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Showing results for "adverse events".
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341. Final Progress Report: Real-time assessment of risk factors for medication errors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/dresselhaus-report.pdf
     January 01, 2024 - Medication errors, including preventable adverse drug events, are especially common in the inpatient … A computer alert system to prevent injury from adverse drug events: development and evaluation in a … Drug Events Data Sources & Measures. … events. … Although most of the adverse drug events that occur during the study period will be linked to a specific

342. Understanding SOPS Surveys: A Primer for New Users - Famolaro (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-4-famolaro-2018.pdf
     January 01, 2018 - SOPS to Hospital CAHPS patient experience • Hospital SOPS to AHRQ Patient Safety Indicator (PSI) adverse … Hospital SOPS & PSI Adverse Event Rates Higher patient safety culture scores associated with lower … adverse event rates r = -.36 0 2 4 6 8 10 12 14 16 18 40% 45% 50% 55% 60% 65% 70% 75% 80% … Exploring Relationships Between Hospital Patient Safety Culture and Adverse Events. … Linking SOPS to Other Outcomes Hospital SOPS & Hospital CAHPS Patient Experience Hospital SOPS & PSI Adverse

343. Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
     April 14, 2008 - events (AEs) associated with drugs to initiate an investigation.8 Historically, voluntary spontaneous … These include an affiliation with the Research on Adverse Drug Events and Reports Project (RADAR),26 … events. … The Research on Adverse Drug Events and Reports (RADAR) project. … Outpatient benzodiazepine prescribing, adverse events, and costs.

344. Improving Patient Safety by Engaging Patients and Families (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
     April 30, 2025 - events. • Implement a Care for the Caregiver program for providers involved in adverse events. • Investigate … and analyze an adverse event to learn from it and prevent future adverse events. • Review and revise … adverse events (both inpatient and ambulatory settings). … Inpatients were found to report adverse events at a rate of 8.7 percent and near-miss errors at a rate … This project helped show that hospitalized patients can provide information about adverse events and

345. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
     April 02, 2020 - Detecting adverse events for patient safety research: a review of current methodologies. … Measuring errors and adverse events in health care. … 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.

346. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
     April 02, 2020 - Detecting adverse events for patient safety research: a review of current methodologies. … Measuring errors and adverse events in health care. … 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.

347. Final Progress Report: Quality Care and Error Reduction in Rural Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
     January 01, 2024 - that raised awareness, encouraged reporting, and built skills to address errors and adverse events … events. … events. … events. … events.

348. 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.

349. Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
     April 06, 2008 - events, but also information derived from the several sources. … events. … events. … In this incident causation model, near misses are precursors to possible adverse events. … events.

350. Suggested Timeline for Implementation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/timeline-tasks.pdf
     June 01, 2021 - Events Form Four Moments of Antibiotic Decision Making Form Completion Guide for the Four Moments … Events Form Review the Staff Safety Assessments and identify common problems, themes, or ideas … Events Form and encourage staff to use this when a resident was harmed or had the potential to be … Events forms (from weeks 8 and 14) to identify problems • Discuss problems and identify another … Monthly • Learning From Antibiotic Adverse Events Form. Discuss quarterly.

351. Appendix A. Flow Chart for Implementing Universal Decolonization | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apa.html
     September 01, 2013 - Safety and Adverse Events

352. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/references.html
     July 01, 2022 - The costs of adverse drug events in hospitalized patients. … Adverse Drug Events Prevention Study Group. JAMA 1997; 277(4):307-11. … Identifying hospital admissions due to adverse drug events using a computer-based monitor.

353. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/references.html
     July 01, 2022 - The costs of adverse drug events in hospitalized patients. … Adverse Drug Events Prevention Study Group. JAMA 1997; 277(4):307-11. … Identifying hospital admissions due to adverse drug events using a computer-based monitor.

354. Final Progress Report: Patient-Centric Risk Model for Medication Safety During Care Transitions (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/gurses-report.pdf
     January 01, 2024 - A theoretical framework of risks and hazards for medication-related adverse events. Table 1. … drug events Medical records (as documented by providers) Patient reporting of adverse drug events … Care transitions pose high risk for adverse drug events. … National surveillance of emergency department visits for outpatient adverse drug events. … Risk factors for hospital admissions associated with adverse drug events.

355. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
     March 01, 2004 - While the vast majority of medication errors do not result in adverse patient outcomes, various studies … Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA 1995;274(1):35–43. 3. … Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … MedWatch, the FDA safety information and adverse reporting program. … USP launches MEDMARX as the third major national reporting program for adverse drug events; 1998.

356. 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

357. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
     March 31, 2008 - events or adverse patient outcomes, including events with and without identified errors, across all … Adverse drug events in ambulatory care. N Engl J Med 2003; 348: 1556-1564. 7. … Incidence and preventability of adverse drug events among older persons in the ambulatory setting. … Classification of medical errors and preventable adverse events in primary care: A synthesis of the … Adverse events in primary care identified from a risk- management database.

358. 2018 National Healthcare Quality and DIsparities Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-final-es.pdf
     September 01, 2019 - Patient Safety Importance of Patient Safety Mortality Prevalence Cost Findings on Patient Safety Adverse … Events With Knee Replacement Adverse Events With Hip Replacement Adverse Drug Events With Heparin … Fibrinolytic Medication for Heart Attack Disparities for Asians Largest Disparities Anticoagulant-Related Adverse … Drug Events Treatment by Home Health Providers Providers With Language Assistance Trends in Quality

359. Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
     January 01, 2024 - Scope and Significance Preventable Adverse Drug Events in Community Pharmacies Adverse drug events (ADEs … The cost of adverse drug events in hospitalized patients. … Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … Adverse drug events in hospitalized patients. … Adverse drug events in ambulatory care.

360. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring.pptx
     May 01, 2017 - Professional Liability EFM interpretation and management are a common issue in litigation involving adverse … events, and the contribution of EFM use, EFM interpretation, and communication of EFM findings. … Have a process in place to review severe maternal or neonatal morbidity and mortality events. … events 17 AHRQ Safety Program for Perinatal Care Electronic Fetal Monitoring 17 Unit Next Steps … Past adverse events related to EFM use Synergy with related or similar initiatives Interest and enthusiasm