-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2017nhqdr-intro-methods.pdf
November 01, 2018 - These measures generally represent rates of adverse events or deaths.
-
www.ahrq.gov/sites/default/files/2025-02/peterson-report.pdf
January 01, 2025 - Because this is a more aggressive
decolonization regimen with potential adverse events from the systemic
-
www.ahrq.gov/sites/default/files/2024-10/stone-report.pdf
January 01, 2024 - relate
higher levels of nurse staffing (both in quantity and level of preparation) to lower rates of adverse … Additionally, the interventions were
categorized as either scheduled or unscheduled events.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/24669-Zabar-draft-1.pdf
October 01, 2019 - Errors of
omission are almost impossible to detect unless they can be traced to an adverse event.
-
www.ahrq.gov/sites/default/files/2024-01/zabar-report.pdf
January 01, 2024 - Errors of
omission are almost impossible to detect unless they can be traced to an adverse event.
-
www.ahrq.gov/sites/default/files/2024-07/ferguson-report.pdf
January 01, 2024 - the stakeholders – providers, administrators, and patients –
are not encumbered by moral hazard and adverse
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/mod6-care-for-caregiver-guide.pdf
April 01, 2016 - ensure that these tiers of support are provided to caregivers after they have in been involved in an adverse
-
www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
May 01, 2024 - But they can also lead to
inefficiencies, cognitive overload, and safety events.64
Understanding the … Common contributing
factors of diagnostic error: a retrospective analysis of 109 serious adverse event
-
www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load.pdf
May 01, 2024 - But they can also lead to
inefficiencies, cognitive overload, and safety events.64
Understanding the … Common contributing
factors of diagnostic error: a retrospective analysis of 109 serious adverse event
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mccchartbook.pdf
April 01, 2014 - NO
993 EFFECTS OF AIR PRESSURE -3 NO -4 NO
994 EFFECT EXTERNAL CAUS NEC -4 NO -4 NO
995 CERTAIN ADVERSE
-
www.ahrq.gov/sites/default/files/2025-02/halamek-report.pdf
January 01, 2025 - wore an eye tracking
system to record their gaze pattern and fixation, and all treatment decision events … Measures for treatment decision events included
time to a) adjust the FiO2 to achieve goal SpO2, b) … familiarity with the display and
thereby reduced the need for training; and archived critical time events
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pptx
January 01, 2020 - .26
Good medical practice includes asking patients about all their medications,27 which can prevent adverse … events. … New frontiers in patient-reported outcomes: adverse event reporting, comparative effectiveness, and quality … Weight loss is associated with adverse, costly clinical outcomes, including increased hospitalization
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/healthyliving-slides.html
April 01, 2018 - Good medical practice includes asking patients about all their medications which can prevent adverse … events. 27
The Food and Drug Administration and others urge patients to tell health care providers … New frontiers in patient-reported outcomes: adverse event reporting, comparative effectiveness, and quality … Weight loss is associated with adverse, costly clinical outcomes, including increased hospitalization
-
www.ahrq.gov/downloads/pub/prevent/pdfser/suicidser.pdf
May 01, 2004 - screen is not useful for risk prediction
because it does not allow determination of the chronology of events … Screening for Suicide Risk (continued)
Test Characteristics
Adverse Effects of
Test? … Screening for Suicide Risk (continued)
Test Characteristics
Adverse Effects of
Test? … suicides
over the 5 and 15 year follow-up period
Not a well-controlled study--no control for
events
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/23457-Guise-draft-1.pdf
September 30, 2018 - The Joint Commission, inadequate leadership is a major contributor to half of sentinel
healthcare events
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/23457-Guise-report.pdf
September 30, 2018 - The Joint Commission, inadequate leadership is a major contributor to half of sentinel
healthcare events
-
www.ahrq.gov/sites/default/files/2024-01/guise1-report.pdf
January 01, 2024 - The Joint Commission, inadequate leadership is a major contributor to half of sentinel
healthcare events
-
www.ahrq.gov/sites/default/files/publications/files/clabsicompanion.pdf
October 18, 2012 - 26.6% 22.8% 0.760 24.9% 24.6% 0.749
3
Systematic analysis and proactive learning from
harmful events … or events with potential harm as
raised by front-line staff (other than M&Ms and
official RCA)
52.3% … Published before 2002
Engemann JJ, 2003
Adverse clinical and economic outcomes attributable to methicillin
-
www.ahrq.gov/research/findings/final-reports/ptmgmt/evaluation.html
July 01, 2018 - Since high-cost events in medical care tend to be non-recurring, a certain proportion of those patients
-
www.ahrq.gov/sites/default/files/wysiwyg/innovations/CommunityHubManual.pdf
January 01, 2016 - The primary sources of these adverse health and social outcomes are
risk factors.4,5 If risk factors … What risk factors tie to the adverse health and social outcomes we need to address?
3. … In Pregnancy Pathway measurements,
billable events occur within the action steps, making this type of … These events are substantially different than
current processes and activities that are the focus of … As risk factors
represent the primary source for adverse health, social, and economic outcomes as well