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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/prp/prp-wound-care.pdf
September 17, 2020 - • There is no statistically significant difference in adverse events and serious adverse
events between … Adverse Events
Appendix L. … There was no statistically
significant difference in adverse events (AEs) and serious adverse events … Categories of adverse events
Type of Adverse Events Example
Dermatological Adverse event Dermatitis … • There was no significant difference on adverse events (AEs) and serious adverse events
between
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www.ahrq.gov/news/newsletters/e-newsletter/660.html
April 01, 2019 - designed to save lives by increasing patient participation in cardiac rehabilitation after cardiovascular events … Articles featured this week include:
The impact of patient–physician alliance on trust following an adverse … Is physician mentorship associated with the occurrence of adverse patient safety events? … Incivility and patient safety: a longitudinal study of rudeness, protocol compliance, and adverse events
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pptx
July 23, 2010 - For example, one study found that more than 70% of adverse events are caused by breakdowns in communication … One study found that more than 70 percent of adverse events are caused by breakdowns in communication … Common complications post-discharge are adverse drug events, healthcare-associated infections, and procedural … complications include adverse drug events, healthcare-associated infections, and procedural complications … The incidence and severity of adverse events affecting patients after discharge from the hospital.
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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.
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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
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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
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www.ahrq.gov/sites/default/files/2024-02/gurwitz2-report.pdf
January 01, 2024 - drug events or potential adverse drug events by
the physician reviewers. … The combined incidence rate of adverse drug
events and potential adverse drug events in the intervention … Emergency hospitalizations for adverse drug
events in older Americans. … Adverse events among medical patients after discharge from
hospital. … Adverse drug events resulting from patient
errors in older adults.
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www.ahrq.gov/hai/pfp/interimhac2013-ap2.html
December 01, 2014 - vs. 2010, and Baseline Projections Made in 2011 on the Additional Inpatient Mortality per HAC
Adverse … Drug Events
1,621,000
1,320,000
301,000
19%
$1,505,000,000
6,020
Catheter-Associated … $149,600,000
1,628
Falls
260,000
240,000
20,000
8%
$144,680,000
1,100
Obstetric Adverse … Events (2012 data used in lieu of 2013)
82,000
77,000
5,000
6%
$15,000,000
7
Pressure
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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
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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.
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www.ahrq.gov/sites/default/files/2024-07/zhou-report.pdf
January 01, 2024 - Obtaining
allergy information is a critical step toward safe prescribing, preventing adverse drug events … Adverse events from medications are
part of clinical practice, but the ability to identify a patient's … The ability to identify adverse events has been a challenge due to
limitations of available data sources … events
for postmarketing surveillance, such as those posted on social media that would otherwise
go … for specific adverse events at the time of medication
prescription or review.
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www.ahrq.gov/research/findings/studies/index.html?page=454
January 01, 2024 - They found that the incremental risk of noncardiac surgery on adverse cardiac events among post-stent … The incremental risk of noncardiac surgery on adverse cardiac events following coronary stenting. … Keywords: Adverse Events, Cardiovascular Conditions, Patient-Centered Healthcare, Risk, Surgery … Keywords: Blood Thinners, Adverse Events, Patient Safety
Prentice JC , Conlin PR , Gellad … Keywords: Obesity, Surgery, Adverse Events, Patient Safety, Hospitalization
Chin DL , Wilson
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www.ahrq.gov/research/findings/studies/index.html?page=246
January 01, 2024 - Keywords: Adverse Drug Events (ADE), Medication, Adverse Events, Medical Errors, Electronic Health Records … The Food and Drug Administration reported that adverse events from epinephrine are infrequent. … This paper provides a summary and simulation of reported adverse events from epinephrine autoinjectors … Summary and simulation of reported adverse events from epinephrine autoinjectors and a review of the … Keywords: Adverse Events, Adverse Drug Events (ADE), Medication, Patient Safety, Prevention
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www.ahrq.gov/hai/pfp/interimhacrate2014.html
January 01, 2018 - events. … About 40 percent of this reduction is from adverse drug events, about 28 percent from pressure ulcers … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … drug events (ADEs), although declines in other HACs also contributed significantly to deaths averted … events were less frequent at hospitals that have implemented a full EHR.
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www.ahrq.gov/research/findings/studies/index.html?page=297
January 01, 2024 - events during tracheal intubations in PICUs. … hemodynamic events. … Frequency of desaturation and association with hemodynamic adverse events during tracheal intubations … Keywords: Adverse Events, Children/Adolescents, Patient Safety, Children/Adolescents, Respiratory Conditions … Keywords: Adverse Events, Cancer: Breast Cancer, Shared Decision Making, Medication, Patient Adherence
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www.ahrq.gov/research/findings/studies/index.html?page=13
January 01, 2024 - Risk factors for opioid-related adverse drug events among older adults after hospitalization for major … Keywords: Elderly, Opioids, Adverse Drug Events (ADE), Adverse Events, Hospitalization, Orthopedics, … Keywords: Medication: Safety, Medication, Medical Errors, Adverse Drug Events (ADE), Adverse Events, … The objective of this study was to investigate the timelines of adverse events (AEs) in the INTERMACS … Keywords: Heart Disease and Health, Cardiovascular Conditions, Adverse Events, Medical Devices
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www.ahrq.gov/research/findings/studies/index.html?page=174
January 01, 2024 - Keywords: Heart Disease and Health, Cardiovascular Conditions, Surgery, Adverse Events, Registries … Overall, 66% of patients had codes identifying cardiac or pulmonary adverse events. … Cardiac adverse events included hypertension, peripheral edema and heart failure. … Pulmonary adverse events included dyspnea, cough, and pneumonia. AHRQ-funded; HS019455. … Keywords: Adverse Events, Medication, Cardiovascular Conditions, Risk, Cancer, Patient Safety
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www.ahrq.gov/research/findings/studies/index.html?page=331
January 01, 2024 - Families as partners in hospital error and adverse event surveillance. … Keywords: Adverse Events, Children/Adolescents, Hospitals, Medical Errors, Patient and Family Engagement … events of special interest (AESI) in a Medicare population. … Measuring harm in health care: optimizing adverse event review. … Keywords: Medical Errors, Adverse Events, Quality Improvement, Adverse Drug Events (ADE), Patient Safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
April 01, 2016 - ■ Within 60 minutes after the CANDOR event is identified, advise the patient and/or family that an
adverse … ■ Identify the adverse event early in the disclosure. … ■ Explain what is known about why the adverse event occurred; do not speculate. … ■ Tell the patient whether the adverse event was preventable, if known. … Apologize
■ Say you are sorry for the adverse event in a sincere manner early in the conversation.