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Showing results for "adverse events".
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281. 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.

282. 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

283. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=66
     January 01, 2024 - pain, and nausea/ vomiting, but a similar risk of adverse possible microbiome-related events. … drug events and possible microbiome-related adverse events including non-Clostridium difficile diarrhea … The duration of the treatment influenced the risk of possible microbiome-related adverse events. … Association of adverse events with antibiotic treatment for urinary tract infection. … Keywords: Antibiotics, Medication, Urinary Tract Infection (UTI), Adverse Drug Events (ADE), Adverse

284. 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

285. 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.

286. 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.

287. 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

288. Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/15818-Fairbanks-draft-1.pdf
     September 08, 2008 - year in the US7; 5% experience potential adverse drug events,8 and 70% of these, or 3.8 million events … drug events (PADEs) and adverse drug events (ADEs) through a retrospective chart review. … The nature of adverse events in hospitalized patients. … Incidence of adverse events and negligence in hospitalized patients. … drug events (PADEs) and adverse drug events (ADEs) through a retrospective chart review.

289. AHRQ Views Blog: We Must Not Underestimate the Impacts of Gun Violence on Healthcare Workers | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/842.html
     December 01, 2022 - Older Opioid Patients Experience More Adverse Events After Injury . … recognized following these tragedies; too often we may assume healthcare workers are hardened to such events … Older Opioid Patients Experience More Adverse Events After Injury Chronic non-cancer pain Medicare … events than those patients who did not experience an injury. … events such as overdoses.

290. 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

291. 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

292. 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.

293. 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

294. 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.

295. 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.

296. 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

297. 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 .

298. 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

299. Table 7.A (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-7a.pdf
     February 02, 2018 - Table VII.A.1 – Distribution of race/ethnicity and adverse … events across sites based on GAPPS study analytic sample (n = 2,834) Race/Ethnicity n (%) AE rate … Hispanic 352 (12.4%) 0.18 <0.001 Other 161 (5.7%) 0.12 0.12 Table VII.A.2 – Analysis of differences in adverse

300. 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