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301. References | Agency for Healthcare Research and Quality
     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.

302. References | Agency for Healthcare Research and Quality
     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.

303. Appendix A. Recommendations for Ideal Consumer Reporting Systems | Agency for Healthcare Research and Quality
     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

304. Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program (pdf file)
     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.

305. Agency for Healthcare Research and Quality
     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

306. Table of Contents: Volume 1. Assessment (pdf file)
     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.

307. Table of Contents: Volume 4. Technology and Medication Safety (pdf file)
     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

308. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=450
     January 01, 2024 - Decreasing intrapartum malpractice: targeting the most injurious neonatal adverse events. … Keywords: Adverse Drug Events (ADE), Adverse Events, Dementia, Elderly, Falls, Injuries and Wounds, … This study sought to determine the incidence of adverse tracheal intubation-associated events (TIAEs … Factors associated with adverse events during tracheal intubation in the NICU. … Keywords: Patient Safety, Neonatal Intensive Care Unit (NICU), Newborns/Infants, Risk, Adverse Events

309. 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

310. Final Progress Report: Evaluating safety and quality of tracheal intubation in pediatric ICUs (pdf file)
     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.

311. Final Progress Report: Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm (pdf file)
     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.

312. Individualized Risk Assessment in Patients with Multiple Chronic Conditions | Agency for Healthcare Research and Quality
     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

313. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
     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

314. Executive Summary | Agency for Healthcare Research and Quality
     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.

315. AHRQ's Patient Safety Culture Survey Used to Set Baselines for Improvements at Chicago Hospital | Agency for Healthcare Research and Quality
     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.

316. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=166
     January 01, 2024 - Maternal adverse events from treatment appear to be infrequent and minor, but the evidence about harms … This study examined the prevalence of adverse events due to medication-related or patient care-related … Adverse events present on arrival to the emergency department: the ED as a dual safety net. … Keywords: Adverse Events, Adverse Drug Events (ADE), Emergency Department, Medication, Patient Safety … Keywords: Adverse Events, Diagnostic Safety and Quality, Patient Safety, Case Study Carayon

317. Return on Investment Tool (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
     January 01, 2013 - The cost of adverse drug events in hospitalized patients. JAMA 1997;277:307-11. … Costs of adverse events in intensive care units. Crit Care Med 2007;35(11)2637-8. Pappas SH. … The cost of nurse-sensitive adverse events. J Nurs Adm 2008;38(5):230-6. … Using patient safety indicators to estimate the impact of potential adverse events on outcomes. … The costs and savings associated with prevention of adverse events by critical care nurses.

318. Special Considerations for Measurement of Diagnostic Safety (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
     June 01, 2020 - mindful of its limitations for a given purpose. 40 For instance, many routinely recorded discrete events … communication differences, will also need to be addressed to make the most of such efforts. 59,61,62 Real-time adverse … records is through the “trigger” approach, which aims to “alert patient safety personnel to possible adverse … events so they can review the medical record to determine if an actual or potential adverse event has … research has examined the predictive validity of NLP algorithms for detection of safety incidents and adverse

319. AHRQ Researchers Find Link Between Job Flexibility and Healthcare Access and Use | Agency for Healthcare Research and Quality
     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

320. Executive Summary | Agency for Healthcare Research and Quality
     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