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www.ahrq.gov/antibiotic-use/acute-care/safety/changes.html
November 01, 2019 - decision making
Slides (PPTX)
Facilitator Guide (PDF)
Learning from Antibiotic–Associated Adverse … Events Form (DOCX)
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www.ahrq.gov/patient-safety/capacity/candor/videos/physicians.html
February 01, 2017 - institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events … This video demonstrates an example of emotional support provided for the physician caregiver after an adverse
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www.ahrq.gov/patient-safety/capacity/candor/videos/nurses.html
February 01, 2017 - institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events … This video demonstrates an example of emotional support provided for the nurse caregiver after an adverse
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www.ahrq.gov/news/newsletters/e-newsletter/698.html
February 01, 2020 - Glucose Control After Vascular Surgery Recommended To Reduce Adverse Events . … Glucose Control After Vascular Surgery Recommended To Reduce Adverse Events
Inadequate glucose control … after carotid artery surgery puts patients at risk for adverse events such as strokes, according to
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www.ahrq.gov/health-literacy/professional-training/lepguide/chapter2.html
September 01, 2020 - of all types can engage in a systematic approach to better identify and prevent medical errors and adverse … events that occur commonly among LEP patients. … events among LEP and culturally diverse patients. … events, and analyze their root causes. … events among LEP patients.
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www.ahrq.gov/news/newsroom/press-releases/declines-in-hacs.html
June 01, 2018 - National efforts to reduce hospital-acquired conditions, such as adverse drug events and injuries from … Examples of hospital-acquired conditions include adverse drug events, catheter-associated urinary tract … National Scorecard showed that overall harms decreased in several categories, such as infections and adverse … drug events, which dropped 15 percent from 2014-2016.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/lepguide/lepguide.pdf
September 01, 2012 - Evidence shows that unaddressed language barriers put patients at high risk for adverse events. … The one hospital that
stratified their adverse event data by language found clusters of adverse events … Language pro�ciency and adverse events in U.S. hospitals: a pilot study. … Language proficiency and adverse events in U.S. hospitals: a pilot study. … • Emphasize potential differences between patient safety events and adverse events and distinguish
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www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
September 01, 2012 - Evidence shows that unaddressed language barriers put patients at high risk for adverse events. … The one hospital that
stratified their adverse event data by language found clusters of adverse events … Language pro�ciency and adverse events in U.S. hospitals: a pilot study. … Language proficiency and adverse events in U.S. hospitals: a pilot study. … • Emphasize potential differences between patient safety events and adverse events and distinguish
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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-West_102.pdf
March 31, 2008 - events or adverse patient outcomes, including events with and without identified errors,
across all … Adverse drug
events in ambulatory care. N Engl J Med 2003; 348:
1556-1564.
7. … Incidence
and preventability of adverse drug events among older
persons in the ambulatory setting. … Classification of medical errors
and preventable adverse events in primary care: A
synthesis of the … Adverse
events in primary care identified from a risk-
management database.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
March 09, 2005 - Of the preventable
adverse drug events in nursing homes, 70 percent occurred at the monitoring stage … The FDA
COSTART categories provide standard dictionary terminology to classify
reported adverse events … One-third of
preventable adverse drug events were neuropsychiatric (including delirium,
hallucinations … Epidemiology of
adverse drug events in the nursing home setting.
Drugs Aging 1995;7:203–11.
17. … Incidence and
preventability of adverse drug events in nursing
homes.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
May 28, 2008 - Incidence
and impact of adverse drug events in pediatric
inpatients. … Medication
errors and adverse drug events in pediatric inpatients. … Using chart review to screen for
medication errors and adverse drug events. … Adverse
drug events resulting from patient errors in older
adults. … Incidence of
adverse drug events and potential adverse drug events:
Implications for prevention.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-6b-table-b1.pdf
February 02, 2018 - Table 7.B
Table VI.B.1
Identifying a record with one or more adverse … events Specificity Sensitivity
Internal primary reviewers vs External expert primary reviewers 0.91
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www.ahrq.gov/news/newsroom/case-studies/cdom1002.html
October 01, 2014 - to routine hospital admissions data for the 2005/6 fiscal year revealed a total of 35,918 potential adverse … events in English hospitals. … Potential adverse events were typically associated with higher mortality, unplanned readmission rates
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www.ahrq.gov/patient-safety/resources/advances-in-patient-safety-2/index.html
March 01, 2017 - Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology ( PDF version … Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance … News Media and Health Care Providers at the Crossroads of Medical Adverse Events ( PDF version - … Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency … Drug Events: Study Methods ( PDF version - 646.24 KB ) Andrew L.
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www.ahrq.gov/patient-safety/capacity/candor/demo-program/grants/issues.html
May 01, 2016 - 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/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-slides.pptx
January 01, 2017 - events
Events causing mobilization episode to stop
Intervention
Agitation (1)
Control
Agitation (2) … 9 patients had 14 adverse events (<1% of activities)
Falls to knees without injury (5)
Systolic blood … events
6. … events ranged from agitation to transient physiological events to dislodgements and to falls (none of … the falls were considered serious)
Adverse events ranged from 2.3 to 8.7 per 100 patients3-5
3.
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www.ahrq.gov/hai/tools/mvp/modules/technical/daily-early-mobility-fac-guide.html
February 01, 2017 - events associated with mobilization occurred and, if so, what types of events occurred. … Slide 29: Events
Say:
The next columns are designed to help track any adverse events that might … This field allows you to document up to three events if multiple events occurred. … Slide 30: Event Codes
Say:
If no adverse events occurred, use "0" (the code for "none") to indicate … that no adverse events took place.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/measuredesc-dailyearlymobility-facguide.docx
January 01, 2017 - events associated with mobilization occurred and, if so, what types of events occurred. … Slide 28
Events
SAY:
The next columns are designed to help track any adverse events that might have … This field allows you to document up to three events if multiple events occurred. … Slide 29
Event Codes
SAY:
If no adverse events occurred, use “0” (the code for “none”) to indicate … that no adverse events took place.
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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-Quan_52.pdf
March 10, 2008 - These tools can be used to help hospitals identify potential
adverse events that might need further … study and also to enable users to assess the occurrence of
in-hospital adverse events using routinely … Adverse
events among medical patients after discharge from
hospital. … The Canadian
Adverse Events Study: The incidence of adverse
events among hospital patients in Canada … Knowledge
translation and patient safety: The Canadian adverse
events study.
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www.ahrq.gov/news/newsroom/case-studies/multicenter-0801-cdom-cquips.html
April 01, 2017 - Harm avoidance measures—prevention of problems, such as health care-associated infections and adverse … drug events; these measures will be developed over time with the input of participating QUEST hospitals … Duke University, who received an AHRQ grant for a computerized patient safety initiative (Automated Adverse … the effort to meet the Joint Commission Medical Staff Performance Improvement standard and to monitor adverse … events in an effort to improve patient care.