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Showing results for "adverse events".
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381. 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

382. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/liability/sands.html
     August 01, 2017 - adverse events and errors. … Its goals are to (1) proactively identify adverse events, (2) differentiate between injuries caused by … The DA&O approach to adverse events initially did not gain momentum as a risk management practice and … events. … When things go wrong: responding to adverse events: a consensus statement of the Harvard Hospitals. 

383. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/sands.html
     August 01, 2017 - adverse events and errors. … Its goals are to (1) proactively identify adverse events, (2) differentiate between injuries caused by … The DA&O approach to adverse events initially did not gain momentum as a risk management practice and … events. … When things go wrong: responding to adverse events: a consensus statement of the Harvard Hospitals. 

384. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
     January 01, 2004 - We have since come to realize that preventable medical deaths and adverse events happen in Wisconsin … events? … The IOM estimates that preventable adverse drug events resulted in approximately $2 billion in increased … events. … Systems analysis of adverse drug events. JAMA 1995;288:501–13. 3. Borden S. U.S.

385. Universal ICU Decolonization: An Enhanced Protocol | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/hai/universal-icu-decolonization/index.html
     September 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

386. Agency for Healthcare Research and Quality
     www.ahrq.gov/programs/index.html?page=2
     February 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.

387. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=269
     January 01, 2024 - Keywords: Medication, Medication: Safety, Adverse Drug Events (ADE), Adverse Events, Cardiovascular … Keywords: Risk, Adverse Drug Events (ADE), Adverse Events, Medication, Patient Safety Hudson … Keywords: Adverse Events, Evidence-Based Practice, Patient-Centered Outcomes Research, Research Methodologies … An information enhanced framework for reporting medication events. … Keywords: Adverse Drug Events (ADE), Adverse Events, Medical Errors, Medication, Medication: Safety,

388. 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.

389. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=23
     January 01, 2024 - The goal of this study was to investigate whether adverse peri-intubation associated events occur at … Peri-intubation adverse events in the critically ill child after hematopoietic cell transplant. … Keywords: Children/Adolescents, Intensive Care Unit (ICU), Critical Care, Adverse Events Soares … Their cross-sectional study linked patient-level adverse events data from the Medicare Patient Safety … Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality

390. Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Research and Knowledge Network (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/sarkar2-report.pdf
     January 01, 2024 - Incidence and preventability of adverse drug events in hospitalized adults. … Adverse events in primary care identified from a risk-management database. … National surveillance of emergency department visits for outpatient adverse drug events. … Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes … Adverse Drug Events in U.S. Adult Ambulatory Medical Care. Health Serv R es.

391. Silence A Commentary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/liability/silence.html
     August 01, 2017 - System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Events in Labor and Delivery Patient Safety Culture and Medical Liability—Recommendations for Measurement … Drug Events During Transfer of Care from Hospital to Home Carole … Some of the key elements of CRPs are reporting and responding to adverse events, continuous communication … When things go wrong: responding to adverse events: a consensus statement of the Harvard Hospitals.

392. Silence A Commentary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/silence.html
     August 01, 2017 - System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Events in Labor and Delivery Patient Safety Culture and Medical Liability—Recommendations for Measurement … Drug Events During Transfer of Care from Hospital to Home Carole Hemmelgarn Three … Some of the key elements of CRPs are reporting and responding to adverse events, continuous communication … When things go wrong: responding to adverse events: a consensus statement of the Harvard Hospitals.

393. 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

394. Project Summaries for ACTION III Projects Awarded in 2016 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/translating/action3/actioniii-2016-summaries-revised.pdf
     January 01, 2016 - The goal is that when ACFs use the toolkit, patients at high risk for adverse events and the families … • Assess the sensitivity and comprehensiveness of QSRS in identifying all adverse events recorded … The data that are collected will be analyzed for true positive and false positive adverse events. … The 10 HACs being studied are: • Adverse drug events (anticoagulants, opioids, and hypoglycemic agents … • Obstetric adverse events. • Pressure ulcers.

395. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=383
     January 01, 2024 - Keywords: Comparative Effectiveness, Imaging, Risk, Kidney Disease and Health, Adverse Events … Keywords: Adverse Events, Comparative Effectiveness, Kidney Disease and Health, Patient-Centered Outcomes … Keywords: Healthcare Cost and Utilization Project (HCUP), Adverse Events, Mortality, Patient Safety, … Keywords: Medication, Medication: Safety, Adverse Drug Events (ADE), Patient Safety, Provider: Pharmacist … They found that FP was not associated with first attempt success, adverse TI-associated events, oxygen

396. Making the Case That Improving Antibiotic Use Is a Patient Safety Issue (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-facilitator-guide.pdf
     November 01, 2019 - They can be associated with adverse events, and when administered to patients who do not need them, … Slide 4 Antibiotic-Associated Adverse Events SAY: All antibiotics have the potential to harm … Often, these adverse events occur after a patient is discharged from the hospital. … Antibiotic-associated adverse drug events then were categorized into clinically significant and non-clinically … Approximately 20 percent of hospitalized patients develop antibiotic-associated adverse events.

397. The Science of Improving Patient Safety
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafety.pptx
     March 01, 2009 - suffer a medication error2 On average, every patient admitted to an intensive care unit suffers an adverse … Incidence of adverse drug events and potential adverse drug events. JAMA. 1995;274(1):29–34. … An alternative strategy for studying adverse events in medical care.

398. Improving Patient Safety in Healthcare | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-fairbanks.html
     December 01, 2023 - care, where the complexity of the system and the fragility of the patients creates a greater risk for adverse … events. … a 2-year AHRQ grant in 2005 to evaluate an emergency medicine clinical pharmacist program to avoid adverse … drug events in emergency department (ED) patients. … Fairbanks evaluated over 10,000 ED cases for adverse events, and interviewed ED physicians and nurses

399. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/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

400. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=340
     January 01, 2024 - Keywords: Patient-Centered Outcomes Research, Surgery, Hospital Readmissions, Adverse Events … Keywords: Adverse Drug Events (ADE), Adverse Events, Injuries and Wounds, Patient Safety, Heart Disease … Safety and postoperative adverse events in pediatric airway reconstruction: analysis of ACS-NSQIP-P 30 … Keywords: Children/Adolescents, Patient Safety, Adverse Events, Patient-Centered Outcomes Research, … Keywords: Adverse Drug Events (ADE), Medication, Medication: Safety, Patient Safety, Prevention