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Showing results for "adverse events".
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.htmlAugust 01, 2022 - 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. … Be honest EXPLAIN the facts about the adverse event without the patient having to do a lot of probing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdfJanuary 01, 2004 - analyses (RCA) that examine systems issues and identify mechanisms for future prevention of these events … events.1 The subcommittee adopted the NCC MERP definition of a medication error:5 Analysis of … events. … Identification and classification of the causes of events in transfusion medicine. … Leape LL, Bates DW, Cullen DJ, et al., Systems analysis of adverse drug events.
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www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.htmlMarch 01, 2020 - Reducing Adverse Drug Events in Older Adults: Deprescribing Drug burden index scores Adverse … Reducing Adverse Drug Events in Older Adults: Using the Screening Tool of Older Persons’ Potentially … Infusion Pumps/Medication Error : Staff Education and Training Adverse drug events Nurse adherence … Cross-Cutting Factors: Safety Culture Leadership WalkRounds Adverse events Perceptions … Use of the checklist was associated with a decrease in adverse events.
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/issues.htmlAugust 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
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www.ahrq.gov/research/findings/studies/index.html?page=262January 01, 2024 - events. … Keywords: Adverse Events, Children/Adolescents, Patient-Centered Healthcare, Patient Safety, Tools & … The objective of this study was to compare the risk of several adverse events associated with use of … Keywords: Adverse Events, Medication, Brain Injury, Elderly, Patient Safety Balentine CJ , … Keywords: Adverse Events, Healthcare-Associated Infections (HAIs), Obesity, Patient-Centered Outcomes
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/resident-covid-vaccine-administration-record.docxMay 01, 2022 - Contraindication:__________________________________________________________________________ Adverse … ______________________________ Refer to the CDC’s website for information on contraindications and adverse … events. 5. 4. 6.
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Staff COVID-19 Vaccine Administration Record (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/staff-covid-vaccine-administration-record.docxMay 01, 2022 - Contraindication: __________________________________________________________________________ Adverse … _____________________________ Refer to the CDC’s website for information on contraindications and adverse … events. 5. 6. -
www.ahrq.gov/sites/default/files/2024-01/strom-report.pdfJanuary 01, 2024 - , this class of medications also has the potential for severe adverse reactions. … The risk for adverse events may be potentiated by concomitant use of medications that interfere with … PURPOSE The purpose of the current investigation was to detect adverse clinical outcomes associated … events.3-9 It has been shown that statin-related adverse events occur in a potency-dependent manner … events.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/hotline-appendixa.pdfMay 11, 2016 - RTI) and Consumers Advancing Patient Safety, Designing Consumer Reporting Systems for Patient Safety Events … for an ideal reporting system that consumers could use to report experiences with patient safety events … The system should collect information on all types of events, ranging from near-miss and no-harm events … to adverse events. … health care and whose members, employees, or affiliate entities may be the subjects of reports about adverse
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www.ahrq.gov/research/findings/studies/index.html?page=279January 01, 2024 - Keywords: Adverse Events, Health Information Technology (HIT), Surgery D'Agata EMC Addressing … Keywords: Adverse Events, Communication, Electronic Health Records (EHRs), Health Information Technology … Keywords: Injuries and Wounds, Medication, Nursing Homes, Long-Term Care, Adverse Drug Events (ADE), … Adverse Events, Falls, Risk, Patient Safety Couture B , Lilley E , Chang F Applying user-centered … Keywords: Adverse Drug Events (ADE), Adverse Events, Medication: Safety, Medication, Patient Safety,
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www.ahrq.gov/research/findings/studies/index.html?page=414January 01, 2024 - Keywords: Adverse Events, Elderly, Nursing Homes, Patient-Centered Outcomes Research, Surgery … events rate was similar across study periods; however, SIDR did not reduce adverse events. … Keywords: Adverse Events, Provider: Health Personnel, Inpatient Care, Patient Safety, Teams … Keywords: Patient Safety, Medical Errors, Adverse Events, Surgery, Cardiovascular Conditions, Prevention … Meaningful use stage 2 e-prescribing threshold and adverse drug events in the Medicare Part D population
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www.ahrq.gov/research/findings/studies/index.html?page=378January 01, 2024 - Keywords: Electronic Health Records (EHRs), Adverse Drug Events (ADE), Medication, Medication: Safety … Keywords: Adverse Drug Events (ADE), Medication, Children/Adolescents, Comparative Effectiveness, Patient-Centered … The objective of this study was to determine the incremental risk of coronary stents on adverse events … The incremental risk of coronary stents on postoperative adverse events: a matched cohort study. … Keywords: Adverse Events, Risk, Surgery, Patient Safety, Heart Disease and Health, Cardiovascular Conditions
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www.ahrq.gov/research/findings/studies/index.html?page=198January 01, 2024 - Out of 762 discharges there were 379 adverse events. … infections. 145 adverse events were considered less serious, with 28 life-threatening, and 8 were fatal … Most of the adverse events were considered preventable or ameliorable. AHRQ-funded; HS024596. … Adverse events in long-term care residents transitioning from hospital back to nursing home. … Keywords: Adverse Events, Long-Term Care, Nursing Homes, Transitions of Care, Elderly, Patient Safety
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www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.htmlDecember 01, 2017 - events and patient satisfaction Slide 7 Negative Correlation: HSOPS and Patient Safety Events … 5 Higher HSOPS scores are associated with fewer adverse events, which validates patient safety culture … Beliefs, behaviors reflect organizational ability to learn Associated with adverse events, patient … Exploring relationships between hospital patient safety culture and adverse events. … Leape, L.L. (2002) Reporting adverse events.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdfJune 16, 2008 - events. … • Capture the richness of the domain of errors and adverse events. … Conclusions and Future Work A critical step in the direction of reducing errors and adverse events … events. … Classification of medical errors and preventable adverse events in primary care: A synthesis of the
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www.ahrq.gov/news/newsletters/e-newsletter/852.htmlFebruary 01, 2023 - events on health systems. … treat gout as well as other conditions, but it has potentially serious drug interactions that can cause adverse … events like multi-organ failure and heart problems, according to two AHRQ-funded studies published in … Food and Drug Administration’s Adverse Event Reporting System from January 2004 through June 2020. … It found a total of 787 reports that pointed to an adverse event from a colchicine drug interaction.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-arlene.pdfNovember 17, 2020 - risk” will go on to develop MCC • Targeted interventions to improve health and reduce the risk of adverse … events and complications among those with multiple chronic conditions (e.g., diabetes, depression, … interventions for those who have complex management issues and who are at “high risk” for avoidable adverse … events, and require a focus on preventing decline, maximizing functioning, and improving quality of
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptxJune 01, 2021 - Learning From Antibiotic-Associated Adverse Events Form Changing the System 12 What Happened? … Use the Learning From Antibiotic-Associated Adverse Events form to develop a plan. … Completion Guide for the Four Moments of Antibiotic Decision Making Form Learning From Antibiotic-Associated Adverse … Events Changing the System 19 Disclaimer The findings and recommendations in this presentation
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdfMarch 01, 2013 - drug events, or pressure ulcers. … In contrast, events an order of magnitude or more lower in frequency were considered “rare;” such events … Practices Designed for a Specific Patient Safety Target Adverse Drug Events High-alert drugs: patient … ‘Global trigger tool’ shows that adverse events in hospitals may be ten times greater than previously … Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. OEI-06-09-00090.
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www.ahrq.gov/teamstepps-program/resources/additional/sbar.htmlJuly 01, 2023 - how this technique, one tool in the TeamSTEPPS training program, can improve communication, reduce adverse … events, and improve care quality.
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