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Showing results for "adverse events".
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481. Trauma-Informed Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/healthier-pregnancy/fact-sheets/trauma.html
     April 01, 2016 - Individual trauma results from an event, series of events, or set of circumstances that is experienced … by an individual as physically or emotionally harmful or life-threatening and that has lasting adverse … [i] Exposure to traumatic events in the lives of women such as Intimate Partner Violence (IPV) , Military … systems function according to at least four basic principles: 1) Realize the prevalence of traumatic events … Control : Division of Violence Prevention: ACE Study http://www.cdc.gov/violenceprevention/acestudy The Adverse

482. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=368
     January 01, 2024 - Keywords: Adverse Drug Events (ADE), Brain Injury, Intensive Care Unit (ICU), Medication, Trauma … Keywords: Adverse Drug Events (ADE), Diabetes, Medication, Patient-Centered Healthcare, Risk … Keywords: Adverse Events, Antimicrobial Stewardship, Education: Patient and Caregiver, Ambulatory Care … Keywords: Adverse Events, Patient Safety, Health Information Technology (HIT) Brown SD , Ehrlich … Keywords: Adverse Drug Events (ADE), Blood Thinners, Data, Diagnostic Safety and Quality, Medication

483. Care for the Caregiver Program Implementation Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
     August 01, 2022 - ensure that these tiers of support are provided to caregivers after they have in been involved in an adverse … What type of organizational response plan is available for serious patient safety events? … clinical events? … Does your facility review patient safety events openly and share lessons learned? … YES  NO       Adverse Event Investigation Process Is an adverse event policy in place

484. 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.

485. Final Progress Report: Real-time assessment of risk factors for medication errors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14283-Dresselhaus-draft-1.pdf
     September 29, 2005 - Medication errors, including preventable adverse drug events, are especially common in the inpatient … A computer alert system to prevent injury from adverse drug events: development and evaluation in a … Drug Events Data Sources & Measures. … events. … Although most of the adverse drug events that occur during the study period will be linked to a specific

486. Using Technology to Alert Clinicians to Potential Allergy, Drug Interactions | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-zhou.html
     July 01, 2024 - prominent patient safety researcher who has investigated how information technology can be used to prevent adverse … drug events. … “Drug allergy is a major type of adverse drug reaction, and it has great impact on quality of care and … Hospital Grantee Since: 2009 Type of Grant: Various Related AHRQ Resources Medication Errors and Adverse … Drug Events Medication Safety Consistent with its mission, AHRQ provides a broad range of extramural

487. Using Just Culture To Improve Hospital SOPS (Presentation) | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/events/webinars/just-culture/presentation.html
     January 01, 2017 - Policies; Corrective Action, Sentinel Events, Adverse Event Reporting. Patient Safety Plan.

488. Using Socio-Technical Probabilistic Risk Assessment (ST-PRA) to Assess Risk and Improve Patient Safety and Reliability in Health Care Systems | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article19.html
     June 01, 2014 - It utilizes quantitative and qualitative data to "map" the risks associated with adverse outcomes. … points interact with one another and either individually or collectively combine to contribute to the adverse … is determining the probabilities associated with breakdowns in human performance that contribute to adverse … Is proactive, identifying the possible adverse events before they actually occur, thereby enabling the … Models complex interactions and dependencies among the multiple risk points that may lead to the adverse

489. Using Socio-Technical Probabilistic Risk Assessment (ST-PRA) to Assess Risk and Improve Patient Safety and Reliability in Health Care Systems | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article19.html
     June 01, 2014 - It utilizes quantitative and qualitative data to "map" the risks associated with adverse outcomes. … points interact with one another and either individually or collectively combine to contribute to the adverse … is determining the probabilities associated with breakdowns in human performance that contribute to adverse … Is proactive, identifying the possible adverse events before they actually occur, thereby enabling the … Models complex interactions and dependencies among the multiple risk points that may lead to the adverse

490. Peer Support Interaction—Physician: Video | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/videos/physicians.html
     August 01, 2022 - 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

