Results

Total Results: 1,782 records

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

261. The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
     December 01, 2017 - In addition, surgery is linked to half of all hospital adverse events. … Most hospital adverse events are avoidable. … events. … events and other defects. … events.

262. USER GUIDE: COVID-19 Vaccination Tracking Tool for Use in Skilled Nursing Facilities (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/user-guide-covid-19-vaccination-tracking-tool-nursing-facilities.pdf
     July 01, 2022 - o How many and what type of adverse events occurred by specific vaccine brand. … This is important because if you are seeing increased adverse events related to a specific vaccine … This is important because if you are seeing increased adverse events related to a specific vaccine administrator … An additional pie chart (Figure 18) illustrates Resident or Staff Adverse Events by Manufacturer. … Figure 18 – Example Adverse Events pie chart Figure 17 - Example Vaccination Status To-Date pie chart

263. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
     January 01, 2003 - Relationship between medication errors and adverse drug events. … Incidence of adverse events and negligence in hospitalized patients. … drug events, and adverse drug reactions. … Adverse Drug Prevention Study Group. The costs of adverse drug events in hospitalized patients. … Adverse drug events in hospitalized patients.

264. Final Progress Report: Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/umoren-report.pdf
     January 01, 2025 - Significance This contribution is significant because adverse events occur in up to 70% of pediatric … Human factors are the root cause of 67% of avoidable adverse events on transport, with most adverse … Endotracheal Intubation in Neonates: A Prospective Study of Adverse Safety Events in 162 Infants. … Factors Associated with Adverse Events during Tracheal Intubation in the NICU. … Epidemiology of adverse events in air medical transport.

265. Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
     January 01, 2005 - Conference attendees learn how specific MedSun reports have affected FDA’s response to adverse events … events, motivate users to report those events, and train users to write complete and accurate reports … about the events. … Step 5: Improve users’ recognition of medical device adverse events. … Step 6: Motivate users to report device adverse events within their own institutions.

266. Return on Investment Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.docx
     January 01, 2013 - The cost of adverse drug events in hospitalized patients. JAMA 1997;277:307-11. … Costs of adverse events in intensive care units. Crit Care Med 2007;35(11)2637-8. Pappas SH. … The cost of nurse-sensitive adverse events. J Nurs Adm 2008;38(5):230-6. … Using patient safety indicators to estimate the impact of potential adverse events on outcomes. … The costs and savings associated with prevention of adverse events by critical care nurses.

267. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
     January 01, 2004 - The cost of adverse drug events in hospitalized patients. JAMA 1997;227(4):307–12. 7. … Detecting adverse events using information technology. JAMIA 2003c;10(2):115–28. 9. … Using information technology to screen for adverse drug events. … Identifying hospital admissions due to adverse drug events using a computer-based monitor. … Comparison of medication errors, adverse drug events, and intercepted errors Table 2.

268. Final Progress Report: Application of Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/singh-report.pdf
     January 01, 2025 - events. … Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observational … Performance of a trigger tool for identifying adverse events in oncology. … The ability of triggers to retrospectively predict potentially preventable adverse events in a sample … The accuracy of trigger tools to detect preventable adverse events in primary care: a systematic review

269. Prioritization Worksheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c1_pdi_prioritizationworksheetinstructions.pdf
     June 02, 2025 - This number is the total raw number of events occurring within your organization for your chosen time … Patients who experience adverse events often tend to have more comorbidities and other risk factors … and thus have accrued more costs even prior to the adverse event. … both costs and risk of the adverse event (e.g., concurrent cancer diagnosis). … In other words, you are measuring the cost of implementation vs. the cost of not stopping these events

270. Presentation: Science of Improving Patient Safety and Identifying Defects
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
     December 01, 2017 - events Most hospital adverse events are AVOIDABLE Science of Improving Patient Safety … In addition, surgery is linked to half of all hospital adverse events. … Most hospital adverse events are avoidable. … events resulting in harm. … events and other defects.

