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Showing results for "adverse events".
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2741. 2017 National Healthcare Quality and Disparities Report Introduction and Methods (pdf file)
      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.

2742. Final Progress Report: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) (pdf file)
      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

2743. Final Progress Report: Exploratory Study Using Queuing Theory To Improve Nurse Staffing Effectiveness (pdf file)
      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.

2744. Final Progress Report: Safe delivery of primary care to vulnerable populations: Using simulation to assess team performance in responding to behavioral and social determinants of health (pdf file)
      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.

2745. Final Progress Report: Safe delivery of primary care to vulnerable populations: Using simulation to assess team performance in responding to behavioral and social determinants of health (pdf file)
      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.

2746. Final Progress Report: Cardiovascular Care Disparities: Safety-Net HIT Strategy (pdf file)
      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

2747. Mod6-Care-For-Caregiver-Guide (pdf file)
      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

2748. Cognitive Load Theory and Its Impact on Diagnostic Accuracy: Issue Brief (pdf file)
      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

2749. Cognitive Load Theory and Its Impact on Diagnostic Accuracy - Issue Brief 17 (pdf file)
      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

2750. Multiple Chronic Conditions Chartbook (pdf file)
      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

2751. Final Progress Report: Optimizing safety of mother and neonate in a mixed methods learning laboratory (pdf file)
      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

2752. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
      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

2753. Chartbook on Healthy Living: Slide Presentation | Agency for Healthcare Research and Quality
      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

2754. Screening for Suicide Risk: A Systematic Evidence Review (pdf file)
      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

2755. Final Progress Report: Simulation to Address Gender-based Differences in Leadership, Teamwork, and Safety (pdf file)
      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

2756. Final Progress Report: Simulation to Address Gender-based Differences in Leadership, Teamwork, and Safety (pdf file)
      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

2757. Final Progress Report: Simulation to Address Gender-based Differences in Leadership, Teamwork, and Safety (pdf file)
      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

2758. Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide (pdf file)
      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

2759. Program Evaluation | Agency for Healthcare Research and Quality
      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

2760. Pathways Community HUB Manual (pdf file)
      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