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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 ,
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
January 01, 2005 - Conference attendees learn how specific
MedSun reports have affected FDA’s response to adverse events … events, motivate users to
report those events, and train users to write complete and accurate reports … about
the events. … Step 5: Improve users’ recognition of medical device adverse events. … Step 6: Motivate users to report device
adverse events within their own institutions.
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www.ahrq.gov/prevention/chronic-care/decision/mcc/flum-grant.html
September 01, 2015 - Specific Aims
Predict the risk of adverse events following a major elective surgical intervention in … Main Objective
Develop better risk prediction tool for adverse events in surgery focusing on clustering
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www.ahrq.gov/sites/default/files/2025-02/nishisaki2-report.pdf
January 01, 2025 - Our preliminary single-PICU data documented adverse TI-associated events
(TIAEs) occur among >20%. … Discussion:
Adverse TI events were common across diverse pediatric ICUs. … Impact of trainee level & provider type on tracheal intubate success & associated
adverse events. … Association of vagolytic and ketamine use with tracheal associated adverse
events. … Substantial
site-level variance exists in adverse tracheal intubation associated events: NEAR4KIDS.
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www.ahrq.gov/patient-safety/reports/liability/prologue.html
August 01, 2017 - System in the Sanford Health System
Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Events in Labor and Delivery
Patient Safety Culture and Medical Liability—Recommendations for Measurement … Drug Events During Transfer of Care from Hospital to Home
Kenneth Sands, Alan Woodward … culture among staff in medical institutions, to find lasting and systemic prevention strategies for adverse … events, and to work with patients—and with their families and caregivers—as equals to both address their
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www.ahrq.gov/news/newsletters/e-newsletter/818.html
June 01, 2022 - Study Finds Relationship Between Readmission Rates, Adverse Events in Hospitals . … Study Finds Relationship Between Readmission Rates, Adverse Events in Hospitals
Patients with pneumonia … admitted to hospitals with high readmission rates were more likely to experience adverse events, a new … The authors of the study, published in JAMA Network Open , cross-referenced Medicare patient-level adverse … records between 2010 and 2019, they found that patients were 13 percent more likely to suffer from an adverse
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www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-5.html
June 01, 2020 - Detecting adverse events for patient safety research: a review of current methodologies. … Measuring errors and adverse events in health care. J Gen Intern Med 2003;18(1):61-7. … Lessons from a patient partnership intervention to prevent adverse drug events. … Computerized surveillance of adverse drug events in hospital patients. … Adverse events during hospitalization: results of a patient survey.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-5.html
June 01, 2020 - Detecting adverse events for patient safety research: a review of current methodologies. … Measuring errors and adverse events in health care. J Gen Intern Med 2003;18(1):61-7. … Lessons from a patient partnership intervention to prevent adverse drug events. … Computerized surveillance of adverse drug events in hospital patients. … Adverse events during hospitalization: results of a patient survey.
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www.ahrq.gov/news/newsroom/case-studies/cquips0609.html
October 01, 2014 - Importantly, the survey also highlighted that staff were more uncomfortable with filing reports of adverse … events than was previously recognized. … team targeted its initiatives to address three specific dimensions of patient safety: reporting of adverse … events, handoffs and communication, and feedback and awareness of adverse events.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-7b.pdf
February 02, 2018 - Table VII.B.1 – Distribution of numbers of Chronic Condition Indicators per patient and
adverse … events across sites based on GAPPS study analytic sample (n=
3,442)
Chronic Condition Indicators … <0.001
3 or more body systems 125 (3.6%) 0.27 <0.001
Table VII.B.2 – Analysis of differences in adverse
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www.ahrq.gov/health-literacy/professional-training/lepguide/exec-summary.html
September 01, 2020 - The role of language barriers and their impact on adverse events is now receiving greater attention. … Recent research suggests that adverse events that affect limited-English-proficient (LEP) patients are … Common Causes of Adverse Events for LEP and Culturally Diverse Patients
Below is a summary of common … Figure C: Types of Physical Harm Experienced From Adverse Events by English-Speaking and LEP Patients … Evidence shows that unaddressed language barriers put patients at high risk for adverse events.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/19552-Corbett-draft-1.pdf
December 31, 2011 - events, and medical liability during hospital-to-community transitions
within a complex healthcare … events
while minimizing medical liability. … Research indicates that rates of adverse drug events
(ADEs) in ambulatory care may be up to four times … The incidence
and severity of adverse events affecting patients after discharge from the hospital. … Adverse drug events in ambulatory care.
