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Showing results for "adverse events".
Users also searched for: patient safety indicators

321. Appropriate Emergency Department Pain Assessment for Children With Sickle Cell Disease (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-fullreport.pdf
     April 01, 2018 - Painful events are the most common cause of ED visits and hospitalizations for children. … Further, unfamiliarity with the effective use of analgesics and fear of adverse effects, such as respiratory … a result, patients with SCD may be undertreated for pain out of concerns about addiction or other adverse … Vaso‐occlusive painful events in sickle cell disease: Impact on child well‐being. … Management of vaso‐occlusive pain events in sickle cell disease.

322. Initial Risk Assessment for Immobility-Related Pressuer Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-203-fullreport.pdf
     April 10, 2017 - Research and Quality (AHRQ) pediatric-specific Patient Safety Indicators (PSI) were used to identify adverse … events in 431,524 discharges from 38 freestanding, academic, not-for-profit pediatric hospitals affiliated … Stage III and IV ulcers are serious, reportable events. … this eMeasure electronically, providing electronic output for 106 unique patients representing 109 events … Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality

323. Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults: Report (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-245-fullreport.pdf
     December 01, 2019 - events during antidepressant treatment, and reassessment of diagnosis and treatment if no improvement … treatment goals and outcomes, including assessing depressive symptoms and function, monitoring for adverse … events during antidepressant treatment, and reassessing diagnosis and treatment if no improvement is … in Primary Care (GLAD-PC) recommends systematic assessment of symptoms and function, monitoring for adverse … events during antidepressant treatment, and reassessing diagnosis and treatment if no improvement is

324. Preventing Falls in Hospitals
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
     June 16, 2017 - understanding that even small failures in safety protocols or processes can lead to catastrophic or adverse … events if action is not taken to solve the problem.

325. Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
     September 02, 2022 - Discuss the associated tasks and thought processes taking place during those events. 4 Domain 3: … SBAR),27-30 to structure communication with physicians and other diagnostic team members and reduce adverse … events. … in their day-to-day operations. 7 e Any safety events or “good catches” identified from these … Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events. July 2022.

326. Education in Proper Use of New Asthma Medication Delivery Device for Children With Asthma (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-fullreport.pdf
     March 01, 2019 - inhalation technique leads to poor asthma control, followed by an increased risk of exacerbations and adverse … followed, this teaching process leads to improved control and decreased risk of exacerbations and adverse … Eligible cases are identified based on dispensing events through pharmacy claims. … This specification will miss dispensing events that occur in the inpatient setting or in the outpatient … This leads to poor asthma control and an increased risk of exacerbations and adverse effects.

327. Module 1: Preventing Falls in Hospitals—Training Guide | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
     September 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … We understand that even small failures in safety protocols can lead to catastrophic or adverse events

328. Strategy 2: Communicating to Improve Quality (Implementation Handbook) (doc file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.docx
     April 30, 2013 - opportunities where they can interact with the health care team This handout gives information on routine events … One study found that more than 70 percent of adverse events are caused by breakdowns in communication … Communicating to Improve Quality strategy may also help to meet other goals related to patient safety and never events

329. Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Report (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-206-fullreport.pdf
     November 01, 2019 - In States where the denominator is large (at least 2,000 events), the reliability is very good; observed … However, in Utah, where the denominator is 672 13 CT imaging events, reliability was lower … This suggests that this measure should be used in health plans with over 2,000 CT imaging events in … Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the … Sedation and general anesthesia in children undergoing MRI and CT: Adverse events and outcomes.

330. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
     January 01, 2012 - • Pressure ulcers represent an important patient adverse event that is associated with significant

331. CUSP Toolkit, The Role of the Nurse Manager, Facilitator Notes | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/hai/cusp/modules/nursing/nursing-notes.html
     December 01, 2012 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Quality/Safety Say: Nurse managers should obtain data on quality outcomes and adverse events monthly

332. Chapter 3. Care Coordination Measurement Framework | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/ncepcr/care/coordination/atlas/chapter3.html
     June 01, 2014 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Medication management. 13 Reconciling discrepancies in medication use in order to avoid adverse drug … events associated with transitions in care.

333. Scientific Peer Review Meeting Schedules | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/funding/process/study-section/prrvmtgs.html
     March 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events

334. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/policymakers/chipra/overview/background/next-steps2.html
     December 01, 2009 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Health care-associated infections are regarded as "never events," that is, adverse events that should

335. Ratio of Magnetic Resonance Imaging Scans to Computed Tomography Scans for the Evaluation of Children with Atraumatic Seizure: Report (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-fullreport.pdf
     November 01, 2019 - Drivers of Overuse Seizures can be stressful events that may prompt a parent to seek the assistance … EHRs may be limited by interoperability with other providers’ EHRs that may likewise capture imaging events … Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the … Sedation and general anesthesia in children undergoing MRI and CT: Adverse events and outcomes.

336. Use of Higher-Than-Recommended Doses of Antipsychotics in Children and Adolescents (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-177-fullreport.pdf
     May 01, 2018 - antipsychotic medication during the measurement year with at least two antipsychotic medication dispensing events … Worrisome adverse effects of atypical antipsychotics have, however, been documented even at low doses … schizophrenia found that high doses were not associated with better outcomes but were associated with more adverse … outcomes and side effects associated with the use of higher-than-recommended doses in these populations, adverse … Adverse effects of second-generation antipsychotics in children and adolescents: a Bayesian meta-analysis

337. Strategy 2: Communicating to Improve Quality (Implementation Handbook) (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.pdf
     April 30, 2013 - where they can interact with the health care team • This handout gives information on routine events … One study found that more than 70 percent of adverse events are caused by breakdowns in communication … to Improve Quality strategy may also help to meet other goals related to patient safety and never events

338. Anticipatory Guidance Regarding Hydroxyurea Treatment for Children With Sickle Cell Anemia (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-fullreport.pdf
     January 01, 2019 - Hydroxyurea is indicated for pediatric patients with SCA who have recurrent vaso‐occlusive events, including … even more pronounced in older children with SCA, as they are hospitalized more often for the pain events … • Hydroxyurea works in all age groups to prevent acute events and chronic organ dysfunction. … complications have been associated thus far with hydroxyurea use in children, though research about adverse … Impact of hydroxyurea on clinical events in the BABY HUG trial. Blood 2012; 120(22):4304‐10.

339. CHIPRA 119 Section 5, Literature Review and Discussion (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-section-5-lit-review.pdf
     March 19, 2012 - These risk factors put infants at risk for hypothermia and are associated with adverse outcomes. … This chain of events contributes to peripheral vasoconstriction, pulmonary vasoconstriction deterioration … The study concluded that hypothermia is associated with adverse outcomes. … newborns with cold injury or hypothermia, or during hypoxia could lead to malnourishment, and fatal events … Resuscitative efforts also improved chance of hypothermic events.

340. AHRQ Equal Employment Opportunity Policy | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/policy/eeo/index.html
     February 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events