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Showing results for "adverse events".
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441. Mod5-Disclosure-Checklist (pdf file)
     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.

442. 2018 National Healthcare Quality and DIsparities Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-final-es.pdf
     September 01, 2019 - Patient Safety Importance of Patient Safety Mortality Prevalence Cost Findings on Patient Safety Adverse … Events With Knee Replacement Adverse Events With Hip Replacement Adverse Drug Events With Heparin … Fibrinolytic Medication for Heart Attack Disparities for Asians Largest Disparities Anticoagulant-Related Adverse … Drug Events Treatment by Home Health Providers Providers With Language Assistance Trends in Quality

443. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
     March 01, 2021 - events. … If left unaddressed, behavioral health and social needs are key risk factors for postdischarge adverse … events. … events increases after hospitalization. … events.

444. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
     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.

445. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
     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

446. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
     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

447. Presentation: Program Overview
     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.

448. Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/crane.html
     August 01, 2017 - System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Transitional Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential Adverse … understanding and correcting weaknesses in the health care delivery system and to preventing actual adverse … The wrong diagnosis: identifying causes of potentially adverse events in general practice using incident … Does error and adverse event reporting by physicians and nurses differ?

449. British College Uses AHRQ's Patient Safety Indicators to Reduce Patient Harm in National Health Service | Agency for Healthcare Research and Quality
     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

450. Using Home Visits to Understand Medication Errors in Children (pdf file)
     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.

451. Technology for Improving Medication Monitoring in Nursing Homes (pdf file)
     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.

452. Declines in Hospital-Acquired Conditions Save 8,000 Lives and $2.9 Billion in Costs | Agency for Healthcare Research and Quality
     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.

453. Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium (pdf file)
     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.

454. Peer Support Interaction—Physician: Video | Agency for Healthcare Research and Quality
     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

455. Peer Support Interaction—Nurse: Video | Agency for Healthcare Research and Quality
     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

456. Table 7.B (pdf file)
     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

457. Final Progress Report: Clinical importance of the drug interaction between statins and CYP3A inhibitors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17358-Strom-draft-1.pdf
     June 30, 2010 - , 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.

458. Evaluation Issues | Agency for Healthcare Research and Quality
     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

459. Measure Descriptions for Daily Early Mobility: Facilitator Guide | Agency for Healthcare Research and Quality
     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.

460. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     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.