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Showing results for "adverse events".
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321. 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

322. Final Progress Report: Developing Best Practices for Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/baker-report.pdf
     January 01, 2024 - Systems analysis of adverse drug events. … Adverse drug events in hospitalized patients. … Preventing adverse drug events in hospitalized patients. … The Nature of Adverse Events in Hospitalized Patients. … Incidence of Adverse Drug Events and Potential Adverse Drug Events: Implications for Prevention.

323. 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.

324. Chartbook on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
     January 01, 2020 - For example, Medication or Other Substance events that were reported as Adverse reaction in patient … For example, Medication or Other Substance events that were reported as Adverse reaction in patient … For example, Medication or Other Substance events that were reported as Adverse reaction in patient … For example, Medication or Other Substance events that were reported as Adverse reaction in patient … For example, Medication or Other Substance events that were reported as Adverse reaction in patient

325. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=56
     January 01, 2024 - events while on treatment for advanced prostate cancer. … Risk of metabolic and cardiovascular adverse events with abiraterone or enzalutamide among men with advanced … Keywords: Cardiovascular Conditions, Cancer: Prostate Cancer, Cancer, Risk, Adverse Events, Medication … , Adverse Drug Events (ADE), Medication: Safety, Patient Safety Khouja T , Zhou J , Gellad … Drug Events (ADE), Adverse Events Wasp GT , Knutzen KE , Murray GF Systemic therapy decision

326. 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

327. Addressing Methodological CIndividualized Risk Assessment in Patients with Multiple Chronic Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/flum-r21grant.pdf
     October 31, 2015 - Predict the risk of adverse events following a major elective surgical intervention in patients with … Main Objective Develop better risk prediction tool for adverse events in surgery focusing on clustering

328. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=381
     January 01, 2024 - Keywords: Surgery, Elderly, Adverse Events, Disparities, Mortality Kondo KK , Damberg CL , … Keywords: Adverse Drug Events (ADE), Clostridium difficile Infections, Healthcare-Associated Infections … Keywords: Adverse Drug Events (ADE), Cancer, Cancer: Colorectal Cancer, Care Management, Medication … Keywords: Adverse Drug Events (ADE), Kidney Disease and Health, Medication, Prevention, Transplantation … Keywords: Blood Thinners, Care Management, Adverse Drug Events (ADE), Patient Safety, Hospitalization

329. 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

330. Final Progress Report: Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/umoren-report.pdf
     January 01, 2025 - Significance This contribution is significant because adverse events occur in up to 70% of pediatric … Human factors are the root cause of 67% of avoidable adverse events on transport, with most adverse … Endotracheal Intubation in Neonates: A Prospective Study of Adverse Safety Events in 162 Infants. … Factors Associated with Adverse Events during Tracheal Intubation in the NICU. … Epidemiology of adverse events in air medical transport.

331. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
     January 01, 2007 - All significant adverse events (e.g., unexpected deaths and hospitalizations) were to be reported for … Incidence of adverse events and negligence in hospitalized patients: Results of the Harvard Medical … Incidence of adverse drug events and potential adverse drug events: Implications for prevention. … Incidence and preventability of adverse drug events in hospitalized patients. … Adverse events in primary care identified from a risk- management database.

332. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=231
     January 01, 2024 - Keywords: Transplantation, Surgery, Mortality, Registries, Adverse Events, Risk Forster M , … Keywords: Medication, Medication: Safety, Adverse Drug Events (ADE), Adverse Events, Patient Safety, … Keywords: Health Literacy, Transplantation, Adverse Events, Patient-Centered Outcomes Research, Outcomes … Screening for adverse drug events: a randomized trial of automated calls coupled with phone-based pharmacist … Keywords: Adverse Drug Events (ADE), Adverse Events, Medication, Medication: Safety, Health Information

333. Making Information Technology a Team Player in Safety: The Case of Infusion Devices (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
     January 01, 2002 - Adverse events including device- related deaths and serious injuries must be reported to the FDA and … How do existing incident reports help to describe adverse events in terms of infusion device programming … Our study’s initial findings give us the opportunity to better understand actual adverse events that … It is possible that practitioners who are involved in adverse events that are reported in the MAUDE … The methods described provide a useful basis for study the evolution of adverse events.

334. Return on Investment Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
     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.

335. Final Progress Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
     January 01, 2025 - We hypothesize that most of these adverse events could be prevented by designing a system to accomplish … It is hypothesized that most of these adverse events could be prevented if a system that worked for … events. … Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA. 1995; 274: 35-43. 10. … The Critical Care Safety Study: The incidence and nature of adverse events and serious medical errors

336. NPSD Chartbooks | Agency for Healthcare Research and Quality
     www.ahrq.gov/npsd/data/chartbook/index.html
     February 01, 2025 - Chartbooks represent the results of analyses designed to characterize the nature of patient safety events … Event Reporting for Hospitals ( CFER-H, versions 1.1 and 1.2 ), including generic safety concerns and adverse … events involving blood or blood products, falls, devices and medical/surgical supply, medication and … , and location of events to provide readers an enhanced analysis of the circumstances surrounding patient … safety events.

337. Changing-System-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
     June 01, 2021 - These are adverse events most likely caused by an antibiotic that he probably did not need. … This four-step approach is incorporated into the Learning From Antibiotic-Associated Adverse Events form … For example, you can obtain baseline data regarding number of adverse events related to antibiotic use … Then compare this to the number of adverse events after your intervention to determine if the intervention … Use the Learning From Antibiotic-Associated Adverse Events form to develop a plan.

338. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=212
     January 01, 2024 - G Adverse events and factors associated with potentially avoidable use of general anesthesia in cesarean … This study examined adverse events, trends, and factors associated with potentially avoidable general … Adverse events and factors associated with potentially avoidable use of general anesthesia in cesarean … Drug Events (ADE), Adverse Events, Women, Medication, Medication: Safety, Patient Safety, Maternal Care … Keywords: Adverse Events, Emergency Department, Medical Errors, Patient Safety, Risk Ahmad FS

339. Medication Error Reporting Systems: Challenges, Lessons, Future Direction (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/cousins-report.pdf
     January 01, 2024 - The IOM concluded that, even when using the lower estimate, preventable adverse events are a leading … Twenty-two states now have legislation mandating that healthcare providers report adverse events to … events. … The nature of adverse events. Results from the Harvard Medical Practice Study II. New Engl J. … The Costs of Adverse Drug Events in Hospitalized Patients. JAMA. 1997; 277:307-311. 4.

340. Early Mobility in the Intensive Care Unit: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-slides.html
     February 01, 2017 - Slide 11: Safety 3 No serious adverse events. … Slide 14: Adverse Events 4 9 patients had 14 adverse event (<1% of activities): Falls to knees … No documented adverse events. 6. Clark DE, Lowman JD, Griffin RL, et al. … Slide 26: Conclusions—Safety Adverse events ranged from agitation to transient physiological events … Adverse events ranged from 2.3 to 8.7 per 100 patients. 3-5 3.