Results

Total Results: 1,782 records

Showing results for "adverse events".
Users also searched for: patient safety indicators

361. 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

362. Tool 1: Overview (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool1ref.html
     March 01, 2025 - Adverse events in hospitals: overview of key issues. … Adverse events among medical patients after discharge from hospital. CMAJ 2004;170(3):345-9.

363. Tool 1: Overview (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool1ref.html
     March 01, 2025 - Adverse events in hospitals: overview of key issues. … Adverse events among medical patients after discharge from hospital. CMAJ 2004;170(3):345-9.

364. Identifying Targets for Improvement in Antibiotic Decision Making | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/acute-care/safety/improve.html
     November 01, 2019 - Making framework Slides (PPTX) Facilitator Guide (PDF) Identifying Antibiotic–Associated Adverse … Events Form (DOCX)

365. Changing the System To Improve Antibiotic Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/long-term-care/safety/system-change.html
     June 01, 2021 - Improve Antibiotic Safety – Facilitator Guide (DOCX, 2.3 MB) Learning From Antibiotic-Associated Adverse … Events  (DOCX, 226.7 KB)

366. Technology for Improving Medication Monitoring in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
     March 09, 2005 - Of the preventable adverse drug events in nursing homes, 70 percent occurred at the monitoring stage … The FDA COSTART categories provide standard dictionary terminology to classify reported adverse events … One-third of preventable adverse drug events were neuropsychiatric (including delirium, hallucinations … Epidemiology of adverse drug events in the nursing home setting. Drugs Aging 1995;7:203–11. 17. … Incidence and preventability of adverse drug events in nursing homes.

367. Implementation Guide for the Toolkit To Improve Antibiotic Use in Long-Term Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/ltc-implementation-guide.pdf
     June 01, 2021 - LabID events are defined on this CDC site: https://www.cdc.gov/nhsn/faqs/faq-mdro-cdi.html. … on units for frontline providers to complete when they identify a potential antibiotic-associated adverse … events as well as first- and second-order problem-solving approaches. … with these discussions between ASPs and frontline staff: − The Learning From Antibiotic-Associated Adverse … to guide strategies to prevent future antibiotic-associated adverse events.

368. 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

369. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
     January 01, 2004 - analyses (RCA) that examine systems issues and identify mechanisms for future prevention of these events … events.1 The subcommittee adopted the NCC MERP definition of a medication error:5 Analysis of … events. … Identification and classification of the causes of events in transfusion medicine. … Leape LL, Bates DW, Cullen DJ, et al., Systems analysis of adverse drug events.

370. Final Progress Report: Topical Vancomycin for Neurosurgery Wound Prophylaxis (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/connolly-report.pdf
     January 01, 2024 - events. … events. … Any exacerbation of preoperative hearing changes was reported as an adverse event as well. … In addition, patients were screened for adverse events, including hearing loss and local or systemic … Similar statistical analyses were performed to assess secondary outcomes, safety outcomes, adverse events

371. 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.

372. Making Health Care Safer II, Executive Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
     March 01, 2013 - drug events, or pressure ulcers. … In contrast, events an order of magnitude or more lower in frequency were considered “rare;” such events … Practices Designed for a Specific Patient Safety Target Adverse Drug Events High-alert drugs: patient … ‘Global trigger tool’ shows that adverse events in hospitals may be ten times greater than previously … Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. OEI-06-09-00090.

373. Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
     March 21, 2008 - Among a sample of elderly patients, Gurwitz, et al.,6 found that many adverse drug events were due to … adverse events or recovery transactions are recorded. … Adverse drug events in ambulatory care. N Engl J Med 2003; 348: 1556-1564. 3. … 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

374. Identifying Targets for Improving Antibiotic Use
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-slides.pptx
     November 01, 2019 - Safety Program for Improving Antibiotic Use – Acute Care   6 Identifying Antibiotic-Associated Adverse … Events Multidisciplinary meetings Opportunity to elaborate on issues that have resulted in antibiotic-associated … adverse events or had the potential to cause adverse events that could jeopardize patient safety Decide

375. Board and Senior Leadership PowerPoint Presentations on the AHRQ Quality Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pdf
     October 01, 2015 - • AHRQ QIs are indicators of hospital quality and adverse events that patients may experience as … • Pediatric Quality Indicators (PDIs) reflect quality of care inside hospitals and adverse events … • The PSIs are a set of 18 hospital-level indicators of safety-related adverse events following operations … and Safety • The PDIs are a set of 16 indicators that reflect quality of care inside hospitals and adverse … • PDIs measure events likely preventable through changes at the system or provider level.

376. Improving Communication and Teamwork in the Surgical Environment
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-slide-set.pptx
     May 01, 2017 - and/or medical errors Report on safety events after the fact 5Maurer M, Dardess P, Carman, KL, et al … events, compliance with patient privacy laws 4Advancing the Practice of Patient- and-Family-Centered … , to Responding to Adverse Events). … Organizations should be prepared to respond and communicate proactively when adverse events occur. … , to Responding to Adverse Events).

377. Infographic - New AHRQ Report Compares Early Stage Breast Cancer Radiotherapy Approaches (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/breast-cancer-radiotherapy.pdf
     June 02, 2025 - Cancer-Free Survival Outcomes Similar at 5 and 10 Years Whole Breast Irradiation (WBI) Acute Adverse … Events Were Significantly Fewer With PBI Compared With WBI Partial Breast Irradiation (PBI)

378. 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

379. Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2013-ap4.html
     December 01, 2014 - 2014 Goal Met Projected Reductions in Deaths Associated With HACs in 2014 if 2014 Goal Met Adverse … Drug Events 1,900,000 50% 50% 25% 475,000 $5,000 .020 $2,375,000,000 9,500 Catheter-Associated … Falls 200,000 25% 50% 12.5% 25,000 $7,234 .055 $180,850,000 1,375 Obstetric Adverse … Events 380,000 30% 50% 15% 57,000 $3,000 .0015 $171,000,000 84 Pressure Ulcers

380. Patient and Family Engagement in the Surgical Environment Module | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-slides.html
     May 01, 2017 - Help prevent specific safety events and/or medical errors. … Report on safety events after the fact. … Fear of litigation Transparency and adverse events, compliance with patient privacy laws. … Organizations should be prepared to respond and communicate proactively when adverse events occur. … , to Responding to Adverse Events).