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Showing results for "adverse events".
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281. COVID-19 Vaccination Tracking Tool for Use in Nursing Homes (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/vaccination-tracking-tool.xlsx
     December 28, 2020 - EVENTS BY MANUFACTURER Total residents with vaccinations fully completed 0 Fully Vaccinated Residents … Events Residents who were offered and declined the COVID-19 vaccine 0 Declined Pfizer-BioNTech … Events following COVID-19 Vaccine(s) Start of Week (Monday): 12/14/20 12/21/20 12/28/20 1/4/21 1/11 … Events Staff who were offered and declined the COVID-19 vaccine 0 Declined Pfizer-BioNTech … Events following COVID-19 Vaccine(s) Start of Week (Monday): 12/14/20 12/21/20 12/28/20 1/4/21 1/11

282. Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhacrate2013.html
     November 01, 2015 - Half of these inpatients experienced one or more adverse events that resulted in a prolonged hospital … events—such as adverse drug events, falls, and pressure ulcers—occurred. … Data for obstetric adverse events come from AHRQ Patient Safety Indicators (PSIs) 18 and 19. … events. … events.

283. CANDOR Event Checklist | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist4.html
     August 01, 2022 - How to use this tool: Use the checklist to ensure that appropriate action is taken following an adverse … Online: Review and prioritize events. … Report any adverse event to the appropriate professional responsible for patient safety events. … Collect medical records and other documents to establish timeline of events. … ; or Centers fpr Medicare & Medicaid Services' "never" events.

284. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=427
     January 01, 2024 - Keywords: Adverse Events, Communication, Health Information Technology (HIT), Patient Safety, Medical … The effectiveness of computerized order entry at reducing preventable adverse drug events and medication … Keywords: Health Information Technology (HIT), Adverse Drug Events (ADE), Adverse Events, Medical Errors … Keywords: Children/Adolescents, Patient Safety, Inpatient Care, Children/Adolescents, Adverse Events … Keywords: Adverse Drug Events (ADE), Asthma, Children/Adolescents, Medication, Behavioral Health

285. AHRQ National Scorecard on Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/index.html
     July 01, 2020 - Condition Rate ( PDF , 237 KB) To improve how the Nation tracks its progress on reducing HACs and other adverse … events, AHRQ is developing the AHRQ Quality and Safety Review System . … This patient safety surveillance system will capture information about HACs and other adverse events

286. National Healthcare Quality And Disparities Report Patient Safety Chartbook (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
     October 01, 2018 - drug event to warfarin (Adverse drug events) …  Procedure-related events.  Adverse drug events. … events associated with hip joint replacement, adverse events associated with knee joint replacement … events associated with hip joint replacement, adverse events associated with knee joint replacement … Events 30-Day Mortality for Colorectal Surgery Adverse Drug Events Adverse Events With Hypoglycemic

287. Understanding SOPS Surveys: A Primer for New Users - Famolaro (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-4-famolaro-2018.pdf
     January 01, 2018 - SOPS to Hospital CAHPS patient experience • Hospital SOPS to AHRQ Patient Safety Indicator (PSI) adverse … Hospital SOPS & PSI Adverse Event Rates Higher patient safety culture scores associated with lower … adverse event rates r = -.36 0 2 4 6 8 10 12 14 16 18 40% 45% 50% 55% 60% 65% 70% 75% 80% … Exploring Relationships Between Hospital Patient Safety Culture and Adverse Events. … Linking SOPS to Other Outcomes Hospital SOPS & Hospital CAHPS Patient Experience Hospital SOPS & PSI Adverse

288. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=85
     January 01, 2024 - Multicenter test of an emergency department trigger tool for detecting adverse events. … Keywords: Emergency Department, Adverse Events, Patient Safety Bajaj JS , Shamsaddini A , … Keywords: Emergency Department, Adverse Events, Patient Safety Coley RY , Boggs JM , Beck … Quantifying dental office-originating adverse events: the dental practice study methods. … Keywords: Dental and Oral Health, Adverse Events, Patient Safety, Medical Errors Kunz SN ,

289. Maryland Uses AHRQ Workshop to Model New Center to Improve Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/ockt0505.html
     October 01, 2014 - strategies and systems to improve safety through provider education and the voluntary reporting of adverse … events and near misses. … their root causes from a systems perspective, as well as various approaches to reporting errors and adverse … events. … It also collects adverse event and near-miss data to support system and process improvements.

290. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
     August 01, 2022 - events focus on re-education, re-training, disciplinary actions, or the creation of new policies. … A pre-scripted immediate response to events, along with a tightened timeline for event reviews. … event or near miss is the prevention of future adverse events. … If these factors can be identified and modified, the chance of similar events can be reduced. … The systems approach recognizes that all adverse events have multiple contributing factors, many of which

291. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
     August 21, 2015 - Disclosure communication following an adverse event should include answers to the following questions … How will the organization prevent the adverse event from happening to another patient in the future? … It is important that the clinicians and the health care organization apologize for the adverse event, … Apology–say you are sorry for the adverse event in a sincere manner early in the conversation. … The communicator can also note that most adverse events have multiple causes that include a mixture of

292. Toolkit Implementation Guide for Acute Care Antibiotic Stewardship Programs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/acute_care_implementation_guide.pdf
     November 01, 2019 - events as well as first and second order problem solving approaches. … o “Learning From Antibiotic-Associated Adverse Events Form” is similar to a root cause analysis form … events. … changes.html https://www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/identifying-antibiotic-adverse-events-form.docx … https://www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/learning-antibiotic-adverse-events-form.docx

293. Children's Hospital of Pittsburgh of the University of Pittsburgh | Agency for Healthcare Research and Quality
     www.ahrq.gov/workingforquality/priorities-in-action/childrens-hospital-of-pittsburgh-of-upmc.html
     March 01, 2017 - drug events because of weight-based fractional dosing calculations and the inability of young children … drug events in hospitalized pediatric populations is anywhere from three to five times higher than the … drug events in pediatric admissions, a rate that translates to 1 event per 1000 medication doses. … Within that study group, 22 percent of those adverse drug events were preventable. 2 For pediatric … events.

294. Improving Error Reporting in Ambulatory Pediatrics with a Team Approach (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Neuspiel_43.pdf
     March 05, 2008 - The IOM has called for a reporting system that includes both adverse events and near misses. … A physician- based voluntary reporting system for adverse events and medical errors. … Confidential clinician-reported surveillance of adverse events among medical inpatients. … Adverse drug events in primary care. N Engl J Med. 2003; 348: 1556-1564. 15. … Will, ideas, and execution: Their role in reducing adverse medication events.

295. Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/neonatal-interfacility-transfers-long-desc.html
     January 01, 2025 - events occur in up to 70 percent of pediatric critical care ambulance transports, even if performed … Human factors are the root cause of 67 percent of avoidable adverse events in transport due to communication … events. … Neonatal transport safety metrics and adverse event reporting: a systematic review . … Neonatal transport safety metrics and adverse event reporting: a systematic review .

296. AHRQ Work With Connecticut Hospitals Results in New Legislation to Improve Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cquips0501.html
     October 01, 2014 - project, CHA and the team members from the Connecticut Department of Public Health studied Connecticut's adverse … Committee, which was developing formal recommendations to enhance the effectiveness of the state's adverse … promote patient safety by identifying and disseminating reliable information that can be used to reduce adverse … events and enhance the quality of health care provided in Connecticut.

297. Prioritization Worksheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c1_pdi_prioritizationworksheetinstructions.pdf
     June 05, 2016 - 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

298. Section 7C (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-7c.pdf
     February 02, 2018 - Table VII.C.1 – Distribution of insurance types and adverse … events across sites based on GAPPS study analytic sample (n = 3,151) Insurance n (%) AE rate P-Value … 58.2%) 0.10 <0.001 No Insurance 102 (3.2%) 0.04 0.001 Table VII.C.2 – Analysis of differences in adverse

299. Declines in Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/infographics/hac-rates_2019.html
     July 01, 2020 - (PDF, 11.1 MB) Text Description: National efforts to reduce hospital-acquired conditions such as adverse … drug events and injuries from falls helped prevent 20,700 deaths and saved $7.7 billion between 2014 … Specific rates are: Adverse drug events: 28% decrease. CAUTI: 5% decrease. CLABSI: 6% decrease. … Obstetric events: 3% decrease. Pressure ulcers: 6% increase. Surgical site infections: 8% increase.

300. Prioritization Worksheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheetinstructions.pdf
     June 05, 2016 - 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