New England Journal of Medicine, 348, 1556–1564.
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
August 01, 2022 - events that is not otherwise known to those analyzing the event. … and Communication Together (IMPACT) for eliciting patient and family perspectives on their harmful events … Team communication training
The rates of communication-sensitive adverse events (CSAEs) were examined … events in labor and delivery (increasing from 43 to 84 reports per 1,000 births). … there was no documented followup, and a 54% reduction in the rate of serious potential safety risk events
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www.ahrq.gov/patient-safety/reports/hotline/appa.html
May 01, 2016 - and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events … and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events … The system should collect information on all types of events, ranging from near-miss and no-harm events … to adverse events. … health care and whose members, employees, or affiliate entities may be the subjects of reports about adverse
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17111-Hall-report.pdf
September 01, 2007 - Key Words: patient safety, emergency medicine, errors, adverse events, harm
Principal Investigator … Aim 2 – Compare errors and adverse events through active surveillance with
those identified through … SCOPE
In order to improve a system in any industry, the adverse events that take place within the
system … Current knowledge about the number and types of errors and adverse events occurring
within emergency … Only a small number of studies have evaluated the
epidemiology of errors and adverse events within the
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - Evaluation of perioperative medication errors and adverse drug events. … By
addressing common, preventable adverse events, a health
care setting can become safer, thereby enhancing … More than three-fourths
of PSOs offered analytical support for adverse events,
and a similar share … “The Importance of
Reporting Safety Events.” 2014.
Analytic Support for Adverse Events. … Copyright 2015 ECRI Institute. www.ecri.org
• Adverse events
• Near misses
• Hazards
• Common Formats
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www.ahrq.gov/research/findings/studies/index.html?page=202
January 01, 2024 - Keywords: Depression, Behavioral Health, Medication: Safety, Medication, Adverse Drug Events (ADE), … Adverse Events, Patient Safety, Elderly
Balk EM , Adam GP , Corsi K Adverse events associated … They found that behavioral therapies and neuromodulation have a low risk of adverse events, while anticholinergics … Adverse events associated with nonsurgical treatments for urinary incontinence in women: a systematic … Keywords: Adverse Events, Patient Safety, Women, Evidence-Based Practice, Patient-Centered Outcomes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/TableofContents_Vol1.pdf
January 01, 2025 - Physician-Reported Adverse Events and Medical Errors in Obstetrics and
Gynecology
Martin November, … Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in
Patient Safety Surveillance … News Media and Health Care Providers at the Crossroads of Medical Adverse
Events
Pamela Whitten, Mohan … Mahoney
Views of Emergency Medicine Trainees on Adverse Events and Negligence:
Survey Results from … Drug Events: Study Methods
Andrew L.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/TableofContents_Vol4.pdf
January 01, 2025 - Drug Events: Study Methods
Andrew L. … ix
Physician-Reported Adverse Events and Medical Errors in Obstetrics and
Gynecology
Martin November … Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in
Patient Safety Surveillance … News Media and Health Care Providers at the Crossroads of Medical Adverse
Events
Pamela Whitten, Mohan … Mahoney
Views of Emergency Medicine Trainees on Adverse Events and Negligence:
Survey Results from
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www.ahrq.gov/news/newsroom/case-studies/coe0506.html
October 01, 2014 - Pharmacy Association Uses AHRQ Module to Teach Patients About Adverse Drug Interactions
Search All … The module, titled "Preventable Adverse Drug Reactions: A Focus on Drug Interactions," is the basis for … Trish Freeman, RPh, PhD, Director of Education and Research for APSC, adapted the adverse drug reaction … The Adverse Drug Reaction learning module was developed by AHRQ's Center for Education and Research on … Drug Events (ADE)
Geographic Location:
Kentucky
Implementer:
American