491. Peer Support Interaction—Nurse: Video | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/videos/nurses.html
     August 01, 2022 - 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

492. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=320
     January 01, 2024 - Keywords: Adverse Drug Events (ADE), Children/Adolescents, Disabilities, Medication, Patient Safety … Meaningful use of health information technology and declines in in-hospital adverse drug events. … Keywords: Health Information Technology (HIT), Electronic Health Records (EHRs), Adverse Drug Events … Keywords: Medication, Guidelines, Diabetes, Adverse Drug Events (ADE) Chandakkar PS , Venkatesan … Keywords: Adverse Drug Events (ADE), Diabetes, Medication, Risk Loucas CA , Brand SR , Bedoya

493. Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
     August 01, 2022 - clinician attitudes about the disclosure of individual, team, and system failures associated with four adverse … members tended to agree on which system failures were important to disclose, regardless of the type of adverse … Clinician responses were more varied and were affected by type of adverse event, but they did agree with … events, and conducting clinical safety interventions. … transitioning from hospital to home care to determine the potential for discrepancies to result in an adverse

494. Risk of Concurrent Use of Prescription Drugs with Herbal and Dietary Supplements in Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Graham_77.pdf
     March 05, 2008 - An observational study showed that herbal supplements are associated with adverse events of all levels … Adverse Drug Events Among Herbal and Dietary Supplement Users Twenty-nine (29 percent) of the 101 HDS … Adverse events associated with dietary supplements: An observational study. … Adverse drug events in ambulatory care. N Engl J Med 2003; 348: 1556-1564. 15. … Incidence of adverse drug events and potential adverse drug events. Implications for prevention.

495. Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/capacity/candor/demo-program/plan-grants/findings.html
     May 01, 2016 - clinician attitudes about the disclosure of individual, team, and system failures associated with four adverse … members tended to agree on which system failures were important to disclose, regardless of the type of adverse … Clinician responses were more varied and were affected by type of adverse event, but they did agree with … events, and conducting clinical safety interventions. … transitioning from hospital to home care to determine the potential for discrepancies to result in an adverse

496. Final Progress Report: Pharmacist Technology for Nursing Home Resident Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lapane-report.pdf
     January 01, 2024 - Heightened awareness of adverse drug events may have occurred in the intervention homes. … Trends in decreases in hospitalizations due to serious adverse events were observed but did not reach … The prevention of adverse drug events. ECPN 2005;June:26-32. Feinberg JL. … Incidence and preventability of adverse drug events in nursing homes. … A computer alert system to prevent injury from adverse drug events. JAMA 1998; 280: 1317-1320.

497. Comparing Quality Scores to an Independent Standard | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/translate/compare/choose/standard.html
     January 01, 2023 - The Standard for “Never Events” There is one kind of standard that is beginning to emerge in health … care: the standard of “never” or zero percent for certain adverse and preventable events. … These events are preventable and should never happen.”

498. Final Progress Report: Pharmacist Technology for Nursing Home Resident Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/11835-Lapane-draft-1.pdf
     January 01, 2006 - Heightened awareness of adverse drug events may have occurred in the intervention homes. … Trends in decreases in hospitalizations due to serious adverse events were observed but did not reach … The prevention of adverse drug events. ECPN 2005;June:26-32. Feinberg JL. … Incidence and preventability of adverse drug events in nursing homes. … A computer alert system to prevent injury from adverse drug events. JAMA 1998; 280: 1317-1320.

499. The “Never Antibiotics” Diagnoses: ​Viral Acute Upper Respiratory Infection: ​the Common Cold – Facilitator Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/common-cold-guide.docx
     September 01, 2022 - Harm associated with antibiotics includes adverse drug events, microbiome disruption, and antibiotic … Adverse drug events from antibiotics are very common. … Patients are four times as likely to require an emergency department visit for an adverse event related … events from the medications should be taken into consideration before recommending them to individual … In fact, they could lead to an adverse event, like diarrhea, that could make it harder to participate

500. 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