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Showing results for "adverse events".
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321. 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.

322. Patient Safety Organizations: A Summary of 2014 Profiles (pdf file)
     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

323. 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

324. Pharmacy Association Uses AHRQ Module to Teach Patients About Adverse Drug Interactions | Agency for Healthcare Research and Quality
     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

325. 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

326. Table 7B.1 (pdf file)
     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

327. 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

328. 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.

329. 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.

330. 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

331. 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

332. 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

333. 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.

334. 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.

335. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=417
     January 01, 2024 - Concerns of adverse events resulting from universal glove and gown use were not supported. … The effect of universal glove and gown use on adverse events in intensive care unit patients. … Keywords: Patient Safety, Intensive Care Unit (ICU), Adverse Events, Healthcare-Associated Infections … Keywords: Children/Adolescents, Outcomes, Surgery, Adverse Events, Quality Improvement Linzer … Keywords: Pregnancy, Adverse Events, Medication, Patient-Centered Outcomes Research, Newborns/Infants

336. 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.

337. 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.

338. Return on Investment Estimation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_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.

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. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=332
     January 01, 2024 - Keywords: Adverse Drug Events (ADE), Elderly, Medication, Patient Safety Poghosyan L , Liu … Keywords: Cancer, Cancer: Breast Cancer, Surgery, Adverse Events, Patient-Centered Outcomes Research … It found that adverse tracheal intubation associated events and desaturations are common and associated … Relationship between adverse tracheal intubation associated events and PICU outcomes. … Keywords: Adverse Events, Children/Adolescents, Respiratory Conditions, Patient Safety, Children/Adolescents