AHRQ’s PBRN Events
page here:
https://pbrn.ahrq.gov/events/dissemination … http://pbrn.ahrq.gov/events/advanced-methods-
primary-care-research-stepped-wedge-design. … information systems can reduce medical
errors and might pose a viable option for the
prevention of adverse … drug events.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp5.pdf
October 01, 2011 - The trials were expensive to conduct, and in some cases, they
identified adverse effects of nutrient … Figure 1 describes alternative scenarios for the possible cascade of translational events. … Vitamin E supplementation and
cardiovascular events in high-risk patients. … Effects of eicosapentaenoic acid on major
coronary events in hypercholesterolaemic
patients (JELIS) … For randomized trials, we extracted number of events in the intervention and control groups.