Results

Total Results: 2,813 records

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

2601. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=199
      January 01, 2024 - Keywords: Falls, Adverse Events, Hospitals, Payment, Policy, Elderly McCarthy DM , Russell

2602. Chapter 3. Care Coordination Measurement Framework | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter3.html
      June 01, 2014 - Medication management. 13 Reconciling discrepancies in medication use in order to avoid adverse drug … events associated with transitions in care.

2603. The PeaceHealth Ambulatory Medication Safety Culture Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stock_72.pdf
      January 01, 2007 - It is well known that many adverse drug events (ADEs) occur within the hospital setting.

2604. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/results.html
      March 01, 2017 - time with patients Medication issues Prescribing errors Medication nonadherence Adverse … drug events and interactions Overprescribing of opioids, antibiotics Errors in medication reconciliation

2605. From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
      February 09, 2005 - ambulatory setting, specialized anticoagulation clinics lead to more consistent anti-coagulation and fewer adverse … Reducing adverse drug events and medication errors using rapid cycle improvement.

2606. Module 1: Preventing Falls in Hospitals—Training Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
      September 01, 2017 - We understand that even small failures in safety protocols can lead to catastrophic or adverse events

2607. Module 1: Preventing Falls in Hospitals (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_fall-prevention.docx
      March 01, 2013 - We understand that even small failures in safety protocols can lead to catastrophic or adverse events

2608. Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-facilitator-guide.pdf
      November 01, 2019 - Treatment of ASB May Cause Harm SAY: Treatment of asymptomatic bacteriuria is associated with adverse … events related to antibiotics and development of resistant organisms causing future UTIs.

2609. Assess-Resident-Rti-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-facilitator-guide.docx
      June 01, 2021 - Use the Staff Safety Assessment as well as the Learning From Adverse Antibiotic Events tools to help

2610. Stories of Success: Using CUSP To Improve Safety (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/cuspsuccess.pdf
      October 01, 2012 - If you miss one thing, you can start a cascade of events. … After near-misses and adverse events, all people affected were brought together to conduct a root cause … As staff worked on their root cause analyses of adverse events and near-misses, they realized that many … of these events were the products of broken processes that had never been examined. … They are major events that reinforce the fact that Target Zero is a whole system effort in which every

2611. Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-fullreport.pdf
      November 01, 2019 - Drivers of Overuse Seizures can be stressful events that may prompt a parent to seek the assistance … 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.

2612. Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
      September 01, 2015 - asymptomatic bacteriuria can lead to antimicrobial resistance, Clostridium difficile infection, and adverse … drug events. … Non-Catheter-Associated Urinary Tract Infection [UTI]) and Other Urinary System Infection [USI]) Events

2613. Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
      September 01, 2015 - asymptomatic bacteriuria can lead to antimicrobial resistance, Clostridium difficile infection, and adverse … drug events. … Non-Catheter-Associated Urinary Tract Infection [UTI]) and Other Urinary System Infection [USI]) Events

2614. Final Progress Report: Bridging the Gap between EMS and Health Services Research: A Conference for Researchers and Practitioners (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
      January 01, 2025 - EMS providers are needed to respond to recurring medical emergencies as well as mass casualty events … These applications have isolated causes of traffic accidents, such as large moose populations, weather events … Adverse design of defibrillators: turning off the machine when trying to shock.

2615. Final Progress Report: Care and Safety Practices During the COVID-19 Pandemic in Home-Based Long-Term Services and Supports (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/wendel-hummell-report.pdf
      January 01, 2024 - widely reported.10 Among community dwelling older adults in the U.S., over 2 million reported an adverse … event related to unmet household assistance needs, and over 3 million reported an adverse event related … The adverse consequences of unmet need among older persons living in the community: dual- eligible versus

2616. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=197
      January 01, 2024 - Keywords: TeamSTEPPS, Falls, Adverse Events, Surveys on Patient Safety Culture, Patient Safety, Hospitals

2617. Final Progress Report: Preventing Opioid Misuse Through Safe Opioid Use Agreements Between Patients and Surgical Providers (PROMISE-ME) (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/stulberg-report.pdf
      January 01, 2024 - Nonmedical use of opioids can lead to adverse drug events (ADEs) and frequently is a pathway to use

2618. TeamSTEPPS 2.0 Course Management Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/coursemgmt.pdf
      January 01, 2007 - materials is inspired by the John Kotter (2006) book Our Iceberg is Melting, Changing and Succeeding Under Adverse … curriculum was derived from John Kotter’s book Our Iceberg Is Melting: Changing and Succeeding Under Adverse … teamstepps.ahrq.gov/abouttoolsmaterials.htm%23orderMaterials ☐ Ensure that all instructors know the sequence of events … • Incorporate only vignettes and examples from events that actually happened.

2619. TeamSTEPPS 2.0 Course Management Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/coursemgmt-cx062819.pdf
      January 01, 2007 - materials is inspired by the John Kotter (2006) book Our Iceberg is Melting, Changing and Succeeding Under Adverse … curriculum was derived from John Kotter’s book Our Iceberg Is Melting: Changing and Succeeding Under Adverse … teamstepps.ahrq.gov/abouttoolsmaterials.htm%23orderMaterials ☐ Ensure that all instructors know the sequence of events … • Incorporate only vignettes and examples from events that actually happened.

2620. CHIPRA 194: Overuse of Imaging for the Evaluation of Children With Primary Headache Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-fullreport.pdf
      April 01, 2019 - 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.