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41. Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsletters/e-newsletter/899.html
    February 01, 2024 - Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals Issue Number … [PDF, 9 MB]) Today's Headlines: Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing … Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals Patients with heart … Additional articles featured this week include: Adverse safety events in emergency medical services … Impact of reducing time-to-antibiotics on sepsis mortality, antibiotic use, and adverse events.

42. The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
    April 01, 2004 - Case Definitions (and Guidelines) for Adverse Events Following Immunization Katrin S. … Safety can only be inferred indirectly from the relative absence of multiple, likely adverse events … Case Definitions for Adverse Events After Immunization 91 Global standardization in immunization … Case Definitions for Adverse Events After Immunization 101 23. Rigau-Perez JG, Bonilla GL. … Surveillance of adverse events following immunization.

43. Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/liability/baker.html
    August 01, 2017 - First, we sought to identify adverse clinical events that are highly dependent on provider teamwork, … First, we reviewed a report by the RAND Corporation  6 that identified adverse events in which team … Results To identify a set of adverse obstetrical events that could be used to study Aim 2, we used … For example, the mean rating for risk across adverse events was 2.47. … Candidate and Final L&D Adverse Events (Final events appear in bold)   Liability  

44. Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
    January 01, 2003 - Hospitalizations for adverse events associated with medical care, or medication adverse events, represented … events involving hospitalizations and will also include veteran injuries and adverse events that are … Incidence and types of adverse events and negligent care in Utah and Colorado. … Adverse events related to medical care, Utah: 1995–99. … Adverse events in New Zealand public hospitals I: occurrence and impact.

45. References | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/hotline/refs.html
    May 01, 2016 - Study of Adverse Events (ENEAS). … The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. … Incidence and types of adverse events and negligent care in Utah and Colorado. … Adverse events in British hospitals: preliminary retrospective record review. … What can hospitalized patients tell us about adverse events?

46. Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
    November 01, 2024 - Services on a report that provides analyses on adverse events (AEs) experienced by Medicare patients … Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report (PDF, 1.5 MB … ) QSRS Features The QSRS was designed to identify the occurrence of specified adverse events to gain … These standardized specifications ensure adverse events are reliably identified across all hospitals. … For almost 20 years, MPSMS was used to determine national rates for specific adverse events.

47. Study Draws Link Between Parents’ Comfort With English, Adverse Events for Children | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsletters/e-newsletter/735.html
    October 01, 2020 - Study Draws Link Between Parents’ Comfort With English, Adverse Events for Children Issue Number … Today's Headlines: Study Draws Link Between Parents’ Comfort With English, Adverse Events for Children … Study Draws Link Between Parents’ Comfort With English, Adverse Events for Children Children whose … events in hospitalized children. … Association of current opioid use with serious adverse events among older adult survivors of breast cancer

48. Medicare Costs Higher Among Hospitals With High Rates of Adverse Safety Events | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsletters/e-newsletter/708.html
    April 01, 2020 - Medicare Costs Higher Among Hospitals With High Rates of Adverse Safety Events Issue Number 708 … Today's Headlines: Medicare Costs Higher Among Hospitals With High Rates of Adverse Safety Events . … Medicare Costs Higher Among Hospitals With High Rates of Adverse Safety Events Hospitals with higher … than average rates of adverse events, such as falls or medication events, are more likely to have higher … and may reflect the quality of hospital care, and that investment in reducing adverse events may provide

49. Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement (pdf file)
    www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
    January 01, 2024 - Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement … Improving the Safety of Primary Care by Measuring Adverse Events and Improvement Principal Investigator … Key Words: adverse events, patient safety, primary care, trigger tool 2 I. … Previous work by the research team has indicated that the burden of adverse events (AEs) in the delivery … Early work using the BI-OTT indicated that adverse drug events (ADEs) are the most common type of AE

50. Introduction | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-intro.html
    August 01, 2024 - The health system uses an anonymous incident reporting system, enabling employees to report potential adverse … events, near-misses, or areas of risk across the entire health system. … 8 years, a specialized team made up of nurses, doctors, and medical specialists has analyzed these adverse … catastrophic adverse events from 2016 to 2022 found that diagnostic errors contributed to 23 percent … of all events.

