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Showing results for "adverse events".
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321. Strategy 4: IDEA Discharge Planning (Tool 3) (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.docx
     January 01, 2010 - for engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse … three-quarters of these could have been prevented or ameliorated.1 Common post-discharge complications include adverse … drug events, hospital-acquired infections, and procedural complications.1 Many of these complications … The incidence and severity of adverse events affecting patients after discharge from the hospital.

322. Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations in Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/wei-report.pdf
     January 01, 2024 - Trajectories of Prescription Opioid Dose and Risk of Opioid-Related Adverse Events Among Older Adults—A … Association of Injury After Prescription Opioid Initiation with Risk of Opioid-Related Adverse Events … Prescription opioid exposures and adverse outcomes among older adults. … Trajectories of prescription opioid dose and risk of opioid-related adverse events among older Medicare … Association of Injury After Prescription Opioid Initiation with Risk of Opioid-Related Adverse Events

323. Appendixes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-appendix.html
     November 01, 2017 - Drug Events (("Drug therapy/adverse effects"[mh] OR "drug interactions"[mh] OR "anaphylaxis"[mh] OR … [tiab] OR "adverse drug events"[tiab] OR "adverse drug reaction"[tiab] OR "adverse drug reactions"[tiab … Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a … Costs associated with anesthesia-related adverse events during labor and delivery in New York state, … Opioid-related adverse drug events in surgical hospitalizations: impact on costs and length of stay.

324. Understanding SOPS Surveys: A Primer for New Users (Webcast) - Famolaro (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-SOPS_101_Webcast-FAMOLARO.pdf
     January 01, 2020 - 2.0 Webcast Replay, PowerPoint slides, and Transcript are available on the AHRQ SOPS website under Events … Hospital SOPS to AHRQ Patient Safety Indicator (PSI) adverse event rates 3. … Journal of Patient Safety. 8(3), 131-139. 38 HSOPS 1.0 & Patient Safety Indicator (PSI) Adverse Event … en t R at e— PS I C om po si te Higher patient safety culture scores associated with lower adverse … Exploring Relationships Between Hospital Patient Safety Culture and Adverse Events.

325. Final Progress Report: Quality of bag mask ventilation in critically ill children (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/nishisaki-report.pdf
     January 01, 2024 - tracheal intubation- associated events (TIAEs) and severe oxygen desaturation during tracheal intubation … Desaturation (SpO2<80%) or adverse TIAEs occurred in 5/20 (25%) of children with high-quality breath … Key Words mask ventilation, quality, child, critically ill, adverse events, oxygen desaturation … We identified and reported that 20% of TI are associated with adverse TI-associated events (TIAEs … events during TI procedure are also associated with a longer duration of mechanical ventilation, longer

326. Information to Help Hospitals Get Started
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pptx
     July 23, 2010 - For example, one study found that more than 70% of adverse events are caused by breakdowns in communication … One study found that more than 70 percent of adverse events are caused by breakdowns in communication … Common complications post-discharge are adverse drug events, healthcare-associated infections, and procedural … complications include adverse drug events, healthcare-associated infections, and procedural complications … The incidence and severity of adverse events affecting patients after discharge from the hospital.

327. Patient Safety Organizations Program | Agency for Healthcare Research and Quality
     www.ahrq.gov/cpi/about/otherwebsites/pso.ahrq.gov/index.html
     November 01, 2024 - the creation of PSOs and the development of Common Formats for uniform reporting of patient safety events … external experts who can assist providers in the collection, analysis, and aggregation of patient safety events … access to Common Formats (uniform definitions and reporting formats for collecting information about adverse … events).

328. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
     January 01, 2021 - 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

329. Health Systems Research | Agency for Healthcare Research and Quality
     www.ahrq.gov/opioids/health-systems-research.html
     July 01, 2021 - Older adults have a high prevalence of chronic pain and are especially vulnerable to adverse events from … Characterizing Opioid-Related Adverse Events in Older Adults After Hospital Discharge.  … Prescribing of opioids at hospital discharge and associated adverse patient outcomes.

330. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
     September 01, 2012 - Evidence shows that unaddressed language barriers put patients at high risk for adverse events. … The one hospital that stratified their adverse event data by language found clusters of adverse events … Language pro�ciency and adverse events in U.S. hospitals: a pilot study. … Language proficiency and adverse events in U.S. hospitals: a pilot study. … • Emphasize potential differences between patient safety events and adverse events and distinguish

331. AHRQ Study Highlights Caregiver Needs in Mobile Health App Adoption | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/917.html
     June 01, 2024 - June 18, 2024 AHRQ Stats: Adverse Drug Events Involving Hypoglycemic Agents In 2021, 7.5 percent of … percent of patients with an “other” or unknown race, and 4.0 percent of White patients experienced adverse … inpatient events involving hypoglycemic agents, which are used to control blood sugar levels in diabetic … Interdisciplinary videoconference model for identifying potential adverse transition of care events following

332. Development of a Comprehensive Medical Error Ontology (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
     June 16, 2008 - events. … • Capture the richness of the domain of errors and adverse events. … Conclusions and Future Work A critical step in the direction of reducing errors and adverse events … events. … Classification of medical errors and preventable adverse events in primary care: A synthesis of the

333. Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/crane.html
     August 01, 2017 - System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Transitional Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential Adverse … understanding and correcting weaknesses in the health care delivery system and to preventing actual adverse … The wrong diagnosis: identifying causes of potentially adverse events in general practice using incident … Does error and adverse event reporting by physicians and nurses differ?

334. 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.

335. Advances in Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/advances/index.html
     July 01, 2022 - Drug Events: Examination of a Hospital Incident Reporting System (   PDF , 287 KB) Radhika Desikan … Hackworth Outpatient Benzodiazepine Prescribing, Adverse Events, and Costs (   PDF , 172 KB) Dustin … Masheter, Paul Hougland, Wu Xu Surveillance of Surgery-related Adverse Events in Missouri Using ICD … Events Following Immunization (   PDF , 277 KB) Katrin S. … Events in Health Care (   PDF , 197 KB) Kenneth W.

336. Final Progress Report: Videotaping communication between physicians and nurses: A methods study (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/manojlovich-report.pdf
     January 01, 2024 - Breakdowns in communication between physicians and nurses continue to be a primary contributor to adverse … interdisciplinary teams4 and checklists.5 The lack of progress in preventing communication-related adverse … associated with communication between physicians and nurses outside of specialty units, despite the adverse … Incidence and Prevalence Breakdowns in communication remain one of the most common causes of adverse … events for hospitalized patients1,12,13 and a major root cause of all sentinel events reported to

337. The Science of Improving Patient Safety and Identifying Defects: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-slides.html
     December 01, 2017 - Surgery is linked to 50% of all hospital adverse events. … Most hospital adverse events are AVOIDABLE. Slide 6: How Do These Errors Happen? … Slide 16: Communication Breakdowns 6 Images: Four bar graphs showing root causes of adverse events … including sentinel events, medication errors, delays in treatment, and infection-associated events from … What systems may have led to these events?

338. 018-Revision-Summary-Contact-Precautions (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/018-revision-summary-contact-precautions.docx
     October 01, 2024 - events (e.g., falls, pressure injuries), increased symptoms of depression and anxiety, and decreased … patient satisfaction.16 · Adverse outcomes have not been identified in some more recent, higher-quality … events.11 A study that evaluated patients’ mental state upon entering the study found patients no more … Adverse outcomes associated with Contact Precautions: a review of the literature. … The effect of universal glove and gown use on adverse events in intensive care unit patients.

339. National Healthcare Safety Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/national-measures/index.html
     April 01, 2025 - AHRQ Quality and Safety Review System The Quality and Safety Review System (QSRS) measures the rate of adverse … events among hospital patients covered by Medicare and creates a nationally representative baseline … up for the National Action Alliance listserv to receive the monthly newsletter with new resources, events

340. Making Effective Changes in Antibiotic Decision Making | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/acute-care/safety/changes.html
     November 01, 2019 - decision making Slides  (PPTX) Facilitator Guide  (PDF) Learning from Antibiotic–Associated Adverse … Events Form  (DOCX)