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Showing results for "adverse events".
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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.pdfApril 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. -
www.ahrq.gov/es/hai/pfp/haccost2017-appendix.htmlNovember 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)
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Return on Investment Tool (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.docxJanuary 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. -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docxJanuary 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 16 Staff Safety Assessment SAY: Adverse reporting systems, sentinel events, and claims data
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www.ahrq.gov/research/findings/studies/index.html?page=301January 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
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www.ahrq.gov/sites/default/files/2024-05/nishisaki-report.pdfJanuary 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
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www.ahrq.gov/data/qualityindicators/index.htmlJanuary 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
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www.ahrq.gov/sites/default/files/2024-04/ratliff-report.pdfJanuary 01, 2024 - Scope Adverse events (AEs) following spine surgery negatively impact patients, surgeons, and the healthcare … Definition of the outcome variables: adverse events We defined an AE as the occurrence of new ICD- … Improved capture of adverse events after spinal surgery procedures with a longitudinal administrative … A machine learning approach for predictive models of adverse events following spine surgery. … Accuracy of a machine learning approach for predicting adverse events after spine surgery.
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.htmlDecember 01, 2017 - In addition, surgery is linked to half of all hospital adverse events. … Most hospital adverse events are avoidable. … events. … events and other defects. … events.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docxDecember 01, 2017 - In addition, surgery is linked to half of all hospital adverse events. … Most hospital adverse events are avoidable. … events. … events and other defects. … events.
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www.ahrq.gov/hai/universal-icu-decolonization/index.htmlSeptember 01, 2013 - Safety and Adverse Events The REDUCE MRSA Trial (Randomized Evaluation of Decolonization … Safety and Adverse Events Authors University of California Irvine Susan Huang, MD, MPH Adrijana
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www.ahrq.gov/research/findings/studies/index.html?page=256January 01, 2024 - The authors believe that more adverse drug events would occur in clinical trials taking place at specialist … Keywords: Adverse Drug Events (ADE), Adverse Events, Medication, Opioids, Policy, Public Health, Substance … Investigators worked to determine the national cost of adverse drug events (ADEs) in the United States … The national cost of adverse drug events resulting from inappropriate medication-related alert overrides … Keywords: Healthcare Cost and Utilization Project (HCUP), Adverse Drug Events (ADE), Adverse Events,
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www.ahrq.gov/patient-safety/reports/advances-new-directions/index.htmlJuly 01, 2022 - Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology ( PDF , 109 KB ) … Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance … News Media and Health Care Providers at the Crossroads of Medical Adverse Events ( PDF , 129 KB ) … Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency … Drug Events: Study Methods ( PDF , 646 KB ) Andrew L.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdfJanuary 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
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www.ahrq.gov/news/newsletters/e-newsletter/831.htmlSeptember 01, 2022 - frequency of diagnostic errors, clinicians and healthcare organizations seldom learn from diagnostic events … Potentially inappropriate medication administration is associated with adverse postoperative outcomes … Risk of metabolic and cardiovascular adverse events with abiraterone or enzalutamide among men with advanced … Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia … Trajectories of prescription opioid dose and risk of opioid-related adverse events among older Medicare
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www.ahrq.gov/es/hai/universal-icu-decolonization/index.htmlSeptember 01, 2013 - Safety and Adverse Events The REDUCE MRSA Trial (Randomized Evaluation of Decolonization … Safety and Adverse Events Authors University of California Irvine Susan Huang, MD, MPH Adrijana
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Prologue: Laying the Foundation (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Prologue_Henriksen_Vol1.pdfJuly 10, 2008 - and confidentiality do not exist, that reporting systems are not burdensome to use, that reported events … Challenges of reporting quickly give rise to challenges of encoding and organizing the adverse event … Strategies and efforts aimed at adverse event surveillance, creating useable taxonomies, and addressing … Another paper examines the perceptions of health care leaders and news media professionals related to adverse … Risk is treated by safety scientists as the likelihood that exposure to a hazard will lead to adverse -
www.ahrq.gov/programs/index.html?page=2February 24, 2024 - To reduce HACs and other adverse events in hospitals, frontline clinicians and others use many of the … uses electronic medical records to develop weekly reports that identify residents at risk of common adverse … events in nursing homes to help clinical staff intervene early.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/f1-returnoninvestment.pdfJanuary 01, 2009 - 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. … 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.
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www.ahrq.gov/patient-safety/resources/liability/waever.htmlAugust 01, 2017 - Studies of claims have shown that the perceived cause, context, outcome, and response to a given adverse … Paid malpractice claims for adverse events in inpatient and outpatient settings. … Exploring relationships between hospital patient safety culture and adverse events. … Health care professionals as second victims after adverse events: a systematic review. … The natural history of recovery for the healthcare provider “second victim” after adverse patient events
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