51. A Study of Adverse Occurrences and Major Functional Impairment Following Surgery (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
    March 15, 2004 - We examined adverse occurrences, not adverse events. … Adverse events in surgical patients in Australia. … Proportion of hospital deaths associated with adverse events. … Adverse drug events in hospitalized patients. … The costs of adverse drug events in hospitalized patients.

52. Project Overview: Designing Consumer Reporting Systems for Patient Safety Events | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/consumer-exp/systems/index.html
    October 01, 2014 - their family members are in a unique position to identify gaps in care that may have contributed to adverse … events. … more than 25 States have passed legislation or created regulations related to hospital reporting of adverse … events. … events.

53. Connecticut Hospital Reduces Emergency Wait Time, Adverse Events Using AHRQ Tools | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201806.html
    October 01, 2018 - Connecticut Hospital Reduces Emergency Wait Time, Adverse Events Using AHRQ Tools Search All Impact … facility-wide improvements in patient safety culture, which led to an 86 percent decline in serious safety events … questionnaire were part of a comprehensive patient safety program launched in 2013 for measuring preventable adverse … events,” he said. … We’ve found that preventable adverse events resulting in moderate to severe harm or death have dropped

54. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
    January 01, 2003 - drug events using 247 adverse drug events in 207 hospitalized patients in 2 hospitals in Boston over … adverse events. … events and 8.37 percent for those without potentially preventable adverse medical events. … medical events, and 5.61 percent for those without potentially preventable adverse medical events. … by patients experiencing adverse events.

55. Communication and Optimal Resolution (CANDOR) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/index.html
    August 01, 2022 - institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events … In short, the CANDOR process is a more patient-centered approach that emphasized early disclosure of adverse … events and a more proactive method to achieving an amicable and fair resolution for the patient/family … Interaction—Nurse Module 7: Resolution Resolution Facilitator Notes ( PowerPoint , 757 KB) Adverse … Care Video: Notification of Adverse Event Video: Planning for Meetings with Family Video: Disclosure

56. Grant Final Report: Toward an Optimal Patient Safety Information System (TOPSIS) (pdf file)
    www.ahrq.gov/sites/default/files/2024-04/koss-report.pdf
    January 01, 2024 - events.(4,5) Complete and accurate field data on adverse events across the nation are still scarce … Distribution of Reports of Adverse Events. … Sources of Reports of Adverse Events. … The ways in which hospitals learn about adverse events can impact the way in which events are addressed … and adverse events that occur in their hospital.

57. Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
    January 01, 2003 - Introduction Adverse drug events (ADEs) contribute to overall morbidity and mortality. … Incidence of adverse drug events and potential adverse drug events: Implications for prevention. … Adverse drug events in ambulatory care. NEJM 2003;348:1,556–64. 4. … Multifacted approach to reducing preventable adverse drug events. … Relationship between medication errors and adverse drug events.

58. Making Healthcare Safer III | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
    August 01, 2024 - Harms such as adverse drug events, healthcare-associated infections (HAIs), falls, and obstetric adverse … events are responsible for thousands of deaths and hundreds of thousands of injuries each year. … including medication management, healthcare-associated infections, nursing-sensitive practices, procedural events … 415.4 KB) Harms Due to Anticoagulants (PDF, 2 MB) Harms Due to Diabetic Agents (PDF, 1.6 MB) Reducing Adverse … Drug Events in Older Adults (PDF, 415.7 KB) Harms Due to Opioids (PDF, 2.1 MB) Patient Identification

59. Major Study Shows Significant Drop in In-Hospital Adverse Event Rates Pre-COVID | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsletters/e-newsletter/822.html
    July 01, 2022 - Major Study Shows Significant Drop in In-Hospital Adverse Event Rates Pre-COVID Issue Number … adverse events for healthcare-related patient harm fell significantly in the United States in the decade … The authors of the study, published in JAMA , tracked 21 adverse events of nearly 245,000 patients in … Examples of the events included adverse medication events such as those associated with the use of insulin … Monitoring preventable adverse events and near misses: number and type identified differ depending on

60. The Relationship Between Hospital Workload and Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
    January 01, 2024 - Table E2: Adverse events explicitly specified for identification during chart review Adverse event … events and the time of adverse event occurrence. … adverse events (false negative). … We chose to focus on Adverse Drug Events (ADE) as the initial type of adverse events modeled. … Bates, D.W., et al., Evaluation of screening criteria for adverse events in medical patients.