Email Updates
Go to Basic Search
Results
Total Results: 545 records
Showing results for "adverse events".
Users also searched for: patient safety indicators
-
www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure1.htmlJune 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Transitions increase the risk of adverse events due to the potential for miscommunication as responsibility
-
www.cpsi.ahrq.gov/research/findings/final-reports/ptflow/section5.htmlJuly 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docxAugust 01, 2010 - Nurse shift changes require the successful transfer of information between nurses to prevent adverse … events and medical errors. … One study found that more than 70 percent of adverse events are caused by breakdowns in communication … are on the Centers for Medicare and Medicaid Services’ list of hospital-acquired complications “never events … communication during nurse transitions, for example: Reduce the incidence of never events by 5 percent
-
Specific Tools To Support Change (pdf file)
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdfJanuary 01, 2011 - • Sentinel events: transfusion reaction, wrong blood type, wrong-site surgery, foreign body left … in during procedure, medical equipment- related adverse events, medication errors … • Other care-related adverse events: patient falls, in-hospital hip fracture or fall http://www.oecd.org … Hospital of Philadelphia annually reviews all findings from root cause analyses of serious safety events … This electronic toolbox provides States with tools they can use or modify as they develop or improve adverse -
Appendix 3: Data Abstraction (xls file)
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix3-data-abstraction.xlsxJune 24, 2022 - utilization; NEST_data • The specific data elements required to assess performance and outcomes (including adverse … events and their timing) in the course of the disease or treatment; NEST_data • The appropriate settings … expectations or preferences will providers and patients be expected to have regarding benefits and adverse … NAM2019 Likelihood that beneficial or adverse effects would be reported or observed? … expectations or preferences will providers and patients be expected to have regarding benefits and adverse -
www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.htmlOctober 01, 2014 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … Have there been any notable adverse events that were pressure-ulcer related?
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdfApril 27, 2022 - The remaining 2 studies (Giardina et al29,30) analyzed existing data sets of patient reports of adverse … events and patient complaints, respectively. … Secondary analysis of patient reports of adverse Timeliness, accuracy, communication events ( … The determination of error depends on the temporal or sequential context of events. … Tracking Progress in improving diagnosis: a framework for defining undesirable diagnostic events.
-
www.cpsi.ahrq.gov/teamstepps/rrs/instructor_slides/rrsinstructmod.htmlOctober 01, 2014 - should be prioritized based on the risk to patients and on the prevalence and severity of targeted adverse … events. … Quality Improvement – Supports Activators and Responders by reviewing RRS events and evaluating data … During a team huddle, response team members could: Discuss critical issues and emerging events. … and prescribe a course of action for future events.
-
ACTION III 2019 Project Summaries (pdf file)
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/translating/action3/ACTION%20-III-2019-Project-Summaries.pdfJanuary 01, 2019 - Each year, approximately 965,000 individuals will have a coronary event, and more than 30 percent of events … It is associated with a wide range of adverse consequences related to physical and mental health (e.g … The risks of adverse medication events also differ for older adults, including falls, respiratory depression … events and opioid use, misuse, and OUD in older adults in primary care; o Their experiences caring … drug events: a systematic review. -
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdfJanuary 01, 2004 - our study of the impact of working conditions of nurses on medication administration accuracy and adverse … The Safety Climate Scale focuses on organizational commitment to safety, knowledge of how to report adverse … events, and beliefs about systems problems as a cause of error.
-
www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/qdr-blackhealth-slides.htmlNovember 01, 2020 - as well as from adverse drug reactions. … Although patient safety initiatives focus mainly on inpatient hospital events, adverse effects of medical … Providers treating adverse events in outpatient settings may include office-based physicians, hospital … Some adverse events, such as known side effects of appropriately prescribed medications, may be unavoidable … sense of the burden these events place on the population.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bonner.pdfJanuary 01, 2004 - to a clinician who can assess the level of urgency of the situation is part of a complex chain of events … Only one reportable adverse event ensued.11 No revisions of the policy were necessary. … Risks to patient privacy in adverse event reporting for HSR&D studies.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdfAugust 01, 2010 - Nurse shift changes require the successful transfer of information between nurses to prevent adverse … events and medical errors. … One study found that more than 70 percent of adverse events are caused by breakdowns in communication … on the Centers for Medicare and Medicaid Services’ list of hospital-acquired complications “never events … communication during nurse transitions, for example: • Reduce the incidence of never events by 5 percent
-
www.cpsi.ahrq.gov/patient-safety/reports/advances/vol3.htmlJuly 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events
-
www.cpsi.ahrq.gov/cpi/about/35th-anniversary/index.htmlApril 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Hospital-Acquired Conditions show that national efforts to reduce hospital-acquired conditions, such as adverse … drug events and injuries from falls, helped prevent an estimated 8,000 deaths and save $2.9 billion
-
www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-infmat.htmlJune 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … out-of-wedlock birth, or a high-parity birth, all of which are more likely to be unintended and associated with adverse
-
www.cpsi.ahrq.gov/patient-safety/patients-families/engagingfamilies/index.htmlMarch 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Primary Care Settings About AHRQ's Quality & Patient Safety Work Patient Safety News and Events
-
www.cpsi.ahrq.gov/teamstepps/instructor/reference/teamperceptionsmanual.htmlApril 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … safety, leadership, interpersonal interactions, attitudes toward stress, and knowledge of how to report adverse … events ( Sexton, et al., 2006 ). … The 50-item T-TPQ was tested and refined during three critical events: cognitive interviews, small group
-
Spreadnotes (doc file)
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docxAugust 28, 2012 - ASK: · How did the pilot CUSP team make a case for their project targeting adverse drug events? -
Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdfAugust 01, 2022 - physician to observe overt and many times more subtle clues, such as changes in vital signs, sensorium, or events … physician by presenting a case and receiving feedback.42 The study reported a significant reduction in adverse … events and near- misses,42 suggesting that distributed cognition played a role by having the physician … Effect of systematic physician cross-checking on reducing adverse events in the emergency department
SHARE:
Search the AHRQ Archive
Information and reports more than 5 years old may be found in the AHRQ Archive site.
Search Within A Specific AHRQ Site
You selected to view results for the following site:
