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Showing results for "adverse events".
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401. New Interactive Data Resource Illustrates Trends in Sepsis Hospital Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/949.html
     March 01, 2025 - therapy, the authors found that death occurred in 8.7 percent of delayed broad-spectrum treatment cases, adverse … drug events in 8.4 percent and readmission in 10.5 percent. … In contrast, after early treatment, death occurred in 9.5 percent of cases, adverse drug events in 7.2 … Articles featured this week include— Ambulatory medication errors and adverse events involved in medicine-related … Hospital-physician integration and cardiac rehabilitation following major cardiovascular events.

402. Barriers Associated with Medication Information Handoffs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
     January 01, 2004 - events.13–15 A recent study showed 19 percent of patients had an adverse event following discharge … Polypharmacy, adverse drug-related events, and potential adverse drug interactions in elderly patients … Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and … Systems analysis of adverse drug events. JAMA 1995;274(1): 35–43. 21. Helmreich R, Schaefer HG. … Impact of emerging technologies on medication errors and adverse drug events.

403. Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
     January 01, 2024 - events.13 Second, disinterest to date in pursuing such activities has generally been mutual: the principal … However, a vital step toward progress in this area is the marshalling of detailed information on such events … Outcome Clinical Category - Kappa for adverse events: 0.38 - 0.42 (intermediate) - Kappa for … Pre-eclampsia Missed breast cancer Outpatient events Descriptive Analyses Case-Control … Relation between malpractice claims and adverse events due to negligence.

404. Looking for Trouble in All the Right Places: The Legal Implications Associated with “Electronic Signatures” and High-risk Clinical Situations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Escobar.pdf
     February 01, 2005 - Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … Incidence of adverse events and negligent care in hospitalized patients. … The nature of adverse events in hospitalized patients. … Potential identifiability and preventability of adverse events using information systems. … Systems analysis of adverse drug events. ADE Prevention Study Group.

405. Gap Analysis Facilitator's Guide: Appendix A | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
     August 01, 2022 - management Disruptive behavior and/or code of conduct Investigation of occurrences (i.e., sentinel events … Bylaws for medical staff and/or hospital Peer review process Oversight/management of adverse … or "harm" events ___  ___ Organizational safety and/or quality plan FMEAs

406. Final Progress Report: Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations: The San Francisco Ambulatory Safety CEnter for iNnovaTion (ASCENT) (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/sarkar3-report.pdf
     January 01, 2025 - Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. … Adverse Drug Events in U.S. Adult Ambulatory Medical Care. … Medication Errors and Adverse Drug Events. … Ambulatory Computerized Prescribing and Preventable Adverse Drug Events. … Adverse Drug Events | health.gov [Internet]. [cited 2020 Dec 13].

407. Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
     January 01, 2025 - The relationship between process (individual errors) and safety outcomes (adverse events) is non-linear … events. … events. … Staff expressed concerns regarding the malpractice and legal ramifications of reporting adverse events … Medication errors, critical incidents, adverse drug events, and more: a review examining patient safety-related

408. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa2.pdf
     January 01, 2018 - events in adults receiving knee replacement -12.31 0.0 0.014 MPSMS 8 (2009- 2016) Hospital patients … Xa -11.33 0.0 0.00 MPSMS 8 (2009- 2016) Inpatient adverse events in adults receiving hip joint replacement … events in adults receiving hip joint replacement due to fracture -7.11 0.0 0.021 MPSMS 8 (2009- 2016 … ) Hospital patients who received a hypoglycemic agent who had an adverse drug events with hypoglycemic … events in adult patients receiving central venous catheter placement -3.83 0.0 0.014 MPSMS 8 (2009

409. Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
     May 01, 2017 - This can help prevent safety events and/or medical errors. … Report to appropriate parties – Providers will use their facility’s policies to report adverse events … Communication about adverse events is a delicate process that requires collaboration with and guidance … Organizations should be prepared to respond and communicate proactively when adverse events occur. … , to Responding to Adverse Events).

410. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/corbett.html
     August 01, 2017 - events. … To emphasize the importance of eliminating the occurrence of adverse events and ADEs, several health … The incidence and severity of adverse events affecting patients after discharge from the hospital. … Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readmissions from … National burden of preventable adverse drug events associated with inpatient injectable medications:

411. Program-Dev-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-facilitator-guide.docx
     June 01, 2021 - provide oversight through quality improvement activities such as reviewing medications, monitoring for adverse … necessary, thereby protecting residents from unnecessary antibiotic exposure and antibiotic-associated adverse … It can be helpful to separate the events into “pre-prescriptive” events, which are the events prior to … A reduction in adverse events means improved resident safety and sometimes cost savings. … antibiotics · Use of guideline-concordant antibiotics · Clostridioides difficile infection rates · Adverse

412. Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
     February 12, 2004 - A system to track and trend near misses and adverse safety events for all the medical treatment facilities … MHSPSR is required to “review reports of adverse events, close calls, and root cause analyses; analyze … Patient Safety Registry (MHSPSR)”.1 The DoD Instruction authorized the registry to review reports of adverse … In that time, over 64,000 events were reported, and slightly over 50 percent of the events were near … This system is a useful tool in decreasing adverse safety events within the health care system.

413. Final Progress Report: Risk Models To Improve Long-Term Care Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
     January 01, 2024 - Risk factors for adverse drug events among nursing home residents. … Incidence and preventability of adverse drug events in nursing homes. … Epidemiology of adverse drug events in the nursing home setting. … Relationship between medication errors and adverse drug events. … Systems analysis of adverse drug events.

414. Tool 6 (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-other.html
     March 01, 2013 - Outcome measures include reduction in direct harm associated with adverse events and treatment misadventures … , including death, disability (permanent or temporary), adverse drug events, or preventable harm requiring … . 7 This document lists key measures of success in improving outcomes, including: Reduction in adverse … drug events.

415. Tool 6 (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool-other.html
     March 01, 2013 - Outcome measures include reduction in direct harm associated with adverse events and treatment misadventures … , including death, disability (permanent or temporary), adverse drug events, or preventable harm requiring … . 7 This document lists key measures of success in improving outcomes, including: Reduction in adverse … drug events.

416. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
     December 01, 2024 - • Implement a Care for the Caregiver program for providers involved in adverse events. … • Investigate and analyze an adverse event to learn from it and prevent future adverse events. … These organizations consistently minimize adverse events despite carrying out intrinsically complex … Patient Safety Primer: Medication Errors and Adverse Drug Events https://psnet.ahrq.gov/primers/primer … Patient Safety Primer: Medication Errors and Adverse Drug Events 21.

417. Impact of Staff-Led Safety Walk Rounds (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Montgomery_42.pdf
     March 05, 2008 - During rounds, members of the group asked questions about near misses, adverse events, and system issues … contributing to these events. … The events were analyzed to determine priorities. … • New forms and additional venues for reporting near misses and adverse events. … events in the hospital and providing safer patient care.

418. Evaluation Issues | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/issues.html
     August 01, 2022 - Others implemented patient safety interventions that plausibly might reduce the occurrence of adverse … events and thus stem the flow of subsequent claims. … AHRQ’s initial plan to require the PSML demonstration sites to collect Common Formats data on adverse … malpractice “claims tail” (i.e., that malpractice claims frequently take years from the occurrence of an adverse

419. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse.pptx
     October 01, 2017 - Perinatal Safety 13 Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverse … events, regardless of whether a rapid response was activated Debrief among clinical team after rapid … Response Call Log can facilitate a debrief Have a process in place to review serious maternal or neonatal adverse … Consider these factors: Unit data suggesting adverse events or near misses that may have been minimized … Debrief regularly after rapid response events, and solicit ongoing feedback from staff and patients to

420. Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/muller-report.pdf
     January 01, 2024 - The number of adverse drug events decreased after the intervention. … Can adverse drug events for inpatients be reduced through the consistent application of a medication … Prevalence: The prevalence of adverse drug events was 0.004% in FY06. … Admission Report: A comparison of diagnoses specifically related to medication adverse events of all … Prevalence: The prevalence of adverse drug events was 0.004% in FY06.