271. Prioritization Worksheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheetinstructions.pdf
     June 02, 2025 - This number is the total raw number of events occurring within your organization for your chosen time … Patients who experience adverse events often tend to have more comorbidities and other risk factors … and thus have accrued more costs even prior to the adverse event. … Compare the total costs of having an adverse event (Column G, Total Cost) with the anticipated cost … In other words, you are measuring the cost of implementation vs. the cost of not stopping these events

272. Developing the Tools to Administer a Comprehensive Hospital Discharge Program: The ReEngineered Discharge (RED) Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
     February 21, 2008 - Medical Errors and Adverse Events at Hospital Discharge Errors and Adverse Events Are Common on Both … 49, 50 3 Adverse Drug Events: Common, Serious, and Costly Adverse drug events (ADEs) are the … Adverse events among medical patients after discharge from hospital. … The costs of adverse drug events in hospitalized patients. … Events at Hospital Discharge Errors and Adverse Events Are Common on Both Sides of the Transition

273. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
     July 01, 2022 - Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (   PDF , 109 KB ) … Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance   … News Media and Health Care Providers at the Crossroads of Medical Adverse Events (   PDF , 129 KB ) … Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency … Drug Events: Study Methods (   PDF , 646 KB ) Andrew L.

274. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
     January 01, 2004 - We have since come to realize that preventable medical deaths and adverse events happen in Wisconsin … events? … The IOM estimates that preventable adverse drug events resulted in approximately $2 billion in increased … events. … Systems analysis of adverse drug events. JAMA 1995;288:501–13. 3. Borden S. U.S.

275. Final Progress Report: Clinical importance of the drug interaction between statins and CYP3A inhibitors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/strom-report.pdf
     January 01, 2024 - , this class of medications also has the potential for severe adverse reactions. … The risk for adverse events may be potentiated by concomitant use of medications that interfere with … PURPOSE The purpose of the current investigation was to detect adverse clinical outcomes associated … events.3-9 It has been shown that statin-related adverse events occur in a potency-dependent manner … events.

276. Mod4-System-Focused-Event-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
     April 01, 2016 - If these factors can be identified and modified, the chance of similar events can be reduced. … prevention of future adverse events. … The systems approach recognizes that all adverse events have multiple contributing factors, many of … Smith transferred back to 3 North, events unremarkable. March 15, 2014 Mr. … Latent hazard: the hidden problems within health care systems that contribute to adverse events.

277. Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/waever.html
     August 01, 2017 - Studies of claims have shown that the perceived cause, context, outcome, and response to a given adverse … Paid malpractice claims for adverse events in inpatient and outpatient settings. … Exploring relationships between hospital patient safety culture and adverse events. … Health care professionals as second victims after adverse events: a systematic review. … The natural history of recovery for the healthcare provider “second victim” after adverse patient events

278. Changing-System-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
     June 01, 2021 - These are adverse events most likely caused by an antibiotic that he probably did not need. … This four-step approach is incorporated into the Learning From Antibiotic-Associated Adverse Events form … For example, you can obtain baseline data regarding number of adverse events related to antibiotic use … Then compare this to the number of adverse events after your intervention to determine if the intervention … Use the Learning From Antibiotic-Associated Adverse Events form to develop a plan.

279. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
     January 01, 2017 - events. … What are safety events in the clinical area? What systems may have led to the events? … events resulting in harm. … Adverse event reporting systems are common in hospitals. … Slide 16 Staff Safety Assessment SAY: Adverse reporting systems, sentinel events, and claims data

280. INSTRUCTIONS: Return on Investment Estimation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/f1-returnoninvestment.pdf
     January 01, 2009 - The cost of adverse drug events in hospitalized patients. JAMA 1997;277:307-11. … Costs of adverse events in intensive care units. Crit Care Med 2007;35(11)2637-8. Pappas SH. … The cost of nurse-sensitive adverse events. … Using patient safety indicators to estimate the impact of potential adverse events on outcomes. … The costs and savings associated with prevention of adverse events by critical care nurses.