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Showing results for "adverse events".
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341. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=69
     January 01, 2024 - Rates of adverse events in hospitalized patients after summer-time resident changeover in the United … Keywords: Adverse Events, Patient Safety, Provider: Physician Eisenberg MT , Block AM , Vopat … childhood events: National Survey of Children's Health 2016-2017. … events: National Survey of Children's Health 2016-2017. … Keywords: Cardiovascular Conditions, Surgery, Adverse Events Schnitzer K , Senft N , Tindle

342. 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.

343. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
     May 05, 2008 - Meliones MD, MS Abstract Background: During the analyses of adverse events, a commonly described … These patients are at increased risk for adverse events because of the complexity of their diagnosis … Understanding adverse events: Human factors. Qual Health Care 1995; 4: 80-89. 5. Reason J. … The nature of adverse events in hospitalized patients. … Understanding and responding to adverse events. N Engl J Med 2003; 348: 1051-1056. 16.

344. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=181
     January 01, 2024 - Events (ADE), Adverse Events, Patient Safety, Intensive Care Unit (ICU), Shared Decision Making … Keywords: Cancer: Colorectal Cancer, Cancer, Surgery, Blood Clots, Adverse Events, Risk, Hospital Discharge … Keywords: Kidney Disease and Health, Medication, Medication: Safety, Patient Safety, Adverse Drug Events … (ADE), Adverse Events Williams D , Reiter KL , Pink GH Rural hospital mergers increased … Keywords: Surgery, Ambulatory Care and Surgery, Hospital Readmissions, Hospital Discharge, Adverse Events

345. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
     January 01, 2003 - Relationship between medication errors and adverse drug events. … Incidence of adverse events and negligence in hospitalized patients. … drug events, and adverse drug reactions. … Adverse Drug Prevention Study Group. The costs of adverse drug events in hospitalized patients. … Adverse drug events in hospitalized patients.

346. AHRQ Safety Program For Long-Term Care: CAUTI
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/module-4-slides.pptx
     March 01, 2017 - HAIs/CAUTI Long-Term Care Safety Modules Teamwork and Communication | ‹#› 27 Communicating Adverse … Events Adverse event: An injury to a resident caused by medical intervention rather than by the underlying … The mission of frontline care providers is to help and care for residents without harming them, but adverse … events happen  When an adverse event occurs, it can be difficult for a care provider to take ownership … Outcomes Immediate Response to an Adverse Event Next Steps in Responding to an Adverse Event Care

347. Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
     February 01, 2017 - events. … What are safety events in the clinical area? What systems may have led to the events? … events resulting in harm. … Adverse event reporting systems are common in hospitals. … Slide 17: Staff Safety Assessment Say: Adverse reporting systems, sentinel events, and claims data

348. 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

349. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-references.html
     June 01, 2023 - Families as partners in hospital error and adverse event surveillance. … Comparing patient-reported hospital adverse events with medical record review: do patients know something … An exploration of the implementation of open disclosure of adverse events in the UK: a scoping review … Long-term impacts faced by patients and families after harmful healthcare events. … Health care complaints and adverse events as a means of user involvement for quality and safety improvement

350. Mod4-System-Focused-Event-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
     April 01, 2016 - If these factors can be identified and modified, the chance of similar events can be reduced. … prevention of future adverse events. … The systems approach recognizes that all adverse events have multiple contributing factors, many of … Smith transferred back to 3 North, events unremarkable. March 15, 2014 Mr. … Latent hazard: the hidden problems within health care systems that contribute to adverse events.

351. Final Progress Report: Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/taber-report.pdf
     January 01, 2024 - Medication safety issues, which encompass both medication errors and adverse drug events, are a predominant … In other chronic disease states, adverse drug events have been clearly established as a major risk factor … Therefore, early recognition of adverse drug events in kidney transplant recipients will likely help … AE type and severity were defined using the Common Terminology Criteria for Adverse Events. … Incidence and impact of adverse drug events contributing to hospital readmissions in kidney transplant

352. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/capacity/candor/demo-program/grants/summary.html
     May 01, 2016 - 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

353. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=301
     January 01, 2024 - Keywords: Falls, Health Information Technology (HIT), Patient Safety, Web-Based, Adverse Events … Keywords: Adverse Events, Medical Errors, Health Information Technology (HIT), Patient Safety … Keywords: Adverse Drug Events (ADE), Blood Thinners, Electronic Health Records (EHRs), Medication, Health … In-hospital adverse events were significantly higher in transfer patients compared with nontransfer patients … Keywords: Adverse Events, Healthcare Cost and Utilization Project (HCUP), Hospitalization, Patient Safety

354. Toolkit for Improving Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/index.html
     July 01, 2023 - improve the patient safety culture of labor and delivery (L&D) units and decrease maternal and neonatal adverse … events resulting from poor communication and system failures. … Simulations—that an L&D unit can use to teach team members how to apply CUSP to prevent obstetrical adverse … events.

355. Developing the Tools to Administer a Comprehensive Hospital Discharge Program: The ReEngineered Discharge (RED) Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
     February 21, 2008 - Medical Errors and Adverse Events at Hospital Discharge Errors and Adverse Events Are Common on Both … 49, 50 3 Adverse Drug Events: Common, Serious, and Costly Adverse drug events (ADEs) are the … Adverse events among medical patients after discharge from hospital. … The costs of adverse drug events in hospitalized patients. … Events at Hospital Discharge Errors and Adverse Events Are Common on Both Sides of the Transition

356. Return on Investment Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_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.

357. AHRQ Quality Indicator Tools for Data Analytics | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/qualityindicators/index.html
     January 01, 2025 - hospital level, the QIs are used to support internal quality improvement, monitoring, and assessment of adverse … events related to patient safety. … Patient Safety Indicators (PSIs) help hospitals assess the incidence of adverse events and in-hospital … More specifically, they focus on potential in-hospital complications and adverse events following surgeries … PDIs focus on potentially preventable complications and iatrogenic events for pediatric patients treated

358. Appendixes | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/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, … Obstetric Adverse Events     Zhan (2003) Hunt (2016) Callaghan (2008) Callaghan (2012)

359. Final Progress Report: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
     January 01, 2024 - Key words: probabilistic risk assessment, adverse drug events, ambulatory setting 2 Purpose In our … previous study of preventable adverse drug events among 30,000 older adults treated in the ambulatory … setting by a multispecialty group practice over a 1-year period,1 we found a rate of adverse drug events … of 50.1 per 1000 person-years, with a rate of 13.8 preventable adverse drug events per 1000 person-years … Incidence and preventability of adverse drug events among older persons in the ambulatory setting.

360. New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
     January 01, 2018 - Safety Tejal Gandhi Handwriting 16 Ways IT Can Improve Safety • Prevent errors and adverse … events • Facilitating a more rapid response after an adverse event has occurred • Tracking and providing … feedback about adverse events Bates, Gawande 2003 Main Strategies for Preventing Errors and AEs